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