Tummy Tuck & Lipo with high BMI?

Thank you for the question and congratulations on your successful weight loss!  I agree 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 carefully. Make sure that he/she has significant experience achieving the types of outcomes you would be pleased with.   Then prepare yourself and your support system for a  significant recovery experience (physical and often emotional).
 
 Best wishes.

Thanks for your question! Based on your description, your BMI (body mass index, a mix of height & weight, there are several free apps you can download to calculate this) is >35. 
I don't do tummy tucks on people with BMI's over 33, & I do >100-150 per year. There are just too many risks, to include infection, poor wound healing, & most importantly, blood clots & even death. I don't have your photos to look at, but judging by your BMI, you need to know that you are at a distinct increased risk for this surgery. Talk to a board certified plastic surgeon experience in body contouring to see if there's someone in your area who might feel comfortable doing your surgery.  Best of luck to you! 

Thanks for sharing your concerns with us. A high BMI is a risk factor avoidable, I always suggest to my patients to be carefull losing weight before a surgery that is why a suggest a nutritionist to loss weight in a proper weight, being healthy. The BMI needs to be 30 or less for a safer procedure. Kind regards