My bmi is 37.4 can i still have a tummy tuck and lipo all in the same procedure?

If you are healthy and at a safe weight, you can have the combination performed by an expert at both procedures who can hold anesthesia time to about 4 hours.  BMI is not the only factor.

Personally, I only add limited liposuction at the same time as a tummy tuck to decrease risks. Perhaps, liposuction alone will achieve the results you desire.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations. 

I appreciate your question.



For health and safety reasons, best to be at a BMI less than 30 or within 10 pounds of your goal weight and stable at that weight for 6 months prior to surgery for optimal results.



The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.



Best of luck!



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Tummy Tuck (abdominoplasty) is a
plastic surgery procedure designed to flatten the abdomen by removing excess
skin and fat, and to tighten the abdominal wall.

Women and men who have
excess skin and/or fat around the abdomen which does not respond to diet and
exercise are candidates for abdominoplasty. Many patients complain that they
cannot flatten their abdominal muscles through exercise, which also means a tummy
tuck may be right for them.

Abdominoplasty candidates
have:

·        
excess abdominal skin which may sag

·        
a disproportionate or protruding abdomen

·        
weakened or separated abdominal muscles

·        
excess fat concentrated in the abdomen

Other tummy tuck patients
may recently have lost a lot of weight and need to have excess skin and tissue
removed. Many women choose to have an abdominoplasty following pregnancy. Older
patients may be candidates for a tummy tuck due to reduced skin elasticity,
family traits, age, immobility.

There are different criteria for a patient's maximum BMI and these criteria often vary by surgical venue (hospital vs. outpatient surgicenter.)  My general preference is for a patient's BMI to be 35 or less.  Best of luck.

Thank you for your question. A BMI of 30 or below is preferred to avoid the increased risk of complications during and after surgery. I advise my patients being at your ideal weight will give the best outcome. I would encourage you to start a proper diet and exercise routine to help get to your goal and then consult with a board certified plastic surgeon. Best of luck to you.

I would have liked to have seen pictures to help answer your question, I  would recommend you be at least at a BMI of 35. Remember that all surgeons have slightly different pre operative instruction if you feel you are ready for surgery I would go for another consultation to see what your different options are.  Make sure that the surgeon is Board Certified, that you see his before and after photos, that all your questions are answered and most importantly that you feel comfortable with him.Best of luck.

Thank you for your question.  I would agree with the physician.  With a BMI of 37.4, it will be very difficult to get a good result.  Additionally, you are at a much higher risk for wound breakdown, infection, and fluid pockets (seromas).  A tummy tuck is not designed to remove fat, rather it is an operation designed to remove loose skin and tighten the abdominal wall.  When the skin is full of fat, it is very difficult to move the tissue down which limits the result.  If you lose weight and get your BMI closer to 25, you will have more loose skin with less fat, which makes it much easier to remove, and has better blood supply for optimal healing.  Liposuction is not designed for obese patients; it is used for spot removal of fat and is very helpful for sculpting the waist in combination with a tummy tuck.  If you were my patient I would advise that you get your BMI to at least 30 to improve your result and reduce your risk of complications.  

The American Society of Plastic Surgeons recommends BMI less than 30 to reduce the risks of surgery. Above 30, you would have a doubling of the risk of infection and wound healing problems. However, for some people weight loss is really challenging and trying a medically supervised program and a trainer would be helpful. It might not be realistically for you to lose all this weight and so considering a panniculectomy instead of a tummy tuck with liposuction is a possible alternative. Warm regards, Dr. Aldo

  The recommended BMI is less than 30. This is the recommendation of the American society of plastic surgery. The reason simply, is increased chance of complications. These include but limited to, pulmonary embolus, deep venous thrombosis, delayed wound healing and increase infection rate.Choose a board certified plastic surgeon who has done a ton of tummy tuck and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon and choose one wiselyMany surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote possible. Please be mindful that the in person physical exam is the most important and could potentially alter your treatment plan.