I'm considered obese my BMI is at 40.9 liposuction or tummy tuck be safe for me? (photo)

Thank you for sharing your concern with us. I recommend you to lose weight before considerate get these procedures done. You must be a healthy person, within an appropriate BMI of below 30, for safety reasons, to be a good candidate for the procedures you want at the same time, your labs and cardiovascular preoperative evaluation must be optimal.
Respectfully,Dr. Emmanuel Mallol Cotes.

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. You will likely need to lose weight first before undergoing any cosmetic procedure to get the best outcome. For best results, it is recommended to be at your ideal or stable weight before getting a sculpting liposuction procedure. Liposuction is not a weight loss procedure; rather, it is for sculpting, defining and removing problem areas that cannot be removed with weight loss, diet and exercise alone. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. In the meantime, I recommend getting a formal evaluation with a bariatric doctor or dietitian. Best, Dr. Emer

With a BMI of 40.9 you are at a high risk for complications.  I recommend you try to lose as much weight as you can to get your BMI down to 30 before undergoing surgery.Best Wishes,Gary Horndeski, M.D.