you have not told us your height just your weight. Since you are heavy, you are at a higher risk
for pulmonary problems and I recommend the operations done in 2 stages. I recommend the breast reduction first using a
new technique called The Ultimate Breast ReductionTM. This technique reshapes your breast tissue
creating upper pole fullness, elevates them higher on the chest wall and more
medial to increase your cleavage. This
technique avoids the ugly vertical scars of the traditional technique,
maintains nipple sensation and the ability to breast feed. Tummy tuck is a higher risk procedure because
it increases abdominal pressure, which can result in pulmonary complications
and blood clotting. If you are not
planning future pregnancies I recommend Abdominoplasty with Mesh
Reinforcement. The mesh results in early
satiety, weight loss and maintains the reduced weight.
Gary Horndeski, M.D.
If you are truly unable to lose weight secondary to your large breasts, then I would consider the reduction. I would not do an abdominoplasty because you have too much excess fat to heal well and get a good result. If you absolutely need to have the reduction to exercise then you could do that first so that you could lose your weight prior to the body contouring. Ideally your BMI should be less than 30, and closer to 25 to be a good operative candidate. I know this is a tough road, but you will be glad you did it. Best of Luck!