Why BBL on an overly Overweight Woman? Should a surgeon refuse to do a BBL on a patient that won't have good outcomes?

I try to work with patients who may fit into a broad range of body types and weights.  I think that the surgery should be as safe as possible.  If a patient's weight makes the procedure unsafe, then the procedure should not be performed.  Otherwise, I think it is possible get very profound changes in larger patients.  Find
a BBL expert who
performs hundreds of BBLs each year and has great reviews and great
before and after pictures.Kenneth Hughes, MDLos Angeles, CA

You make a very good observation that some people don't get very good results after ANY surgery,and oftentimes this poor result is predictable. The truth is that not every surgeon carefully selects their patients. This may be very "un-PC" of me to say, but some doctors are not that busy and will never turn down a patient because they need the case. When I teach residents, I tell them that the most important word to learn to say is "No".  In my practice, for example, I routinely say No to about 25% of the those that see me in consult, and most of the time the reason is that I do not think they will get a result that they will be happy with - or that I will be happy with. On the flip side though, you should understand that there are some patients who are thrilled with their improvement, even though you may not see much of a difference. If you choose a doctor who is very busy, they are less likely to "need" your money and may show more ethics when selecting patients. 

Hello dear!
Thanks for the question and provided information as well.

To be a good candidate for plastic surgery, you should be as close to your goal weight as possible. In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)