Which doctors do large volume liposuction and tummy tuck in a hospital? No health issues, just a high BMI 5'3, 273.

I can understand you are extremely frustrated at not seeing weight loss after your efforts, but you are not a good candidate for liposuction or any plastic surgery at your current weight. When you say "no health issues, just a high BMI", it makes me worry you don't understand what a massive health problem your weight is, and how much it stresses your entire body (cardiovascular system, joints, you name it). It also puts you at high risk surgically, and this is not an issue of surgery being done in a hospital or outpatient center. It would be dangerous period. Often when patients are not seeing results from their efforts, they are not able to see the factors that are keeping them from losing weight. Good places to start are getting the help of a bariatric doctor,  nutritionist, and following up with your bariatric surgeon to figure out why and what you can do to turn things around. Weight loss surgery alone is not a cure all, and does not simply "fix" being overweight. You have to participate in maintaining your own health, participate to lose the weight, and actively maintain the weight loss you achieve. Keeping a food diary is also a good place to start. It forces you to be aware of what you are putting into your body, and the calories of your choices. Please take care of yourself. It will take dedication, but weight loss is possible, and when you reach the point where you are a good candidate for surgery, you can look forward to much better results than trying to do this in a backwards order. Good luck!

Hello Scollinslvn,
I appreciate your questions! Based on your pictures and description, I would suggest you two different surgical plans: 1) undergoing a weight loss program until you reach a Body Mass Index (BMI) estimate equal or less than 30, and then having a traditional abdominoplasty (full tummy tuck) done.  Or 2) a staged procedure consisting of a large volume High-Definition VASER Liposuction done first, followed by an abdominoplasty, 6 months after you’ve fully recovered from VASER Liposuction. Your current BMI estimate of 48.4 surpasses the recommended range for a safe and successful tummy tuck procedure and recovery. For procedures that involve long incisions, such as abdominoplasty, it is ideal to achieve a BMI of less than 30 to minimize your risks of complications, such as wound dehiscence and infection. Set up an in-person consultation with an experience plastic surgeon to assess your candidacy for abdominoplasty and/or VASER Liposuction based on your age, presence of skin laxity and stretch marks, BMI and health status, among other factors. With appreciation, Dr. De La Cruz. 

Thank you for your question. Based on your information, your BMI is 48! You are morbidly obese and not a candidate for plastic surgery. I hope there's no doctor who will take you up on your challenge for the surgeries requested even in a hospital. There's a high risk of complications including death. You need to be evaluated by a bariatric surgeon to see why your WLS failed. You proved that trying diets on your own does not work. You need to be under doctor supervised dieting and exercise program first, and possible another bariatric surgery. Good luck.

Ideally you want to be closer to your goal weight prior to surgery. This will yield a better aesthetic result and also significantly decrease your risk of complications. When you are ready be sure to consult with a board certified plastic surgeon. Best of luck, Dr. Kludt

Dear Scollinslvn,Generally speaking, you want to reach your goal weight before you consider a tummy tuck, 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

will not produce aesthetic results and only remove some skin and fat and have minimal impact on your weight.  Your dieting history doesn't sound encouraging as nothing seems to work for you.  The worst thing you can do is find a surgeon to do something now and then continue to gain weight... that would simply be a terrible waste of your money and most surgeons do not want you to do that.  If you can promise yourself you will not gain weight and are accepting of whatever can be improved from surgery now, you can find a surgeon that will do your procedure but it should be at a facility where you can be kept overnight rather than being sent home if you want an aggressive approach taken.

Thanks for your question. As you can imagine, it is fairly common for us to get questions regarding liposuction to lose weight from people with a high BMI. That is not a safe procedure and in fact could be life threatening. If you find any surgeon willing to do that you should run, not walk, out of the office. In multiple medical journal reports, the maximum volume of fat that is safe to remove is in the 10 pound range, and that is enough to land you in the ICU! Look for better alternatives.