Will doctors work on someone with a BMI of 39-40? (photos)

Regarding your BMI, you would not be able to have surgery in our outpatient facility until you could get your BMI down to about 35. Cut down on the simple carbs, eat lean meats, colored vegetables, minimal bread, potatoes, etc. Basically, eat clean. An added benefit will be a longer, healthier life.Good luck and thank you for your question.  

It is not ideal BUT with the proper pre- and postop
management, it can be done. I would start with you pre-op with an incentive
spirometer to help with your lungs. Also, I would start Lovenox subq the night before
surgery and continue for four to five days postop. This will help prevent leg
clots postop . . . it will “thin” the blood, but not cause bleeding.
            I would
“stage” the surgery so that the abdominoplasty/panniculectomy/”tummy tuck” is
done first. Not only will you have all the skin/fat removed from your abdomen
(belly button to the pubic area), you will also have the muscles tightened.
            The second
stage could be done months later when you are more ambulatory. This will also
shorten the surgical and anesthesia time . . . and will be safer than doing the
suction (flanks, back, thighs) at the same time.
            Try to lose
as much weight as possible . . . but do it safely!! 
Good luck!
 

Hello and thank you for your question! You are a good candidate for tummy tuck surgery with liposuction. It would be recommended for best results and optimal recovery to have a BMI less than 40. Consultation with a board certified plastic surgeon is recommended to see which procedure (or combination of the two) will give you the best results.  Best wishes!