I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me? (photos)

Question

I understand plastic surgery is not intended for weight loss. I do not want it for that purpose--I just want to emphasize an hourglass shape (pull in tum, reduce back rolls, add to butt). I exercise, my weight is stable, and I am healthy according to my doc. I am not interested in beginning a weight loss program. What approaches would work for me? Is there a suggested way to find a board certified plastic surgeon who has experience with larger clients?

Richard H. Tholen, MD, FACS · Answer

I'm certain you can find a surgeon whose zeal to receive a surgical payment exceeds his or her need to be safe and avoid complications or death (yours). Do you really want the lowest possible safety in order to have surgery you perceive as "no big deal?" You could indeed be that one who suffers a blood clot and dies, or simply develops pneumonia or other minor or major complication.
Most surgeons are wise and ethical enough to not be swayed by insistent patients who are less concerned about their own safety than an anticipated outcome!
Don't be silly; you need to lose weight. And your doc is either mistaken or being misquoted--you may be healthy in some ways, but a BMI of 39 is never healthy. Best wishes! Dr. Tholen

Kenneth Hughes, MD · Answer

You are probably better to lose weight to get to a BMI below 35 or close to 30, though this is just one measure of health.Kenneth Hughes, MDLos Angeles, CA

Aldo Guerra, MD · Answer

Thank your for this question. As the previous answer stated, your current BMI places you into a category of high risks! I would encourage a medically supervised weight loss program to lower your BMI. As you lose weight, you will see your body change and will likely experience more sagging abdominal skin, but your figure will get smaller. Once a goal weight is reached and your risks are lower then it will be time to see which procedures will fit you best.

Karol A. Gutowski, MD, FACS · Answer

Your request is reasonable and may be possible. Based on the pictures, a tummy tuck would be the way to go. See link below for an example of a similar patient.

Daniel Krochmal, MD, FACS · Answer

Actually, from the pictures, it doesn't look like you're a BMI of 39.  The best way is to check out the websites of doctors and look at the before/afters, and see if there are doctors who have experience operating on "larger" clients.  I would then see those doctors for an in-person evaluation and a discussion of your goals.Best,Dr. Dan KrochmalMAE Plastic SurgeryNorthbrook, IL

I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me? (photos)

Answers (8)

Answer: I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me?

Answer: I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me?

Answer: Approaches

Answer: Approaches

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I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me? (photos)

Answers (8)

Answer: I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me?

Answer: I'm an obese (BMI = 39) client interested in plastic surgery (BBL, lipo). Are there approaches that would work for me?

Answer: Approaches

Answer: Approaches

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Recommended reading

Everything you need to know about Brazilian Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.