The general mantra is that liposuction is not a treatment for obesity. In my experience of thousands of liposuction cases, I have found some obese patients to be excellent candidates with patient satisfaction afterwards.If the concern is the abdomen, hips and waist, then, first and foremost, the diagnosis has to be subcutaneous fat and not intra-abdominal fat.It is only the fat between the muscle and skin layers that can be removed with liposuction. I have had obese patients where high-volume liposuction has been done, giving patients a more normal body proportion.For some people, it's virtually impossible to fit into normal clothes because one area of the body is so much bigger than others.For people who are proportionately overweight, weight loss is usually a much better option if possible.Liposuction is a procedure that works well to change fat distribution and change people's proportions. In some ways, this is irrelevant to someone's overall weight or BMI.For patients who carry significant amounts of intra-abdominal fat, or gut fat, liposuction tends to give poor patient satisfaction. It's not a yes-or-no, all-or-none answer. You need to be personally assessed to see if you're a candidate based on what your expectations are and what can be delivered.I disagree with other surgeons that make blanket statements about not performing liposuction on obese patients.It simply is not that simple. Some patients cannot or will not lose weight. Is it unfair for these people to not have access to something that can change the shape of their body for the better?I have seen many patients who have gotten kickstarts from liposuction and lost significant amounts of weight after.However, I would not rely on the procedure to be the motivating factor for losing weight.I would like to share a few thoughts about weight loss with you. These come from personal experience.Several years ago, I also weighed 250 pounds, though I am 6'2".While liposuction is
