I see many people for weight sensitive surgery such as liposuction, body contouring, tummy tuck , and even face lift where the person’s size does matter. I stress that the closer one is to their “ideal weight” the better the result. I also stress that this “weight” is different today than it was 15,20,30 years ago. I am the same height I was in college, but I weigh 20-30 lbs. more ! I know I will never be college weight again even though I still keep some jackets and pants from that era. One has to be realistic as to where one is happy and comfortable with their size, understanding that they will not be twenty years old again. In fact many people as they age look better at a higher weight. Some who achieve their “wedding” size look gaunt! So approach any procedure you might be interested in with a realistic evaluation of what is your stable size because that is the best frame of mind to be in.