34 year old male, 6' tall, 300 lbs to 220 now. Abdominoplasty w/ Liposuction vs Belt Lipectomy? (photo)

  The belt lipectomy will likely produce the best result, but an exam is always necessary to make that determination.Kenneth Hughes, MDLos Angeles, CA

Congratulations on your healthy change! Surgery of this nature will have best results when you are at a healthy, maintainable weight. With that being said, your BMI is still near 30. So whatever you've been doing, keep at it. You will have best results if you can safely continue to drop down to a lower weight. Especially if your goals are to "eliminate" your targeted areas. After that, an extended abdominoplasty to remove the excess skin and stretch marks and some liposuction to help with the areas of fat unchanged by diet and exercise might be of benefit. Best of luck.

Thank you for the question and photos. At 6' tall, 220lbs your BMI is 30. If you drop another 20lbs, your BMI will be 27 and with surgery it will go down to 26. You would benefit from an abdominoplasty combined with a belt lipectomy and liposuction. You can expect 10-12lbs of skin and fat removed with surgery. In my practice, I do these operations on an outpatient basis in my accredited office surgical suite, under intravenous sedation and epidural anesthesia. See a board certified plastic surgeon experienced in these operations for an in person consultation/evaluation. Good luck, and congratulations on your weight loss.