A breast augmentation with a tummy tuck - Hourglass Tummy Tuck
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A breast augmentation with a tummy tuck

Many people who are interested in undergoing plastic surgery have more than one part of their body that needs a surgical correction. So it is only natural for them to wonder whether they can undergo multiple procedures at the same time. Personally, I am a strong believer in seeing our body as a whole aesthetic unit and not an accumulation of its separate parts. This just means that it usually takes more than one plastic surgery procedure to produce a significant improvement in the shape and contours of the body.

Some procedures I often perform in combination are the breast augmentation with implants and the tummy tuck intervention. In this article, we will discuss what the procedure entails, how safe it is to undergo combined procedures and the aesthetic benefits associated with them.

Is it safe to undergo two or more cosmetic surgery procedures at the same time?

The short answer to the question is “yes;” however, there are multiple aspects that need to be discussed and considered when it comes to combining plastic surgery procedures.

Before anything else, when considering plastic surgery, the well-being and safety of the patient have to come first, before achieving the aesthetic benefit. The combined procedures can only be performed if the patient is in good physical and emotional condition. When considering associating procedures, we deal with a general anesthetic as the operation time will be longer than usual. My personal preference is to keep the operative time under three hours, if possible. It means that if I estimate that the breast augmentation with implants will take no longer than an hour and a half and another hour and a half for the tummy tuck, I can perform the procedures in the same setting. However, if the patient has a more complex case and the tummy tuck is an extended surgery, or if it is an Hourglass tummy tuck that also includes liposuction and fat transfer to the hips, there is a possibility to recommend to the patient to schedule the procedures separately. Again, when it comes down to making this decision, the plastic surgeon needs to make a correct assessment and move forward from there.

Keep in mind that when the operation time is longer than 3 -5 hours, the risks of post-operative complications increase significantly.

Even if the operative time is under three hours, undergoing combined procedures poses more risks than undergoing just one procedure. Why is this? Because when it comes to plastic surgery, we have general risks that are associated with surgical interventions of any type such as seroma and hematoma, infections and other complications. Then we have specific risks that are related to a specific procedure. When it comes to breast implants surgery, for example, we have the risk of the rippling of the implants, migration of the implants, capsular contracture, among others. When we combine procedures, the risks have a higher possibility to accumulate. However, in the present times, the incidence of developing a complication after surgery has decreased significantly compared to a few years back due to certain developments of modern medicine.

We have discussed a bit about the risks entailed by undergoing multiple procedures at once, but what are the advantages of having combined procedures in the same operative sitting?

First and foremost, it makes it possible to improve several areas of the body with just one general anesthesia. We are aware of the fact that there are still some risks associated with undergoing general anesthesia and that it is recommended to avoid undergoing repeated procedures under general anesthesia several times per year.

Secondly, we have to consider the finances which include the hospitalization cost and the cost of anesthesia, as well as other operative costs that will only be paid once and not twice.

Lastly, we can discuss the improved aesthetic result of undergoing multiple surgeries at once. The patient can wake up a few hours after the procedure and have not only bigger and more beautiful breasts, but also a smaller and sexier midline. It is one thing to improve the appearance of one area of the body, but when the change affects the whole front part of the body, it can be quite spectacular.

Details about the plastic surgery procedures

The tummy tuck

The “abdominoplasty” or “tummy tuck” is an intervention to correct the cutaneous and muscular relaxation of the belly that can occur after pregnancy or weight loss.

This procedure corrects the tummy area on three levels, namely, excess fat (a liposuction will remove the fat in the layer of the abdomen and reduce the thickness of the adipose tissue), excess skin (the abdominal “apron” is removed, and the skin of the tummy is tightened) and the distension of the muscles (abdominal muscles will be tightened to restore tone to the abdominal wall).

An abdominoplasty is for the patients who have a significant excess of skin, relaxed abdominal muscles and sometimes also an excess of fat at the level of the midline who wish to have their tummies as flat as possible.

During the initial consultation, the surgeon should be able to tell you if the tummy tuck is needed to be performed in your case. He will explain to you the objectives of the intervention, which are to remove the excess fat by performing a liposuction first, then to tighten the muscles of the abdominal wall and finally to tighten the skin of the tummy that was in excess.

A hospital stay of no longer than 48 hours can be required, but only for patients confronted with underlying health conditions or if a significant amount of tissue was removed during the procedure (like in the case when a tummy tuck is performed after bariatric surgery). The procedure usually lasts no longer than 1-2 hours, but this depends on varying cases and on the type of tummy tuck to be performed.

We have the mini tummy tuck that only covers the inferior part of the abdomen and is performed without the reposition of the belly button, or the complete tummy tuck which entails a lengthier scar, usually from one hip to the other on the supra pubic area, and another scar circular around the belly button. But the plastic surgeon might recommend the extended tummy tuck that covers the sides of the tummy in case of an excessive sagginess in the area.

The breast augmentation

This procedure often makes use of breast implants to increase the size of the patient’s breasts. It involves the plastic surgeon putting incisions around the areola, under the breasts or at the level of the axilla to be able to create a pocket in the breasts, either behind or in front of the pectoral muscle, where the breast implants will be inserted. The procedure doesn’t usually last longer than 1-2 hours.

When it comes to this procedure, the results are greatly influenced by the current size and type of the patient’s mammary tissue, as well as the volume of the breast implants to be used and the skills and experience of the plastic surgeon. The procedure is very safe, and the breast implants we use in the United States are FDA-approved.

Results after the combined procedures

Each procedure boosts impressive results, even when performed as a stand-alone procedure, but when played out in combination, it can completely change the appearance of the patient. First, the upper part of the body will have voluptuous curves provided by bigger, fuller and rounder breasts achieved with the breast implants surgery. Then, we have a better contoured middle area achieved with the help of the tummy tuck. When the Hourglass tummy tuck is performed instead of the traditional tummy tuck, the plastic surgeon will also use liposuction and fat transfer to the hips to enhance your curves and improve the appearance of the body silhouette even more. When the procedures are performed in the same sitting, the aesthetic result is much improved, and this is the reason why many patients prefer to have them done both at once.


Undergoing a breast augmentation with implants and a tummy tuck in the same intervention can change your body significantly and improve your appearance considerably. The procedures target different areas of the body to give you an hourglass silhouette. When the middle area is slimmer, firmer and more toned and the breasts are bigger, rounder and perkier, the entire shape of the body is changed.

There are benefits and some disadvantages of undergoing these procedures in one operative time. It is important to know that you will only go through the general anesthesia once instead of two times and there will only be one recovery period. This means that you don’t have to take time off from work again to undergo a different plastic surgery intervention on a different time.








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