I want to have a facelift, upper and lower eyelid surgery, nose reshaping and a browlift.  I also want a breast lift with implants, a tummy tuck and liposuction of the waist, buttocks and upper thighs.  How much of this surgery can be done at one time?  I am a 53 year old female in good physical condition.  I am a non smoker with no health problems except chronic back, neck and shoulder pain which is controlled with pain medication.

These procedure will likely need to be performed at separate stages. For example you could have the facial surgery done at one time followed several weeks/months later by the breast and body surgery. This is done primarily to prevent the formation of blood clots in your legs (DVT-deep vein thrombosis) which is more likely to form during a longer surgery. You will also need to obtain medical clearance from your primary care physician. Your plastic surgeon may also want you to stay overnight in an aftercare facility or hospital for observation.

A board certified plastic surgeon will be able to evaluate you and outline a safe surgical plan.

MC, this is a great question.  While you raise many concerns that can be addressed with plastic surgery, the most important question you raise is about patient safety.  So how do we determine what is a safe number of procedures to combine in one operation?  The short answer is it varies completely on the patient and the types of procedures done.  Obviously the stress that a facelift puts on the body is totally different than that of a tummy tuck.  We also try to limit how much time you are under anesthesia in one sitting.  In my hands, your requests would require a minimum of 2 but likely 3 procedures.  It would be very important for you to discuss this with your board certified plastic surgeon, ASAPS member.  Every patient is different, so a procedure(s) that is tailored to your needs would be determined. Thanks so much for raising important safety issues. 

You need to consider the operative time in any combination surgery.

In your case, face, eyes, and forehead in one procedure.  Second procedure nose, and the third is the tummy tuck and liposuction.

The order is dependent on your priorities.

Patient safety comes first.