BMI of 35.9 - can get liposuction and a breast fat transfer?

Question

What options do I have with a BMI of 35.9? I was hoping for a breast fat transfer, lipo and possible mini tuck but it seems no one will touch me with my BMI.

Kenneth Hughes, MD · Answer

I look for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. A BMI of 35 is probably the upper limit that a plastic surgeon would consider for these procedures.

Nick Slenkovich, MD · Answer

Hi there! Thanks for your question. 
Typically, you need to have a BMI of 30 or below before undergoing an elective procedure. This ensures the safest, healthiest and fastest surgery / recovery.

Best of luck!

Gary M. Horndeski, MD · Answer

With a BMI of 35.9, liposuction can be done.  10 lbs can safely be removed during one session and can be repeated if necessary.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Chelle219,
it is hard to tell for sure without an examination. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Rustom Ginwalla, MBBS · Answer

Yes, you can certainly get Vaser Lipo done, which can remove a large amount of fat in one session, and use the fat for augmentation of your breasts. However, you should be aware that fat transfer to the breast can only give limited volume enhancement, and will not correct sagging.Ideally, you should consult a board- certified Plastic Surgeon who will assess you and advise you.

Mark Eberbach, MD · Answer

It is a good thing to be denied surgery. It isn't safe for you.

It is better to get bariatric surgery of one type or another to loose the weight needed prior to any cosmetic surgery. There are several options, balloon, gastric sleeve endo or laparoscopic, Gastric bypass, etc.

This will make you more healthy in the long run and open up several future options.

Darryl J. Blinski, MD · Answer

Yes, I woud but you are limited to ONLY 4 liters liposuction in office in Florida. As far as fat to breasts, the results are limited to volume injectioned that fills out. Fee $10,000.

Arian Mowlavi, MD, FACS (license on probation) · Answer

​A healthy BMI is between 15 - 24, the maximum recommended being around 30. If you are above 30, then you are encouraged to lose weight before undergoing surgery. The higher the BMI the higher the chance of complications. A Skype or FaceTime consultation with a board certified plastic surgeon will help you get an accurate recommendation for your procedure and for pricing.

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Rather than making your own surgical plan I suggest having in person consultations at which time you can get an accurate assessment and better understanding of each of the procedures you’re interested in.

BMI is only one way to measure someone’s body habitus.

Anyone overweight will do better losing weight first so that is good advice.

You may or may not be a candidate for Liposuction and some of this has to do with fat distribution, what areas you’re looking to treat and to some degree your height.  Your Health matters because I just said be a Maya taller person will carry more weight and Liposuction is limited by how much fat can be removed in a single procedure and still follow safety guidelines.  most plastic surgeons will not remove more than 5 L of fat in a single session. In Florida this is limited to 4 L maximum. for example, that is sufficient to treat the torso to completion for most patients wing up to about 170 pounds. If you’re 4 foot 11 then 5 L may be sufficient but if your 6 feet you may need much more than 5 L of fat removed with a BMI of 35.

Breast fat transfer is good at increasing breast size one half to one cup but is not good at changing the shape of the breast.

Typically women who are somewhat overweight tend to have more of an issue of breast shape than breast volume but that is a generalization.

I suggest having a few in person consultations with local board-certified plastic surgeons.

Best,

Mats Hagstrom MD

BMI of 35.9 - can get liposuction and a breast fat transfer?

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