Can I have a TT and Lipo with a BMI of 36?

It is not ideal, but in the properly selected patient it works.  If you have difficulty loosing any more weight, see a plastic surgeon for an evaluation, discuss the risks and benefits, and determine if it is a good option for you. 

It is possible to have a TT and Liposuction with your BMI but your results would be sub-par. If you are going to spend all of that money and time to have the surgery it would be in your best interest to lose more weight first. Try to get under a BMI of 30 if possible. 

Safety should always be the first priority when undergoing any type of surgical procedure. Losing weight can reduce the risk for complications with surgery.  BMI is but one measure.  Distribution of fat and overall health as well as goals all factor into this decision. I am not so stringent on the BMIs of prospective patients.  It would be nice for everyone to be at goal weight, but that is not realistic.   If the patient has enough risk factors to be moderate to high risk for surgery, I will not operate on these patients. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Hello, •You should be at a steady weight and within about 20% of your ideal body weigh. Your skin plays a role in whether you are a good candidate. You should have healthy skin with good elasticity, so that your skin is able to bounce back to its former tightness once the fat is removed. If you are having liposuction over a larger area, excess skin removal may also be necessary. If you have excessive stretch marks in areas where you gained weight or over your abdomen if you were pregnant, this may be a good indication of poor elasticity. So then you would need a Tummy Tuck. Its all depending on the skin of the Patient if you have lots of excess skin then just a Lipo would not be effective. 

There are a number of issues you need to consider before having surgery.1)Your BMI is on the high side this puts you at a higher risk for complications. A lower BMI would decrease your risk. Next would be your surgeon performing the surgery. I invented the FINNESSE technique. Bleeding is minimal. The  anesthesiologist utilizes less  Anastasia when performing the surgery. Because of this all of our Tummy Tuck patients WALK to the recovery room after surgery. They typically are in no pain and do not require any pain medication in the recovery room. It's not uncommon for patients to take only Tylenol after surgery. Because of this I perform many Tummy Tucks on women in there 70s as out patients. The oldest patient I performed a Tummy Tuck is 80 and she only took Tylenol after surgery. Another important issue is the person performing the Anastasia.  I use a excellent doctor anesthesiologist for my patients. I hope you find this information useful. For more Information please watch the enclosed video.

Most plastic surgeons suggest that you finish having children, get your weight within 10 pounds of your ideal weight, and have a BMI less than 30 (not a rigid rule) before undergoing an abdominoplasty with repair of the stretched out abdominal muscles and liposuction of selective areas, in order to achieve the best long term cosmetic result with the least potential complications. 

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do 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 interest. 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

That means you are in OBESE II category. Thus your chances of serious postoperative complications is higher. I would not accept you for surgery. But I am sure if you keep looking you can find a MD to operate upon you.. 

Thank you for your question.

it would be ideal for you to reach a BMI of at least under 30, or even better, under 25, before considering cosmetic surgery. It improves the safety profile and also helps to improve the ultimate results.

Best of luck.

Thank you for the question.  I think that specific calculations, including BMI,  are not always helpful when it comes to determining a specific patient's suitability to proceed with surgery.
Having said that, it is always best (or ideal) to achieve long-term stable weight prior to proceeding with tummy tuck surgery. Doing so, will increase the safety of the operation, will likely improve the outcome of the operation, and will decrease chances that additional surgery will become necessary subsequently. 
In my practice, I do not ask specific patients to achieve a specific weight prior to proceeding with tummy tuck surgery. I simply ask patients to achieve a long-term stable weight where he/she feels comfortable and does not expect significant fluctuation postoperatively.
 Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
 My best advice: select your plastic surgeon very carefully. Make sure that he/she has significant experience (and safety record) achieving the types of outcomes you would be pleased with.   Then (when the time is tight) prepare yourself and your support system for a  significant recovery experience (physical and often emotional).
  Best wishes.

You will not be happy with the result I having surgery when you are overweight.  More importantly complications increase with a BMI over 30.  It is important to get within 10 pounds ideal weight and hopefully closer to a BMI of 25