Weight loss Prior to Abdominoplasty Helps Outcome, North Carolina*

Many women desiring tummy tuck or other body contouring procedures present overweight or even obese. Weight loss is recommended. Strict criteria as to appropriate body mass index or BMI varies with the surgeon. Risks of complications in obese patients increases with increasing BMI. Complications such as DVT and pulmonary embolism, wound infection, fluid collection and unfavorable results are higher in the obese population. In general, patients with BMI of 35 or less are considered candidates for abdominoplasty at Dr. Lyle's office provided that they do not have any significant underlying health problems. Patients with over BMI of 35 are recommended to lose weight to get down to this target. This 45-year-old woman had prior pregnancies and hysterectomy and desired improvements in her abdomen. When she presented at the consultation, her body mass index was 40 and she was advised to lose weight. Over the next 5 months she began a vigorous exercise program and began a low-carb diet and was able to meet criteria with a body mass index below 35. She underwent abdominoplasty with some liposuction of the flanks and inner thighs. She had a very good outcome and is very pleased with her results. More importantly, she has kept the weight off and plans to lose more. Weight loss prior to surgery is recommended for the overweight and obese patient. Increased walking as been the most effective measure to achieve weight loss in Dr.. Lyle's experience