It sounds like you're considering a combination of procedures that address both aesthetic and functional concerns from previous surgeries. Combining these procedures into one surgery is often possible, depending on your overall health and the complexity of each procedure. Let’s break down the specifics and address your questions. 1. Thigh Lift with Liposuction: A thigh lift combined with liposuction is a common procedure for improving the contour and tightening the skin in the thigh area. The liposuction can help remove any localized fat deposits, though you mentioned not needing much lipo. The main focus would be on reshaping the thighs and removing excess skin if necessary, which seems minimal in your case. 2. Fat Grafting to One Hip: Fat grafting to one hip to correct an imbalance from a previous surgery is a very doable procedure. Surgeons typically harvest fat from another area (like the thighs or abdomen) and graft it into the area needing volume. Since you need fat only on one side, the surgeon would carefully balance the volume and shape to correct the asymmetry. 3. Breast Implant Exchange: Exchanging breast implants is a fairly straightforward procedure, especially since you've already had implants. Whether you're opting for a change in size or type (saline to silicone, for example), the surgeon will remove the current implants and replace them with new ones. 4. Removal of Sutures and Scar Tissue from Previous Tummy Tuck: Removing sutures and scar tissue from your previous tummy tuck, especially if it is impeding your movement, is a functional procedure that can significantly improve your comfort. Since you're not dealing with excess skin, this would likely involve re-entering the previous incision, removing the problematic sutures or scar tissue, and then closing up the area. The goal would be to free up any adhesions or tightness that’s affecting your mobility. Combining Procedures: Many surgeons can safely combine these procedures into a single operation. However, the complexity of the surgery and your overall health would need to be considered to ensure your body can handle multiple procedures in one session. Recovery time may be longer, and you'll need to carefully follow post-op instructions to ensure proper healing across all surgical sites. Cost Estimate: The cost of combining multiple procedures can vary greatly depending on your surgeon’s fees, geographic location, and the specifics of your case. However, here are some general estimates for each part of the procedure: Thigh Lift with Liposuction: $6,000 to $11,000 Fat Grafting to One Hip: $3,500 to $7,000 Breast Implant Exchange: $6,000 to $10,000 Scar Tissue Removal and Suture Revision from Tummy Tuck: $4,000 to $8,000 Total Estimated Cost: Combining all of these procedures, the total cost might range from $19,500 to $36,000. Keep in mind that: Surgeons often offer a discount for combining procedures. The costs include surgeon’s fees, anesthesia, facility fees, and post-op care. The complexity of your case (e.g., scar tissue removal) and any extended time in surgery may affect the overall cost. Consultation: You’ll need a detailed consultation with a board-certified plastic surgeon to evaluate whether it’s safe and feasible to combine these procedures in one session. They’ll assess the scar tissue, your previous surgical history, and any underlying factors that may impact the surgery. The surgeon will also be able to provide a more specific cost breakdown after examining your unique situation.