Is Breast Lift okay starter procedure for overweight/obese patients?

Photos would be helpful in answering your questions.  A breast lift can improve the shape and appearance and the symmetry as well in most instances; but most of the stretchmarks, if you have any, will remain. I would recommend that you lose the 40 pounds you mentioned before the breast lift as losing that much weight would tend to affect the results in a detrimental fashion.  This has some variability as a 40 lb weight loss in a 220 lb woman may have less of an effect than a 40 lb weight loss in a 140 lb woman. With either woman, the breasts tend to sag and deflate with weight loss and another breast lift may be required.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Thank you for your inquiry. Being at your ideal weight, a weight that you have maintained for at least 6 months is ideal prior to considering surgery, including a breast lift. Your weight loss can change the breast volume, skin laxity and shape of your breasts and so waiting until you have reached you best weight will give you a better result. A consultation with a board certified plastic surgeon is recommended for all procedures so that a complete examination can be performed and all risks and complications for each of these procedures will be discussed. Best of luck on your weight loss goal. Hope this helps. 
James Lee, MD
Board Certified Plastic Surgeon
Montreal, Quebec

In general I wouldn't recommend a breast lift before a significant planned weight loss.  If you're committed to losing 40 pounds, you are likely to have a better and more sustained result of the breast lift if you lose the weight first.  With regard to the safety of the procedure in an overweight or obese person, that would really depend on your BMI.  

I would recommend getting down to your goal weight first before considering any sort of breast lift. 

With your plan to reduce weight, you may wish to get closer to your target weight as patients close to their target weight generally has higher satisfaction. 

Thank you for your question.  Without a more complete medical history and photos, it's not really possible to comment on what the best approach would be.  The best thing for you to do is to have a consult with several local plastic surgeons to discuss your options and the best timing for the surgical procedures.Best,Dr. Dan KrochmalMAE Plastic SurgeryNorthbrook, IL

Its hard to tell with out a picture. An in person evaluation would be better in this case. See link below for examples. 

Obesity is a life style choice. You have not lost the weight at this point. Why do you believe that you will loose the weight now? There are increased risks to any procedure with obesity. Sometimes surgery can motivate a person to continue to improve body health and body image issues. Yes, a breast lift is probably safer, in regards to complications, and a good first step, if that is what your priority is. Whatever it takes; eat healthy. Move away from processed carbs and eat fruit, vegetables, and lean protein. Also, examine what exactly has kept you from getting to this place in the first place. Get started, not necessarily with surgery right out of the gait.
All the best,
Talmage Raine MD