Tummy Tuck, Brazilian Butt Lift, and Breast Augmentation Advice?

In my practice it is common for me to perform all of the procedures you mentioned at the same time. However, I use an assistant to save total operative time with the goal less than 6 hours of surgery (often far less than that) to minimize potential complications and for a speedier recovery. Sometimes there are even less scarring as for straight augmentations, I place the implants using the TT incision without the need for breast scars. My patients following a TT with or without a BBL stay in a reclining chair the first week. A flat tempurpedic pillow beneath your back and upper thighs will offload pressure on your buttocks. The benefit is only one surgery, only one recovery (you heal from all procedures simultaneously) and that you can use the fat that would normally be discarded from the tummy tuck. Pros and cons of this decision should be part of your in depth consultation with your plastic surgeon including the increased risk of complications with long surgeries and how to prevent them. Your plastic surgeon will guide you into making the best decision in your individual case. The most important decision is picking the best plastic surgeon experienced in this technique. See link regarding finding the best surgeon for combined surgeries.#BB,TT,BAatSameTime

Hello, and thank you for your thoughtful question regarding whether you should combine a tummy tuck, Brazilian Butt Lift (BBL), and breast augmentation into one surgery or split them into two stages. Technically, yes, it is possible to combine all three surgeries in one session, and some plastic surgeons do offer it. However, many experienced, board-certified plastic surgeons, myself included, often recommend staging these procedures for a few important reasons.

First, the total surgical time when combining a tummy tuck, BBL, and breast augmentation can easily stretch to 8 to 10 hours or more. Longer surgeries are associated with a higher risk of complications, including blood clots, wound healing problems, and infections. Secondly, there are significant postoperative positioning challenges. After a tummy tuck, patients need to stay flexed, meaning slightly bent at the waist, to protect the abdominal closure. After a BBL, patients must avoid putting pressure on their buttocks to protect the newly transferred fat. Combining the two surgeries makes it extremely difficult to protect both surgical areas properly during recovery, and this can compromise results. Third, combining all three surgeries places a tremendous healing burden on the body. Your body heals best when it can focus its resources on fewer areas at once. Stretching your healing capacity across your breasts, abdomen, and buttocks simultaneously can lead to increased swelling, prolonged recovery, and higher risk of setbacks.

For these reasons, many surgeons, and it sounds like your surgeon as well, recommend staging the procedures. Typically, the first stage involves performing the tummy tuck and the Brazilian Butt Lift together. After about three to six months, once the body has had time to heal and swelling has subsided, the second stage would be the breast augmentation. Staging your surgeries makes recovery safer, more manageable, and often produces better aesthetic results because each area gets the attention it needs during healing.

In short, if you are very young, healthy, and low risk, it may be possible to combine all three surgeries, but it will make your recovery extremely difficult and uncomfortable. For most patients, separating the surgeries is the safer and smarter choice. It is wonderful that you are thinking ahead and asking these questions — it shows you are serious about making the right decision for your body and your long-term results.

Wishing you the best as you move forward with your journey.

Sincerely,
Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS
(Certified by the American Board of Plastic Surgery and President of the American Society of Bariatric Plastic Surgeons; Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery; Member of the American Society of Plastic Surgeons, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame)

Before moving forward, be sure to review your surgeon’s qualifications carefully, look at detailed before-and-after photos, and ensure your surgical plan prioritizes your safety and long-term satisfaction.

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Respectfully,Dr. Emmanuel Mallol Cotes.-