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How many plastic surgery procedures can be performed simultaneously?

Many patients ask if they can have more than one procedure done at once. The best answer is that I do what is safest for the patient and I follow the Florida State laws. There are many factors to consider, such as the patient’s health profile, number of hours necessary to perform procedures and the amount of fat extracted.

Patient health profile

Every patient is assessed on an individual basis on whether they are a candidate for multiple plastic surgical procedures during one surgery. A thorough health profile from a primary care physician is required during the assessment process that may include BMI, lab work and other examinations.

Number of hours for surgical procedures

Patients under anesthesia for more than six (6) hours for elective plastic surgery can be at greater risk for complications. Therefore, if having multiple procedures will require more hours than deemed safe, then the patient will have to consider having more than one surgery to meet their goals.

Plastic surgery procedures with fat extraction

The State of Florida allows surgeons to extract 4000cc (roughly 7-8 pounds of fat) during surgery. This is applicable for a BBL or liposuction. If there is an additional procedure, such as the addition of breast augmentation, then only one (1) liter of fat can be removed during surgery. These laws are in place for patient safety and to ease healing – mentally and physically during recovery.

Technological advances

As surgeons we are required to adhere to the laws and put patient safety first. However, we also want to exceed patient goals and create beautiful results. Through modernization and technological advancements, I have found ways to reduce the number of incisions and/or to make the procedure times more efficient. These innovations can make surgery less invasive and allow qualified patients to safely combine some procedures.

Below is a list of the most popular procedure combinations we perform. Please contact our team to schedule a consultation to assess if you are a candidate for multiple plastic surgery procedures.

Mommy Makeover: TT and breast procedure

Trifecta Perfecta: TT, breast procedure, brachioplasty (arm lift)

Miami Makeover: HD Lipo 180 and breast procedure

Pure Loyalty Program

We understand that plastic surgery is costly. However, our first obligation is to patient safety. Due to the limits to fat extraction, the laws can make it necessary to have more than one surgery to obtain desired results. Other factors, such as a patient’s health profile or the number of desired procedures can also require multiple surgeries. To reduce financial burdens that ultimately lead to safer outcomes, our loyalty program offers reduced rates for qualifying returning patients.


There’s a time in your life where you need a boost, a fresh start, and a way to take control of things. We all have features about ourselves we want to change on the outside and it can affect us on the inside.

Pure’s goal is to give people a chance to make smart choices that lead to the results that will empower and inspire them to reach their dreams. Pure is led by Dr. S. Alexander Earle, who performs a wide range of procedures with an incredibly high rate of customer satisfaction.

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