Can I combine Plastic Surgery Procedures?

If you are like most patients, we live in a fast-paced world.  Our lives are busy, and we want to minimize time off after a cosmetic procedure.  This may be for family reasons, work reasons, or anesthesia-related reasons.  When we are considering plastic surgery, we want to undergo the shortest amount of recovery while maximizing our cosmetic results.  For these reasons, patients often desire multiple procedures in one setting–for example the most common in my practice is having rhinoplasty with breast augmentation.  A patient will say, “I’ve always wanted both, so why not get them done together”?  While having 2 or even 3 surgery together has its advantages, one has to also consider ALL factors that influence my decision as a surgeon to proceed with this request.  As a Tampa Bay, Double-Board Certified Plastic Surgeon, I have this discussion weekly.

Common Combos…

What are the most common combined procedures in my practice?

  1. Breast Augmentation with rhinoplasty
  2. Breast Augmentation or Lift with abdominoplasty (tummy tuck)
  3. Tummy tuck with liposuction to other areas
  4. Facelift with eyelid surgery
  5. Rhinoplasty with Chin Implant

As you can see, many of the combinations are ancillary or adjunct procedures to one another.  But what are the pros and cons of combining?

Advantages:

  • Recovery Time
    • Unlike waiting for 6 weeks for two procedures separated, there is just one 6 week healing period
  • Time to Work
    • If you are a busy executive or in a fast paced job, combo procedures can make it a “one and done”
  • Time to Exercise/physical activity
    • If you are gym nut or even a moderately active person, you can get back just one time after surgery
  • Cost
    • Generally, when procedures are combined you are undergoing one anesthesia and operating room session, thus lowering your cost compared to having two completely separate procedures
  • Anesthesia
    • You will undergo general anesthesia only one time, instead of multiple go-arounds
  • Adjunct Procedures
    • It may make perfect sense to combine for example, liposuction with tummy tuck.

Disadvantages:

  • Longer Procedure
    • While a breast augmentation along will take 2 hours of room time (surgery plus anethesia time), a combination with rhinoplasty may take 5 hours.  Add procedures will generally take 4-6 hours total of room time.  At times I may say “no” if the surgery time will take more than 6 hours total.
  • Recovery in two areas
    • Instead of recovery in only your abdomen, now you will recover in your breast area AND abdomen, thus slightly more pain medication requirements

In Conclusion:

The decision to combine surgery procedures is a personal one based on surgical goals, recovery goals, and budget.  It is never wrong to separate procedures, but when done safely by a Board Certified Plastic Surgeon, it can be a fulfilling and life changing experience!

 

Dr. Kailash Narasimhan is a plastic surgeon who is uniquely trained in aesthetic surgery of the face, breast, and body. Certified by the American Board of Plastic Surgery and the American Board of Otolaryngology, he has a long and accomplished training record at some of the most highly regarded and internationally recognized institutions.  Contact our Tampa Bay office for a consultation today at 727-289-7119 and visit us on the web

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