200lbs down with a current BMI of 26.7 and a tentative goal weight that would put me around 24.3. I often see doctors discuss a maximum BMI limit, but there seems to be less discussion of an ideal BMI For body contouring (and if it might be higher than a calculated “ideal weight.” ). Is there any truth to the idea that BMI body contouring results might be better slightly above a BMI of 25 than below? It's hard to go by look alone when you have so much excess skin.
Answer: BMI Wow! Congratulations on your impressive weight loss! BMI is only one consideration when determining if someone is a candidate for surgery. Those above a 30 BMI carry a higher risk of complications such as poor wound healing, infection, and seroma compared to those below this threshold. If you are near your goal weight and are able to maintain it then you are ready for surgery.
Helpful 1 person found this helpful
Answer: BMI Wow! Congratulations on your impressive weight loss! BMI is only one consideration when determining if someone is a candidate for surgery. Those above a 30 BMI carry a higher risk of complications such as poor wound healing, infection, and seroma compared to those below this threshold. If you are near your goal weight and are able to maintain it then you are ready for surgery.
Helpful 1 person found this helpful
Answer: Persistent123642 Thank you for your question, and congratulations on your weight loss. Massive weight loss certainly impacts your BMI-which can be a helpful tool. However-as long as you are healthy and a good candidate for surgery this should bot be a problem. The question when BMI is discussed generally is if there is a concern about safely under anesthesia. Results can certainly be better with a BMI slightly above 25 than below. It's important to manage expectations however, and therefore it is important to discuss with a provider that can do a full in person assessment. Hope this helps.
Helpful
Answer: Persistent123642 Thank you for your question, and congratulations on your weight loss. Massive weight loss certainly impacts your BMI-which can be a helpful tool. However-as long as you are healthy and a good candidate for surgery this should bot be a problem. The question when BMI is discussed generally is if there is a concern about safely under anesthesia. Results can certainly be better with a BMI slightly above 25 than below. It's important to manage expectations however, and therefore it is important to discuss with a provider that can do a full in person assessment. Hope this helps.
Helpful
January 7, 2025
Answer: Weight loss Dear Persistent123642, congrats on the weight loss! Generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
January 7, 2025
Answer: Weight loss Dear Persistent123642, congrats on the weight loss! Generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
December 9, 2024
Answer: Health Over BMI for Post-MWL Body Contouring Hello, and thank you for your question regarding the ideal BMI for post-weight loss body contouring. First, let me congratulate you on your incredible 200-pound weight loss—what an achievement! To address your question, it's true that body contouring at a slightly higher BMI can sometimes produce more noticeable and dramatic results due to the amount of excess tissue removed. However, I don’t recommend striving for dramatic results at a higher BMI. Instead, I encourage patients to focus on reaching and maintaining their lowest achievable and stable BMI before surgery. Operating at a lower BMI is generally safer and allows for a smoother recovery. Additionally, reducing your BMI as much as possible will minimize the amount of visceral fat, making muscle repair easier and improving the overall contour of your body. Even though your current BMI of 26.7 is within a healthy range, achieving your goal weight and a BMI closer to 24.3 will likely provide a more refined, natural outcome after surgery. Excess skin can sometimes make it difficult to gauge your true frame. For this reason, it’s important to consult with an experienced board-certified plastic surgeon who can evaluate your body composition and help you develop a plan tailored to your goals. With your weight loss success and thoughtful approach, I’m confident you’ll achieve fantastic results. Sincerely, Dr. Katzen
Helpful
December 9, 2024
Answer: Health Over BMI for Post-MWL Body Contouring Hello, and thank you for your question regarding the ideal BMI for post-weight loss body contouring. First, let me congratulate you on your incredible 200-pound weight loss—what an achievement! To address your question, it's true that body contouring at a slightly higher BMI can sometimes produce more noticeable and dramatic results due to the amount of excess tissue removed. However, I don’t recommend striving for dramatic results at a higher BMI. Instead, I encourage patients to focus on reaching and maintaining their lowest achievable and stable BMI before surgery. Operating at a lower BMI is generally safer and allows for a smoother recovery. Additionally, reducing your BMI as much as possible will minimize the amount of visceral fat, making muscle repair easier and improving the overall contour of your body. Even though your current BMI of 26.7 is within a healthy range, achieving your goal weight and a BMI closer to 24.3 will likely provide a more refined, natural outcome after surgery. Excess skin can sometimes make it difficult to gauge your true frame. For this reason, it’s important to consult with an experienced board-certified plastic surgeon who can evaluate your body composition and help you develop a plan tailored to your goals. With your weight loss success and thoughtful approach, I’m confident you’ll achieve fantastic results. Sincerely, Dr. Katzen
Helpful
October 12, 2024
Answer: Is there an Ideal BMI? The reluctance of surgeons to operate on people who have a BMI greater than 30 is secondary to the fact that there are increased complications in these patients as well as the results being less than ideal, On the opposite side, trying to push one’s BMI too low could leave you nutritionally depleted and may increase your complication rate as well. Targeting for a BMI of approximately 25 is the safest way forward. After surgery, your BMI will dip slightly more because there will be some weight removed at the time of the skin removal. It’s best to be nutritionally robust going into the surgery so you heal well and the skin contours over a healthy skeletal/muscular framework.
Helpful
October 12, 2024
Answer: Is there an Ideal BMI? The reluctance of surgeons to operate on people who have a BMI greater than 30 is secondary to the fact that there are increased complications in these patients as well as the results being less than ideal, On the opposite side, trying to push one’s BMI too low could leave you nutritionally depleted and may increase your complication rate as well. Targeting for a BMI of approximately 25 is the safest way forward. After surgery, your BMI will dip slightly more because there will be some weight removed at the time of the skin removal. It’s best to be nutritionally robust going into the surgery so you heal well and the skin contours over a healthy skeletal/muscular framework.
Helpful