BACKGROUND: Lipoabdominoplasty is considered a controversial procedure especially in the obese patient due to the perception that it is associated with an increased risk of complications such as venothromboembolism (VTE).1-3 The authors review their experience with outpatient lipoabdominoplasty performed on overweight and obese patients to evaluate patient outcomes and complications. MATERIALS AND METHODS: A retrospective chart review of 28 patients who underwent lipoabdominoplasty between December 2012 and January 2014 was conducted. The procedures were performed on an outpatient basis by a single surgeon in either an office-based operating room or hospital. Patient outcomes and complications were analyzed to assess the safety of these procedures in high BMI patients. RESULTS: Of the 28 patients (1 male and 27 female), 12 were overweight (BMI 25.1-29.9) and 16 were obese (BMI >/= 30) (Figure 1). In the overweight group, the average age was 42.2 years, the average BMI was 27.3. In the obese group, the average age was 44 years; the average BMI was 35 (Figure 2).Figure 1: Preoperative and postoperative view of 42-year-old woman.Figure 2: Preoperative and postoperative view of 29-year-old woman.In the overweight group, there were 1 (8%) seroma, 1 (8%) hematoma, 1 (8%) skin necrosis, 2 (17%) minor skin abrasion, 1 (8%) cellulites, 1 (8%) wound dehiscence and 1 (8%) pulmonary embolism. In the obese group, there were 1 (6.25%) seroma, 2 (12.5%) skin necrosis, 2 (12.5%) minor skin abrasions, 2 (12.5%) wound dehiscence, and no VTE. CONCLUSIONS: Lipoabdominoplasty can be safely performed in patients with high BMI. In the author’s experience, these procedures are associated with comparable rate of complications in the appropriately selected patients.