A question for those who did mid journey plastics..

This is a very individualized decision I make with each patient.  If there are areas of fat (especially the upper abdomen) that are going to remain, and negatively affect  the cosmetic result, I won't offer the surgery until after further weight loss.

I am not one to say  "no surgery until you are at goal weight" because I essentially don't believe that the scale is the ultimate measure of success (its just a convienient number.)

Some of you may remember back in 2005 when there was an individual who was not at goal who went in for 20 liters of liposuction.  I questioned that as the best course of action, and got flame broiled by some other random poster for being unsupportive and casting the patient as a failure.  It was spicy !

So the best answer is that it's an individual decision between patient and their PS, and that PS is best for patients who are close to their long term weight goal.