Is there any lipo or surgery you can get for a BMI over 30 without having to lose weight first?

Ariel.  I appreciate your dilemma, however studies show a much higher rate of complications after surgery on patience with a BMI over 30. Also, liposuction in patients with a high BMI demonstrate limited improvement because of sagging skin and greater chance for asymmetry because of the high volume needed to be removed. Most states do not permit more than 5 L of fat to be removed at one sitting as fluid shifts in your body can be significant causing serious medical problems. Consult with a board-certified plastic surgeon in your area to help counsel you with the best options in your case.

Hello Ariel6626,
It’s a pleasure to answer your questions! Based on your pictures and description, I would recommend you setting up a consultation with an experienced plastic surgeon to assess your candidacy for a large volume VASER Liposuction. With this minimally-invasive procedure, patients can remove beyond 4-5 Liters of excess fat, and tighten their skin at the same time. When the lipoaspirate surpasses the 5 Liters, my patients get admitted overnight in the hospital. I also require them obtaining a medical clearance from their primary care physician (or cardiologist for age >45, or if patients are over 40 years old and have co-morbidities such as diabetes, family history of cardiac problems or hypertension) prior to BBL procedure. Safety is of utmost importance when undergoing large volume liposuction. One of the extensive benefits that 4D VASER Liposuction offers is that this procedure can be used on both, athletic patients who work out at the gym, as well as overweight patients who want more definition and muscular look. Best regards! Dr. De La Cruz.