I'm 23 yrs old, 5'6, and 230 lbs. Large Volume Lipo? (photo)

At a consultation with a local plastic surgeon, I was informed of something called Large Volume Lipo. To be honest, I am not all that unhappy with my 5"6 230 lb weight, I just don't like my muffin and "fat apron". Im 23,1 child,and 2 years later, the weight loss has stalled. I know lipo is a contouring procedure, and I'm not using it to lose weight, just rid myself of a saggy tummy. In your opinion, is the surgeon suggesting a valid procedure for someond my size? Would be successful?

Doctor Answers 13

Larger Volume Liposuction vs. Dieting

Definitely, maximize your efforts of weight loss prior to liposuction.  Your BMI (Body Mass Index) is too high.  There are certain risks with liposuction, specifically clots in the leg (Deep Vein Thrombosis) that can be potentially fatal.  Risks such as these and others increase with a higher BMI.  Additionally, since you have had a child, if the skin does not shrink appropriately after  liposuction, then you will need additional procedures to deal with the skin i.e. Tummy Tuck.  Be patient, keep working at it, you are young.  Good luck

Good Candidate for Lipo??

Hello Red, thank you for your inquire and photos.   My recommendation will be: 1) Extended Full Tummy Tuck and 2)  Lipo (flanks, back and upper hips areas)  to enhance your body contour,  IF you feel comfortable with your actual weight and like you said, " just rid myself of a saggy tummy  " where I think Liposuction only will not give you a good result.   .  But if eventually you decide to loss weight first,    The ideal procedure, on the other hand, to really have a life-lasting result is,  having a bariatric procedure (gastric sleeve p.e.).   Best.  Dr. Vega

Ricardo Vega, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 32 reviews

Large Volume Lipo?

First, is whether the procedure is safe for you and second, whether it is appropriate and likely to achieve the results you want.  Large volume lipo is generally considered to be over 5000 cc of fat (though that should probably not be an absolute but should take into account differences in body habitus preoperatively).  You may achieve a noticeable reduction in contour with this procedure.  There is a limit to what can be done and you would need to receive a medical clearance and then undergo one or more procedures to remove enough fat.  For weight loss in general, lipo is not the appropriate treatment (diet and exercise should be used primarily).  However, you may then have some hanging skin and you might, after one or more lipo procedures, need a procedure that removes excess skin, such as a panniculectomy or even a tummy tuck. 

For all of these issues you should be seen in person by a board-certified plastic surgeon.

I hope that this helps and good luck,

Dr. E

Large Volume Liposuction

In 2001 I reported 631 cases of large volume liposuction in the American Journal of Plastic and Reconstructive Surgery  (see literature or call my office for article.  )    You are not a good candidate for large volume liposuction,  but you are a great candidate for a panniculectomy-abdominoplasty-tummy tuck and at the same time some liposuction can be considered.    My Best,  Dr C

Large volume Liposuction

When considering liposuction, schedule an exam /consult with a Board Certified Plastic Surgeon.  This can be a dangerous procedure for patients that are not close to their ideal body weight.  I am not a big fan of large volume liposuction.  It would be to your benefit to lose some of the weight prior to the surgery.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

Cosmetic Surgery is an Art and a Science

Large volume liposuction can help your issues. Discuss this with your surgeon. Cosnult a board certified plastic surgeon who is used to this procedure. You may need a few weeks to recover. Thomas Narsete, M.D.

Lipo and tummy tuck would improve your appearance.

Dear Red - as others have suggested, lipo and tummy tuck would improve your appearance, but if your overall size and weight are your main concern, why not look into bariatric surgery first?  Then the body re - contouring would be, in my opinion more worthwhile.

Large volume liposuction


I think what you are looking for can be achieved with a combination of a tummy tuck and some liposuction. Liposuction ('large volume' or otherwise) will not get rid of any excess skin. At the age of 23 some of your skin will shrink after a liposuction, but it is unlikely to get a perfect result.

Anindya Lahiri, FRCS (Plast)
Birmingham Plastic Surgeon
4.8 out of 5 stars 23 reviews

Liposuction not the right choice

Liposuction will not be a reasonable or safe choice for you, nor will you get what you want from it.  At your age, height, and weight the best plan is to try to lose a few pounds before you start to get into health problems. 

Apron of Skin and Fat and Large Volume Liposuction

  If the hanging tissue is what is bothering you then a tummy tuck or an apronectomy may be your best choice.  The liposuction will reduce the fat in the apron, but the skin will hang even more.  Find the plastic surgeon with ELITE credentials who performs hundreds of liposuction and tummy tuck procedures each year.  Kenneth Hughes, MD Los Angeles, CA

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.