Is it safe ?
I believe that combining a tummy tuck and fatr transfers is a very good option. We routinely utilize liposucition with our abdominoplasties and rather than discarding the fat, it can be used for buttock augmentation with very favorable results- why waste all of that good fat. When combining procedures, it is important to assure that you are a good candidate for the longer surgery. Unless you have medical reasons not to do both procedures at the same time, I think it is a good idea.
This sounds like a great idea until you start looking into the details. First is the length of surgery which can take up to 6 to 8 hours all together if each procedure is done thoroughly and correctly. It's probably quite safe with today's surgical and anesthesia advancement in safety but it's also quite possible that increasing surgical time can increase risks of post op complications which no one likes. Second issue has to do with recovery. Imagine both your abdomen, flanks and back have been operated on and now you need to lie down. What's safe position? If you are on your back then you just crushed the fat transfer to the buttock. If you are on your stomach, then your tummy tuck repair may be jeopardized. This combination makes it quite difficult for the recovery period and may interfere with proper recovery and ultimately final result. Yes, we can do it but a better question is should we? Best Wishes, Stewart Wang, MD FACS, Wang Plastic Surgery