Mommy Makeover being 30 lbs over my ideal weight. Good candidate or not?

The ideal time to have a "mommy makeover" is when your breasts and body have stopped changing after childbirth and breastfeeding. Since your youngest is 4 years old then I assume most of the post pregnancy changes are completed and now you're just battling with some excess weight.The closer you can be to your ideal weight the better. As long as my patients are 10-15 lbs within their goal weight I don't think twice about offering surgery. You also have to remember that your goal weight needs to be adjusted as you age.  You can't weigh the same you did when you were a junior in high school any more -- it just isn't practical.  Based on your height a reasonable weight (to achieve a BMI in the normal range) would be about 152 lbs or lower. Based on this calculation you are probably withing that 10-15 range that I usually find acceptable for my patients.In order to help you plan for your breast augmentation surgery you can download my free breast augmentation planner at aBetterBreast.com.  I am currently formatting a tummy tuck planner for free download as well.  If you contact my office and request it I will have them forward you the word document for my tummy tuck planner - I would love to get your feedback on this new planner.  The feedback for my breast augmentation planner has been overwhelmingly positive - I'm hoping for the same response with this planner. This one doesn't have the helpful website links yet because I'm still working on it.

Far more important than deciding if MM is for you is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let him explain why one technique may be better than another and if you need a tummy tuck. Many board certified plastic surgeons provide a free first time consult and you should take advantage of that! 
A woman’s body can be unexpectedly altered nearly from head-to-toe after pregnancy and childbirth. Mommy makeover procedures are varied yet specific, allowing you to restore and rejuvenate your body to a youthful, healthier look, regardless of how you have been affected by pregnancy.
Mommy makeover procedures include:
Breast augmentation: After pregnancy, a woman’s breasts may change dramatically, whether or not she even chooses to breastfeed her child. After the need for breastmilk production passes, breasts will often reduce in size but leave excess loose skin, especially in the upper region. Breast augmentation can restore a woman’s breasts to her ideal shape and size. Breast lift:Removing excess skin around the breasts following a pregnancy can tighten and visibly lift the breast. Depending the amount of “lifting” required, the incisions necessary to complete the procedure may vary but are generally low. Tummy tuck:Most women will experience a noticeable change to their abdominal region after pregnancy, either caused by excess skin and increased body fat, or a weakening of the muscles that causes the stomach to sag. Another common condition is a protruding bellybutton. All of these alterations can be improved and restored through a tummy tuck, or abdominoplasty. In some cases, stretch marks can be eliminated entirely, or the bellybutton can be removed through umbilicoplasty. Liposuction: Pregnant or nursing women can experience fat build ups in new locations throughout their bodies, including the stomach, hips, legs, and arms. Liposuction is an easy and effective way to address these extra fat pockets. We can also help you figure out if diet and exercise used in conjunction with liposuction will be to your benefit. Labiaplasty: The birth canal undergoes great stress and pressure when giving birth, sometimes causing tears or damage to the labia and vagina. Labiaplasty and vaginal tightening are two outpatient procedures we can use to restore the elasticity and strength of your labia and vagina. Skin pigment correction: Sometimes called “the mask of pregnancy,” discolored splotches of brown and red often appear on a pregnant woman’s face. Our skin aesthetician from BioSpa, our clinical skin care department, can use laser treatments, chemical peels, gradual bleaching, and other gentle yet effective techniques to correct alterations in your skin pigmentation. Varicose vein removal: Darkened and thickened veins that arise during pregnancy may be distracting, unpleasant, and permanent. Talk to our team about varicose vein removal and reduction procedures, including lasers, injections, and minimal outpatient surgery options. Using a combination of operations and procedures is also highly recommended. Not only will you likely reduce the overall cost of your mommy makeover, but you reduce the amount of anesthetics and the recovery time needed after procedures. Ask our team about how you can combine operations into the least number of visits possible.
#mommymakeover #candidateMM

It sounds like you are already at your body's comfortable weight or as I call it: "happy" weight.  The goal of surgery is to reverse the havoc that pregnancy and breast feeding can do to women's bodies.  So you don't need to lose anymore weight.