I consulted with a DR. in MIAMI, he told me that my BMI was 35 and I needed to lose 20 lbs for the procedure. Is this correct?

Thank you for your pictures and questions. If you want honest feedback, here it is.....you absolutely need to lose weight before considering cosmetic surgery. In addition, you are a very poor candidate for liposuction alone without skin removal (tummy tuck). Liposuction is going to leave you with a large amount of deflated skin and a poor result. Make sure that "DR. in MIAMI" is a plastic surgeon who is board certified by the American Board of Plastic Surgery!Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
Generally speaking, in order to have a safe and successful cosmetic operation, you should aim to have a BMI of 30. As your BMI approaches 35, you are at significant risk of complications - some of which can be life threatening.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Butt Augmentation Specialist
Liposuction Specialist
Board Certified Plastic Surgeon

Hi, thank you for your question. 
Generally speaking, in order to have a safe and successful cosmetic operation, you should aim to have a BMI of 30. As your BMI approaches 35, you are at significant risk of complications - some of which can be life threatening. Your surgeon is giving you good advice. 
Based on your photos, you may need a tummy tuck in order to have the optimal results. 
Consult with a board certified plastic surgeon to determine the safest operation for you. 
Best of luck!

Optimal candidates for surgery should have reached a healthy stable weight preferably with a BMI < 30. My recommendation is for pre-op weight loss. This will lower your overall surgical risk profile and likelihood of complications. With regards to your specific question, there is no quick fix. Cosmetic surgery is not a means for weight loss. Traditional diet and exercise are the first line. For those patients with a BMI of 35 and associated comorbidites (diabetes, hypertension etc) you may qualify for insurance coverage of bariatric surgery (surgical weight loss)As always, discuss your concerns with a board certified plastic surgeon (ABPS).

hello thank you for your question and provided information as well.. based in your question and the picture you showed , its recommended loose weight before to any procedure.

Being ready for the BBL depends upon your overall health, your body habitus, and your goals. In my practice 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.  It is best to be within 10 pounds of your weight goal for three months prior to the BBL.  If you are having difficulty losing 20 pounds, make an appointment with you PCP who can suggest dietary changes and recommend an exercise program.  

Hello Brymommy15,
It’s a pleasure to answer your questions! Every patient is unique and plastic surgeons have different pre-operative protocols, customized for every patient to achieve the best results. Many of my full-figured patients who desire flat abs and a fuller, beautifully rounded backside opt for Vaser Liposuction with fat transfer to the buttocks (BBL) and Renuvion (J-Plasma) and get amazing results. Request an in-person or virtual consultation with a board-certified, experienced plastic surgeon to assess your candidacy for BBL with Renuvion based on your age, skin laxity, body shape, and health status, among other factors. During the initial consultation, he/she can help you decide if adding volume to your rear will be proportionately appropriate for your appearance and how much fat volume should be grafted. Have in mind that in states such as Florida and New York, the maximum liposuction aspirate that can be taken out are 4 and 5 Liters, respectively. When the lipoaspirate surpasses the 5 Liters, my patients get admitted overnight in the hospital. The maximum liposuction that one can be safely removed depends on the amount of lidocaine in the tumescent fluid (not more than 35mg/kg which is the gold standard of care) that can be infused to perform the procedure. Moreover, I also recommend my patients obtaining a medical clearance from their primary care physician (or cardiologist for age >45) prior to BBL procedure. Safety is of utmost importance when undergoing large volume liposuction. BMI over 30 is associated with higher risk of complications such as infection and wound dehiscence. However, this applies specifically to patients who are undergoing procedures that include large incisions such as an abdominoplasty and breast reduction. Best wishes! Dr. De La Cruz. 

Thank you very much for this question. Indeed there is a maximum BMI that most plastic surgeons respect. Doing aesthetique surgery or a lipo/ BBL on a person that is obese is neither safe, nor can you expect a significantly more pleasing outcome. There are certain exclusions to that rule. So if you have a question do you speak with your plastic surgeon but do not be disappointed if he asked you to lose weight to qualify for a Surgery. Have a wonderful rest of the day greetings from the beautiful island of Jamaica

Dear Brymommy15,generally speaking, you want to reach your goal weight before you consider a BBL, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering a surgery, I would suggest you to 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

Hello dear!
Thanks for the question and provided information as well.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)