How to Lose Weight before Plastic Surgery
When you’re considering plastic surgery, there’s a lot to think about – from choosing the right procedure to selecting a skilled surgeon. However, one important factor that often gets overlooked is your weight. Achieving and maintaining a normal, stable weight before undergoing plastic surgery is not just a recommendation; it’s a vital step that can impact the success of your procedure and your overall satisfaction with the results.
Sydney Specialist Plastic Surgeon Dr Mark Kohout will explore why your weight matters so much in plastic surgery, the ideal body mass index (BMI) for various procedures, the risks associated with excess weight, and the benefits of achieving a stable weight before surgery. He will also provide you with practical tips on how to reach and maintain a healthy weight, along with valuable resources for weight loss in Sydney.
Why Weight Matters in Plastic Surgery
You might be wondering why your weight is such a crucial factor in plastic surgery. Your pre-surgery weight plays a role in several aspects of your plastic surgery journey:
Impact on Surgical Outcomes
Your weight can directly affect the results of your plastic surgery. For procedures like liposuction, tummy tuck-abdominoplasty, or body procedures, having a stable, healthy weight allows Dr Kohout to achieve more predictable results. When you’re at or near your ideal weight, Dr Kohout can more accurately assess your body’s proportions and plan the procedure accordingly.
Safety Considerations
Being overweight or obese can increase the risks associated with surgery and anaesthesia. Excess weight puts additional strain on your heart, lungs, and other organs, which can complicate the surgical process and recovery.
Optimal Results and Satisfaction
Achieving a stable weight before surgery helps ensure that your results will be optimal. Significant weight fluctuations after surgery can alter the outcome of your procedure, potentially leading to dissatisfaction or the need for revision surgeries.
Ideal Body Mass Index (BMI) for Plastic Surgery
Body Mass Index (BMI) is a widely used measure to assess whether an individual is at a healthy weight for their height. It’s calculated by dividing your weight in kilograms by your height in metres squared. While BMI isn’t a perfect measure of health, it’s a useful starting point for determining if you’re at an appropriate weight for plastic surgery.
Dr Mark Kohout recommends that patients have a BMI between 18.5 and 30 before undergoing elective cosmetic procedures. Here’s a are the details of the BMI categories:
- Underweight:Â Below 18.5
- Normal weight:Â 18.5 to 24.9
- Overweight:Â 25 to 29.9
- Obese:Â 30 or greater
For optimal results and safety, different procedures may have specific BMI recommendations:
- Facial procedures:Â Generally, a BMI of 30 or less is preferred.
- Body procedures (e.g., tummy tuck/ abdominoplasty, liposuction): A BMI of 30 or less is typically recommended, with some surgeons preferring a BMI of 27 or less for optimal results.
- Breast procedures:Â A BMI of 30 or less is usually advised, but this can vary depending on the specific procedure and the patient’s body composition.
It’s important to note that there can be exceptions to these guidelines. Some patients with higher muscle mass may have a higher BMI but still be considered appropriate candidates for surgery. Conversely, some people with a normal BMI might not be ideal candidates due to other health factors. Dr Mark Kohout will assess your individual case and provide personalised recommendations.
Risks Associated with Excess Weight in Plastic Surgery
Understanding the risks associated with being overweight or obese when undergoing plastic surgery can help you appreciate the importance of achieving a healthy weight before your procedure. Here are some of the primary concerns:
Anaesthesia-related Risks
Excess weight can complicate the administration of anaesthesia. Overweight and obese patients may require higher doses of anaesthetic drugs, which can increase the risk of complications. Additionally, excess fatty tissue can make it more challenging to establish airway access, potentially leading to breathing difficulties during surgery.
Surgical Complications
Being overweight or obese can increase the risk of various surgical complications, including:
- Deep vein thrombosis (DVT) and pulmonary embolism
- Wound healing problems (dehiscience) and infections
- Seroma formation (accumulation of fluid under the skin)
- Increased bleeding during and after surgery
- Higher risk of skin necrosis (tissue death)
Recovery and Healing Issues
Excess weight can slow down the recovery process and make it more challenging. You may experience:
- Prolonged swelling and inflammation
- Increased pain and discomfort
- Longer healing times for incisions or even wound dehiscience
- Greater risk of scarring
- Difficulty with mobility during recovery
Benefits of Achieving a Stable Weight before Surgery
Here are some of the positive aspects of achieving a stable, healthy weight before your plastic surgery:
Improved Surgical Results
When you’re at a healthy weight, Dr Kohout can more accurately assess your body’s contours and plan the procedure for optimal results. This is particularly important for body procedures like tummy tuck – abdominoplasty, where excess weight can mask the true underlying anatomy.
Reduced Risk of Complications
By achieving a healthy weight, you significantly reduce the risks associated with surgery and anaesthesia. This means a safer procedure and recovery process.
Enhanced Recovery Process
A healthy weight allows for better blood circulation and immune function, which can lead to faster healing and reduced recovery time. You’ll likely experience less pain and discomfort during the recovery period.
Better Outcomes Over Time
Maintaining a stable weight after surgery helps support your results over time. When you’ve already established healthy habits before surgery, you’re more likely to maintain them afterwards, preserving your surgical results.
How to Achieve and Maintain a Healthy Weight
Reaching and maintaining a healthy weight before your plastic surgery requires dedication and lifestyle changes. Here are some practical tips to help you on your weight loss journey:
Balanced Diet Tips
- Focus on whole, unprocessed foods
- Increase your intake of fruits, vegetables, lean proteins, and whole grains
- Reduce consumption of UPF’s – Ultra processed foods including sugary drinks, processed snacks, and high-fat foods
- Practice portion control – try using a smaller plate/bowl
- Stay hydrated by drinking plenty of water
Exercise Recommendations
- Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week
- Include strength training exercises at least twice a week
- Find activities you enjoy, such as swimming, cycling, or dancing, to make exercise more enjoyable
- Gradually increase the intensity and duration of your workouts
Lifestyle Changes
- Get adequate sleep (7-9 hours per night for adults)
- Manage stress through relaxation techniques like meditation or yoga
- Keep a food and exercise diary to track your progress
- Seek support from friends, family, or a support group
- Consider working with a nutritionist or personal trainer for personalised guidance
You should know that sustainable weight loss takes time. Aim for a gradual weight loss of 0.5 to 1 kg per week, which is considered safe and more likely to be maintained long-term.
Weight Loss Resources in Sydney
If you’re looking for support in your weight loss journey, Sydney offers a wealth of resources to help you achieve your goals. Here are some options to consider:
Nutritionists and Dietitians
- Consult a registered dietitian for personalised nutrition advice
- Look for accredited practising dietitians through the Dietitians Australia website
- Consider services like Sydney Dietetics or The Designer Diets for expert guidance
Fitness Centres and Personal Trainers
- Join a reputable gym like Fitness First, Virgin Active, or F45 Training
- Look for personal trainers certified by organisations such as Fitness Australia or the Australian Institute of Fitness
- Consider outdoor boot camps or group fitness classes for variety and motivation
Weight Loss Programs and Support Groups
- Join Weight Watchers (now WW) for a structured weight loss program
- Consider the CSIRO Total Wellbeing Diet for a scientifically-backed approach
- Look into local support groups or online communities for motivation and accountability
Medical Weight Loss Options
- Consult your GP about medically supervised weight loss programs
- Explore options at weight loss clinics like the BMI Clinic or Sydney Bariatric Clinic
- Consider pharmacotherapy options under medical supervision if appropriate
When choosing a weight loss resource, it’s essential to select evidence-based programs and qualified professionals. Be wary of fad diets or quick-fix solutions that promise unrealistic results.
FAQs about Lose Weight before Plastic Surgery
How long should I maintain a stable weight before undergoing plastic surgery?
It’s generally recommended to maintain a stable weight for at least 6 months before your procedure. This timeframe allows your body to adjust to the new weight and ensures that your weight loss is sustainable. It also gives Dr Kohout a clear picture of your body’s natural shape, which is essential for planning the surgery and achieving optimal results.
Can I undergo plastic surgery if I’ve lost a significant amount of weight but still have loose skin?
Yes, people who have lost a considerable amount of weight seek plastic surgery to address excess skin. Procedures like abdominoplasty or a body lift can be particularly beneficial in these cases. However, it’s important to have reached and maintained your goal weight for a period of time before considering these surgeries. Dr Kohout will assess your individual situation and recommend the most appropriate timing for your procedure.
Will losing weight after plastic surgery negatively affect my results?
While minor weight fluctuations are normal and typically won’t significantly impact your results, substantial weight loss after plastic surgery can potentially affect the outcome. For example, losing a large amount of weight after a breast augmentation or facelift might lead to ptosis (drooping) or deflation of the treated areas. It’s best to achieve your desired weight before surgery to maintain the best possible results long-term.
Are there any plastic surgery procedures that are less affected by weight fluctuations?
Some procedures are less impacted by weight changes than others. For instance, rhinoplasty (nose surgery) and eyelid surgery – blepharoplasty are typically less affected by weight fluctuations. However, body procedures like tummy tuck – abdominoplasty, liposuction, and breast surgeries are more sensitive to weight changes. It’s always best to discuss your specific case with Dr Kohout.
If I’m slightly overweight but otherwise healthy, why can’t I just have liposuction to reach my ideal weight?
Liposuction is not a weight loss procedure; it’s designed to address specific areas of the body by removing localised fat deposits. It’s most effective when you’re at or close to your ideal weight. Liposuction typically removes only some of the fat and is not a substitute for a healthy diet and exercise regimen. Additionally, removing large amounts of fat through liposuction can be dangerous and lead to complications. It’s safer and more effective to lose weight through lifestyle changes before considering liposuction.
Further Reading about Surgery with Sydney Specialist Plastic Surgeon Dr Mark Kohout
Medical References for Weight and Plastic Surgery
- Plastic Surgery after Massive Weight Loss
- Obesity and Complications in Mammoplasty
- A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index
- Incidence of Complications Associated With Lipectomy Techniques and Patient Body Mass Index
- Risk factors for complications following breast reduction
