My response to this is always the same. The closer you are to your ideal weight, the better your result and the safer your surgery will be. A tummy tuck only addresses the excess skin and fat above the muscles. For women who are overweight, there is generally a significant amount of what we call visceral fat, and this is fat that’s around your internal organs. This causes your abdominal wall to bulge and means we cannot create a flat tummy.
I say this time and time again, a tummy tuck and/or liposuction is not a substitute for weight loss. Also, the fat under your skin is significant in these women, which decreases how much skin that can be removed and increases the risk of fat necrosis. If you want to know how close you are to your ideal weight, find a BMI calculator online and put in your height and weight. Generally, we recommend that your BMI is less than 30 before your surgery.