Hello dear!Thanks for the question and provided information as well.Right now your BMI is 44 and it needs to be 33 or less, for you to be considered a good candidate for plastic surgery.l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and the best options for you.Good luck :)
Unfortunately, your BMI is over 44. I do not feel you will find any surgeon willing to take the risk of performing an elective cosmetic procedure on you. You must consider weight loss for either a procedure, or health concerns. Best wishes Dr. T