I'm 45 yrs old with a BMI of 40. Is there any procedure I can have done to reduce my 50 inch waistline? (photos)
Doctor Answers 8
Help at BMI of 40
- I am so sorry about the pituitary tumor -
- I assume all your hormones are now back in balance, including your thyroid
- And that you are being followed by an endocrinologist.
- Your appearance is 'Cushingoid' by which I mean the fat is around the torso, not the arms and legs.
- Your photo suggests that the excess overhang of skin can be surgically removed.
- But the photo also suggests that most of the 'waistline' fat is internal, not under the skin.
- Get a face-to-face consultation with a Board Certified Plastic Surgeon to see if in addition to removing the excess skin, any around your waist could be removed with liposuction or tummy tuck.
- If not - then you should consult your endocrinologist to see what other treatments are effective for fat remaining after tumor removal in Cushing's syndrome. Best wishes.
Tummy tuck with BMI over 40
I'm 45 yrs old with a BMI of 40. Is there any procedure I can have done to reduce my 50 inch waistline?
Weight is distributed differently in patients. There may be two patients who weigh the same yet, their fat is distributed completely different. There is visceral fat ( that fat between the internal organs and intestines) and fat locate between the abdominal wall ( muscle layer) and the skin. Some patients may be top heavy whereas others may have very large thighs and behinds. So, my approval for surgery is individualized as long as the patient is healthy otherwise and is seen by her private MD and given a complete medical clearance.
At our institute we see many patients from the middle of the State. I would suggest you get a second and third opinion if need be.
Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in tummy tucks. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?
How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.
How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.
In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.
Give yourself the highest percentage of a sucssesful operation. Good luck
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Determining these different factors may require a visit to a plastic surgeon for further evaluation and couseling. To help treat intra-abdominal fat, weight loss would be required; seek a medical weight loss person or help with exercise to increase this possibility.