What is the heaviest person you've ever done a tummy tuck and lipo on? (Photo)

Thank you for the question and picture. Generally speaking, it is always best to achieve long-term stable weight prior to proceeding with body contouring surgery. Doing so, will increase the safety of the operation, will likely improve the outcome of the operation, and will decrease chances that additional surgery will become necessary subsequently. In my practice, I do not ask specific patients to achieve a specific weight prior to proceeding with tummy tuck surgery. I simply ask patients to achieve a long-term stable weight where he/she feels comfortable and does not expect significant fluctuation postoperatively. As you know, recruiting other professionals such as personal trainers, nutritionists, physicians who specialize in weight loss concerns etc. may be helpful to you. When the time is right, seeking consultation with well experienced board-certified plastic surgeons will be your next/best step. Best wishes.

Congratulations on your weight loss.  I encourage you to be patient and keep trying to lose weight and get your BMI below 31 as this is the range when cosmetic/elective surgery becomes much safer.  Life and safety is always priority.  Patience and getting the best outcome with a once in a lifetime procedure is what I encourage of all my patients. You are on the right path.  You didn't gain weight in a few months and it may take another year or so for you to get to the point when your surgery will be safer and your outcome much better.  The looser your skin(thinner and less fat) the flatter and better result you will have.  Keep on succeeding in your makeover.  Patience! 

In my practice, I don't have a certain weight or BMI that I use as cutoffs because they virtually mean nothing.  I go more toward a person's overall health status and how the fat is distributed.  A thick abdominal flap can lead to excessive wound healing issues because fat has very little blood flow.  The thicker the flap, the more likely are issues especially if lipo is used.  That being said, I would suggest that you continue your weight loss especially since you are doing well.  Once you reach a plateau, seek a board certified plastic surgeon to help you the rest of the way.Best wishes.