American Society of Plastic Surgeons
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DebbyD
11 months ago
Answered

Can multiple surgeries be done

I am very much in need of abdominoplasty. I also need a thigh lift. I have lost considerable amount of weight. I also want breast reconstruction or augmentation. Years ago, due to my breasts being extremely large, I had breast reduction. The plastic surgeon actually took me way to small. Now due to the weight loss, I don’t have any breasts to speak of. Is it possible to have all 3 of these done?

Procedure: Thigh Lift
Location: Gray, TN

Replies 6

Armando Donati
ASPS Int. Surgeon
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Hello!, To evaluate you it is necessary to see you, in person or by images. Because excessive weight loss usually leaves large flaps, which require major surgeries. Beyond this explanation, as a certified plastic surgeon, I consider it important to be meticulous in the result, which takes time and this can be a counter to performing all procedures simultaneously. In summary, it is necessary that you have a personal consultation with a certified plastic surgeon to evaluate the possibility of performing all the procedures in a single intervention or planning a surgical sequence in different stages.

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Armando Donati
ASPS Int. Surgeon
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Hello!, To evaluate you it is necessary to see you, in person or by images. Because excessive weight loss usually leaves large flaps, which require major surgeries. Beyond this explanation, as a certified plastic surgeon, I consider it important to be meticulous in the result, which takes time and this can be a counter to performing all procedures simultaneously. In summary, it is necessary that you have a personal consultation with a certified plastic surgeon to evaluate the possibility of performing all the procedures in a single intervention or planning a surgical sequence in different stages.

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Samir Shureih

All the surgeries you are contemplating are major surgeries, that no surgery should exceed 6 hours in the operating room. Also have to consider the healing time, and the patient to care for all the wounds and surgeries.

Consider dividing the surgeries you desire into at least two if not three sessions.

Patient Safety is Paramount

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Dennis Hurwitz
ASPS Surgeon
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Yes, it is possible to have all three operations performed during the same operative session. For that to happen safely and with a quality result, you need to be evaluated by an experienced body contouring surgeon, preferably who has a team of operators that can work simultaneously under the surgeon's direction. Lengthy operative times have a higher rate of significant complications.

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Rahul Vemula
ASPS Surgeon
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Excellent question and this is one we commonly get asked by patients.

The surgery can be done all together, but the question, becomes SHOULD they be done all together. My personal limit for surgeries is around 6 hours of time under anesthesia. Anything longer than this significantly increases the risk of complications such as wound infections, heart attack, blood clots ( DVT & PE), and a much longer and more painful recovery. It would be in your best interest to split the surgeries into 2-3 surgeries.

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Tanongsak Panyawirunroj
ASPS Int. Surgeon
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Yes, it is possible to have all three operations performed in the same operation time. For that to happen safely and with a quality result, you need full laboratory and health check up then evaluated by an experienced surgeon, who has a great team of operators that can work simultaneously under the surgeon's direction. Lengthy operative times have a higher rate of significant complications and after operative multiple wound care is very important for the good result.

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