Want liposuction to a few areas, breast augmentation, and a monsplasty - what procedures can I combine safely?

Question

I am wanting to have: -Lipo on back, stomach, buffalo hump, neck (double chin) - Breast lift + fat transfer - Monsplasty I was wondering what procedures would be OK to have in one go, and what ones I should wait for after the first surgery.

Emmanuel De La Cruz, MD · Answer

Combining multiple cosmetic procedures, such as liposuction, breast augmentation, and monsplasty, is a common practice known as a "Mommy makeover" or a combination body contouring procedure. While it is possible to combine these procedures safely, it's essential to consult with a board-certified plastic surgeon who can evaluate your individual health status and medical history to determine the best approach for you. Here are some considerations:

Safety: Safety is paramount when combining multiple procedures. Your surgeon will assess factors such as your overall health, medical history, BMI, and any underlying medical conditions to ensure that you are a suitable candidate for surgery and that the combination of procedures can be performed safely.

Duration of Surgery: Combining multiple procedures can result in a longer surgical time, which may increase the risk of complications such as blood clots, anesthesia-related issues, and prolonged recovery. Your surgeon will discuss the potential risks and benefits of combining procedures and help you make an informed decision.

Recovery: Recovery from combined procedures may be more extensive compared to undergoing each procedure individually. It's essential to follow your surgeon's post-operative instructions carefully and allow yourself an adequate amount of time to recover fully.

Customization: Each patient's anatomy and cosmetic goals are unique, and the combination of procedures will be tailored to address your specific concerns and achieve the desired outcome. Your surgeon will work with you to develop a customized treatment plan that takes into account your individual needs and preferences.

Results: Combining procedures can lead to comprehensive aesthetic improvements, addressing multiple areas of concern simultaneously. However, it's crucial to have realistic expectations about the results and understand that the final outcome may take time to fully manifest as swelling subsides and the body heals.

During your consultation with a plastic surgeon, be sure to discuss your goals, concerns, and expectations openly. Your surgeon will conduct a thorough evaluation and provide you with personalized recommendations based on your unique situation to help you achieve your desired aesthetic outcomes safely and effectively.

Lane Smith, MD · Answer

As long as you are relatively healthy, all procedures could be done at the same time. It’s usually better to do liposuction multiple areas when the patient wants a fat transfer because there’s more to work with. There are some restraints that might hold you back, obesity, size and shape of your breasts, etc, but your surgeon can look at you and tell you instantly if they’ll be able to do all procedures at the same time or if you will need to break them up to have optimal results. I would love to see you here at Smith Plastic Surgery to go over how I can help you reach your body goals.

Daniel Barrett, MD · Answer

Dear Friendly39427,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Each surgeon has their own opinion on what can be combined or staged, therefore it would be best to speak with your board certified plastic surgeon for their advice. It may be possible to combine all, or just a couple. Generally speaking, patients tend to choose to resolve the issue that concerns them the most first.

Zoran Potparic, MD · Answer

It is impossible to give you direct answer without in person evaluation, discussion about your goals and evaluation of your health status. However, providing that you are in good health and that you do not need extensive liposuction, all of these procedures including back and abdominal liposuction, neck liposuction, breast lift and fat transfer to breasts (?) can be done in a single surgery. Contulation with a board certified plastic surgeon or teleconference with surgeon familiar with these procedures, is recommneded. Good luck.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding combining multiple procedures safely.

The procedures that you have listed could potentially all be combined into one surgery depending on a couple of factors including your medical history and length of surgery time.

To be sure, I recommend that you have an in person consultation with two or more of board-certified plastic surgeons in your area.

Anmol Chugh, MBBS, MS, MCh · Answer

Consider and discuss the total surgical time, the Volume of fat that will be removed, the hospital stay, recovery time, and pricing. Multiple factors need to be considered before deciding.

Zamir Paez, MD · Answer

Hello, I am Dr. Zamir Paez from Colombia and Dubai, it's very important that you know that it's necessary to make an assessment to review the time required for the procedures you want and check if you can do them in a single surgical time or you need more. You should know that each country has its limit in surgical times, for example in Colombia the maximum time is 8 hours in operating rooms.

Connie Hiers, MD, FACS · Answer

The length of surgery depends upon your age and overall health. I would suggest discussing this with your surgeon.

Camille Cash, MD · Answer

Combining procedures is common and considered safe, but there are limits.  Depending on the amount of liposuction desired, it may be better to break these procedures into stages.  An in person evaluation is needed in addition to discussion of your goals in order to recommend which to combine.  I encourage you to visit with a board certified plastic surgeon near you to learn more.

Want liposuction to a few areas, breast augmentation, and a monsplasty - what procedures can I combine safely?

Answers (12)

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