Lipo 360 or aggressive lipo on a person with high BMI?

Question

My age is 43 I weigh 260 lbs I am borderline diabetic. I have high blood pressure a high BMI a 40. I believe and I would like 360 lipo. Is this something I could have done everyone is telling me to lose weight but honestly I am happy with my weight. I'm just want to get rid of some of this stomach. I know I will not be flat in that fine I just want to enhance the shape I have.

Johanna R. Krebiehl, MD · Answer

For safety purposes for an elective surgery, most surgeons require you to be at a healthy BMI to be a candidate for surgery. At my office, we require a BMI of 35 or less since research has shown lower instances of peri- and post-operative complications among patients with a healthy BMI. Your blood sugar and blood pressure would likely improve with weight loss, making it is safer to do surgery. That being said, every surgeon is a little different with what they are comfortable with. I would recommend calling a board certified plastic surgeon in your area to see what their policy is regarding this, and with scheduling a consultation they can give you an idea if your goals are achievable with liposuction based on your body type and skin quality, but may require you to lower your BMI before performing surgery.

Jason Emer, MD · Answer

liposuction is for body contouring not weight loss.  even if you do liposuction with a high BMI you wont see substantial change and will need numerous treatments -- in the US you can safely remove 5 L per treatment which isnt a huge amount of weight. I suggest if you want to do this you go to an expert who does a lot of patients who are larger in staged procedures and combines hormones/weight loss medications. we do this daily in our practice.  Best, Dr. Emer.

Gary M. Horndeski, MD · Answer

I recommend you begin a low fat diet, core exercises such as sit-ups, planks, pilates and start wearing an abdominal binder. You may also want to consult a bariatric surgeon. Liposuction can be done and can remove 10 lbs during one session.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Exciting969141,
it is hard to tell for sure without an examination. Generally speaking, you should reach goal weight prior to 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

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Considering the details shared, it is best to start with a low-fat diet along with core exercise before undergoing lipo 360 or aggressive lipo. Do note that, liposuction is not a weight-reducing technique, it's more of a cosmetic procedure to slightly re-shape the body.
Do note that, all sorts of liposuction procedures are effective in removing stubborn fat from the various part of the body. A BMI of 40 is considered high, hence, any sort of surgery, even the lipo 360 might have multiple complications, hence, it is best to bring down your BMI to less than 25 before considering any sort of body contouring procedures.
If you are sure about getting lipo 360 or aggressive lipo, then it is best to consider a bit of a weight loss, as it will offer better results. Having a bodyweight of 260lbs has various negative impacts on the health, and is also likely to shorten your lifespan. After the weight loss, you might even have to consider skin reduction surgery or tummy tuck surgery to remove the excess skin after losing the weight.
Even if you find a doctor who is willing to offer liposuction in this present situation, then keep away from that doctor, as he might not be an expert when it comes to liposuction. Do note that, a single liposuction procedure can only remove a maximum of 5 liters of fat. Hence, it won't make a major difference in terms of aesthetics.

Camille Cash, MD · Answer

Safety is always the number one priority in surgery.  Those with a high BMI have a higher risk of complications such as poor wound healing, infection, and seroma formation.  Losing weight prior to liposuction allows your surgeon to maximize your results.

Mats Hagstrom, MD (license on probation) · Answer

I don’t believe morbidly obese (greater than 100 pounds above ideal weight) people are happy being overweight.

I’ve never met a person who successfully lost 100 pounds and regretted it.

Your primary problem is obesity. This will shorten your lifespan and severely impaired quality of life.

You should lose weight then consider consultations for skin reduction surgery a.k.a. wraparound tummy tuck or body lift.

In regards to Liposuction must plastic surgeons stay within the recommended or state mandated restriction of not removing more than 5 L of fat in a single procedure. In the state of Florida this limit is 4 L. 5 L of fat is about 8 pounds.

For someone weighing 260 pounds this would literally reduce your weight to 252 pounds.  Even if the fat is removed in ideal locations it’s not enough to have a significant or potentially even visible impact on someone your size.  liposuction is simply an inappropriate procedure for a morbidly obese patients.

Sorry to be a little harsh but I believe patients are best served by telling the truth.

Best,

Mats Hagstrom MD

Robert T. Buchanan, MD (retired) · Answer

In spite of what you say, you are not happy at your weight. That is why you are considering liposuction. This procedure is to remove residual stubborn fat pockets for people who are otherwise near a normal weight. If you find a doctor who is willing to operate on you at your present weight, run away very fast as he would be risking your life and is not someone expert in liposuction. You need to lose to a BMI of no more than 25 and then see an expert to decide what you need, which may be other procedures than liposuction.

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