Thanks for sharing your question. I can appreciate your concern. I am not aware of any studies advising against surgery in patients with fatty liver. Some important considerations in preparation to your surgery are: 1. Make sure that your liver function is normal. If the severity of your fatty liver is affecting the function, you might have problems with your healing. 2. Make sure that your clotting function is also normal. 3. In principle, if your overall health is adequate, surgery should not be severely affected.Finally, make sure that you have a consultation with a board certified plastic surgeon. Wishing you the best in your journey IMPORTANT DISCLAIMER: It is difficult to say what is exactly happening with your case without a physical examination, testing or having done your surgery. It is imperative that you have a thorough examination by a board-certified surgeon. Only then, you may weight better the options to fix your current concerns.