I am 5'3" 185lbs size 14. I have been doing a lot of research and I am still confused as to which surgery I should do. Initially, I was thinking Liposuction with a tummy tuck and breast implants but I want to get back to fitting into my size 8 jeans. Is this possible with the lipo? Or should I have Gastric Sleeve then do the rest at a later time?
Which Surgery Will I Benefit from Most? Liposuction or Gastric Sleeve (photo)
Doctor Answers (3)
BMI 32 Bariatric surgery or plastic surgery?
When we evaluate a patient that approaches your level of obesity the first question I will need to ask is what is your goal? Is it primary weight loss or is it achieving a certain shape. You mentioned that you wanted to be a size 8. At 5'3 you will most likely need to lose around 30-40 lbs and keep it off. Liposuction will allow you to remove the fat cells from one localized area. It will not provide you with longterm weight control. Currently, bariatric surgery is a one of the few proven methods of longterm sustainable weight loss. Tummy tuck and liposuction are body contouring procedures that although they help with weight loss, they are not sustainable treatment options.
As a cosmetic surgeon I will need to know whether you are concerned about your abdominal wall shape, stretch marks, and skin laxity. If that is a major concern to you then you have to think about a major dietary and life style change and use the tummy tuck and liposuction as a motivational tool to achieve your goals. Generally speaking, tummy tuck and liposuction will not result in substantial weight loss. Based on your pictures you will benefit from Liposuction of at least 3 areas in addition to a tummy tuck. The total weight loss form that will range between 10-15 lbs. But combining these cosmetic procedures with a solid life style modification plan can result in achieving your goals of losing up to 30-40 Ibs without change in your internal organs.
As physicians we tend to gravitate towards what we know best and that is often closely aligned with our specialty. Unfortunately, the disease of obesity does not recognize specialty boundaries and the treatment often requires a multidisciplinary approach. You need to understand that obesity is a chronic disease that can be controlled by a longterm plan of lifestyle modification in both eating habits and physical activity. Most surgical treatments can provide a tool to help you get better control of your lifestyle.
Better choose bariatric first
Liposuction versus weight loss surgery
First and foremost, liposuction or for that matter, tummy tuck is not a weight loss surgery procedure; rather, they are body contouring procedures and you may loss a small amount of weight. Based on your height and weight, your BMI is about 32. In order to qualify for bariatric surgery, your BMI has to be 35 or higher. FDA approved Lap Band for those with BMI of 30 or higher.
So here are your best options:
1. Loss as much weight as you can by a sensible diet and exercise program. Only then you can proceed with liposuction, tummy tuck or breast augmentation.
2. If unable to loss weight, you can consider a Lap Band procedure to loss about 40-50 lbs prior undergoing any plastic surgery procedure.
Buttom line: excess weight and obesity will reduce your life span and will increase likelihood of having complications down the road
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.