Surgery Including 2 Hernia Repairs, Abdominal Wall Repair, BL, BA, Lipo for Hips? Separately, Same Time?

If Done Under 5 Hr is it safer to split up surgeries or do together if under 5 hrs? can being under general for 4-5 hours affect memory or body in an adverse way?

Doctor Answers 6

Multiple Procedures Such as In a Mommy Makeover

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It's difficult to suggest without a in-person one-on-one consultation. 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 116 reviews

What is a Safe Amount of Time Under Anesthesia?

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Thank you for the question. I try to limit my anesthetic time to 6 hours or less. However this is for patients who are otherwise healthy. For patients with medical problems (diabetes, high blood pressure, obesity, etc.) the longer the list of problems the shorter the amount of time allowed to be under anesthesia as well as limiting the number of procedures that may produce significant blood loss. If a patient has a significant problem (recent heart attack) or number of problems then they may just not be good surgical candidates.

This is why it is important to obtain a consultation with a Board Certified Plastic Surgeon who will not only examine you but review your medical history to ensure that there are no contraindications for you to have surgery.

I hope this helps. Best wishes.

Under 5 hours of cosmetic surgery is fine.

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It is not just about the number of hours.  Sounds like you need a modified mommy makeover.  If you are healthy and thin, these procedures are done together.   Quite safe.  But if you are over 60 years old or overweight, they should not be done together regardless of the number of hours.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

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Multiple surgeries at once

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I agree with Dr. Abramson. Surgery limited to 6 hours is safe. Talk to your board certified plastic surgeon to get advice on what can be done at one surgery.

George W. Weston, MD
Reston Plastic Surgeon

Safe Amount of Time for Surgery

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4-5 hours of surgery is acceptable for most healthy patients.  A consultation with a board certified plastic surgeon will help you decide which procedures can be performed safely together.

Arnold S. Breitbart, MD, FACS
Long Island Plastic Surgeon
4.8 out of 5 stars 160 reviews

Abdominal wall reconstruction, breast augmentation

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The amount of cosmetic surgery the should be performed at one time should be limited to 6hours. Longer surgery can lead to increased complications.  Although unforeseen problems can occur your surgeon should be able to estimate how long each procedure would take and the potential for blood loss with each one.

David L. Abramson, MD
New York Plastic Surgeon

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.