Tummy Tuck and Mini Face Lift Together - Is It Safe?

i am on the more conservative side. i rarely do facial operations when i am doing an abdominal plication at the same time.  plications hurt which cause a higher likelihood of facial bleeding which could hurt the final result.generally facial surgery involves limited pain

It all comes down to the length of the procedure. In general the longer the procedure the more chance of complications. Your abdominoplasty, due to your size, may be a shorter procedure than would be the case with a heavier person. Face lifts times can also vary depending on the length of the procedure. If a more limited procedure is contemplated, both these procedures could be performed with a reasonable degree of safety. Best to review the trade offs with your plastic surgeon.

Your abdominoplasty is not just for loose skin. You need to have your rectus diastasis repaired and the umbilical hernia, which, if wide mouthed, will need reconstruction. Rectus repair is quite painful postop and you will be walking bent over double for a couple of weeks. It sounds like you don't need much liposuction with the abdominoplasty. That saves some time and discomfort. Rectus repair will make you stronger, improve any back pain you may have and also improve stress incontinence should you have that. Your posture will improve postop and you will have more energy. But I personally wouldn't do a facelift at the same time. These are quite unrelated areas that deserve separate operations. The abdominoplasty is a big surface area operation with fluid shifts and stress throughout the body. The facial operation is delicate and swelling needs to be minimised, along with straining and you are going to have both with a operation like an abdominoplasty. Sure, I'd do a mastopexy augmentation with an abdominoplasty but that's hardly a delicate operation either. Facial surgery is a different matter and I think the result could be compromised.