IGenerally if you are comfortable with your weight and not overweight you could certainly proceed with the surgery at this time. However, if you plan to lose weight, you should do that before the surgery and get within ten pounds of your ideal weight to get the best longest lasting cosmetic result. Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do without seeing photos and more importantly without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best surgery. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) )that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, M.D., FACS La Jolla, California