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.