Combined Tummy Tuck, Breast Reduction and Liposuction?

Do you think it is too much surgery to do a Tummy Tuck, Breast Reduction and Liposuction of outer thighs at the same time?

Doctor Answers 14

Combined tummy tuck, breast reduction, and liposuction?

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Hello! Thank you for your question! These procedures can be effectively and safely performed in one setting. The breasts and tummy tuck are commonly performed together, often referred to as the "mommy makeover". If you are healthy and your surgeon decides that a/he could perform the procedures in a safe time for you, these procedures certainly can be done in one stage. Staging the procedures to have them performed at various times will likely not have any cost benefit for you. When you combine procedures, there is often a discount that is provided by the surgeon for multiple procedures. Also, when having multiple procedures performed at the same time, you save on anesthesia and facility fees, which otherwise are paid for with each individual procedure. In addition, you may benefit by the single recovery time.

It is your decision as to whether you have your procedures performed in one or multiple stages, but your surgeon will give his/her recommendations. I would consult with a plastic surgeon well-versed in these procedures and discuss your concerns with your surgeon and see what your options are as well as have an examination. Your safety is ultimately the most important factor and is always on the mind of your surgeon when making such decisions. Hope that this helps! Best wishes for a wonderful result!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Combo procedures

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Yes!  These procedures can be performed together safely. However, your surgeon needs to make that determination after examining you to make sure that you are healthy.

Jonathan Heistein, MD
Fort Worth Plastic Surgeon
4.7 out of 5 stars 29 reviews

Multiple plastic surgery procedures

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If you are healthy and the procedures can be done in under six hours, it is reasonable to combine a breast reduction, tummy tuck and liposuction of outer thighs. Safety is the first consideration in a case like this. It is always safer to stage the case and do one or more of the procedures at a later time in order to ensure a safe outcome if your surgeon feels the procedure may go longer than planned. You may also need to be admitted overnight to a hospital or aftercare facility for observation and to have sequential devices on your legs to massage your calves which helps prevent blood clot formation.

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 410 reviews

Multiple procedures OK in right person

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These procedures can be performed together safely. However, your surgeon needs to make that determination after examining you. Safety will depend on your health, the amount of surgery that will be performed in each area, and the amount of time your surgeon will need to perform these procedures.

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
4.8 out of 5 stars 172 reviews

Combined cosmetic procedures

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Hi, I would advise against having so much surgery done at once. The risks of surgical complications increase significantly with prolonged anesthesia time. In addition, studies have shown a higher rate of blood clots in the legs when liposuction and tummy tucks are done together. I understand that patients often wish to save money and time by combining procedures, but this is elective surgery, and your safety should come first. Have the procedure you want most done first. Good luck, /nsn.

Tummy Tuck, Breast Reduction and Liposuction

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The key issue is making sure that you are safe under anesthesia for the length of time required to complete the procedure. In general, the procedures that you mention, Tummy Tuck, Breast Reduction and Outer Thigh Liposuction can be completed in less than six hours. If you are young and healthy, you should do okay. However, like all patients undergoing surgery, you will need medical clearance to make sure you are an appropriate candidate for surgery. Also, you don't want your surgeon to feel rushed to try in fit many procedures into a short time. If you are a large person, it may take longer to perform the procedure. If you are a small person with just some loose skin in the belly and a little fat on your thighs, then it may be more reasonable. Good luck with your procedure.

Multiple Procedures

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Increasing anesthesia time increases risk to some degree.  Having said that, it is probably reasonably safe to have a TT, reduction, and lipo performed simultaneously, if you are relatively healthy.  You should discuss the benefits/risks with your plastic surgeon.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Combining multiple procedures

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If you are a healthy individual, you may be able to combine these procedures in one setting.  It depends upon the expected total time of surgery, the amount of blood loss, the overall medical condition of the patient to name a few.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

The risk of combining multiple surgeries: breast reduction, tummy tuck, liposuction

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There are many factors which play into making a recommendation regarding this particular combination. Overall,, your age and health and medical history are some of the most important issues to review.

Secondarily, there are many different techniques which can make this combinations of procedures take from as little as 3 hours (probably the shortest time with perhaps two surgeons) or as long as 8 hours.

Surgeries lasting more than 6 hours have raised some concerns but this is an arbitrary cutoff point. There are the potential increased risks of blood clots which can travel to your heart or lungs. You may want to consider cessation of oral contraceptives for 4-6 weeks prior to surgery to lessen this risk. All surgery carries risk anbd you should be aware of this prior to undertaking the procedures.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Combined procedures can be accomplished but you safety is most important

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These procedures can be very helpful to address trouble areas such as abdominal laxity, breast laxity and heaviness as well as focal areas of fat. This is a lot of surgery to have and recover from. Patient safety should be the forst priority so many factors have to be considered. Your overall health and how well you could tolerate 6 hours of anesthesia, the support you have at home while you recover, and having proper expectations.

The best starting point is to meet with a board-certified plastic surgeon who can review your medical histry and examination and then go over your options. You may consider staying a night or two in a recovery unit where you can be closely watched until you are ready to recover at home. I wish you well.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.