Combined body and breast surgery

Operating time

4 to 6 hours

Anesthesia

General anesthesia

After surgery

Overnight nurse required

Back to desk work

3 weeks

Exercise

Exercise at 6 to 8 weeks

Final result

6 to 12 months

How Dr. Marsh approaches it

Combining procedures saves a second recovery and a second anesthesia, but only when the total operating time stays within safe limits, which Dr. Marsh observes strictly. The usual combination is a tummy tuck with a breast lift or augmentation and liposuction of the flanks. Candidates are at a stable weight, finished with pregnancies, and in good health, with a support person at home for the first week.

Usually a good candidate

• Changes after pregnancy across the abdomen and breasts
• Wanting one recovery rather than two
• Stable weight and finished with pregnancies

What we will discuss honestly

• Operating time is capped for safety; some plans are staged
• Recovery is harder than either procedure alone
• Help at home for a week is essential, not optional
• Medical clearance is required
• Every operation carries risks of bleeding, infection, scarring, anesthesia complications, and the need for revision. They are specific to you and are reviewed in writing before you consent.

How long it lasts

Lasting, subject to weight and pregnancy. Ageing continues; the operation resets the clock rather than stopping it. Weight stability, sun protection, and not smoking are the three things that most protect a result.

The path

1. Consultation. Ninety minutes with Dr. Marsh. Measurements, photographs, simulation where relevant, and a written plan with the complete fee. $250, credited toward surgery.
2. Pre-operative visit. Two weeks before: labs, medical clearance where needed, consent, prescriptions, and the plan reviewed once more.
3. Surgery. In an accredited surgery center with a board-certified anesthesiologist. Overnight nurse required.
4. Follow-up. Day one or two, one week, two weeks, six weeks, three months, six months, and a year. All included.