In my Phoenix Arizona practice many clients are requesting combinations of cosmetic procedures.  One of the most common and increasingly popular combinations is breast augmentation surgery or breast -lift along with a tummy tuck.    The shorter recovery and the financial savings have greatly contributed to the increased demand  for these combined surgeries for women in all age groups.  Also, the increased media coverage of the term ” mommy makeover”  has also become a powerful  concept to motivate clients to request these combined surgeries.    The safety of the combined procedures has been addressed in many aesthetic surgery journals.  The recent data published concurs that combined abdominoplasty (tummy-tuck) and breast was safe and effective.   In my practice I am always concerned about safety and risk for surgeries and for this reason we require additional lab work to ensure the safety of general anesthesia.  Generally for age groups of 25-40  this is blood work and over 40 a chest x-ray and EKG.    Most often clients are seen the day before for markings of incisions and return to work within 6-10 days.   Important factors to consider when selecting this procedure is to stop smoking for 3-4 weeks prior and to not take any aspirin related drugs for at least two weeks prior as they are blood thinners.   I have recognized that the  majority of women seeking the “mommy makeover”  are becoming more educated and want to restore their figures sooner than later after pregnancies.   The benefits from these procedures should last a long time.