Body contouring in the obese patient.

Obese patients have not been commonly considered as candidates for body contouring surgery. Using circumferential liposuction techniques, in association with the tumescent technique, and circumferential excisional procedures, this patient population can achieve significant body transformation with acceptably low morbidity. The concept of addressing obese patients in a circumferential fashion, whether using liposuction, excisional therapy, or commonly the combination of both, can more accurately address the significant deformities and achieve more consistent improvement for these patients. Aggressive body contouring procedures can be performed safely with a low morbidity rate and a very high degree of patient satisfaction.