Hello, I am considered obese and I am looking to connect with a practice that performs on patients with higher than the normal bmi . I am looking for a board certified cosmetic surgeon in the Colorado area willing to perform a mommy make over as soon a s possible.
There is no mention of what your height , weight, your BMI or what procedures you are wanting to have, abdominoplasty, breast reduction, mastopexy, augmentation??? Normally the best results are achieved when the patient is at or close to normal weight. You can have a very nice result being overweight but you have to accept a lesser result. There comes a point when the patient may be so much overweight that the procedures should not be done. No one is going to agree to do your surgery without examining you and finding out exactly what you want done. And I certainly would not go to any surgeon that agrees to do that without seeing you first. There should be plenty of very good ABPS certified or eligible plastic surgeons in your area of Denver. Look in the book, start calling and make an appointment for consultation with one of these surgeons.
Would agree completely with Dr. Antonetti. Patients with a higher BMI can be more challenging for any surgeon and patients must be realistic in their expectations. Personally, I don't have an absolute BMI number that rules a patient out for surgery but look at their overall health and consider if I can safely perform a procedure to provide a result that will satisfy the patient. I've had many high BMI patients that have nice results from breast and body contouring surgery but have selected them carefully. Look for a surgeon that does the same.
There is no definitive guideline by the ASPS for BMI requirement for mommy makeovers. But most surgeons have their own guidelines. My criteria is attached here. In my own practice, I accept healthy patients with BMI less or equal to 35. However, if you are a smoker or have diabetes the BMI requirement will be stricter (lower).
The type of anesthesia also plays a role in what the surgeon uses as his BMI guideline. Generally speaking, if the anesthesia is IV/propofol, and you are not intubated , the BMI can be higher. This is what I use in my practice and why I feel comfortable accepting patients with a BMI of 35. With other type of anesthesia, aka General Anesthesia, you are intubated, and a machine is breathing for you. Higher BMI's can add risk to the anesthesia complication profile with General Anesthesia.
However, in summary, consider losing some weight anyways! Safer and better results!
Hope this helps.
Ricardo L Rodriguez MD
Baltimore, Maryland
Plastic Surgeon