Lipo for 280 lbs?

Liposuction is not a weight loss procedure.  See an expert with experience to help you lose weight and then consider contouring with liposuction and/or skin removal at that time.  Best, Dr. Emer.

It's a good question. Unfortunately, liposuction doesn't work very well for losing weight.It sounds like you had difficulty with losing the weight that you desire by using just diet and exercise. You may consider consultation with a bariatric surgeon. Bariatric surgery is an effective weight loss tool.It's best to have a discussion with your primary care physician, so that they can advise you how best to proceed regarding weight loss.Good luck with the process. 

As you are aware liposuction is not a solution to a high BMI. However some patients benefit psychologically from the contour improvement created by liposuction. So as you are not an excellent candidate for liposuction you might be a satisfactory candidate provided your expectations are in line.

 Thank you for your question. It would be helpful to have photos to evaluate. It is best to be within 15 pounds of your ideal body weight prior to surgery, but this is not always attainable.  Many women with PCOS have intra-abdominal fat is beneath your abdominal wall, around your internal organs. This can not be treated with liposuction. However, this fat will decrease with weight loss through strict diet and exercise. Please see your primary care physician for guidance to help achieve your weight loss goals. If you truly are unable to lose any more weight, you may be a candidate for an extended tummy tuck as well as liposuction of the flanks, back, and hips. The lower abdominal skin excision and muscle tightening will improve the tone of the anterior abdominal wall. Please see a board certified plastic surgeon for an in-person examination and to discuss the specific details of the procedure. Ask to see before and after tummy tuck photos to get an idea of what can be achieved. Hope this helps!

It’s
difficult to say what your best options are without seeing photos. However, it
sounds like there may be a few different ways to address your concerns.
Liposuction is best for patients who are at or near their target weight and
cannot be used for excessive weight loss. Before you would benefit from any
body contouring procedures, your first goal should be to lose the excess
weight. If you’ve exhausted traditional weight loss methods, bariatric surgery
may be something to explore. Discuss this with your primary care physician to
see if you’re a good candidate. Best of luck to you.

It sounds like you may need aggressive liposuction of your entire midsection and also possible removal of the skin of your abdomen (abdominoplasty). However, PCOS can certainly make it challenging for you to lose weight, and it can cause intra-abdominal fat to accumulate (fat around the abdominal organs, and this fat can't be address with liposuction). It would be very important, in order to achieve optimal results with any surgery, for you to be sure your PCOS is well controlled, that hormone levels are within normal ranges, and that your diet and activity as optimized.

The only liposuction that would be appropriate for you is in a controlled clinical trial which is being conducted in only a few places around the country. What you need is weight loss.There are several things you need to know. First, PCOS (Polycystic Ovary Syndrome) does not prevent you from losing weight, it simply makes it a little harder. You have simply not yet done what you need to do. Secondly, Diets DO NOT WORK. What you need to do is GRADUALLY change your eating habits so you reset your brain's likes, dislikes and satiation center. You need to gradually cut out sugar without using a substitute (which would maintain your taste for sweet), reduce the carbs eaten and change those that remain to ones lower on the glycemic index and ones processed or cooked less. You will probably also need a higher percentage of good fats also. Once on a diet that does not elevate your blood sugar level thus stimulating the secretion of insulin, the exercise will add to your weight loss. Presently it is doing nothing for you because the insulin you secrete prevents the glycogen and growth produced by exercise from reaching the cell where they can help reduce the stored fat. It is my opinion that very few dietitians really know how to help people lose weight. You need someone who specializes in this with a significant record of success. If this does not work, the surgery you need is bariatric surgery. not liposuction. The liposuction and abdominoplasty come AFTER you have lost the weight.