Should You Lose Weight Before Plastic Surgery? The Importance of Healthy Induction Before Body Transformation
By Dr. Yily De Los Santos – Aesthetic and Reconstructive Plastic Surgeon, Dominican Republic
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More and more patients arrive at the plastic surgeon’s office dreaming of a new body through procedures like liposuction, tummy tuck, or body lifts—yet still carry significant excess weight. This raises a vital question: Should you lose weight before having plastic surgery?
According to Dr. Yily De Los Santos, a leading plastic surgeon in the Dominican Republic:
“Plastic surgery is not a replacement for healthy habits or a treatment for obesity. When there is significant excess weight, guided weight loss is the first step. It ensures better aesthetic results, reduces surgical risks, and protects the patient’s health.”
Weight loss induction: how and why?
Weight loss induction becomes a necessary step before major body surgery. It’s not about reaching a ‘perfect weight’ but about achieving a stable and safe Body Mass Index (BMI) for the best outcome.
Dr. Yily De Los Santos offers a medical weight-loss protocol for patients before surgery.
“With structured support, many of my patients lose between 10 and 20 pounds before surgery. This improves tissue response, reduces complications, and leads to more natural, long-lasting results.”
Which surgeries benefit most from prior weight loss?
- Tummy tuck (abdominoplasty)
- High-definition liposculpture
- Thigh or arm lift
- Post-bariatric plastic surgery
In these procedures, excess fat or stretched skin due to overweight may jeopardize surgical success or increase risks.
Thousands choose plastic surgery in the Dominican Republic due to its top-level surgeons and competitive prices. But proper preparation, including guided weight loss, is what defines a true transformation.
“My goal is to operate when the body is ready, not when the calendar says so. Performing surgery on an unprepared body is not aesthetic medicine—it’s recklessness,” says Dr. Yily De Los Santos.

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