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The ceiling

Safety limits: the page that designs every operation

Combined surgery is safe exactly to the extent its limits are respected. Here are the limits — stated before you ask, because they're the product.

The anaesthesia-time ceiling

As a working guideline, elective combined surgery stays within roughly six hours — risk of clots, hypothermia and complications scales with duration. Plans are designed backwards from this ceiling with a consultant anaesthetist; wish lists that exceed it get staged, not squeezed.

The tissue budget

Healing draws on one systemic account: total wound area matters as much as minutes. Two large-undermining procedures can strain the budget inside comfortable time — which is why 'it fits the clock' is necessary but not sufficient.

Candidacy gates

Health and anaesthesia fitness, BMI in a workable range, genuinely stopped smoking (nicotine sabotages every healing zone at once), stable weight for contouring work, realistic expectations. Gates tighten as combinations grow — by design.

Recovery compatibility

Procedures must not fight over positions, garments or the same swelling territory. Where classic instructions collide (the BBL + tummy tuck paradox), either a designed protocol exists — or the combination doesn't.

Thrombosis prevention, protocolised

Longer surgery earns systematic DVT prevention: mechanical prophylaxis, early walking from day one, pharmacological cover where indicated, and flight plans built around movement — not left to chance or enthusiasm.

The refusal, working

'Not in one session' and 'you don't need that procedure' are answers given here weekly. A combination practice that never refuses isn't confident — it's unfiltered. The staging alternative always arrives designed and priced.

Test us with your wish list

Ask what would make us refuse to combine it. You'll get specifics — hours, tissue, positions — because specifics are what safety sounds like.

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