I don't believe there is any particular procedure known as holistic liposuction other than a spin on words. My practice is almost exclusively devoted to body contouring, and I am quite well-versed with the majority of techniques and equipment used for fat reduction. Weight by itself is not an indicator for determining if liposuction is appropriate or not. There are patients who are substantially overweight who are good candidates for liposuction and patients with low BMIs who are good candidates for liposuction as well. The opposite is also true.As a general statement, if the primary diagnosis is extreme obesity, then it's less likely someone will be satisfied with liposuction. That being said, there are many patients who are significantly overweight who have very high satisfaction after liposuction. Much of it depends on the fat distribution, which is really the key in determining if liposuction is a good procedure or not.I suggest you have an in-person consultation with a board-certified plastic surgeon to see what your options are. At times, having more than one consultation can be helpful.Best of luck,Mats Hagstrom, M.D.