Should I get a tummy tuck and breast lift first, then lipo and BBL? Or all at the same time? (Photo)

Question

I am a 36 year old mother of 4 I was going to do a full transformation and do the tummy tuck with muscle repair, lipo 360 adding arms and inner thigh’s bbl, and Brest lift with important Exchange with j-plasma to all the lipo areas.. I need advice as to if that’s a good move? I don’t want to be under for to long ied be under for 5-6hr I don’t know if that good or bad and if maybe I should do the tummy tuck and Brest 1st then the lipo and bbl?.

Irena Karanetz, MD · Answer

Hello,
 Thank you for the question and your photos. 
Typically, multiple procedures can be combined, but the goal is to limit general anesthesia time to under 6 hours for safety reasons. Estimated surgery duration varies between surgeons, and that may be one of the reasons why one surgeon may recommend combining two procedures, while another may encourages to stage it.
It is typically recommended to wait 3-6 months in between surgeries to allow for adequate healing time.
I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options and expectations for best cosmetic results.
I hope this helps. Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

James B. Depew, MD, FACS · Answer

While combining as many procedures at once may sound appealing to have less time away from work and responsibilities or less anesthesia, sometimes the risk and the recovery can be more than just additive. That is, recovering from a tummy tuck, BBL, and breast lift can put significant limitations on your activity and it is harder to compensate when you've operated on many areas. 
Staging procedures is always a good option as it allows you to have shorter surgeries that allow you to recover and prepare for the next. As an added bonus, it also gives your surgeon the opportunity to do any touch-ups you may desire as well. 
Surgeons will each have their preference on what order and in what combination, so speaking with a surgeon in person about your goals is important. Sometimes, timing around upcoming life events can be important too. 
Good luck on your journey, and as always - make sure your surgeon is board-certified.

George Bitar, MD · Answer

Based on your limited photos, I do not see a significant amount of fat to take for the Brazilian buttlift.  It would be more prudent to do the BBL with the abdominoplasty, so fat can removed from the tummy and all of the other places to get you a good buttock shape.  I would do the breast lift and implant exchange at a separate surgery, waiting at least 3 months.

Gary M. Horndeski, MD · Answer

The safe operation time is 6 hours. It is possible to perform a tummy tuck and breast lift in this time. However, not all the everything can be done in 6 hours. I recommend beginning with your breasts and abdomen and then do the liposuction and fat transfers.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Stefan Mark Szczerba, MD · Answer

Ok this is a tall order.  I would definitely do a BBL first and lipo all the areas that concern you because you do not have a not of fat.  J Plasma is fine but not mandatory and look into BodyTite as it is a bit safer. 
 Delay your TT and breast surgery.   The breast and TT can be done together but actually separating them is safe also and may be the best option.  It's important to delay the TT from the BBL so that the skin can recover and you can get a really tight TT.  Best Wishes!!

Daniel Barrett, MD · Answer

Dear Calm58652,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Alexandrish Karvendrish Rodríguez Tavárez, MD · Answer

Hello! In your case, our recommendation is to perform a breast lift with implants exchange and abdominoplasty, in a second round do 360 liposuction plus j-plasma, the results will be optimized. Thank you for contacting us!

Connie Hiers, MD, FACS · Answer

For you, I would suggest starting with the liposuction first, except for the flank areas, along with the breasts.  You may find you are happy enough and no longer want the tuck. Then the liposuction to the flanks with the BBL can be done.

Leland Webb, MD · Answer

Combining procedures is often very safe. However, you have to consider the fact that some of them compete against each other with positioning and ability to get excellent results all at once. I would consider discussing with your board-certified plastic surgeon your primary goals and plan for a combination of procedures that keeps you safe and provide you with excellent results. Sometimes we use six hours of surgery as a measure of the safe option for combining surgeries. Furthermore, you do have a paucity fat, which may limit some of your goals with fat transfer, however, you still have an opportunity at an amazing result. You have some great questions, but never sacrificed safety in an effort to achieve results as these results will come possibly with a few different surgeries. We are happy to help in any way we can.

Manuel Diaz, MD · Answer

hi dear thank you for your question, please keep in mind we are missing your breast pictures to give you a full recommendation. however, based on your foundation you are a great candidate for a Mommy Make Over, this combination of procedures will give you the results you are looking for.

Should I get a tummy tuck and breast lift first, then lipo and BBL? Or all at the same time? (Photo)

Answers (14)

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