Should I lose weight before TT, lipo 360 and BBL? Currently 5'7 and 180 lbs. (photos)

Hello and thank you for your question and sharing your photos. Based on these photos and your BMI of 28, you are a good candidate for TT and BBL, which can be performed at the same time.  During tummy tuck, extra skin in the lower half of your abdomen including the stretch marks will be removed. In addition, typically the fascial laxity/separation of recti muscles will be taken care of by muscle plication, giving you a flat abdomen.  Brazilian Butt Lift (BBL) typically includes a 360 liposuction of the abdomen and flanks, and fat grafting for gluteal augmentation. Liposuction of the flanks will narrow down the waist for an hourglass appearance and adding volume to buttocks in combination with liposuction of the lower back is intended at creating a natural curvy look.  Basically, BBL removes the fat from unwanted areas and transfers it to areas that are desirable.Incision can be placed very low to be hidden under bikini. With proper surgical technique, belly button can be designed to  be a true 'innie'. Recovery from tummy tuck is 1-2 weeks. Strenuous activity and lifting heavy weights should be avoided 6 weeks to 3 months post op. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Hi & thanks for your question.It is best to be at your goal weight or within 5- 10 lbs prior to having surgery. You will get the best result this way. Consult with a board certified plastic surgeon to discuss your options. Best wishes!

Thanks for your questions and photos.  Weight loss discussions come up frequently with my patients - prior to any cosmetic procedure - facelift, breast surgery, abdominal surgery, liposuction etc. 
I advise patients to get to a “maintainable” weight.  This is usually not their ideal or “perfect” body weight. We are all able to lose weight quickly with crash diets or over-exercising, but that weight rarely stays off when we return to our normal diet or exercise regiment.  
Maintainable weight is the weight that patients can REASONABLY achieve with reasonable and permanent diet and exercise changes. This varies for every patient, and it won’t be listed in a table or book or online chart!
In our practice, my wife (also an MD) has a wellness practice through which she can help and guide patients to their optimal weight and health prior to surgery with me. 
Make reasonable and lasting changes in diet and exercise for your overall health and fitness, and you’ll likely feel better and be at the best weight for your surgery.  Discuss it at length with your board-certified surgeon. And best of luck!