Plus size tummy tuck? (Photo)

It is true that the risk of complications are higher with people with high BMI, but there are several ways to reduce risk, and the operation can be reasonably done as long as expectations are realistic, and it sounds like yours are.  I perform all of my abdominoplasties under deep sedation rather than general anesthesia and that greatly reduces or eliminates the risk of blood clots ( venous thromboembolism).  Wound healing complications are the highest risk, and gentle handling of tissues and minimizing electrocautery to reduce thermal injury to tissues makes a difference. I do not think there is any reason why you can't undergo surgery with reasonable risk given that you are otherwise in good health, but it is important to choose an experienced surgeon.  I have done many patients with high BMI with good outcomes, as long as the patient understands that weight loss of greater than 30-40 pounds after surgery will result in loose skin, and the key word for outcome is substantial improvement, not total correction.

Based on your pictures I would recommend you lose weight first for a better result, an in person consultation would be best with a board certified PS.

Thank you for your question.The recommended BMI is less than 30. This is the recommendation of the American society of plastic surgery. The reason simply, is increased chance of complications. These include but limited to, pulmonary embolus, deep venous thrombosis, delayed wound healing and increase infection rate.Choose a board certified plastic surgeon who has done a ton of Tummy Tuck and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon.

Hi, thanks for sharing your concern and photos with us!
The ideal BMI for aesthetics procedures is below 34%, but the more weight you lose the better results you will get. Reaching your weight goal prior to surgery would decrease the risks of complications during and after surgery and enhance results.
Looking at your photos I might say that you´ll be a great candidate to get an entire back, waist and flanks liposuction, with BBL, and tummy tuck, this is because all the extra skin located in this areas plus your abdominal muscle needs to be repaired.
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first.

Have a great day!

Dr. JPG

I have performed tummy tucks on patients with much larger tummys than you. You would need a physical exam to determine if you are healthy enough to have surgery. Patients with very high BMI are a increased risk for complications. I designed a tummy tuck where patients typically wake up in no pain. I incorporate the FINNESSE technique, which I invented. Bleeding is minimal and recovery is much quicker versus traditional techniques. I hope you find this information useful. Please watch the enclosed video.