Combo Procedure - Tummy Tuck with Fat Injections to Buttocks

I want to know how safe is it to have tummy tuck and fat injections to the buttocks? How long is the recovery and how would I sit or lay down? Should I have tummy tuck and then wait and have fat injections or should I just get it done all at once.

Doctor Answers 13

Combining Tummy Tuck and But Fat grafting is not good

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To answer your question, yes, it is safe to combine various procedures.  HOWEVER, I never do these two procedure together not because it's dangerous, but because the post-operative recovery protocol and positioning after a tummy tuck complicates the positioning after a butt fat grafting.

After a tummy tuck I want my patients flexed at the hips, with a sitting position being ideal.

After fat grafting to the butt, I don't want my patients sitting and I ask them sleep on their stomach.

Thus doing one prevents the proper recover from the other.

I normally perform the butt fat grafting first, and then 3 months later do the tummy tuck.


Martin Jugenburg, MD

Tummy Tuck and Brazilian Butt Lift Combination

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Brazilian Butt Lift and Tummy Tuck Combination
Yes it is possible for a healthy woman to get a Tummy Tuck and Brazilian Butt Lift. In fact for women that are relatively thin, the lower tummy fat that would be discarded may be an important site to harvest the amount of fat needed for transfer to the buttocks.

 I would consider  one surgery in many ways makes sense as liposuction is often done at the same time as abdominoplasty and the fat harvested is best used right away for the Brazilian Butt Lift.  To minimize anesthesia and surgical time but not your results I also use a second surgical assistant (surgeon, PA, or RNFA) to decrease total OR time. It is important to  go over the increased risks associated with combining procedures and make sure they have a complete informed consent prior to doing it in one stage and take special measures to prevent venous clots. It would be important for you to discuss this with a board certified plastic surgeon by the American Board of Plastic Surgery.

Combo tummy tuck and fat injections is OK

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The tricky part of your question isn't whether it is safe to combine the two procedures, since doing lipo along with a tummy tuck has been documented to be a safe if done in an accredited facility by a qualified plastic surgeon. You correctly focus on the recovery, which can be a bit tricky with a procedure on the front and the back at the same time. Generally after fat transfer to the buttock area you should be either up walking or laying down for a few days anyway, which is not a lot different from tummy tuck.

Combining tummy tuck with fat transfer to buttock

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You can have a tummy tuck at the same time as a fat transfer to the buttock or they can be staged- this should be discussed thoroughly with your surgeon.  First of all, you need to be in good overall health and need to have medical clearance by your primary care physician prior to any combination surgery.  As far as the fat transfer is concerned, it's important that you avoid sitting on your buttock area after the surgery for at least two weeks to minimize trauma to the newly transplanted fat cells.  This can sometimes be difficult in conjunction with a tummy tuck from a position standpoint-patients then need to ideally be on their side for sleeping. Adjustments can be made while sitting by using pillows placed under the back of the thigh to reduce the direct trauma placed on the fat cells.  

Another factor to consider is that if you do a tummy tuck without the fat transfer, the fat from the abdomen will be discarded and you then have "lost out" on the opportunity to use that important tissue for the buttock augmentation in the future.

Please consult with a board certified plastic surgeon prior to scheduling this combination of surgeries.

Best wishes,

Dr. Bruno

Combining Tummy Tuck and Buttock Augmentation with Fat Transfer (Brazillian Buttock Lift)

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The combination of tummy tuck and buttock augmentation has the advantage of a one stage procedure and makes use of fat which would normally be discarded. The problem is that during the recovery period for the tummy tuck you are not able to keep your weight off of your buttocks. Pressure on the fat grafts results in less of it lasting. For this reason, I generally advise doing it in 2 steps if possible. I will do both of the procedures in one stage if a small buttock augmentation is required, but I do let may patients know that they may need a second procedure if additional fat is required.

Best regards, Andrew Lyos MD, FACS

You can but I wouldn't.

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Just because you can does not mean you should.  Think about it you are going to have 3 procedures (liposuction, tummy tuck, and fat transfer).  The liposuction in fat grafting is much more aggressive so that you can achieve some improvement in the waist but more importantly to get fat.  Aggressive liposuction in the face of tummy tuck can lead to wound healing problems with the tummy tuck incision. After surgery you have contrasting ways how you need to care for the tummy tuck and fat grafting to buttocks (i.e. you can't sit for grafting and lay flat on your belly for tummy tuck).  You can rest on your side if you had both but that is the only position that works.

I would do the lipo and fat transfer first and 6 months later perform your tummy tuck.

Have several consults with board certified plastic surgeons.

Dr. ES

All surgeries have risks.......

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Yes, I believe that these procedures can be done together safely. But, all surgeries have risks, and it has been shown that there is an increased risk when combining other procedures with tummy tucks.
It is all relative. The longer the surgery and the more procedures you have done, the greater the risk. The risk may be extremely low, but the risk is there. If you want to have things done as safely as possible, separate the two procedures into two different surgeries. If you are willing to take that increased risk, the combination surgery is an option.

Combo Tummy Tuck and Brazilian Buttock Lift

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Its possible and safe to do both, and I like being able to get a lot of fat from the tummy skin we will discard.  But lying on your back the first week probably decreases the amount of fat you will eventually keep in the buttocks.  I advise my patients that a follow up grafting procedure may be needed. 

I feel I get the best results this way.

Combining Procedure

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While it is technically possible to combine both a tummy tuck and buttocks fat injections, it may be best to separate the procedure into two different operations.  The order is really up to you.  If you have do not have a lot of fat available for the transfer, then doing the fat harvesting first (using your abdominal flap fat) may be best to maximize the amount of fat.  If you do the tummy tuck first, then you may be able to fine tune your abdominoplasty when you have the fat grafting - you could have additional liposuction to the remaining abdominal flap if needed.

Good luck with your procedure.

Combo Procedure - Tummy Tuck with Fat Injections to Buttocks

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Very hard to combine these two operations because of the recovery and if you desire a large size. Seek many in person opinions. Than you will understand. 

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.