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What is High-BMI Liposuction?
We offer liposuction for patients with high BMIs. A personalized consultation will determine your best options.
Liposuction is traditionally not performed on patients with a high Body Mass Index (BMI) (obesity). Although losing weight is ideal for most overweight and obese people and still the best recommendation, some patients have not been able to lose enough weight to lower their BMI with diet, exercise, or bariatric surgery, have not been able to do it despite their best efforts or are not interested in doing it at the moment.
The cutoff for most surgeons who do liposuction is a BMI of 32 due to increased risks of complications, such as anesthesia risks. Nevertheless, Dr. Rivera-Serrano and some other surgeons have found that doing these procedures under local anesthesia in patients with much higher BMIs is safe and possible, with much fewer risks, so long as the patient is otherwise healthy and does not have significant medical problems.
People with a BMI of 40-42 could be candidates for surgery. Nevertheless, patients interested in this procedure need to have realistic expectations and understand that surgery is not a replacement for weight loss and cannot make them lean or have flat abdomens. Liposuction in people with high BMIs is mainly carried out to decrease some sizes, similar to a debulking or volume reduction procedure. Since liposuction tends to create residual skin, some of this extra skin can be removed in some patients under local anesthesia.
The procedures are done under local anesthesia, so recovery is much quicker, and the risks are decreased.
A personal consultation will determine what is best for you.