Age 35 with PCOS - Is lipo of stomach, inner thighs, upper arms an option for me?

Based on these photos, you are a candidate for liposuction and TT. This is not something that should be done together, but divided in at least 2 procedures several months apart. However, a mayor problem with safety and final outcome is your high BMI. While both procedures are going to produce significant improvement, without loosing 30 plus lbs. you will not be satisfied with final outcome. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Dear Nony_mouse,
generally speaking, you want to reach your goal weight before you consider surgery otherwise your results will be suboptimal if you continue to lose weight after the surgery. Based on your photos, you would be a better candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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

The best results from liposuction are in patients with fairly small areas of stubborn fat and skin that has not stretched much. I think that in your case, liposuction would leave a significant amount of loose skin and you would be quite disappointed with the result.

Your BMI is very high, greater than 37. The maximum amount of fat removed in a single session is limited to 5 liters (which is a LOT), but you have significantly more.
I routinely do PCOS patients with weird fatty distributions. Doing liposuction on you would be a “jump start” towards looking somewhat better.
I would be limited to only one area:
Either front of your stomach
Or your sides and back.
To do a Lipo 360 would be a two step procedure
Dr. Taranow

Hi!! Yes liposuction can be done for you and will definitely help in motivating you for further transformation..But in your case specially in your abdomen , you also have lot of excess loose skin which needs to be excised. Just doing liposuction even with the best tightening device will leave behind lax hanging skin which will make you look aged. So I would advice to undergo 360 liposuction with tummy tuck in one stage followed by thigh and arm contouring in 2nd stage

You need a combination of fat removal using VASER and strategic excisional procedures that can provide you high definition results. Cannot jus do it with liposuction as you have too much skin redundancy. Please consider a virtual consultation with a high definition body contouring expert prior to proceeding.

High-volume Liposuction an obese people who are unable to lower their weight can redistribute fat from one area to another.

Unless followed by weight loss or some change in eating habits or behavior modification most patients will return to their pre-procedure wait though in a new fat distribution based on the impact of the procedure.

Most plastic surgeons limit Liposuction to the removal of 5 L or fat or less.

5 L of fat is approximately 8 pounds.

Well that may seem like a large amount when carrying 8 pounds of butter or watching a bucket full of fat it is a pretty small percentage of someone who weighs 220 pounds.

5 L isn’t going to have that great of an impact on someone at your current weight.

To get more impact more than one round of liposuction would be needed.

In the end unless you master controlling your weight you will regain the fat in other areas.

I think the best and most appropriate answer would be direct commend focusing your efforts on weight loss.

Losing weight can be a struggle and definitely requires a commitment, certain decisions and persistence.

Different plastic surgeons will have different opinions about doing liposuction on obese patients.

Based on experience I would say most patients over 200 pounds do better having two rounds of liposuction removing significantly more than 5 L.

Patients who are above 220 pounds probably simply are not candidates for Liposuction. It doesn’t make sense to have that much surgery for those who have not yet learned how to control their weight.

Best,

Mats Hagstrom MD

Hi and welcome to our forum!From your photos, I not a full abdomen associated with a hanging pannus and full flanks. From weight and height information, your BMI is 37.76. BMI, or body mass index (weight in kg / square of height in meters) is one criterion to determine the results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. Liposuction can only remove approximately 6-8 pounds at one sitting. It can be repeated at 3-6 month intervals. However, it is a reshaping procedure and is not a weight loss procedure. It is not the procedure of choice at your present weight. You may wish to consider performance of an endoscopic gastric sleeve surgery, performed by a bariatric surgeon. It is currently being performed as an out-patient procedure and will result in very significant weight reduction.Best wishes...

Liposuction is NOT an option for you. What you need is weight loss through dietary modification or Bariatric surgery. When you are at a reasonable weight, then you will need body contouring surgery to remove the resultant excess skin. PCOS is not an excuse for not losing weight, it just means you have to work harder.