Is it possible to get a tummy tuck and bra line back lift together? (Photo)

Question

I really don't want to have more than one round of surgery. I would like to do a BA/BL if possible. I would even consider perhaps a back lift and 360 lipo perhaps as a substitution. 5'7 215

Kenneth Hughes, MD · Answer

Yes, a bra line back lift can be performed with a tummy tuck. A BMI of 30 or more (yours is 33.7) indicates obesity and suggests that an exercise and diet program should be your first area of focus in preparing for a BBL and bra line lift. Now is a good time to get down to a normal weight before surgery to reduce your risk and get the best possible result.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Peter D. Geldner, MD · Answer

Thanks for your question and photos. Your situation requires some discussion. First, your BMI is 33.6. Technically that's a bit high and could result in a greater risk of complication. So reducing your weight should be you first goal. Your photos don't really tell me much about your abdomen so I cannot say what Vaser (or other) liposuction would do for you rather than liposuction and skin excision. Clearly your back has abundant skin rolls which would be best corrected with a back lift. A combination of abdominoplasty and back lift is not uncommon but is quite a procedure. If you are an ideal candidate, that combination procedure could serve you well.  One surgeon made mention of a kidney transplant in the past. If this is the case, it really matters. Your health history is extremely important to determining what kind of risks you would face.  You should seek a consultation with a board certified plastic surgeon to examine your options.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. I would advocating staging your procedures to get the best results with the least risks.  First follow a healthy diet and exercise regimen to lose weight naturally and then pursue surgery based on a priority list.  Hope this helps.

Harry T. Haramis, MD, FACS · Answer

Combining several procedures prolongs OR time and risks.

Instead of a tummy tuck, and back lift, you may be a better candidate for Vaser ultrasound 360 liposuction. This will improve back rolls without large scars.

Breast augmentation may be able to be performed at the same time.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as better discuss your options and expectations.

Daniel Barrett, MD · Answer

Dear ellegreen1230,
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

Robert M. Tornambe, MD · Answer

I appreciate your concerns and frustrations, however your first step should be adopting a healthy diet and exercise program to lower your BMI before considering any type of surgery. Studies have shown significantly increased complications in patients undergoing tummy tuck surgery with a BMI above 30. 
After the weight loss seek out a board-certified plastic surgeon to evaluate your situation to decide the best options for you. At that time, tummy tuck alone with liposuction may be an option or total body lift if there is much redundant skin. Best of luck!

Felix Omar Márquez, MD · Answer

Hello, thanks for your question and photos. You can have the best results if you do both procedures at the same time. It's the best for you and less expensive. Consult a plastic surgeon in your area for am exam. You can have excellent results. Good luck!

Camille Cash, MD · Answer

It is possible to get a bra line lift combined with a tummy tuck.  You will want to visit with a board certified plastic surgeon near you for a consultation.  Here you will review your medical history, goals for surgery and learn what you can expect in terms of recovery and results.

Andrew Friedman, MD · Answer

I try to discourage patients from doing more than 2 procedures at the same time. While you may save some money, the risks increase of a longer surgery. You lose more blood and require more fluids, and get longer anesthesia which could increase risk. Also, remember your surgeon will be more fatigued because of longer surgery.

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