I weight 293 lbs. If I have Smart Lipo, would it be possible to get my weight down to 130?

This is a common question.  Ideal candidates for liposuction and laser liposuction are those who have a BMI of less than 30.  Those patients with closer to ideal body weight will have the best results.  Liposuction is not an alternative to weight loss as it isn't safe to suction out that much fat.  In addition, much of the fat in patients who's BMI is over 30 is visceral (around the internal organs) and this can't be suctioned out- only reduced via weight loss.  There are online tools where you can calculate your BMI which is based on weight and height to give you an idea of what your target weight should be to make you an ideal candidate for liposuction.  Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York
Board Certified Facial Plastic Surgeon
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for:
Allergan (Juvederm, Voluma), Valient (Scultpra,
Restylane), Cynosure (Cellulaze, Precision Laser Lift)
& Solta (Fraxel, Thermage)Zeltiq( Coolsculpting)

You should reach your ideal stable weight first before proceeding with any cosmetic surgical body contouring procedure. Being within a normal BMI range dramatically improves your surgical outcome and is safer for you as well. Smartlipo is not a form of weight loss and will not get you down to 130lbs. It is only for localized fat deposits that you weren't able to get rid of through exercise and diet alone. In addition, you will probably be left with a lot of excess skin which cannot be significantly tightened with Smartlipo. Once you get down to your ideal stable weight, you may want to consider a tummy tuck instead as this is more effective in addressing excess fat and loose skin. All the best.

Liposuction is not for weight loss, diet and exercise is.  I have treated many large patient who wanted a jump start to their workout routine and they were able to lose significant weight following the procedure because they were more shapely and had less functional issues.  My suggestion is to go to someone with experience doing larger volume cases and to really start a good workout and diet prior to liposuction.  Best, Dr. Emer.