Would I be a good candidate for a plus size tummy tuck? (Phtoo)

At 5'8 and 285 lbs, your BMI is 43 which puts you at high risk for complications. You can undergo liposuction. Liposuction can safely remove 10 lbs during one session and the sessions can be repeated if needed. Once you get your BMI down to 32 or below, your can consider a mommy makeover. I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. After this has been done, you can consider a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

You will need to consider weight loss before having a Mommy Makeover. Those with a high BMI have higher risks from surgery including seroma, wound healing issues, and infection. Losing weight first will also allow your surgeon the opportunity to maximize your results.

Dear Sunshinemomma,
generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery.If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I would suggest going with liposuction for now to remove excess fat of your abdomen and flanks. Also, weight loss would be very helpful to get you into a much healthier weight, and no fat transfers should be done during weight loss. A weight of 285 in a women of 5'8" is not "good health."

If you are happy with your figure and current weight, then you are good candidate for a plus size tummy tuck and breast augmentation with fat transfer. From you photos, I cannot tell if you will also need a breast lift. Best is to consult with a board certified plastic surgeon that is comfortable with performing a plus size abdominoplasty.