Can you get a bra line, back lift, arm lift and Lipo 360 in one surgery? What are the pros and cons?

Hello. Great question. Yes it is common to perform more than one procedure in one surgery. It is recommended to do so in order to avoid undergoing anesthesia and recovery twice. Please schedule a consultation with a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

It sounds like you should be able to combine the procedures that you are requesting, but an in-person exam is required first.  Combining procedures saves recovery time (as opposed to multiple operations) and money as patients frequently get discounts on anesthesia, facility, and professional fees when more than one procedure is done simultaneously.
Thank you for your question!
Dr. Schreiber, Baltimore plastic surgeon

Hello!I would recommend you see a board certified plastic surgeon to determine if you are optimal health-wise and to see what can be done to help you best achieve your goals. The more involved procedures are not for everyone. You can find a plastic surgeon at plasticsurgery.org.Best of luck!

Hello and thank you for the question. The best advice you can get is from consultation with a board-certified plastic surgeon. It would be better to see some pictures before giving a definitive advice. Performing multiple procedures is common in selected group of individuals. Having said that, prolonged operative times are associated with increased risk of complications (e.g. blood clots in the legs, pulmonary emboli, etc). Generally speaking, we would like to keep the operative time under 6 hours. What you are proposing will likely take longer depending on how much work is needed. Best,
Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Thanks for your question. Combination procedures are safe and very effective in the right hands.  The surgeon has to be an expert in each procedure and must have a lot of experience in performing combination procedures and can minimize the operative time.  For example, we work in a team and would take around 4-5 hours for the complete operation.  This allows us to get better results with less surgical time and less trauma.  Our patients are typically wlking the same day and tapering off of pain medications by 4-5 days.  By a week, our internattional patients are generally touring around Cartagena enjoying the  sites of this UNSECO World Heritage City.  Patients progress to unrestricted activities by 2 months, just as the final results are settling in.
Combination procedures can give powerful results but safety is key.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Thank you for your question.Yes, it is possible to have those procedure at the same time. But first, for safety reasons, to be a good candidate for the procedures you want at the same time, your labs and  cardiovascular preoperative evaluation must be optimal.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

you can do arm and back in one sitting depending on size but is kinda hard for healing, Id suggest posting photos or seeing an expert for consultation.You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer

Thanks for the question, I sit on the safety committee so I feel comfortable answering. As long as you are healthy and the surgery is kept under 6 hours (at 6 hours we know complications go up) yes it can be done. I would use heparin before surgery and lovenox for 5 days to ensure no blood clots, tranexamic acid to make sure you have the least amount of bleeding as possible and exparel (3 day long numbing) to reduce pain so you recover faster. Being a good seamstress aka surgeon is easy. Putting it all together in a way for a safe fast procedure takes time and dedication to details. I do cases like this all the time but we are dedicated to these , its all we do!!

Dear tlpm0214,
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

tlpm0214 Photos would be helpful, however as long as you are healthy and your surgeon can complete the operation within six hours, your particular makeover is reasonable. It is best to lower your BMI below 30 for safety reasons and to obtain the best possible result.  Consult with a board-certified plastic surgeon in your area for a full evaluation. Good luck.