Start here: why this combination sometimes needs splitting into two
A breast lift takes considerably more time than placing an implant, because the breast tissue is reshaped and the nipple repositioned on its own blood supply rather than simply having volume added. Combined with a tummy tuck and muscle repair, the total operating time can approach or exceed the four to six hours most careful surgeons treat as a safe limit for a single session.
Where it does, splitting the plan into abdomen first and breasts a few months later, or the reverse, is the correct answer rather than an overly cautious one. Clotting and hypothermia risk rise steeply with time under anaesthesia, and this is a genuine safety limit rather than a matter of surgical skill or confidence. A surgeon who readily discusses splitting the plan, rather than insisting everything must happen in a single sitting, is genuinely managing this risk appropriately rather than simply trying to please you with a one-visit solution.