Can a breast reduction and liposuction on the back and abdomen be done at the same time?

Question

Was considering a breast reduction. Wanted to know if liposuction could be done at the same time, specifically the braroll and stomach area. My concern is, after a breast reduction you've got to sleep on your back, so would liposuction still be possible at the same time?

Erik Miles, MD, FACS · Answer

It is quite common to do liposuction with breast reduction surgery.   Liposuction adds time to the procedure and can require repositioning. These are all factors that must be considered if the procedures are to be done in a combined fashion.  Safety is the top priority and there are times when splitting up procedures is recommended.  Discuss this with your surgeon.  Best wishes.

Trevor M. Born, MD · Answer

Dear Plucky6782Thank you for your question!  The answer is YES!  All the best.With Warm RegardsTrevor M Born MD

Alex Campbell, MD · Answer

Yes it is possible. Many patients get combination of procedures including the breast and full body liposuction. You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Miguel Delgado, MD · Answer

If you are in good health, these procedures can be done together. Be sure to consult with a board certified plastic surgeon to learn what options are available to you. Good luck.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question.Yes, it is possible to have those procedure at the same time. But first, for safety reasons, to be a good candidate for the procedures you want at the same time, your labs and  cardiovascular preoperative evaluation must be optimal.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

Kenneth Hughes, MD · Answer

Photos would be beneficial in providing feedback to your questions. These two procedures can be performed by an expert at both procedures at the same time with favorable outcome, one recovery, and less expense.  If you have reached a safe, stable weight, and are otherwise healthy, you can be considered for lipo of back and abdomen and breast reduction surgery at the same time. 
The safe maximum amount that can be liposuctioned in an outpatient setting is 5 liters in one surgery.  Lipo is a terrible weight loss tool but a great contouring tool. Most plastic surgeons reserve liposuction for contouring stubborn fatty areas that diet and exercise cannot remove.

Swelling and healing as well as scar maturation can persist for 6 months and sometimes up to 1 year following liposuction.   PSs have different post-operative protocols based upon their experience and training; some recommend adjustable garments; others, body boards and foam.  I recommend following your PS's advice for the best recovery.

Daniel Barrett, MD · Answer

Dear Plucky6872,
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

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The best advice you can receive is from an in-person consultation. When good technique is used, breast reduction and back liposuction can be safely combined into the same procedure. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.

Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Martin Jugenburg, MD · Answer

Yes, it is possible to perform a breast reduction and lipo of the bra rolls and stomach.  It may be uncomfortable to lie on your back initially but it will not affect the quality of your results.  As such, it's pretty common in our practice to do bra rolls lipo and front surgery such as tummy tucks or breast surgery.

Robert M. Tornambe, MD · Answer

Plucky6872I appreciate your concern, however there should be no problem doing the liposuction at the same time as your breast reduction surgery. Even though liposuction is being performed on your back, you can still comfortably sleep on your back after the surgery. You can also sleep on your side, if that is more `comfortable. Discuss these issues with your board-certified plastic surgeon. Good luck.

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