High BMI Procedures
Plastic Surgery for Plus Size Patients

There may not be any higher risk for obese patients to get high BMI plastic surgery procedures than a general population.
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High BMI Plastic Surgery Procedures:
Breast Reduction
If the size of your breasts is limiting you from doing daily activities, you may consider undergoing a breast reduction surgery.
Breast reduction surgery is an operation that removes extra fat, tissue, and skin from your breasts. It gives you relief from physical symptoms caused by excessive weight of large breasts, such as neck pain, back pain, and shoulder pain. It also puts your breasts in proportion with the rest of your body.
Your choice of breast reduction surgery method depends on the shape and size of your breasts, how much tissue needs to be removed, and how you want to look after surgery. These methods include liposuction, vertical or lollipop incision, and inverted-T or anchor incision.
Having a breast reduction surgery can be the best decision you can make if you’ve been dealing and living with the challenges of having large breasts that you have been used to and has accepted as part of your life.
If you’re interested in getting a breast reduction despite having a high BMI, consult Dr. Masri to know if you’re fit to get this procedure.
High BMI Plastic Surgery Procedures:
Breast Lift
Nobody wants the feeling and appearance of droopy, flat breasts.
If this is the case for you, you may choose to have a breast lift procedure to treat your sagging breasts, lift them higher on the chest wall, and raise the position of your nipples. It also reduces the size of your areola to keep them in proportion to the newly shaped and contoured breast.
If your breasts sag, your nipples point downward, or you have an areola that has gotten larger, a breast lift or mastopexy may be the best surgical procedure for you.
During a breast lift, excess skin is removed and the nipples are shifted to higher positions. Your surgeon brings together the breast skin and closes the incisions with stitches, surgical tape, or skin adhesives.
Breast lift results may not be permanent. It’s possible that you decide to get a repeat breast lift as your skin will become less elastic and experience some sagging as you age. A stable, healthy weight can help you achieve lasting results.
Know that a breast lift won’t significantly change the size of your breasts. However, a breast lift can be done in combination with breast augmentation or breast reduction procedures.
Thinking of getting a breast lift even if you have a high BMI? Schedule a consultation with Dr. Masri to see if you’re a good candidate for one.
High BMI Plastic Surgery Procedures:
Breast Lift with Implants
Would you like to enhance your breast size and restore its perkiness? Then, a breast augmentation combined with a breast lift can be your best bet to restore sagging breasts and volume loss brought about by aging, pregnancy, or dramatic weight loss.
Mastopexy with augmentation, also known as breast lift with implants, is a combination of procedures that uses saline or silicone implants to shape the breasts and lift them higher on the chest wall.
Your breasts can achieve your desired volume and shape by removing excess skin and tissue that causes sagging, then improving the position of the nipples and size of the areolas.
In this procedure, breast implants are inserted either above or under the muscle, depending on the decision you made during consultation.
Results are typically long-lasting. However, your large breasts can sag in the future, and weight fluctuations can affect your breast size and shape.
If you have a high BMI, it doesn’t automatically mean you can’t get breast lift with implants. Book a consultation with Dr. Masri to know if you qualify for the surgery.
High BMI Plastic Surgery Procedures:
Extended Abdominoplasty
Are you getting bothered with the excess skin on the side of your abdomen when you fit into your favorite pair of jeans? If you answered yes, you can get rid of your “muffin top” through a surgical procedure called the extended abdominoplasty.
Similar to traditional abdominoplasty, an extended tummy tuck procedure is ideal for healthy patients who want to eliminate a significant amount of loose, sagging skin and stubborn pockets of fat around the midsection, including the tummy, around the flanks, and above the hips.
In an extended tummy tuck, the surgical incision reaches beyond your hip bones to allow greater access to the underlying structures. The incision along the bikini line is larger when compared to the traditional surgery, but is still easily concealed by your clothing. This procedure can help create a flatter stomach with sleeker contours from the sides and back.
The results of your extended tummy tuck are permanent as long as you maintain your weight, lead a healthy lifestyle, and do not plan to have children in the future.
You can combine extended abdominoplasty with liposuction to slim the entire torso, targeting your abdomen, waist, flanks, and the area above your buttocks to give you more impressive results.
Got a high BMI but want to get an extended tummy tuck? Schedule a consultation with Dr. Masri to know if you’re still a good candidate for this procedure.
High BMI Plastic Surgery Procedures:
Circumferential Lipectomy
Sagging skin in the abdomen? We all desire to have a firm and tight abdomen, but unfortunately, it’s one of the most complex areas to achieve the best results.
If you are bothered by the contour of your abdomen, hips, or buttocks, you can try getting a circumferential lipectomy.
Most people seek this procedure due to the large area of sagging skin from massive weight loss. It is commonly performed after bariatric surgery, or after a dietary weight loss because of morbid obesity.
Circumferential lipectomy is the ultimate re-contouring procedure for the trunk. It addresses everything the extended abdominoplasty does, with the addition of removing excess skin in the lower back and elevating the buttocks.
Here, the incision is extended and carried all the way circumferentially around the posterior waistline over the upper buttocks to provide elevation of sagging outer hips and buttock tissues.
You can simultaneously incorporate this buttock contouring procedure with other surgical procedures to provide more projection and shape. The results can provide dramatic changes in body shape and contour.
You can get a circumferential lipectomy even if you have a high BMI as long as you’re healthy. Book your consultation with Dr. Masri to know if you’re a good candidate for the procedure.
High BMI Plastic Surgery Procedures:
Liposuction
If you’ve been trying to get rid of excess fat from areas such as the thighs, hips, buttocks, abdomen, arms, or back, but you’ve failed to remove these fat deposits through diet and exercise alone, maybe it’s time to consider getting liposuction to improve the shape and contour of your body.
Liposuction is a plastic surgery that removes extra fat from the body. It’s also called lipo, lipoplasty, or body contouring.
There are a few different liposuction techniques. But what they all have in common is the use of a thin tube, called a cannula, connected to a vacuum to suction the fat from your body.
Liposuction can permanently remove fat cells from the targeted areas of your body. But if you gain weight after the procedure, your fat distributions may change and it will be stored in different areas of your body. So, it’s important to maintain your weight even after surgery.
You can also get liposuction along with other plastic surgery techniques like facelift, breast reduction, and tummy tuck.
To know if you’re a good liposuction candidate despite having a high BMI, schedule your consultation with Dr. Masri today.
High BMI Plastic Surgery Procedures:
Brazilian Butt Lift
What can be more attractive than a pair of curvaceous and full-figured buttocks? You can achieve that look by having a Brazilian butt lift to help bring more fullness in your buttocks area.
A Brazilian butt lift is a fat transfer procedure that enhances the size and shape of your buttocks using your own fat and without the use of implants.
In this procedure, excess fat from your hips, abdomen, lower back, or thighs is removed with liposuction, and then transferred into your buttocks.
Unlike silicone buttock implants, a Brazilian butt lift is intended to provide more natural-looking results and create more roundness in your buttocks.
In general, the results of this surgery last several months to years. Initially, you may need more than one procedure until you achieve best results.
It can also take up to six months before you see the full results from the initial procedure. Just make sure that you maintain a healthy weight to ensure maximum effect.
Interested in getting a BBL in spite of your high BMI? Consult Dr. Masri today and discover how you can enjoy perkier and rounder buttocks.
High BMI Plastic Surgery Procedures:
Direct Buttock Lift
If you want to achieve a firmer and more sculpted pair of booties, a direct buttock lift might just be what you need.
Meant to improve the appearance of your buttocks, the direct buttock lift removes excess skin and fat from your butt to eliminate sagginess.
It involves a hip to hip incision on the lower back, with the excess skin below the incision pulled up and repositioned, lifting the buttocks and creating a more toned backside.
Your direct buttock lift results are permanent, though you have to make sure that you maintain a stable weight to prevent excess skin and fat from piling up.
Keep in mind that a buttock lift alone won’t add volume to your buttocks. But it can be combined with buttock augmentation surgery to increase its size using implants or fat grafts.
You can get the procedure as part of a tummy tuck, lower body lift, or other body contouring procedures.
If you’re interested in getting a direct buttock lift with a high BMI, book a consultation with Dr. Masri to know if you qualify for this surgery.
High BMI Plastic Surgery Procedures:
Thigh Lift
You already know that diet and exercise alone will not help you achieve firmer, more proportional, and more youthful-looking thighs. So, if you’re looking for ways on how to obtain a smoother and firmer skin on your thighs and lower body, a thigh lift surgery might be the right procedure for you.
Thigh lift surgery or thighplasty reshapes your thighs by reducing excess skin and fat from either the inner or outer thighs, resulting in a more proportionate overall body balance.
There are several types of thighplasty that you can choose from, depending on your problem areas. These include the inner thigh lift, bilateral thigh lift, and medial thigh lift.
You will only notice the complete results of this surgery several weeks after the procedure, and only when the recovery time is over. However, it is a permanent solution to get rid of excess fat on thighs, the results of which last for decades.
You must know that a thigh lift is not intended strictly for the removal of excess fat. Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours.
But, in cases where skin elasticity is poor, a thigh lift along with liposuction may be recommended.
Having a high BMI shouldn’t stop you from getting a thigh lift. If this sounds like something you’d be interested in, schedule your consultation with Dr. Masri to know if you’re a good candidate for a thigh lift.
High BMI Plastic Surgery Procedures:
Arm Lift
Do you have flaps of loose skin hanging from your upper arms? Sometimes called “bat wings,” these excess flaps under your arms that span from your elbow to your armpit can be irritating.
One way of getting rid of this extra fat and skin is going through a surgical procedure called arm lift.
An arm lift, sometimes called a brachioplasty, is a type of cosmetic surgery that treats sagging upper arms by eliminating extra skin and fat, giving your upper arms a more toned and contoured appearance.
If you have excess arm skin, but underlying fat keeps the skin tight, an arm lift and liposuction combination is sometimes an option.
Results are long-lasting, though your skin will naturally lose some firmness over time as you age, and some sagging might occur. Maintaining a stable, healthy weight can help you retain your results.
Want to get an arm lift even if your BMI is high? Let Dr. Masri evaluate your overall health and fitness for surgery by scheduling a consultation today.
High BMI Plastic Surgery Procedures:
Bra Roll Excision
Wish you could wear certain tops or lingerie without having to worry about the skin along your armpit and upper back? Perhaps you have achieved your weight loss goal, but still find it hard to rid yourself of those excess skin around your bra line.
You can ask your surgeon to perform a bra roll excision. It is an outpatient surgery that can address this area through removal of excess skin, fat, or both that appears above or below the bra strap on your upper back.
In this procedure, incisions are used to remove the underlying fat tissue. Once the fatty tissue is removed from under the skin, your surgeon will also remove any excess skin. The remaining skin is then stretched over the area, then the incision will be sutured close.
Once your surgery is completed, you will notice a firmer, well-contoured upper body. Now, you will feel more confident wearing your favorite tank top and lingerie and feel more excited to show off your new figure.
You can get a bra roll excision even if you have a high BMI, so long as you’re in good health. Consult Dr. Masri now and get yourself evaluated.
High BMI Plastic Surgery Procedures:
Lower Body Lift
Some people have undergone bariatric surgery and experienced massive weight loss with considerable excess skin. And unless they fix it, they are forever bound to put up with loose skin in their buttocks, hips, and thighs.
Treating these areas in one surgery is the primary benefit of the lower body lift.
Also known as belt lipectomy, a lower body lift is a procedure designed to address loose, sagging skin, and major body contouring issues in patients who experienced major weight loss. The surgery involves the removal of a six-inch belt of skin along the lower abdominal region.
In the lower body lift, the lower thighs and buttocks are elevated and sutured into a more attractive, youthful position. Occasionally, liposuction or a specialized elevating instrument is used to loosen skin for maximal lift.
You can have lower body lift surgery performed on its own, or combined with other surgeries such as an abdominoplasty (tummy tuck), arm lift, or breast lift.
If large weight loss has left you with lots of areas of loose skin, this may be your best option for a full makeover.
Get a lower body lift despite having a high BMI by booking a consultation with Dr. Masri today.
High BMI Plastic Surgery Procedures:
Upper Body Lift
If you’ve lost a significant amount of weight from bariatric surgery, liposuction, or diet and exercise, you might have some loose skin on your body. You don’t realize how excess skin affects your body until it interferes with your daily life, and exacerbates skin rashes and other skin conditions.
But the thing is, you don’t have to suffer from these conditions because you can get an upper body lift to get rid of excess skin folds and rolls of your upper back and the sides of your chest.
An upper body lift aims to remove the excess skin and fat on the upper back, traditionally referred to as back rolls. It may consist of several procedures, including an arm lift, breast lift, and bra roll excision.
Results from an upper body lift are long-lasting, but it can be greatly influenced by changes in your body. If you gain or lose weight following your upper body lift, you may see some of your results diminish.
Nonetheless, maintaining a healthy body weight can help results last for years or decades, leaving out any other issues that may affect body size.
An upper body lift may be done as a part of a mommy makeover to create a tighter and smoother contour throughout your upper body.
Want to get an upper body lift even if you have a high BMI? Schedule your consultation with Dr. Masri to see if you’re fit for surgery.
I do not use BMI as a sole criterion in determining one's candidacy for surgery. As all patients have individualized goals and surgical nuances, a high BMI should not prevent one from achieving their plastic surgery goals.

Nick Masri MD
Double Board-Certified Plastic Surgeon