Tummy Lipo and BMI - I was told I need to have BMI of 33 to get procedure. Mine is 40. Do I have other options?

At a BMI of 40, you are at a high risk for complications. However, liposuction can be done to safely remove 10 lbs.

Best Wishes,

Gary Horndeski, M.D.

Ideal candidates for liposuction are at or near their ideal weight and have good skin elasticity. Liposuction is not a weigh loss procedure. You will see a change in inches rather than in pounds. Most plastic surgeons look for a BMI close to 30 to ensure maximum results and to decrease the risks of complications during and after surgery.
A BMI of 35 is probably the upper limit that a plastic surgeon would consider for this procedure. It is best to be within 10 pounds of your weight goal for three months prior to the lipo. Discuss a weight loss and exercise program with your PCP.

Dear AnneBaily5,
Generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery.If you are considering a surgery, I would suggest you to 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

Thanks for your question and photos. As you may know, Liposuction and Tummy Tuck are not weight-loss procedures. In your case, you may consider weight-loss surgery to reduce overweight. Consult a doctor in your area for an exam and the best advice. Good luck!

Thank you for your questions. Ideally, it would be best if you are able to reduce to weight to your desirable weight and maintain it before embarking on any surgical endeavour. A BMI of 40 is high, and would predispose you to an increased risk of surgical complications. Once your weight is stable, then the appropriate treatment plan of abdominoplasty +/- liposuction tailored to your needs can be created.

Hello and thank you for your question and photo's. A BMI of 30 or less is going to give you the best outcome. If you have liposuction now, you may have more hanging skin afterward. It depends on your skin elasticity as well. I recommend having your kids, getting to a BMI of 30 or less, and then having a TT.

You should defer abdominoplasty until after having children. With a high BMI, your abdominal fat is heavily visceral and that cannot be treated with liposuction. The only way to reduce it is via weight loss. Because you already have overhang of the abdomen, another issue is that any liposuction would likely increase this and would not produce an aesthetically pleasing outcome.
If you are averse to bariatric surgery, consider consulting with a nutritionist who can assist you in your weight loss journey. Best wishes.

If you are planning to have children in the future it is best to wait to have a tummy tuck. Future pregnancies could alter your results. Until then you can focus on reducing your BMI. Liposuction can only address the fatty areas that are in front of the abdominal wall. The fat behind is addressed through weight loss.

Hello,
Thank you for sharing the information, it is a pleasure for me to answer your question.
It is difficult to evaluate the options without seeing photos,
Yes, you can combine the procedures perfectly, to make mommy makeover, if your state of health allows it,
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. everything depends on your BMI, if it is within the normal range, above 35 it can generate risks.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you
My best wishes for you...