Hey Doctor Reed,
My best friend and I are both working towards our weight goals so
that we could be candidates for sex change surgery with you.
We are working from opposite sides though…I am about 35lbs too
heavy and she is all skin and bones. Do you have any helpful input?
All info is appreciated!
January 16, 2015
Good afternoon Jeannie,
In overweight patients, while individual consideration is given in every case,
we are disinclined to operate on obese people in an outpatient – 24 hour hold
setting, as they pose a greater risk for complications. For your information,
smoking and obesity are the two most preventable causes of early death in
the United States. If you would call the office and give us your height and
weight, we’ll tell you where you stand on the charts. You may wish to review
the “ideal weight charts” for women and men
There is an acceptable range and yes we can cut you some slack if you are
a few pounds over, that’s not 10 or 20 pounds over.
Overweight people are more difficult to manage pulmonary wise, have heavier
legs with the threat of neural or circulatory compression, and are technically
more difficult to operate on. Beyond that you are giving their poor heart an extra
work assignment to pump blood into tissues which are not needed for appearance
Most importantly, do not take Ephedra (or like drugs). It’s
a killer. You will have a tachycardia (fast heart rate) on the
operating room table and your case will be cancelled.
For your friend, how thin is thin would be the next question.
Your BMI, a relation of weight to height will give us some idea.
Please see http://www.mayoclinic.com/health/bmi-calculator/NU00597
to obtain your BMI. Here is a BMI table for reference.
- Underweight = 18.5 or less
- Normal weight = 18.5-24.9
- Overweight = 25-29.9
- Obesity = 30 or greater
Vaginoplasty is a more stressful procedure than a breast implant or facial surgery
and the incision lines are a lot longer. Your torso weight, which could be 80 pounds
or more, on your perineal incisions contributes to wound separation. For this reason I
propose for optimal wound healing, your BMI be 22 or higher. If your BMI is below 22,
please consider a medical evaluation, and consume more calories preoperatively .
Many patients will lose 10 pounds after surgery for a while, and which places them in
a underweight category.
I hope this answers your questions. If you have further questions you may contact
the office at 305-865-2000 or visit our website www.srsmiami.com
Have a great weekend,
Harold M Reed, M.D.