Which Surgery Should Be Done First - Breast Augmentation or Tummy Tuck?

I am a mother of two with a sagging stomach when I bend at the waist. When standing, it's not saggy - just an excess layer of loose fat beneath the skin that I cannot work off with exercise. If considering a tummy tuck & breast augmentation, which of these surgeries should be done first and which second to get the best overall results? I do have very young children, and therefore think it would be best to break up the surgeries so I can have a more manageable recovery period and manage them.

Doctor Answers 27

About the Mommy Makeover Procedure

The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. 

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Tummy tuck and breast augmentation

Thank you for your question. A tummy tuck and breast augmentation are great procedures to combine as they address some of big changes that happen after pregnancy. It is often referred to as a mommy makeover. It is a bigger procedure and may often require a night in the hospital. I would consult with a board certified plastic surgeon in your area to discuss your options in more detail and would recommend combining the procedure as you will only have one recovery.  If you are definitely wanting to stage the procedures, the breast augmentation is the easier recovery.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Which surgery first?

Thank you for your question.  It is quite common to combine breast augmentation surgery with tummy tuck.  You would probably receive a lower price by combining procedures and also only have to endure one period of recovery.  If you absolutely feel the need to have them done separately, it is really your choice as to which one should be done first.

Best of luck

Christopher J. Morea, MD
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 191 reviews

Which surgery should be done first - breast augmentation or tummy tuck?

Hello! Thank you for your question! These procedures can be effectively and safely performed in one setting. The breasts and tummy tuck are commonly performed together, often referred to as the "mommy makeover". If you are healthy and your surgeon decides that a/he could perform the procedures in a safe time for you, these procedures certainly can be done in one stage. Staging the procedures to have them performed at various times will likely not have any cost benefit for you. When you combine procedures, there is often a discount that is provided by the surgeon for multiple procedures. Also, when having multiple procedures performed at the same time, you save on anesthesia and facility fees, which otherwise are paid for with each individual procedure. In addition, you may benefit by the single recovery time.

It is your decision as to whether you have your procedures performed in one or multiple stages, but your surgeon will give his/her recommendations.  If you do stage them, which one first should be decided by which one you would like to have done first or which bothers you more. I would consult with a plastic surgeon well-versed in these procedures and discuss your concerns with your surgeon and see what your options are as well as have an examination. Your safety is ultimately the most important factor and is always on the mind of your surgeon when making such decisions. Hope that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast Augmentation & Tummy Tuck: Combining Procedures

         When breast augmentation and tummy tuck are indicated we prefer combining these procedures whenever possible. This approach has multiple advantages. When these procedures are performed together there’s significant synergy and the overall results are better. In addition, there’s only one recovery and the procedures are less expensive when combined.


         These procedures can also be performed separately. Which procedure is performed first under these circumstances depends on the personal preference of the patient. There’s no medical reason for doing one before the other. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Mommy Makeover

Do the breast aug. first that way if there is a need to adjust something later, you can do that when you are having the TT 9 months later or so.  Either sequence is fine though.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Doing a mommy make over in stages

If your scenario is such that you need or want to break the surgeries up into two, I think I would suggest doing the one that bothers you the most first. Since you mentioned the tummy issues first, I would assume that bothers you the most.  The down time and recovery are similar, so that would not make a large difference. I say do the one that bothers you the most first because in some cases, once the biggest problem is gone, the patient feels that what they have had is enough and they do not have the second part, that saves money an down time.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Which comes first? The tummy tuck or the breast augmentation

If you are a candidate for these two procedures, I recommend that you get them both at the same time. It takes longer to get off pain medicine, driving, and back to work from a tummy tuck than it does from a breast augmentation. While you are recovering from a tummy tuck, you will have already mostly recovered from a breast augmentation.

If you want to have the procedures done separately for financial reasons, then you pick which you want to do first. Do the one that bothers you the most.  Having one done before the other typically doesn't affect the other procedure.

Good luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Tummy tuck



I usually like to do the tummy tuck first unless the patient has strong preferences. This establishes the new waistline and makes breast implant selection more accurate later.


Best Regards,

John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Staging mommy makeover

The decision to stage the breast and abdominal portions of your mommy makeover is a personal one, as is whether to do the abdominal or breast portion of your procedure first.  If you do choose to stage the procedures, I recommend doing whatever bothers you more first.  However, because you have young children, you should consider that, while the recovery may be a bit less if you stage the procedures, you will not be able to lift your children for a while after each procedure.  Some women prefer to do everything at once and just get the whole thing over with!

B. Aviva Preminger, MD
New York Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.