No, what you are considering is not a viable option. Based on your description, you will likely not be a good candidate for abdominal wall contouring surgery at this time surgery ( except possibly panniculectomy). The panniculectomy operation involves excision of the lower abdominal wall pannus or overhanging skin/adipose tissue. It is not considered an aesthetically driven procedure; it is often performed to help with concerns such as skin breakdown, infections/rashes…Generally speaking, it is always best to achieve long-term stable weight prior to proceeding with body contouring surgery. In other words, the "ideal weight" for a specific patient is one where he/she feels comfortable long-term, and does not expect significant fluctuation to occur after the procedure. Achieving this long-term stable weight, 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 ask patients to start with their primary care physicians for a complete workup; for example, it is important to rule out any metabolic conditions (such as hypothyroidism) that can make weight loss challenging. Then, a medically supervised weight loss program (as opposed to the use of medications which may not be fully regulated or understood) is best. As you know, recruiting other professionals such as personal trainers and nutritionists may also be helpful. I do not ask specific patients to achieve a specific weight prior to proceeding with tummy tuck surgery. Again, I simply ask patients to achieve a long-term stable weight where he/she feels comfortable and does not expect significant fluctuation postoperatively. Personally, I do not find the use of specific numbers or BMI values applicable in all cases. In my opinion, nothing replaces in-person evaluation and individualized assessment and recommendations (based on the priority of SAFETY). Best wishes.