Can I have all these pocedures at once?

I actually got to meet up with Dr in SF when he was up here for a conference.  Most people just send him a copy of their pics and see what he recommends and he'll give you a quote.  The quote includes 12 nights in the hotel.  I'm going by myself, so that means 11 nights after I get out of the clinic.  Most figure 12 nights including their nights at the clinic, while their support person is at the hotel. 

 DO you know if he does the implants at the same time as a breast lift? Somebody mentioned there can be problems with doing these procedures together. I was hoping to make just one visit for plastics..

Many surgeons prefer to limit elective surgeries to 6-8 hours. That being said, the number of procedures that can be done in one setting depends not only the size of the surgical team, but also their experience. Surgeons that work with another surgeon or that have residents helping them can achieve more procedures during a single operation.

Just because you can do everything at once, doesn't mean that you should. Procedures that last prolonged amounts of time can have an increased risk of complication. There is also an increased recovery time with combined procedures. The advantages of staged procedures is that recovery is faster and it also gives the opportunity (if needed) to revise/tighten areas from previous procedures.

There are pros and cons to combination procedures and to staged procedures and you should discuss them with a plastic surgeon that has specific experience in post-weight loss surgery.

Congratulations on your weight loss!

 Thanks for the response Dr Michaels! In my case, I'm not sure if I need an LBL or just a tummy tuck. Given that I'd ideally like all procedures at the one time, could it be possible to perform the tummy tuck, breast lift/ augmentation and brachioplasty all at the same time? Is this common, or not really? 
Do you work alone or with other surgeons? What is usual? Do most surgeons work alone? I tried to look up your website..

Also, I've heard about twilight sedation as an option instead of general anesthesia. Is there a reason to go with one over the other? Do you work with both?

Thanks, I hope to hear more from you.

I often will do a tummy tuck with either the breat lift/aug or the arms. Usually I do not combine 3 procedures (liposuction is an exception to this). I think this is common practice. As every patient is different, it is hard to make generalizations. Some patients require more or less time for each procedure depending on their anatomy, the amount of weight lost and the amount of skin excess.

Every practice is different. I currently work with a physician assistant in the operating room. Practices that have more than one surgeon in the operating room may be able to do to more. Again, I feel for elective surgeries it is best to limit surgery to 6-7 hours. I only work with general anesthesia in my practice. You cannot do epidural surgery for areas above the diaphragm as you would not be able to breath so the arms/breasts are out for this. Even though you can possibly do surgeries for prolonged periods of time under epidural or twilight, it is not to say this lowers the risks of complications.

I appreciate you looking at my website, it is currently under final construction and should be up in the next few weeks. There will be a lot of information about post-weight loss surgery as well as pre/post pitures.

best of luck moving forward. feel free to email me as well if you have any questions.