Seeking Advise on Multiple Procedures, TT with Lipo, BA, and BBL?

I’m a 44yo, 5’2 and 160lbs. Is it advisable for me to have all of these procedures done at one time or have them staged? If staged, in what order/grouping? Money is not a factor in this decision but time is. I need to be able to return back to work within 3 months after surgery. My priority of wants are: 1. Flat stomach 2. Full breasts 3. Curves 4. Full round butt I have met with 3 (PS) and received diff opinions. Each is limited in what they can do. None will/can can do all. Please advise.

Doctor Answers 13

Seeking Advise on Multiple Procedures, TT with Lipo, BA, and BBL

A number of risks escalate with prolonged operation and anesthetic. Most surgeons try to limit to 6 hours, I try to keep to 4 hours. 

Depending upon how extensive the procedures are, 6 hours sounds to me like sufficient time to accomplish, but again depending upon the nature of the tummy tuck and liposuction that will be needed. 

My general feelings about how to stage procedures is that unless there is a technical reason to group the procedures a certain way, that I will try to follow patient priority. If I were to stage these, I would start with the Breast and abdominoplasty, and assuming normal recovery, come back in two weeks or so for the liposuction and fat injections. That order (TT first) also allows longer recovery for the part that needs the longer recovery. You should be able to return to heavy work by 6 weeks from stage one, for light work by 3 or 4 weeks. 

All the best. 


Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Is TT + Lipo + BA + BBL Too Much

Getting all these procedures done at once is possible but really depends on each patient's general health, body proportions, expected recovery, extent of surgery and also the surgeon's experience. 

In a healthy patient and with an experienced surgical team, this may be possible and can be done in 4 to 5 hours. If being done in a larger patient and in a less experienced setting, it could take 8 or more hours (in which case, it may be safer to split it into 2 procedures).

Without knowing your specific desires and body type, a detailed answer is not realistic. However, if I were to consider doing this in 2 separate procedures, I would do the liposuction and BBL first. Then come back at least 3 months later and touch up the BLL (if needed) and do the TT and BA. This will give enough time to pass to see the results of the liposuction and BBL and yet leave some fat on the abdomen in case it is needed to touch up the BBL.


Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

Seeking advice on multiple procedures?

Hello!  Thank you for your question!  These procedures may be safely combined at one setting, given you are healthy and without significant medical comorbdities.  I would consult with a plastic surgeon who would examine you and discuss the various options and assist you to decide if you wish to undergo all of the procedures at once or at smaller staged procedures.  An examination of the amount of work to do with each will also make the decision.  There would obviously be a cost saving and recovery benefit for a one-stage procedure.  However, your safety should not be sacrificed for these reasons.

If it was deemed wisest to stage these procedures, you will have to decide which procedure(s) are most important to you.  You should devise a priority list and discuss this with your surgeon and several of these procedures will still likely to be combined at the same procedure.  Thank you for your question!  Hope that his helps and best wishes for a superb result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

TT with Lipo, BA and Brazilian Butt Lift

Thank you for your question about staging your surgery. In an ideal world -

  • Your lowest risk is doing each operation separately.
  • A tummy tuck with liposuction and a breast augmentation can be safely combined; surgery will be in or near 4 hours.
  • The Brazilian butt lift should be done separately - and your surgeons should be honest about results. Fat implants in the BBL may not last.

Hope this helps. Best wishes!

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

The BBL must be done separately.

The BBL must be done first before the TT . Recovery will take 6 weeks and then the TT and BA can be done. Depending on the nature of your occupation there is a reasonable chance you will be back in 3 months

David A. Ross, MD (retired)
Chicago Plastic Surgeon
4.6 out of 5 stars 89 reviews

Staging Vs Combined Procedures

Combined procedures are very common in PS.  The safety of combining them is dependent on your overall health status, BMI, the experience of your surgeon and the time it takes to complete everything.  Most Plastic Surgeons recommend keeping combined procedures to less than 7 hours.  If your surgeon cannot complete these procedures in that time for whatever reason, then you should consider surgery with two surgeons to reduce the time or staging the procedures.  This sounds like a tough recovery for all but the most motivated and fit patients.  Make sure that you have support at home to aid with your recovery if you choose this path.  All the best

Robert F. Centeno, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 77 reviews

Multiple procedures, the mommy makeover

Tummy tuck and breast augmentation with a lift is a very common combination and often called the mommy makeover. Adding liposuction can add time, increase risks, and make the recovery more challenging. Perhaps this is the procedure to come back to.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Cosmetic Surgery is an Art and a Science

Thank you for the question. I always advise a patient to have as much surgery as you can at once up to 5 hours. Every plastic surgeon is different in experience, but not in training. Make sure you are comfortable with your choice. You should be able to get this all done at once. Best Wishes Dr Thomas Narsete Austin, Tx

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Can I have a TT, Lipo, Breast augmentation and the BBL done at the same time?

It is possible to have a TT, bbreast augmentation, the BBL with lipo done at the same time. In fact, I have performed these procedures simultaneously a number of times. But proceeding with these procedures depends upon your overall health, body habitus, and the extensiveness of each of these procedures. At the very least you would need to send photos as well as a brief medical history. If these procedures need to be staged I would consider doing the TT along with the breast surgery in one operation and then proceed with the BBL after about 4-6 weeks. Regardless, you should be able to return to work in less than 3 months and very possible much sooner.

George Lefkovits, MD
New York Plastic Surgeon
3.8 out of 5 stars 46 reviews

Combo Procedure... Risks and Concerns


            It’s definitely possible to perform Brazilian butt lift surgery in combination with mommy makeover surgery in one setting.  Unfortunately, the recovery following this combination can be extremely difficult.  For this reason, most plastic surgeons prefer staging these procedures.  The origin of the problem is simple, tummy tuck patients should lie on their backs following surgery, while Brazilian butt lift patients should be on their abdomens following surgery.  This is obviously a difficult proposition when both procedures are performed together.

            In contrast, performing these procedures simultaneously offers several advantages.  These include synergy, less expense and one recovery.  For these reasons, it’s important to consider each case on an individual basis.  No two patients are ever exactly alike.  They have different anatomic starting points, aesthetic goals and social situations.  It’s therefore important to tailor the surgical approach to the patient’s needs.

            If the procedure is staged, it’s reasonable to perform liposuction and the Brazilian butt lift together.  This could be followed 6 to 12 weeks later with an abdominoplasty and breast augmentation.

            If you’re considering this combination, it’s appropriate to consult a board certified plastic surgeon.  This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

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.