Multiple Plastic Surgeries
For an increasing number of plastic surgery patients, one procedure is just not enough. According to statistics from the American Society of Plastic Surgeons (ASPS), 42% of all U.S. cosmetic plastic surgery patients in 2007 had two or more procedures performed at the same time. That's up from 34% just 3 years earlier.
Combining a few minor procedures is certainly safe when there's a time limit that's appropriate on anesthesia, when the patient is a healthy candidate, and when there is the correct decision on which procedures to combine.
Why is the so-called "one stop chop" so popular? It comes down to three basic reasons: patients may need multiple procedures to achieve their desired results, stacking those procedures reduces total time in surgery, and there's money to be saved on anesthesia and facility fees. In short, a comprehensive treatment plan can result in a complete transformation in a shorter time for less money.
Pros of Combining Multiple Plastic Surgeries
Like all surgeries, plastic surgery costs break down into three categories: anesthesia fees, facility fees, and surgeon's fees. By combining two or more procedures into one surgical session, the patient is billed for one anesthesia fee and one facility fee. And, in some cases, plastic surgeons may package certain procedures at a discounted rate, so the patient realizes a trifecta of savings.
Some of the most commonly combined surgical plastic surgeries are brow or forehead lift, face lift and neck lift; breast augmentation, breast lift, and tummy tuck (the mommy makeover ; tummy tuck and liposuction; tummy tuck and face lift; face lifts and fat grafting; and certain noninvasive or minimally invasive procedures (injectable soft tissue fillers, Botox® Cosmetic) and a surgical procedure.
Cons of Combining Multiple Plastic Surgeries
All surgery carries risks, and extreme plastic surgery ups the ante. One of the biggest concerns is that the cumulative effect of multiple procedures performed during a single operation may increase the potential for complications. Another is the risk associated with extended time under general anesthesia because the longer a patient is under, the greater the risk for cardiovascular complications and the longer the recovery period.
We belive that while there isn't a time limit per se, being under anesthesia for more than 5 to 7 hours can bring on increased risk for recovery. This is a particular issue when two major invasive procedures are combined, like liposuction and abdominoplasty. There are always issues of correct monitoring – should that patient go home, should that patient be monitored overnight – but that's especially true when it's combined with liposuction because of the amount of local anesthesia that gets used. If there is a lot of liposuction performed in conjunction with another major surgery, the lidocaine that's used during liposuction sometimes doesn't peak in the blood stream until several hours after the procedure is over. So the potential to have cardiac side effects occurs after the patient has been sent home.
The really dangerous time limits are up to 8 to 10 hours of surgery that combine major procedures like abdominoplasty, breast surgery, and a face lift. That goes beyond common sense,We prefer to set time limits of 4 to 6 hours for surgery done outside of a hospital setting, such as office-based or ambulatory surgery procedures.
However, a study involving 248 patients over a 10-year period and released in 2005 concluded that there was no statistically significant increase in minor or major complications in patients who underwent prolonged anesthesia. The patients were divided into four groups according to their surgeries: abdominoplasty only, abdominoplasty with breast surgery, abdominoplasty with face lift, and abdominoplasty with both breast and face lift surgery.
If you are considering having multiple plastic surgeries at the same time, consult with us.
You should also check on the certification of the surgery site, if it is not a hospital.
You must also understand that if you have any underlying health condition such as high blood pressure or diabetes all bets are off as far as multiple surgery. You may need to have each procedure separately.
As rewarding as a complete transformation may be, it's critical that you know all the risks and benefits going in.