Sorry but you are NOT a candidate fr ANY TYPE of Liposuction, even SmartLipo. You need weight loss or gastric bypass first. Seek in person additional consultations because you will find a doctor to operate upon you and just take your $$ without you achieving a nice result because you are so overweight.
however you still need to have your blood sugar controlled. I have you eat normally and take your medication normally. You absolutely have to have your blood pressure controlled too. there is epinephrine in the local anesthetic which can raise your blood pressure. also looking at your pictures, you appear to have a lot of abdominal fat and i suspect a lot of it is behind the muscle. If you are considering doing your abdomen, you should lose some weight first. Smartlipo is a great tool but it is not a substitute for dieting and exercising to lose weight. david berman md