Combined Breast Surgery and Abdominoplasty

Abstract

Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining abdominoplasty with other procedures originates from abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications. As surgeons began combining abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. Prevention of venous thromboembolism became a paramount concern. The authors perform abdominoplasty in conjunction with other procedures more frequently than in isolation, reflecting broader societal demand. Indeed, because of the effects of pregnancy and aging, abdominoplasty is being performed in conjunction with breast surgery with frequency sufficient to have driven the term "mommy makeover" into mainstream parlance. Consideration regarding length of surgery and the other recommendations in this report allows for the safe and successful execution of this common combination.

Lipoabdominoplasty technique

“…In select healthy patients with lower BMI and good skin quality, superficial liposuction is performed over the linea alba and semilunaris markings to improve anatomic definition. The remaining liposuction is performed deep to prevent contour irregularities, the most common complication of abdominal liposuction [26] .…”

Anesthesia for Plastic Surgery Procedures

“…Mommy makeover. The combination of two or more simultaneous cosmetic surgeries has become fashionable, particularly breast surgery and tummy tuck [64]. In our plastic surgery group, the most usual combination is breast-abdominoplasty, liposuction, and gluteal lipoinjection.…”

“…The combination of two or more surgeries of the body contour is now safe, having overcome the complications of the individual procedures. It is vital to establish measures to prevent DVT, PE, infections, and postoperative pain, to name a few [64].…”

Do Changes in Body Shape Due to Pregnancy Lead to Cosmetic Surgery? A Cross-Sectional Study

“…Poor body image is often related to postpartum depression, which can have severe negative effects on the mother and fetus [11,12]. Pregnant women constitute a significant percentage of women who submit to cosmetic surgery, because they usually experience reversible and consistently irreversible cosmetic changes during pregnancy [13].…”