Is it safe to have a TT, Lipo and BBL all at once?

Thank you very much for sharing your concerns with us.For safety reasons, to be a good candidate for TT+Lipo+ BBL at the same time, your labs and cardiovascular preoperative evaluation must be optimal.Therefore, you must be a healthy person, within an appropriate BMI and no history of diseases that increase the surgical / anesthetic risk degree.Finally, I recommend you a skilled certified plastic surgeon in body contouring surgery and experienced in cases like yours where the planned operating time is less than five hours.Respectfully,Dr. Emmanuel Mallol Cotes.-

Thank you for your question. It's difficult to give precise recommendations without pictures. Generally, I do not perform BBL and Tummy Tuck at the same time for recovery purposes. You will need to rest on your back after your tummy tuck, and then rest on your stomach after your BBL. You won't want to jeopardize the results of either procedure, so I recommend doing the procedures separately. Liposuction can be done with either depending on the areas you wish you address. You'll need to have a consultation with a board certified plastic surgeon for precise recommendations. 

Just because some operations CAN be done does not mean they should be done together. The reason is not only the ease of recovery but also the greater risk of complications such as vein blockage and potential fatal blood clots to the lungs (DVT and PE). According to the Caprini risk scale operations lasting over 3 hours have a significantly high risk of DVT and PE. Moreover, the more areas of the body we operate on, the more sore areas you have which make it harder to lie on   With BBL most surgeons would ask that you stay off your buttocks for 2 weeks thereby further complicating your ease of recovery. So, can you have a Tummy Tuck, and BBL at the same time? Yes you can. Are they associated with a safe and easy recovery?? No. In my opinion, only the healthiest and toughest women should consider having this combination.Good LuckPeter Aldea MD

When considering multiple elective surgical procedures. There are many issues to consider1: your general health, clearance for surgery2: You BMI3: A tummy tuck on a 120lb patient is different than a tummy tuck on 200 lb.4: The experience of the surgeon.5: Where the procedure is done6: Is the Surgeon Board Certified Plastic Surgeon? is the Facility full Accredited?7: Are they equipped to deal with any emergency? Abdominoplasty, liposuction and fat transfer to the buttock needs to be under general anesthesia for properly doing the surgery, and safety of the patient.

I prefer to perform a BBL and tummy tuck  in a staged way.  I like to harvest as much fat asa I can from the abdomen and I am concerned about skin survival of the tummy tuck if done at the same time.

Yes you are already aware a BBL abdominoplasty combination is a large endeavor.Not only from the patient's perspective but also from the surgeons perspective.I have done these including extended abdominoplasty with BBL.I generally prefer to split the procedure went to two.There's no single age that includes your ex Kloetzel someone from having that amount of surgery.The overall Health of the patient needs to be taken into consideration.Athletic people will do better then sedentary people. Non-smokers will do better than smokers. Overweight people will not do as well as slim people.I perform most of my liposuction and fat transfer without the use of general anesthesia.An abdominoplasty does however always require general anesthesia.I cannot imagine someone doing all that surgery in three hours and doing it well.Even six hours it's short if those procedures are to be done well.It's like anything else if you want to do it right then it's going to take time.I can mow my lawn and pick up things in the yard in half an hour.To make my yard look really good it takes several hours.I can liposuction out some fat and graft it in 20 minutes.Meticulous liposuction can take several hours by itself.Sometimes I spend half an hour just redoing the bellybutton.Have you ever seen those abdominoplasty results where the bellybutton looks really bad or ones where the bellybutton looks completely natural.My guess is the ones that look bad probably did not take very long.In my opinion the preferred order is to perform liposuction with the Brazilian first using local anesthesia and mild sedation.Six months later have the patient undergo a full abdominoplasty using general anesthesia.There are usually enough cost savings by avoiding hours of general anesthesia time that the surgery becomes no more expensive by splitting it into two procedures.Direct cover you for an abdominoplasty or Brazilian it's hard.The recovery from a combined abdominoplasty Brazilian is brutal.if it was for me or someone in my family I would say slow down and do it into procedures.most plastic surgeons will not perform aggressive liposuction in conjunction with an abdominoplasty in order to minimize complications.When done as two separate procedures liposuction can be done as aggressively as needed to get the best contour.