I want a Tummy Tuck & my BMI is over 40. Should I have reservations that one doctor will do the surgery and another will not?

Congrats on your weight loss success! The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate. #Weight, and more specifically body mass index (BMI), need to be considered when deciding. For instance, studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. Therefore, it is important for patients to be as close as possible to their normal body weight prior to surgery for at least six months. Such will decrease your chances for complications. 
Begin with an in-person, one-on-one consultation to determine if you are an ideal #candidate and which technique is best for you. Most importantly, your procedures should be performed by a #Plastic Surgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery.

You have to know that just being a BMI 43 patient the risk of very serious complications is a reality. I totally understand about the urgent for you to finally get rid of the saggy skin on your abdomen but you have to acknowledge that YOU want a successful surgery, no local or systemic complications that may put your life at jeopardy, WE as care providers want exactly the same for you. You should be at least on a BMI no higher that 30-33be encouraged. Yes you can!!!!send you a hug of encouragement. Dr. Cardenas

Congratulations on the weight loss.A BMI greater than 30 does increase your chances of postoperative complications, I would suggest against those surgical procedures at your current weight.All the best!Dr. Tony Perkins.Plastic Surgery of Short Hills

We take many things into account when dealing with massive weight loss patients. For me, I will do a pannulectomy but a real TT is usually reserved for patients with BMIs closer to 30. With a BMI of 43 you are at much greater risk of post op issues.

BMI is one part of the equation.  Many patients who have undergone bariatric procedures will also have anomalies in their bloods, including significant anemia from malabsorption.  Therefore, my first issue would be your bloods and whether you could pass a medical clearance without addressing iron deficiencies, etc.  I would much rather know this up front than to be cancelling a major operation a few days in advance, after everything has been arranged.  Extra skin will not "kill your back".  I know that it is uncomfortable and that the overhanging panniculus will produce rashes.  An BMI of 40 puts you at much higher risk of surgical and anesthesia complications which would have to be taken into account by the surgeon in making the decision of whether to operate.