Where to Begin the Battle Vs. Huge Stomach and Breasts Doctor Answers, Tips
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Where to Begin the Battle Vs. Huge Stomach and Breasts

I'm 39. I am 5.4" tall and weigh 219lbs. I am still fairly attractive but I can't seem to find where to begin the battle. My average weight has been around 145. I am comfortable there, I've had a complete thyroid panel recently all WNL. I have a stocky frame but I can live with that. It's this huge stomach and the breasts that rest on it. I get depressed and eat more, seriously i need solid educated advice as to where to start. Please only respond with respect.

12 Doctor Answers | Asked by tamstime
+2

You need Bariatric Surgery, not Plastic Surgery

Plastic surgery is not a primary treatment for obesity. It can reshape some, tighten a bit, but it fundamentally won't give you an ideal figure, nor will it make you any healthier. For the best looking YOU, for the healthiest YOU, weight loss is a necessity. If you can succeed with behavioral modification, diet, and exercise, that is the best. But few manage to take a lot off and keep it off that way. You should try it, and if you conclude that you cannot do it "yourself," then... more
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Weight Loss and Surgery

Thank you for the question. Congratulations on your decision to make positive changes. As you know, the battle begins with weight loss. Consultation with weight loss experts will be helpful. Once you reach your stable weight plastic surgical procedures will be helpful. Before you get to the plastic surgeon's office you have hard work in front of you but I have seen many patients accomplish their goals once they put their minds to it. Best wishes. more
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Where to begin the battle vs huge stomach and breasts

Easy answer: LOSE WEIGHT first. Go get opinions from weight loss experts and start. 145 pounds and now over 200 pounds, start the program ASAP. Regards from MIAMI  

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+1

Dealing with obesity

In most cases of obesity the issue is multifactorial. Anyone who is serious about losing weight and who cannot get things going on their own needs to seek professional help. That professional help should be with physicians who have the experience to deal with the complex issues of medical, emotional and social situations that lead to obesity. You can do it but you need help. Don't run to the plastic surgeon for help because even though you can find someone to operate on you that is not the... more
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Weight loss

You need to discuss this first with an internist or endocrinologist and not plastic surgeons. Following a thorough evaluation, your options are to undergo medically supervised weight loss with or without the use of medication and/or supplements. Following this, use of bariatric surgery may be your most effective solution but it is only a band-aid and not a cure.
+1

Size issues

I would expect all doctors to respect you and your issues, they are serious to you. By my calculations (iPhone, "find my BMI" app), your BMI is 38, you are class 2 obese. Accordingly, your weight range should be 146-108 lbs. In practical terms, you need to address your weight for health reasons. It is time. I would recommend a trip to your primary doctor to get your weight down and under control. You may also want to look into a legit medical weight loss clinic, or bariatric... more
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Plastic Surgery and The Overweight Patient

From your description your present BMI is 37.6 kg/sq meter (with 30 and above being "obese" and 40 and above being "morbidly obese"). Although your ideal body weight is around 120.6, you really do not need to get there. If you could get your weight back to 145 pounds your BMI would be 25 - which is GREAT. The results of Cosmetic surgery in people close to their ideal BMI are VASTLY better than when done with BMI's over 30. The rate of complications associated with... more
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Begin the battle with diet and exercise

I agree with my colleagues that plastic surgery is not the quick fix to your problems. I would advise that you begin dieting and exercise to lose weight and feel better. If you have difficulty doing this on your own, seek out the help of a weight loss specialist and registered dietician. You may also be a candidate for bariatric surgery. It would be in your best interest to seek out a board certified general surgeon who performs bariatric surgery to see if you are a candidate. Once... more
+1

Plastic surgery and weight gain

From your stated height and weight, I believe you are best served by seeking help from a nutritionist or a doctor who specializes in weight loss. Certainly you do not want to consider plastic surgery at this time. Begin by entering a medically supervised exercise and weight loss regime and see what happens after 3 months. Many clinics abound, and places like Kaiser may have departments that can help you . Best of luck.
+1

Where to begin with a large breasts and abdomen

I hear a sincere tone in your words. You have made the first step by admitting you are depressed and you are not eating nor exercising correctly. Before breast reduction and/or lift, and reduction of your abdomen, you should try to get in better shape so that you heal better after surgery. Also you don't want to have surgery and invest in the treatment if you haven't learned how to live more healthy on a daily basis. I would strongly suggest you consult with a nutitionist who can not only... more
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Losing weight before plastic surgery on the belly and breasts

For safety reasons, you need to lose 70 to 90 pounds before undergoing the procedures you describe. Patients who are 100 or more pounds over ideal body weight are at very high risk for complications after abdominoplasty. They can only safely have a panniculectomy (removal of a wedge of skin and fat from the lower abdomen) without any separation of the skin fat layer from the abdominal muscles outside the boundaries of the excision. If the surgeon does so anyways a significant number of the... more
+1

Significant weight loss challenge

I think the best situation is to find an avenue to get support. This may be a friend, a trainer, a dietitian, a family member, a support group, doctor, weight loss clinic, gym, tennis partner, etc. You cannot go through a weight los of this magnitude easily. Your support structure, people that will motivate you, keep to going, help you establish good habit and get rid of bad habit, is crucial. If you could do it all by yourself, you wouldn't be asking for help. Each person will need... more
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