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

Thanks for your question. We never want to do anything that might jeopardize our patient's health. Unfortunately, your BMI is too high at 40.9 making you ineligible for cosmetic surgery at this time. 
High BMI poses high surgical risk and reduces the likelihood you will receive optimal cosmetic results. It's best for you to reach a BMI closer to 30 before considering cosmetic surgery to help minimize risks and to maximize results. 
If you have been unable to reach your goal weight with diet and exercise we recommend you schedule a consultation with a Board Certified Bariatric Surgeon. 

Different surgeons will have different opinions and comfort levels with regard to performing lipo, or a  TT on a patient with a BMI of 40.9 so it is best to ask various board certified plastic surgeons about your goals through virtual or in-office consultations. The two main reasons for targeting a BMI close to 30 is to lower the risks of complications during and after surgery and to the increase the probability of attaining your ultimate goals in one surgery. 

Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA