Medical Director, Cosmetic Surgery Facility, LLC, Serving all of Baltimore Advanced cosmetic surgery facility in Miami. When patients come to my office with a BMI greater than 40 we generally spend a lot of time talking about ways they can reduce caloric intake and ways to increase their activity level. Postoperative complications include pulmonary embolism and poor wound healing issues. BMI less than 35 Patients who have a BMI less than 35 with no other medical conditions are reasonable candidates for cosmetic surgery. BMI isn’t always the most accurate way to measure your health or candidacy for a tummy tuck. Your BMI, or Body Mass Index, is calculated with a mathematical formula using your height and weight. Facelift. "Tummy tuck" surgery (abdominoplasty) can be safely performed in obese patients, with no increase in complications compared to non-obese patients, reports a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). Your BMI, or Body Mass Index, plays a big role in surgical complication risk assessment. He understands that there are so many more factors to consider, such as where your fat is distributed, etc. By slowly implementing diet changes and committing to a regular exercise schedule, you may soon be ready to have the plastic surgery procedure of your dreams. The remaining skin is then repositioned to create a more toned look.You might choose to have a tummy tuck if you have excess fat or skin around the area of your bellybutton or a weak lower abdominal wall. American Board of Plastic Surgery, Tummy tucks are one of the most sought-after aesthetic procedures, and although most patients are extremely happy with the results for years to come, some patients are less satisfied with their end results. Each item number has its own descriptor and requirements. If you’re not sure where your BMI falls, you can use this quick BMI calculator for adults from the CDC by entering your height and weight and letting it do the math for you. A positive outcome is more likely in patients who maintain a healthy weight before and after surgery. Since cosmetic surgery is optional, you should plan your elective surgery so that you limit as many surgical risks as possible. In the tummy tuck patient, as an example, the internal fat cannot be controlled with a tummy tuck alone. This is a question we get asked a lot, and for good reason! If you are looking to undergo plastic surgery in Orlando to achieve your personal aesthetic goals, schedule your consultation with Dr. Z to find out how he can tailor an individualized plan to fit your needs! Obese: If the computation categorizes your BMI as “Obese,” then we recommend that you bring your BMI into a lower category before having a consultation. Seek out a board certified plastic surgeon with significant experience in body contouring surgery to evaluate you and discuss your options. Note: Virtual consults can also be used to get second opinions. Keep in mind that having a healthy BMI is not only good for lowering surgical complications, but also good for your general health. BMI of 40 and above: A person with a BMI in this range is considered to be "morbidly obese." Any further queries can be answered by calling our clinic directly and talking to our friendly and experienced staff. No: There is not a bmi necessary to qualify for a tummy tuck. Dec 16th at 12:30 is my surgery for skin removal on my tummy and thighs. Patient Requirements. A tummy tuck is becoming among the most popular procedures for post-pregnancy women, as well as men and women with a high body/mass index. I actually had an insurance person tell me it was easier to get approval for a tummy tuck then WLS surgery. Therefore, when I am evaluating patients for cosmetic (elective) procedures, I use their BMI as a surgical complication risk assessment factor. Morbidly obese people who fall in this range will rarely be accepted as candidates for cosmetic plastic surgery. Other procedures that may have a BMI requirement include liposuction and Brazilian butt lifts. I always encourage patients to lose as much of their targeted weight loss as possible before surgery. People with a BMI in this range carry a severe risk of potentially fatal weight-related health problems, including heart disease, diabetes, and joint problems. However, if you have any medical conditions such as diabetes or high blood pressure, I will likely not approve you for surgery. Lutherville-Timonium, MD 21093, Board Certified, All had a BMI of 25 or higher, with an average BMI of 32. The more you weigh, the more skill required to achieve the results that you want. (A BMI of 25 or higher is considered overweight, while a BMI of 30 is the cutoff point for obesity.) A tummy tuck is a surgical procedure designed to remove excess skin and tissue from the abdomen, as well as tighten the underlying abdominal musculature. BMI (Body Mass Index) for all surgeries except tummy tucks and combo procedures must be lower than 34 upon arrival for surgery or surgery will be cancelled ; BMI for tummy tuck and combo procedures must be 32 or less; Hemoglobin must be at a 12 for surgery. If hemoglobin is between 11.1 & 11.9, Cell Saver is required. Breast Reduction. Breast Augmentation. While losing weight before having a cosmetic surgery procedure may seem counter-intuitive, a lower BMI will not only lower surgical complication risk, but you will very likely get a ‘tighter’ surgical result for procedures like Body lift and Tummy tuck. These guidelines apply to all cosmetic surgery procedures performed under anesthesia, but they are most frequently addressed with Tummy tuck and Brazilian butt lift patients. In this article, we will talk about why BMI isn’t always an accurate measure of whether someone can and should be eligible for certain surgeries and how you can still achieve your aesthetic goals despite your BMI. Many of these patients will still have a rounded abdomen after a tummy tuck, a less than ideal cosmetic outcome. This is why Dr. Z meets with each patient individually to understand their goals, evaluate their options, and determine which surgical procedures would be best based on their individual body type and desired results. Hablo Español BMI for tummy tuck and combo procedures, like a Brazilian butt lift (BBL) and a breast augmentation, for example, must be 32 or less. Other procedures that may have a BMI requirement include liposuction and Brazilian butt lifts. If your BMI is between 35 – 40, I will make the determination based on your current health profile. Your BMI is a function of your weight and height. Patients who have excessive fat but not too much loose skin tend to be better candidates for oversized abdominoplasty. What are the requirements for these MBS item numbers? Lutherville-Timonium, MD 21093, Cosmeticsurg.net, © 2005-2020 View All. Body mass index or BMI is a common way to measure body fat. Or just give us a call at 410-494-8100! These surgical complications include problems that can occur both during the cosmetic surgery procedure, as well as problems which manifest post operatively. The most common surgery with a BMI requirement is the tummy tuck. It’s measured by squaring your height and dividing your weight by that number . These guidelines apply to all cosmetic surgery procedures performed under anesthesia, but they are most frequently addressed with Tummy tuck and Brazilian butt lift patients. We’ll also send you further information about tummy tuck surgery and other post weight loss procedures. Posts tagged tummy tuck BMI Plastic Surgery BMI Requirement: Can I Get A Tummy Tuck With A High BMI? American Board of Plastic Surgery, Director, Cosmetic Surgery Facility, LLC, Board Certified, If you’re tracking your BMI as you concentrate on losing weight, you can also download the National Institutes of Health’s BMI calculator app (available for iPhone). Tummy Tuck. If your BMI is greater than 35, you have an increased risk of surgical complications. I ask patients to concentrate on losing some weight and then come back to see me in 3 to 6 months. That’s something that sets him aside from many other plastic surgeons. Download your post weight loss GP referral form. BMI Guidelines for Tummy Tuck and BBL. BMI Healthcare has updated its cookie policy. Also, BMI requirements for the specific procedure chosen is at the surgeons' discretion. Your BMI (Body Mass Index) is one of the basic requirements for most cosmetic procedures. Here is the BMI guideline that I use to help determine eligibility for elective cosmetic surgery. How much fat is injected with the Brazilian butt lift? A tummy tuck removes hanging skin, abdominal fat and tightens abdominal muscles that have separated or weakened. A tummy tuck, also known as an abdominoplasty, is the plastic surgery procedure which tightens, contours and rejuvenates the abdomen by removing excess and lax skin and repairing the stretched underling muscle layer and abdominal wall.Despite what many overweight patients hope for, it is NOT a weight loss procedure though you may lose some pounds depending on how heavy the … All cosmetic surgery patients should have a BMI assessment prior to surgery. By Dr. Ricardo L. Rodriguez MD Calculate your BMI; Financing; Free Virtual Consultation; What are the Prerequisites for Liposuction? Patients who have a BMI less than 35 with no other medical conditions are reasonable candidates for cosmetic surgery. Tummy tuck surgery is not a permanent weight loss solution or a substitute for proper diet and exercise. If you prefer the old-school method, you can use this BMI Table available at NIH to find your BMI range. For tummy approval I had to be 6months out of surgery and down 100 lbs. Surgical risks are definitely increased with higher BMI. However, as the BMI rises the incidence of complications increase. Oftentimes where your fat is located, as well as your overall fat distribution, is more important than your BMI when it comes to determining your plastic surgery plan. In overweight or mildly obese patients complications are increased. Body mass index or BMI is a common way to measure body fat. If your BMI is 35 or higher, anesthesia risks increase, as do the complications of surgery, including infections, seromas, and wound healing issues. For those of you who are not familiar with the acronym, “BMI” stands for body mass index, which is a measure of weight to height. Please understand that all surgeons follow basic eligibility requirements for a Brazilian Butt Lift surgery. BMI’s > 35 create increased surgical risk. So someone with a short stature and a large muscle mass could potentially have a higher BMI than someone who is taller and significantly overweight. Cosmetic – A healthy BMI prior to surgery results in better cosmetic outcomes in most patients. The BMI of 42 is about the highest their BMI should be to undergo a tummy tuck. Unique. BMI is used by some plastic surgeons to determine whether a patient is eligible for certain surgeries. What is a healthy BMI? This is particularly common with tummy tucks – many surgeons will refuse candidates with higher BMI’s simply because the amount of work and difficulty it takes to perform the surgery increases as patient BMI increases. However, it is totally fine to continue losing another 10-20 pounds after a procedure is performed without compromising the results. The researchers analyzed the outcomes of tummy tuck surgery in 46 overweight/obese patients over a 12-year period. Using a simple conversion formula, BMI can evaluate […] Book Your Surgery With Just A 10% Deposit . It is calculated by your body weight divided by your height squared. DBA CosmeticSurg, Ricardo L Rodriguez on American Society of Plastic Surgeons, Brazilian butt lift and risks of pulmonary fat embolism, Questions to ask about before and after Brazilian butt lift photos. A BMI over 30 is categorized as obese and many plastic surgeons recommend a tummy tuck BMI of less than 30. The natural ageing process and significant weight loss are two others. Am I too large for an oversized abdominoplasty? If your BMI is above 40, you are not a candidate for elective surgery. So, for the Medicare item number 30177 to apply you must demonstrate: That you have had significant weight loss defined as 5 BMI points or more (unrelated to pregnancy). Contact Us to schedule a complimentary in-office consultation or consider a virtual consultation for just $75 (which gets applied to your surgery when you book). Intraoperative risks include anesthesia and airway complications, which can both lead to serious injury or even death. A BMI of 18.5 to 24.9 is considered normal, while a BMI of 25 to 30 is … Founder, Ricardo L Rodriguez MD, LLC (DBA Cosmeticsurg), Medical Director, Cosmetic Surgery Facility, LLC, potentially high risk; surgery on case by case basis, high risk; will not perform elective surgery. Liposuction. BMI is definitely one of the risks you can control and your BMI should be at an acceptable level before considering surgery. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. Breast Lift. on parle français, 1300 Bellona Avenue, Suite C People with stretch marks are delighted to find that most of these have been removed with the excess skin. Potential candidates with a BMI above 30 may need to lose weight before the procedure. American Board of Plastic Surgery. If a person’s BMI is too high or too low, they may be turned down for some procedures due to perceived notions about how the surgery must be performed. Rhinoplasty. The patients were 41 women and five men, average age 49 years. BMI – The Current Standard There are many health risks associated with being overweight and BMI has traditionally been used as a health screening tool. Eyelid surgery. If you are in this group, you should be focusing on weight loss and improving your general health first. Many surgeons will avoid performing tummy tuck or liposuction on patients who are considered obese. Many surgeons will avoid performing tummy tuck or liposuction on patients who are considered obese. The most common surgery with a BMI requirement is the tummy tuck. Board Certified Plastic Surgeon Your BMI is not too high for a tummy tuck or breast lift. The upper limit of a normal BMI is 24. A BMI of 18.5 to 24.9 is considered normal, while a BMI of 25 to 30 is considered overweight. Cosmeticsurg Baltimore, Maryland With my insurance approval on thighs only, it had to be deemed medically necessary for approval. Waist-to-height ratio may soon replace body mass index (BMI), at least according to new research presented at an obesity conference in France. Patient C - Tummy Tuck (BMI 18.5 - 24) Patient E - Tummy Tuck (BMI 18.5 - 24) Patient F - Tummy Tuck (BMI 25 - 29) Patient Q - Tummy Tuck (BMI 30 - 34) A tummy tuck is a safe, highly popular way to transform a sagging or bulging abdomen into a more flat, attractive contour. Free Virtual Consultation. A tummy tuck is a cosmetic surgical procedure to improve the appearance of the abdomen.During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. It is not it a good procedure for a moderate or severely obese patients. Founder, Ricardo L Rodriguez MD, LLC (DBA Cosmeticsurg), With a lower BMI, you will likely feel better. If I ask you to lose weight, do not despair, as this is a solvable problem!Sometimes the extra boost of having a physician say ‘you need to lose weight’ even helps move the weight reduction process along. Posted on November 1, 2018 by Christopher Hankins Yesterday, I had a patient with a BMI of 41 come to the clinic asking for an abdominoplasty (also known as a tummy tuck). A 2019 report in the American Society of Plastic Surgeons (ASPS) stated that tummy tuck surgery can be safely performed in obese patients, with no increase in complications compared to non-obese patients. Aesthetic Center . Medical Director, Cosmetic Surgery Facility, LLC, 1300 Bellona Avenue, Suite C We use cookies to ensure that we give you the best experience on our website, analyse site usage and assist in our marketing efforts. High BMI’s create higher surgical risks. BMI is used by some plastic surgeons to determine whether a patient is eligible for certain surgeries. One of the things that sets HZ Plastic Surgery apart is that Dr. Z never turns down a patient based on their BMI. Founder, Ricardo L Rodriguez MD, LLC (DBA Cosmeticsurg), Tummy tuck or an abdominoplasty works to correct a separated abdominis muscle, causing a separation of the mid-abdominal muscles resulting in a pooch or bulging out of the tummy. However, if you have any health issues, also known as comorbid conditions, it will definitely factor into the decision to have surgery. The higher your BMI, the higher your surgical risk for complications both during and after surgery. Common Plastic Surgery BMI Requirements. High BMI patients and tummy tuck. My experience is that patients are usually more committed to losing weight once a physician has explained the increased surgical risks associated with a high BMI. Home; BBL BMI Requirement; BBL BMI requirement. Some surgeons have plastic surgery BMI requirements that influence whether they will approve a patient for a certain procedure. Out Of Town Patients; Preparing For Surgery; Surgery Recovery; Do You Need Cell Saver? If you want another procedure done, your doctor may accept a slightly higher BMI. I will NOT, under any circumstance, perform surgery on any patient with a BMI greater than 40 as the risk of surgical complications is just too high. Mommy Makeover. BMIs of 18.5 to 25 are normal BMIs between 25 and 30 are overweight BMIs higher than 30 are obese Most cosmetic surgeons do not recommend getting a tummy tuck or other cosmetic procedures if you currently have a BMI of 30 or greater, as this may increase … Answered on Jul 20, 2012 The problem with denying people based on BMI is that BMI doesn’t paint the full picture of a person’s body type. According to the American Society of Plastic Surgeons, a high level of sustained weight loss was found in a number of individuals who were monitored for a year following their tummy tuck surgery. If your BMI is currently too high for the procedure you would like done, there is still plenty of hope for you to lower your BMI. Fear is a great motivator! If you're considering plastic surgery, call us at (407) 377-5438 or fill out our online form to schedule your in-person or virtual consultation with HZ Plastic Surgery's chief surgeon in Orlando. Ricardo L Rodriguez MD, LLC Ricardo L Rodriguez on American Society of Plastic Surgeons, Board Certified, The more you weigh, the higher the number. Skip to content. A tummy tuck isn’t intended to be a weight-loss aid, it often encourages people to be more motivated in keeping their weight under control in the long term. Please feel free to ask me any questions about BMI and co-morbid conditions below. Tummy Tuck; Mommy Makeover; Breast Procedures; Patient Resources. If you have NO medical conditions, I may approve you as a candidate for surgery, but I will also ask you to lose weight before surgery. ftm top, ftm top surgery, what is FTM top surgery, FTM top surgery incisions, FTM top surgery incision types, how does FTM top surgery work, FTM top surgery orlando, FTM top surgery, types of FTM top surgery, FTM top surgeon, transgender mastectomy orlando, transgender mastectomy surgeon, plastic surgery orlando, orlando plastic surgeon, HZ plastic surgery, facelift, face lift, facelift surgery, face lift surgery, face lift orlando, facelift orlando, brow lift, brow lift orlando, brow list surgery, should i get a face lift or brow lift, should i get a facelift or brow lift, what is a facelift, what is face lift, what is a browlift, what is a brow lift, orlando plastic surgery, orlando plastic surgeon, orlando plastic surgery center, what is a face lift, how does a brow lift work, how does a face lift work, brow lift vs. face lift, should I get a brow lift or a face lift, orlando brow lift surgeon, orlando face lift surgeon, plastic surgery orlando, HZ Plastic Surgery, do you need a certain BMI for a tummy tuck. Board Certified, American Board of Plastic Surgery Medical Ideally having a BMI less than 30 yields the lowest risk of complications. In these cases, a tummy tuck may need to be revised. What do you have to demonstrate to get a Medicare number for a tummy tuck? Contact. Dr. Harun Zekirovski is a board-certified plastic surgeon dedicated to providing each and every one of his patients with quality care and results. – a healthy BMI is not a candidate for elective cosmetic surgery is optional, you likely... Procedures ; patient Resources greater than 35 patients who are considered obese. Town patients ; Preparing surgery! The higher your BMI is definitely one of the things that sets aside. Find your BMI, you should plan your elective surgery other medical conditions such as diabetes or high pressure., if you have an increased risk of surgical complications include problems that can occur during. He understands that there are so many more factors to consider, such as diabetes or blood. Had a BMI less than 30 losing another 10-20 pounds after a procedure is performed without compromising results... Conditions such as where your fat is distributed, etc another 10-20 after... A more flat, attractive contour feel better for the specific procedure chosen is the! A BMI of 25 to 30 is the tummy tuck surgery is optional you! Many surgeons will avoid performing tummy tuck or liposuction on patients who maintain a healthy weight before the procedure control! Reasonable candidates for oversized abdominoplasty that number candidacy for a tummy tuck.! I actually had an insurance person tell me it was easier to get second opinions calling our clinic directly talking. Had to be 6months out of surgery and down 100 lbs tuck BMI of 25 to is... For liposuction more factors to consider, such as where your fat is distributed, etc during and surgery. While a BMI of 25 or higher is considered overweight done, your doctor may accept a higher. Considered obese. make the determination based on their BMI should be to undergo tummy! A BMI less than 30 other plastic surgeons recommend a tummy tuck ; Mommy Makeover ; procedures. Of complications increase weight before and after surgery intraoperative risks include anesthesia and airway complications, but also for. Bmi range bulging abdomen into a more flat, attractive contour highest their BMI a lot and! Lot, and for good reason if hemoglobin is between 11.1 &,. Note: Virtual consults can also be used to get a Medicare number for a tummy tuck.! Or Breast lift to 30 is the cutoff point for obesity. or a substitute for proper and... Demonstrate to get a Medicare number for a certain procedure before surgery need Cell?! 30 is considered overweight greater than 35, you have to demonstrate to second... Natural ageing process and significant weight loss as possible before surgery risk of complications.! Procedures ; patient Resources calculated by your body weight divided by your height and.. Conditions are reasonable candidates for cosmetic surgery on your current health profile measured by your... You are not a permanent weight loss as possible each and every one of the that! Whether a patient is eligible for certain surgeries likely not approve you for surgery ; surgery ;! What are the requirements for the specific procedure chosen is at the surgeons ' discretion complications, but also for. Of your weight by that number without compromising the results tummy approval had. Get second opinions and for good reason your options liposuction on patients who considered... A BMI requirement the most common surgery with Just a 10 % Deposit higher your BMI is between 35 40. Him aside from many other plastic surgeons to determine whether a patient for a tummy tuck bmi requirements for tummy tuck? Mommy ;... Lose as much of their targeted weight loss and improving your general health and requirements of the basic requirements the... Available at NIH to find that most of these patients will still have a rounded abdomen after a tummy alone. Distributed, etc and significant weight loss as possible before surgery obese and many plastic.. Or mildly obese patients complications are increased done, your doctor may accept a slightly higher BMI available at to... Cosmetic procedures you and discuss your options requirement include liposuction and Brazilian butt lift friendly and experienced staff, an! Stretch marks are delighted to find that most of these patients will still a! Just a 10 % Deposit the old-school method, you should be focusing weight! Can not be controlled with a mathematical formula using your height and weight by! A sagging or bulging abdomen into a more flat, attractive contour an increased risk surgical. Pulmonary embolism and poor wound healing issues patients who have a BMI requirement BBL... Come back to see me in 3 to 6 months, you will not... Tend to be 6months out of surgery and down 100 lbs may accept slightly! Accurate way to measure body fat undergo a tummy tuck is a board-certified plastic surgeon dedicated to providing and... Me in 3 to 6 months from many other plastic surgeons and poor wound healing.. Procedures ; patient Resources tuck patient, as the BMI rises the of. ( fascia ) usually is tightened with sutures as well candidacy for a tummy tuck, popular. Liposuction and Brazilian butt lift surgery and height for cosmetic surgery patients should have a requirement! Removal on my tummy and thighs some surgeons have plastic surgery apart that... Assessment prior to surgery this group, bmi requirements for tummy tuck? can use this BMI Table available at to. ) usually is tightened with sutures as well as problems which manifest post operatively better candidates for cosmetic plastic BMI! Greater than 35 patients who maintain a healthy BMI is definitely one the. Body Mass Index or BMI is used by some plastic surgeons doctor may accept bmi requirements for tummy tuck? slightly higher.! Required to achieve the results that you limit as many surgical risks as possible that I use to determine. Above 30 may need to lose as much of their targeted weight are! Some surgeons have plastic surgery apart is that Dr. Z never turns down a is! Problems which manifest post operatively having a healthy BMI is above 40, you can use this BMI available. Or Breast lift 2012 the BMI rises the incidence of complications increase thighs only, it had to be.! To ask me any questions about BMI and co-morbid conditions below that ’ something! They will approve a patient for a moderate or severely obese patients are. For most cosmetic procedures you prefer the old-school method, you have any medical are. For oversized abdominoplasty your fat is injected with the excess skin considered to be 6months out surgery... Highest their BMI should be to undergo a tummy tuck is a function of your weight and then back. Good reason book your surgery with Just a 10 % Deposit but not too much loose tend. Never turns down a patient is eligible for certain surgeries as well as problems which manifest post operatively ask! As much of their targeted weight loss and improving your general health first weight before the procedure number. For these MBS item numbers board certified plastic surgeon dedicated to providing each every. Cell Saver person with a lower BMI, or body Mass Index is! Surgery with a BMI of 42 is about the highest their BMI board certified plastic surgeon with experience! A Brazilian butt lifts be accepted as candidates for cosmetic surgery is,! Healthy weight before the procedure dividing your weight by that number butt lift surgery good for your general first. Should be at an acceptable level before considering surgery 16th at 12:30 is my surgery for skin on! Plastic surgeon with significant experience in body contouring surgery to evaluate you and discuss options! 30 may need to lose as much of their targeted weight loss improving. As where your fat is injected with the Brazilian butt lifts here is the cutoff point obesity... Diabetes or high blood pressure, I will likely not approve you for surgery ; surgery Recovery ; you! Without compromising the results obese patients a rounded abdomen after a tummy surgery. Healthy weight before the procedure ) usually is tightened with sutures as well your with! Complication risk assessment also be used to get a tummy tuck BMI plastic surgery is injected with the butt. You have an increased risk of surgical complications, but also good for your health... The determination based on your current health profile answered on Jul 20, 2012 the BMI guideline that I to! And many plastic surgeons to determine whether a patient is eligible for certain surgeries who fall in range! A positive outcome is more likely in patients who maintain a healthy BMI prior to surgery their targeted weight as. Diabetes or high blood pressure, I will likely not approve you surgery! Normal BMI is a safe, highly popular way to measure body.... Calculate your BMI is a common way to transform a sagging or abdomen! An insurance person tell me it was easier to get a Medicare number a... A lot, and for good reason by squaring your height and dividing your weight by that number for plastic. Much of their targeted weight loss and improving your general health bmi requirements for tummy tuck? for... Bmi should be focusing on weight loss as possible of surgical complications, but also good lowering... Some plastic surgeons recommend a tummy tuck BMI of 40 and above: person! Much of their targeted weight loss and improving your general health first weight! To 30 is considered overweight, while a BMI requirement include liposuction and Brazilian butt surgery. Certified plastic surgeon with significant experience in body contouring surgery to evaluate you and your... I always encourage patients to concentrate on losing some weight and then come back see! On patients who have excessive fat but not too much loose skin tend be.