Plus Size Plastic Surgery for Higher BMI Patients




A stack of books titled "high definition body contouring" by surgisculpt™ featuring an image of a toned abdomen on the cover.

Plus Size Plastic Surgery

Plus size plastic surgery clients are unique in that they possess higher body mass indexes (BMI). Body mass index is calculated using your body weight to height ratio and describes the degree of fat excess. The degree of fat excess is important not only to determine whether you are at a healthy weight but also to determine if you are at risk of developing chronic diseases.

The BMI or Body Mass Index Scale

BMI chart

In the realm of cosmetic surgery, your body mass index can indicate whether you are a good surgical candidate. At SurgiSculpt, we identify your body mass index (BMI) to help customize your surgical plan.  Last year, we published how your High Definition Liposuction body scale score, which can range from 2 to 10, can be used to create a sound surgical operative plan. The High Definition Liposuction body scale converter has been designed to help translate BMI to surgical planning  below:

Table1. High Definition Body Scale Converter

HDL Body Score Degree of Fat Excess Amount of Skin Redundancy Skin Texture Extent of skin  Texture Changes BMI
10 Minimal Minimal Excellent   18-20
9 Minimal Minimal Excellent   20-22
8 Minimal to Moderate Minimal Excellent   22-24
7 Min to Moderate Minimal to Moderate Excellent   24-26
6 Moderate Minimal to Moderate Excellent   26-28
5 Moderate Moderate Poor to Excellent Focal 28-30
4 Moderate to Severe Moderate Poor Focal 30-32
3 Severe Moderate to Severe Poor Focal to Extensive 32-34
2 Severe Severe Poor Extensive 34-36

The conversion table above can be used to guide the creation of a customized plan. Specifically, the HDL Body Scale and Body Mass Index conversion can be translated into an effective surgical plan. Please note the Body mass index and treatment protocol below.

Body Mass Index HDL Body Score Optimal Surgical Plan
18-22 9-10 True HD results
22-24 7-9 VASER liposuction
24-28 5-7 VASER liposuction & Renuvion
28-32 4-5 Liposuction & Strategic Tucking
32-36 2-4 Staged: 1. Total body lift

2. VASER Liposuction

+/- Renuvion

The Ideal Plan for Plus Size Plastic Surgery

Patients need an optimum surgical plan to attain their dream body and realize true HD results. If you were thinking about undergoing body contouring, you can determine which surgical plan is most ideal for you.

Following the calculation of your body mass index, you can calculate the surgical plan that will be most effective for you.

  • Surgical plans include VASER liposuction only, for BMIs of 22 to 24, which utilizes ultrasound energy to melt your fat prior to extraction. By melting the fat, it is possible to remove the fat artistically much like a sculptor.
  • A combination of VASER liposuction and Renuvion skin tightening is used for patients with a BMI of 24 to 28.
  • Liposuction and a strategic tucking plan are reserved for patients with a BMI of 28 to 32. Strategic tucks may include a mini-tuck, reverse tuck, brachioplasty, upper body lift, lateral thigh, buttock tuck, and/or medial thigh tuck.
  • If you have a BMI of 32 to 36, you may want to consider a staged surgical plan. First, a total body lift will help eliminate the bulk of skin and fat from your body, in essence lowering you to a BMI of 22 to 28. This will then allow you to take the next jump to true HD results by utilizing VASER with or without Renuvion.

For patients who possess a BMI above 36, it may be prudent to consider undergoing bariatric or gastric bypass surgery to lower BMIs to the lower levels prior to considering a plus-size plastic surgery body contouring procedure.


He made me feel very comfortable

I am so pleased with the work I had done with SurgiSculpt. He made me feel very comfortable with my decision to have a breast reduction. It's only been two weeks and I am feeling really good. I would recommend him to anyone looking for a plastic surgeon.

I am so happy with my results

I had my procedure with SurgiSculpt in March of this year. I am so happy with my results. He was kind and caring from the beginning to the end. His coordinator Claudia is the sweetest. I felt very welcome each time. The staff was always friendly. The office is beautiful and very high end. I would definitely recommend this surgeon. He is very skilled and knowledgeable. I would recommend him to all my friends!

I think I looked 10 years younger almost immediately

I had a great experience at the Cosmetic Plastic Surgery Institute. I wanted to look a little younger and fresher for my daughter's wedding day, so I booked an appointment not quite sure what I needed. SurgiSculpt was wonderful he suggested a couple of procedures that I had not even thought of and were amazing. He plumped up my cheekbones and took away some of my crow's feet. I think I looked 10 years younger almost immediately.

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