Is it possible to have a panniculectomy and an arm lift done at the same time?

Depending on the area to be treated, the size of the area, the amount of tissue to be removed, the amount of separation between the two areas in order to preserve the blood supply to both and maximize the wound healing potential, your general health, the amount of time each procedure will take, and the experience of the surgeon with combination procedures, it is possible to have more than one operation at the same time.  The surgeon will need to discuss all of these issues with you and make a safe plan that will give you a well thought out, well executed operation with an excellent outcome.

It is certainly possible to do both a panniculectomy and an arm lift, or brachioplasty, at the same surgery.  Generally speaking, the pannic is (hopefully) covered by insurance, and the arm part, or other parts, tend to be cosmetic since they are not covered by insurance, and that becomes the cosmetic part of the procedure.  

Yes it is possible to do bilateral arm lifts and a panniculectomy at the same time.  Most of my patients will stage these procedures so that when they do the tummy portion they can use their arms to be able to ambulate and move and perform the daily living tasks (going to the bathroom!).  Staging these two large procedures is helpful.  Depends on the amount of tissue I am removing and how long the surgery will take.  But I would urge you to stage them into two surgeries.  Best to be safe. Look for a board certified plastic surgeon. Good luck.