Hello @Independent937538, thank you for your question. It is important to note that the majority of practices have their own specific limits when it comes to performing a procedure. As your BMI (body mass index) is likely higher than these limits, and this is a measurement that helps analyze how risky and optimal the surgery can be. An optimal body mass index (BMI) of 30 should be considered. A safe and effective option would be developing a sustainable diet and exercise plan. This would aim at gradually losing weight over time till you get to a point where you can have surgery and get the most optimal results so you can maintain your figure after the procedure and have excellent results in the long run. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez, MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).