BBL with a BMI of 39, are there any doctors in the states that work with a BMI of 35 - 40?

Hello, thanks for your question and provided information. Here at the Dr you can find surgeons that work with that BMI levels, consult with a board certified plastic surgeon. 
Advantages:
One treatment may be all you need to reshape problem areas
Treat more areas—and larger areas—in one procedure
May be performed with either local or general anesthesia
More consistent and predictable result than noninvasive treatments
Liposuction, sometimes referred to as "lipo" by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion.
Different areas of treatment:
Thighs
Hips and buttocks
Abdomen and waist
Upper arms
Back
Inner knee
Chest area
Cheeks, chin and neck
Calves and ankles
Liposuction can be performed alone or along with other plastic surgery procedures, such as a facelift, breast reduction or a tummy tuck.
What liposuction can do?
Liposuction is not a treatment for obesity or a substitute for proper diet and exercise.
It is also not an effective treatment for cellulite—the dimpled skin that typically appears on the thighs, hips and buttocks—or loose saggy skin.

Ideal candidates are at a stable weight,  in good health , and have excess fat in some parts of the body and too little in other regions.  Gaining weight before the procedure is to no advantage and when you lose weight again the fat cells will shrink just like the donor site fat cells.  Typically, the transferred fat results in a significant increase in volume of the body site being treated.

A BMI of 35 is probably the upper limit that a plastic surgeon would consider for this procedure.Kenneth Hughes, MDLos Angeles, CA

I is always best to have plastic surgery with a BMI in the normal range.  The complications rates are significantly higher for patients whose BMI fall in the obese category.

Hello dear!!

Thanks for the question and provided information as well. 

A BMI around 39 increase the risk of complications during and after your surgery, the BMI range is 30 and it is important have a stable weight in order to have any surgical process. 

I recommend you maintain your weight in a healthy range and then consider the surgery, you will achieve amazing results.

Also you can make an appointment with a board plastic surgeon for a good evaluation and to talk about your goals.

Good luck.-

Thank you for your question.
Your first step with the information given should be to loose weight in order to be at good BMI so that you are healthy for a procedure.