While Dr. M. Salzhauer set limits for both BMI and weight, we accept patients with a BMI of up to 45 in general, as long as they have obtained a clean bill of health. In some cases, BMI is not limited! Check HighBMI.org
Thinking of getting a Dr Miami mommy makeover? It’s one of the most popular surgeries among women who have just given birth.
Most patients should consider that plastic surgery may have age and weight limits. Dr. Michael Salzhauer–aka Dr. Miami–sets restrictions on these two variables.
Weight Restrictions for Dr Miami Mommy Makeover
Weight limits are very common among plastic surgeons. Many of them consider body mass index or BMI as a telling indicator of a patient’s readiness to undergo plastic surgery.
They often require a BMI of 32 and below to allow a patient to undergo an invasive cosmetic procedure, like a Dr Miami mommy makeover.
For Dr. Miami, the limit is 30 – deemed as the ideal BMI for the best plastic surgery results.
But you’ll also find other plastic surgeons who don’t subscribe to this restriction. Dr. Nick Masri believes that a plastic surgeon should look beyond a patient’s body weight and consider other factors.
The Problem of Having a Weight Limit
Though BMI is a useful tool, it is not foolproof. It does not take into account muscle mass versus fat mass.
A patient with a high BMI may have developed lots of muscles rather than fat, making her eligible for most plastic surgeries that require an ideal body weight–like a Dr Miami mommy makeover, for instance.
Plastic surgeons also consider around 5,000 milliliters or 11 pounds of fat as the maximum amount that could be safely removed in liposuction. But a 2015 study showed that the maximum body fat to be removed in liposuction need not be constant. The higher a patient’s BMI, the more fat can be safely removed.
“If you set out to take more than 10 pounds of fat from a person who weighs 130 pounds, versus someone who is 230, you’re looking at a very different situation,” said Dr. Scot Glasberg, president of the American Society of Plastic Surgeons. “So, I think that the notion of a sliding scale based on BMI makes a lot of sense.”
Aside from BMI, plastic surgeons should also consider body fat distribution and muscle mass, on top of the patient’s overall state of health. After all, every person getting a Dr Miami mommy makeover is different.
Safety Precautions on Weight
But even though the study shows that patients with higher BMI can withstand a larger scale of fat removal, that does not mean that the risks also disappear.
A BMI above 30 puts a patient at risk for potential complications, such as wound dehiscence, infection, and tissue necrosis.
Aside from complications, results also turn out aesthetically better for patients within the ideal weight range. For example, overweight patients who undergo a Dr Miami mommy makeover may find it hard to have a proportional figure if they have fatty deposits in other areas of their body.
In general, losing excess weight is ideal before any plastic surgery. For overweight or obese patients having a tough time shedding weight, bariatric surgery is a viable option.
Age Restrictions for Dr Miami Mommy Makeover
According to the plastic surgery statistics released by the American Society of Plastic Surgeons, 3.9 million cosmetic procedures were performed on patients aged 55 and above. 373,000 of these are surgical. It accounts for 26% of total cosmetic procedures done that year.
But in spite of these figures, Dr. Miami does not operate on patients over 50 due to the increased risk of post-operative complications. He claims that plastic surgery can be dangerous for older patients who want to undergo tummy tucks, Brazilian butt lifts, and extensive Dr Miami mommy makeovers.
“For the kind of operations I do in my office, I don’t operate on anybody over the age of 50. There are heart problems. There are other issues that pop up,” he said. “You have to be in tip-top health, so I limit it to age 50.”
On the other hand, many plastic surgeons, including Dr. Miami and Dr. Masri, don’t set a minimum age for plastic surgery. After all, there are children who need reconstructive plastic surgery even before they go to school.
As long as they have the needed emotional maturity and consent from their parents or guardians, children can get an otoplasty and teens can have breast reductions.
The Problem of Having an Age Limit
For Plastic Surgery News chief medical editor Anu Bajaj, setting a strict age limit is problematic.
“Biological age has no relationship with chronological age. You’ll see a 65-year-old who’s in great shape versus a 40-year-old who may have heart disease and diabetes,” he said.
“You have to look at the patient. You can’t just look at the number.”
Old age doesn’t diminish a person’s longing to look and feel good. In fact, it is during old age that people yearn to look their best, and plastic surgery helps them achieve that goal.
The top procedures for elderly patients include blepharoplasty, facelift, forehead lift, liposuction, and dermabrasion – a mixture of invasive and minimally invasive procedures.
Life expectancy is also longer at 80 years old, which means that plastic surgeons can still improve the quality of life even at an old age.
Furthermore, complicated surgical procedures like knee and hip replacements are common among the elderly. If they can withstand those surgeries, why can’t they do the same for elective plastic surgery like a Dr Miami mommy makeover?
A study reported that patients aged 65 and older who undergo plastic surgery have the same complication rate as younger patients. Only abdominoplasty or tummy tuck had a higher complication rate.
It just means that the 65 and above age group can still be operated on safely–even if they want to get a Dr Miami mommy makeover.
Safety Precautions on Age
But while age is just a number, an elderly patient should be reasonably healthy before undergoing any plastic surgery. Plastic surgeons should follow strict safety guidelines.
Most plastic surgeons require a medical clearance from the patient’s primary physician and cardiologist. Blood-thinning medications like aspirin cannot be immediately withdrawn. That’s why the safety of removing them for some time should also be considered.
Cosmetic surgeons also need to tell older patients that they might have a longer recovery time, especially if general anesthesia is used. It can also cause temporary confusion. That is why local anesthesia is more advisable for elderly patients.
They should also receive counseling regarding recovery time.
Communication is also important between the plastic surgeon and patient.
“We utilize both video and written communication methods such as consent forms,” said Dr. Anne Taylor, an ASPS plastic surgeon who operates on elderly patients. “We have them repeat the post-op instructions and make sure they fully understand because you must ensure they understand all of the instructions, as well as the consent form.”
The Bottom Line
While there is nothing wrong with setting weight and age limits, nothing should be absolute. A plastic surgeon should put more emphasis on a patient’s overall state of health, medical condition, lifestyle, and social support system to determine if he can withstand the rigors of a Dr Miami mommy makevoer.