Tummy tuck, 360 lipo, breast reduction and lift and thigh lift

Thank you for your question regarding whether it’s possible to undergo a simultaneous tummy tuck, 360 Lipo, breast reduction, and thigh lift. I don’t think it’s a good idea to undergo this many procedures in a single setting. Even though you’re 40 years old without health conditions or medications, this is still a long surgery with a significant length of incision line that your body has to heal. Your tummy tuck will have a scar measuring approximately 12 to 18 inches. Your breast reduction will have scars measuring approximately 28 inches. Your thigh lift will have an incision line measuring approximately 28 inches. That means you will have approximately 74 inches of scar to heal from. That’s a lot; in fact, too many incisions to heal.

I would break up your surgeries. I would suggest you undergo surgery in order of body parts that bother you the most. Therefore, if your tummy bothers you the most, I would make sure during your first procedure you have your tummy tuck completed. I would proceed with the rest of the surgeries in the same manner.

However, you can combine several body parts into one surgery. Most plastic surgeons would agree that your best results would be achieved in two or more surgeries.

One option would be the tummy tuck and the breast lift with reduction. Before embarking on your second surgery right away, let yourself heal from your first surgery. Your body needs to rebuild red blood cells which were lost during the surgery. It also needs to heal the incision line. Approximately one month later, consider 360 Lipo with a thigh lift. Another option would be to do the 360 Lipo and the thigh lift first. Then, one month later, proceed with the tummy tuck and breast lift with reduction. Another option would be to undergo a tummy tuck with a thigh lift, followed by the breast lift with 360 Lipo. As you can see, there are many combinations. However, most plastic surgeons would agree that undergoing a combined tummy tuck, 360 Lipo, breast lift and reduction without implants in one big surgery is risky. There is a higher risk for wound breakdown, infections, and blood loss requiring a blood transfusion with longer surgeries. I hope I've answered your questions regarding whether it’s possible to have all these procedures done in one surgery. Good luck.

Sincerely,
Dr. Katzen

Hi, thank you for sharing your question. While it is possible to do all of these surgeries at the same time, it is not recommended as it will increase your risk of complications, possibly major health risks.

All procedures can typically be combined, however I would caution you to combine the thigh lift with other procedures. With tummy tuck, you will want to be as mobile as possible to prevent VTE events (venous thromboembolism). Having a thigh lift at the same time as the other procedures will limit your mobility and predispose you to potentially deadly blood clots. I would save the thigh liposuction and thigh lift for a separate procedure.

Thanks for your question. It is difficult to provide a proper evaluation without pictures. That said, I have performed many combo procedures, but I generally keep it to a maximum of two procedures for optimal results. I recommend you schedule a consult for a proper evaluation. Make sure the surgeon you choose has extensive experience with combo procedures and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Thank you for your question. Assuming that you are otherwise healthy, not overweight, etc. you can absolutely combine the TT, lipo and breast surgery. I think that you are gambling if you try to add the thigh lift. There is too much competition of blood loss, lymphatics, etc and the risk of poor healing is too high. Assuming that you are going to be spending several weeks in Turkey with family/friends and not just going b/c you have heard it is cheaper. Lots of areas that need to heal and being near your surgeon at the beginning is a good thing. Best of Luck!

Dear Annemarie20,
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

Dear Annemarie20, thanks for sharing your concerns. you need to get evaluated to see if you are good to go for everything at once, but in here we can do everything will be good to see some pictures to help you better. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Unfortunately, you have not provided any photographs. However, the safe operation time is 6 hours. I would begin with you breasts using The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time, a tummy tuck can be done. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After these have been completed, you can consider a thigh lift and liposuction. I do not recommend doing all these procedures together.

Best Wishes,

Gary Horndeski, M.D.

Without photos it is impossible to say about your selection of procedures and how good a candidate your are. It would not be wise to do all of these procedures in one surgery considering blood loss, risks of infection, wound separation, etc.; in particular I would not recommend doing that so far from home. Complications happen more frequently when multiple extensive procedures are done together. I would suggest you to reconsider your decision. Good luck.

You can do an abdominoplasty with liposuction and breast lift. But I would never add a thigh lift to this. The surgery I just described would take 6-8 hours. I would not recommend a thigh lift with this combination of surgery. The risk of infection, deep venous thrombosis, wound healing issues and other such complications will increase with the duration of anesthesia and surgery. Plan to stay there for 4 weeks. Because flying back too soon is dangerous. Increase risk of blood clots, etc. what you are describing is a 2 stage procedure.