Should I consider lipo or a new diet and excerise? I am 23, 6'0", 307lbs (BMI42).

you can do "debulking" liposuction but you wil need weight loss. likely bariatric surgery and hormonal optimization (see link) to speed up your metabolism. I suggest consulting. Best, Dr. Emer.

Recommend consulting with your PCP to discuss a diet and exercise plan that would work for you. A BMI of 42 can increase the risks of complications during and after surgery and lead to less than optimal results from the aesthetic procedures.

I may recommend several things to you. First of all, as far as dieting, you need to begin a low fat diet. Second, in terms of exercise, I recommend you begin core exercises such as sit-ups, planks and pilates to increase your abdominal tone. I also recommend you see a weight loss physician board certified in bariatric surgery. You can also consider wearing an abdominal binder to help increase abdominal wall pressure resulting in early satiety and help maintain a reduced weight. After these, you can consider liposuction as a beginning point. In Texas, we can safely remove 10 lbs in one session of liposuction.

Best Wishes,

Gary Horndeski, M.D.

Dear RockStar457,
liposuction is not a weight loss procedure. Generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

With BMI over 40 - it is best to consider a lifestyle change - or consider a bariatric surgery. Liposuction is not a weight loss operation. Once you arrive at the ideal weight - then it's a good idea to consult re/ Body Contouring procedures

Everyone needs a little motivation and liposuction does that so well and is easy to undergo . Dieting and exercise will be more efficient once you are motivated.

It is best to lower your BMI under 30 before receiving any surgical procedures. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

When you say diet and exercise doesn’t work my response to that is that you were not doing a diet and exercise correctly.

If you have a bicycle why don’t you start doing some cycling and gradually add a few miles every day until you’re riding 60 miles a day.

Keep cutting your meals down in size, cut out all forms of food that’s processed including sugar etc.

Even though your BMI is not that high because you’re tall at 300+ pounds you are not even close to being a candidate for Liposuction.

Unfortunately with successful weight loss you may have developed enough skin laxity to need a body lift with weight loss.

For this reason patients who are morbidly obese typically never become Liposuction candidates. They either successfully lose weight and become skin surgery candidates or stay obese.


If it’s not working it is because you’re not doing it correctly.

Most people are not able to lose weight from exercise because the number of calories they burn are insufficient and they feel justified in eating after exercising.

Long distance endurance athletes are really the only ones who burn serious calories. These include long distance runners And cyclists.

If you don’t have a bicycle start walking. Add a half mile to your routine every day until you’re walking two or three hours a day.

If you are capable of running then start a running routine.

Walking up hill is also a great form of exercise.

Try to build up to an eventual 500 foot elevation climb hike.

Those are the type of workouts that actually burn calories.

Gently spinning on an exercise bike indoors or lifting some weights doesn’t really count when it comes to burning calories but all forms of exercise are to be commended because they make your body stronger and help with mental health.

Good luck to you. The only surgical option for you is weight loss surgery. It’s better if you can lose the weight without going that route.

Mats Hagstrom MD

Liposuction is NOT an option for someone like you, even to jump start weight loss except in very specialized clinics that do it all the time. Diet will accomplish your goal when done correctly. Exercise, once you are on the correct diet, can significantly help the process but will do no good if you are not eating properly. However, you should not "go on a diet" but, instead, change your eating habits and lifestyle (see the web reference below). If this doesn't work, see a bariatric surgeon.