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Arm Lift, Mini Tummy Tuck, and Brazilian Butt Lift in One Surgery?
Congratulations on your weight loss. You are facing a problem that many patients who have lost weight wrestle with. Tummy tuck, arm lifts and buttocks lift are common procedures that are sought. In our East Bay practice these procedures would not be done at the same time. There are always three things to consider in combining procedures. 1. Is it surgically safe? Combining procedures increases post-operative complications - period. Now the increase may be very small and outweigh the risk of an additional anesthetic, recovery time etc., but in procedures that will take substantial time these risks can be significant. 2. Is it surgically feasible? While many surgeons (myself included) would consider doing a brachioplasty (arm lift) and tummy tuck at the same time, many would not consider adding a brazilian butt lift. The reason why is many times abdominoplasty can require flexing the operative bed a bit to take tension off the closure - so you're bent a little bit at the waist. My lipotransfer buttock augmentations (brazilian butt lift) require the patient to be lying on her stomach, face down. This position would directly interfere with what I'm trying to do with the tummy tuck. 3. What would the general recovery be like? Any surgeon wants a safe and quick recovery for their patient. Combining procedures can be a good way to minimize total downtime but if too many things are done the recovery period can be particularly troublesome.
Clinical Context
Positioning is a key reason these procedures aren't usually combined. Tummy tuck closure often works best with the hips gently flexed to reduce tension on the incision. Fat grafting to the buttocks, by contrast, requires lying face down so the surgeon can access and shape the area. Since the body can't be positioned both ways during one operation, most surgeons stage these procedures separately, allowing each area to heal properly before the next surgery.
