Many patients who come to see us at Centre for Surgery often surprised to learn that body mass index, or BMI is a very important consideration in optimising both safety and the final result of cosmetic surgery. It is a common misunderstanding that body contouring procedures including both liposuction and tummy tuck are effective for weight loss. Both liposuction and tummy tuck should not be viewed as treatments for weight loss but instead should be viewed as effective procedures to shape and contour the body.
As part of our rigorous safety protocols, we require patients who are considering a surgical procedure under general anaesthetic to be either at or near to their ideal body weight and in most cases they should be within 6 kg or one stone from the desired weight before deciding to undergo any type of surgical procedure, especially more extensive body contouring procedures such as a Brazilian butt lift or BBL for short.
There are a number of important reasons why patients should have an optimal body weight. The vast majority of body contouring procedures which our surgeons regularly carry out are for correction of aesthetic deformities that have developed often as a result of significant weight loss and these include excess deposits of fat in hard to shift areas and skin laxity or sagging skin. Patients who are close to their ideal body weight before deciding to undertake such procedures have a greater chance of achieving the optimum result compared with those who may be significantly overweight or obese.
Patients will want to maintain their body weight after surgery because it is commonly accepted that patients who undergo significant fluctuations in weight often as a result of yo-yo dieting could develop adverse results. However by far the most important reason for patients to be at or near their ideal body weight is because of the higher risks associated with both anaesthesia and surgery in those who are significantly overweight. Patients who are within the ideal BMI range will have less risks and a better safety profile and subsequently may get a better result. At Centre for Surgery, patient safety lies at the very heart of everything we do.
What is BMI?
Body mass index is is a guide to determine how much body fat a person has on their body. BMI is derived from both height and weight which then can be used to give a rough guide of your ideal body weight.
The NHS has determined that a healthy body mass index lies between the range of 18.5 and 25. If you would like to find out your body mass index, please use the BMI calculator below for an accurate measurement.
It is important to bear in mind that your BMI is only an approximate indication for what is normal for your category of weight. There are a number of other variables that help to determine healthy behaviours and what could have an adverse impact on health. Body mass index can be affected by pregnancy or people who are very athletic and may therefore have an increased muscle mass. Muscle weighs more than fat and therefore in muscular people BMI may not be an accurate reflection of how much fat you have on your body.
What is the ideal BMI for Surgery?
Each of our plastic surgeons will have their own criteria for determining a healthy BMI for procedures that they perform. However in all cases, surgeons will prefer for your body mass index to be below a certain value in order to carry out the surgery safely and reduce the risk of post-operative complications.
At Centre for Surgery, we advise all patients that your BMI should be under 30 before undergoing a surgical procedure under general anaesthetic. A body mass index of up to 35 may be acceptable provided patients have undergone a face-to-face assessment with an anaesthetist prior to surgery. Our surgeons are always happy to consult with new patients and we would always advise you to attend for a free consultation regardless of your body mass index as the appropriate advice can be given once you have been clinically assessed. Having said that, you may wish to schedule an appointment once you feel you are at or very close to your ideal body weight.
BMI Surgical Exemptions
There are a very small number of exceptions to our BMI guidelines. An example are women who have the majority of their excess body weight in the lower part of their body also known as a bottom heavy shape. This is often the case in women who suffer from lipoedema and otherwise have a relatively slim upper body. This carries lesser anaesthetic risk compared with patients who have their excess body weight in the upper part of their body. Another example would be large muscular men with a relatively low body fat percentage. Your surgeon may suggest a target weight for you to achieve before having a surgical procedure. Any advice your surgeon gives about addressing body weight is always related to optimising your safety and to make sure you get the best possible outcome following your surgery.
What are the risks of having a high BMI and undergoing Surgery?
Having a body mass index in the optimum range means that your risk profile is lower compared with someone with a BMI above the recommended range. Patients with a BMI under 35 is generally linked with having better overall health. Published medical research consistently show that having a high body mass index is strongly linked to a number of chronic medical conditions including high blood pressure, diabetes, cardiovascular disease, respiratory disease and liver disease. The risk of developing cancer may also be raised in patients with a higher body mass index. Patience with any of the above conditions may not be an ideal candidate for a cosmetic surgery procedure at Centre for Surgery.
There are also more direct risks of having a high body mass index. The risk of anaesthetic and surgical complications is increased including the risk of difficult airway management, risk of pressure sores, surgical site infection, delayed wound healing and development of a seroma or haematoma. Patients with a higher BMI may also need to undergo a second surgical procedure to manage a seroma or haematoma. It is our philosophy at Centre for Surgery to always strive for the very best outcomes for all our patients. Our surgeons will never agree to undertake a procedure if it is potentially unsafe or could be harmful to your health. Having cosmetic surgery is all about helping you feel the best you can through an improvement in your appearance. We therefore want you to be optimally prepared before surgery to help you achieve your goals.
At your consultation, your surgeon will be able to provide detailed information about how your proposed surgical procedure could be affected by your body mass index. Always feel free to ask any question no matter how minor or trivial you feel it may be.