Multiple plastic surgeries or combo procedures have become a common approach in facial rejuvenation. Typically, patients require facelift combined with structural fat grafting/injection, brow lift performed concurrently with forehead lift, and facelift with a simultaneous neck lift or neck liposuction.
In many cases, facial combo procedures, which generally involve closely related surgeries, make sense as they reduce the total time in surgery. Of course, the approach can also pare down the cost.
A huge chunk of plastic surgery expenditure comes from the anesthesia fee, surgical facility fee, and surgeon fee. Consequently, stacking multiple procedures means the additional cost related to anesthesia and surgical center is ruled out of the equation.
Some plastic surgeons even package certain procedures at a discounted rate, which further makes multiple plastic surgeries a cost-effective approach.
Nonetheless, patient safety should remain the utmost priority and so combo procedures come with stricter safety guidelines. For instance, being under general anesthesia for more than 5-7 hours is known to increase the risk of complication (cardiovascular issues and prolonged recovery) and so all efforts are made to complete any elective surgery within this time frame.
To further promote patient safety, leading Orange County plastic surgery expert Dr. Tarick Smiley says any combo surgery, or any type of elective plastic surgery, should only be done in an accredited surgical facility or hospital setting.
Accredited surgical facilities and hospitals are staffed by qualified medical practitioners and are fully equipped with medical apparatus should complications arise.
Due to the perceived challenges that come with multiple plastic surgeries, Dr. Smiley emphasizes the importance of lab screening and honest discussion between the surgeon and his patient. The goal is to rule out chronic medical conditions, or if they have been detected during physical exam, address them well in advance of the surgery through medications and lifestyle changes.
During pre-op consultation, Dr. Smiley says a prudent patient should disclose her medical background, previous test results, and medications, including those seemingly innocuous herbal supplements and vitamins, some of which have been found to interfere with healing.
To recap, multiple plastic surgeries on face are generally deemed as a cost-effective and safe approach provided these elements are present:
- The total time under general anesthesia does not exceed the standard safety limit.
- The surgery is performed by a board-certified plastic surgeon.
- The combo surgery is performed in an accredited surgical facility/hospital, which is staffed by qualified medical practitioners, including a licensed anesthesiologist.
- The patient is physically fit based on lab screening and is “honest” during pre-op consultation (in no way should a patient hide or omit medical information to avoid complications).