Can Tummy Tuck and Breast Lift Surgery Be Combined?

Tummy tuck (abdominoplasty) and breast lift surgeries are among the procedures that are frequently performed together in the field of aesthetic surgery. Combining these two procedures is particularly preferred as an effective method to restore the body shape after childbirth. Known as the “mommy makeover,” this combination not only improves the aesthetic appearance but also saves time by having a single recovery period. However, the duration of this surgery may be longer than other operations and requires careful follow-up during the healing process. It is important to create a personalized plan under the guidance of an experienced plastic surgeon to ensure the success of this process.

What Are the Benefits of the Tummy Tuck and Breast Lift Combination?

Tummy tuck and breast lift procedures performed simultaneously offer many physical and psychological advantages in aesthetic surgery. This method is a preferred option for patients who want a more balanced body appearance and a practical recovery process.

Makes the body more balanced and proportional:

• Surgeries performed at the same time save time.
• The risks are reduced with a single anesthesia.
• It provides the convenience of a single recovery period.
• Aesthetic changes boost self-esteem.
• It is more advantageous in terms of cost.

Among the benefits of this combination is a single recovery period that allows the patient to return to daily life more quickly. At the same time, merging the surgical costs makes it financially appealing for patients. This holistic approach to improving one’s aesthetic appearance can enhance self-confidence and have a positive impact on overall quality of life.

Who Is an Ideal Candidate for the Tummy Tuck and Breast Lift Combination?

The combined tummy tuck and breast lift procedures are suitable for individuals who meet certain physical and psychological criteria. These surgeries offer great advantages for those who want to achieve their aesthetic goals and improve their body shape:

• People with excess abdominal skin and fat tissue
• Those with separated or weakened abdominal muscles
• Individuals experiencing breast sagging (ptosis)
• Those whose weight is stable before surgery
• Individuals in good general health
• Non-smokers
• Women who have completed childbearing

Psychological suitability is also important for candidates. Understanding the surgery process and its outcomes plays a critical role in both preparation and recovery:

• Those with realistic expectations
• Individuals motivated by their own desire
• People who are emotionally stable
• Individuals who can adapt to the postoperative care process

To achieve the best results from this procedure, candidates must be ready not only physically but also emotionally and mentally for the surgical process. Ideal candidates should undergo a detailed evaluation with their surgeon before the procedure to understand the risks and benefits of the surgery.

What Are the Risks and Considerations of Combining These Procedures?

Having tummy tuck and breast lift surgeries together brings both advantages and risks for the patient. In particular, the extension of the surgery time may lead to a more complex recovery process and an increased risk of complications. Therefore, when planning this combined procedure, the patient’s general health status, the surgeon’s experience, and the standards of the surgical center play a major role:

• Extended surgical time
• Anesthesia-related risks
• Risk of infection
• Hematoma and seroma formation
• Limited mobility during the recovery period
• Possible prominence of scars
• Cardiovascular complications
• Difficulties related to body mass index (BMI)

This combined approach is especially preferred for patients in good general health and who do not smoke. Age and the patient’s medical history are also factors to consider in surgical planning. Having a suitable BMI is very important for performing such combined surgeries. Before surgery, the surgeon should conduct a detailed evaluation and share potential risks and complications with the patient.

How Does the Surgical Process Work in the Tummy Tuck and Breast Lift Combination?

Combined tummy tuck and breast lift surgeries are comprehensive procedures performed in a single surgical session to improve aesthetic appearance. This procedure involves reshaping both areas and requires meticulous planning by the surgeon. The steps and techniques to be followed during the operation are determined according to the patient’s anatomical structure and aesthetic goals.

Patient Positioning:

• A position that allows access to both areas
• Facilitates the surgeon’s movements

Tummy Tuck (Abdominoplasty):

• Incision site selection
• Muscle repair
• Removal of excess skin and fat
• Closure of the incision site

Breast Lift (Mastopexy):

• Incision site techniques
• Shaping of the breast tissue
• Repositioning the nipple and areola
• Removal of excess skin
• Closure of the area and placement of dressings

The operation usually takes between 4 to 6 hours. The surgeon’s experience and the patient’s condition play a decisive role in completing this process effectively and safely. The priority is for the surgeon to achieve results that meet aesthetic goals and prioritize the patient’s health.

What Is the Recovery Process Like After a Tummy Tuck and Breast Lift Combination?

The recovery process after tummy tuck and breast lift operations can proceed smoothly with careful follow-up and adherence to the doctor’s instructions. This process is divided into different phases, and each phase has specific points that require attention:

• Hospital stay may be necessary.
• Pain and discomfort are normal in the first days.
• Medications prescribed by the doctor should be used.
• Slow and careful movements are recommended.
• The waist should be kept in a slightly bent position.

During the first 2-4 weeks:

• Drains and stitches are removed.
• Light activities can be done.
• Compression garments must be used regularly.

Between 4-6 weeks:

• Range of motion increases.
• Light tasks can be performed.
• Special care for scar areas may be applied.

Between 6-12 weeks:

• A return to daily activities and sports is possible.
• The results of the operation become more pronounced.

Activity restrictions:

• Heavy lifting should be avoided.
• Strenuous exercises should be avoided.
• Those using painkillers should not drive.
• Sexual activity should be avoided.

Throughout the recovery period, it is important to maintain a healthy diet, consume adequate fluids, and refrain from smoking and alcohol. Not skipping follow-up appointments is critical to detect signs of complications in a timely manner. Supporting the body’s recovery by getting enough rest and sleep is crucial. Each individual’s needs may differ during the recovery period, so it is important to follow the personal recommendations given by the doctor.

How to Prepare for the Tummy Tuck and Breast Lift Combination?

It is important to go through a careful preparation phase before undergoing these two aesthetic procedures together. Being both physically and emotionally ready for surgery increases the likelihood of success and makes the recovery process easier:

• Choosing a qualified surgeon
• Completing health screenings
• Clarifying expectations

Before surgery, lifestyle adjustments are necessary. These steps support the healing process:

• Quitting smoking
• Adopting balanced eating habits
• Performing regular but light physical activities
• Reviewing any medications and supplements used

In addition, developing a realistic understanding of the surgical process is a critical step:

• Learning about the surgical procedure
• Being aware of possible complications
• Planning the recovery period

It is also important not to forget to make necessary arrangements for the postoperative recovery period. Having someone to help with daily activities, work responsibilities, or childcare can be beneficial. Emotional readiness is also crucial; maintaining a positive mental outlook during this process helps ensure a more comfortable recovery. Clear communication with the surgeon is essential during the surgery planning phase, and any questions or concerns should be discussed. Because each individual’s needs are different, following your surgeon’s advice will increase the chances of success.

References

1. Stevens, W. G., et al. (2006). Simultaneous breast and abdominal contouring surgery: Safe and effective. Aesthetic Surgery Journal, 26(5), 530-538.
2. Matarasso, A. (1995). Abdominoplasty and abdominal contour surgery: A comprehensive approach. Plastic and Reconstructive Surgery, 95(1), 214-222.
3. Rohrich, R. J., & Sorokin, E. S. (2004). Breast reshaping combined with abdominal contour surgery. Clinics in Plastic Surgery, 31(3), 433-445.
4. Hensel, J. M., et al. (2001). Body contouring combined with breast surgery: Patient safety and outcomes. Plastic and Reconstructive Surgery, 108(7), 1990-1997.

Dr. Erman Ak

Op. Dr. Erman Ak graduated from Ankara Hacettepe Tıp in 2014 and completed his specialization at Istanbul University Çapa Medical Faculty. He received advanced microsurgery training in Taiwan and, as an ISAPS fellow in Italy, training in facial and breast aesthetics. Dr. Ak holds the European Union Aesthetic Plastic Surgery qualification certificate from EBOPRAS and contributed to the establishment of the Plastic Surgery Department at Başakşehir Çam and Sakura Hospital. He currently accepts patients from Turkey and various other countries at his clinic in Nişantaşı.