At 288 pounds you most likely are more than 100 pounds over your ideal body weight. That means that by definition you are what we refer to as "morbidly" obese. That term is used because whenever a person gets to be over 100 pounds above their ideal body weight then "morbid" things start to happen such as diabetes, bone and joint disorders, heart and blood vessel disease, and so forth. It is therefore imperative that you lose the weight ASAP but in a healthy fashion and liposuction is not a weight loss surgery. In my practice I have found it is most helpful to the patients who present with morbid obesity to refer them to have a gastric sleeve operation which will cause them to lose over 100 pounds in a year. At that point you will be much healthier and will still be about 30 to 50 pounds above ideal body weight . That is the time when body contouring through liposuction and/or resectional skin surgery should be addressed.
Fuller volume patients can still benefit from liposuction even when they are not at their ideal weight since lipo is a great motivator and gives patients that help they need to continue to diet and exercise and lose weight.