Can Pectoral Implants and Abdominal Etching Help Achieve My Dream Body?

Q: Dr. Eppley,  I have attached pics of my torso, I am interested in filling my chest out, attached a dream perfect chest (not expectation) chest filled out, more flat than rounded, more square.  I will not proceed with that if I cannot also do liposuction for abdominal region, normal height, weight is  6’1″, 220 lbs, my current weight is 260 lbs.


1) A properly proportioned “ripped” looking, filled out chest. (through implants)

2) A Slim waist from size 44 to size 33. 

3) A flat six pack ab stomach, by removing fat from upper and lower abdomen, flanks, back, and small area around pubic bone, 

4) Abdominal line etching if possible.

I am concerned about 1) activities that might cause the implant to shift. 2) activities for best results, food and diet, exercise, 3) activities that impair results, things I should never do, or can no longer do.  4) if i get fat, where would he fat show up? I live a healthy active lifestyle as far as my injuries permit.  I’m concerned about contraindications, (i.e. My blood pressure is 120/80, but controlled with 50 mg daily atenelol), I’m much less mobile than my college football days.  I cannot get the workouts I used to have. I want to properly fit into my clothes and wear designer suits. They do not make designer suits for a man 260 lbs.

A:Thank you for your inquiry and sending all of your pictures. The first comment that I can make is that we have to be realistic with what its possible. The use of adjectives like ‘dream perfect chest’, ‘ripped chest’, ‘slim waist’, ‘flat six pack abs’….these all end goals that are not going to be achieved with any form of plastic surgery with your current body shape. Those are not achievable goals with your current weight of 260lbs for sure and may not even be if your weight was at 220lbs.

Secondly most of the fat you carry in your abdomen is intraperitoneal not subcutaneous which is very typical for middle aged men. This is fat that can only be reduced by weight loss not liposuction. These are fat collections that are not accessible to liposuction removal around the abdominal organs.

Thirdly I would agree that the chest and abdominal components are linked. There is no aesthetic sense in getting pectoral implants if the abdominal projection is not less than or at least even in profile with that of the enhanced chest projection.

Unfortunately I can not be of any assistance until at the least the intraperitoneal fat component is reduced with substantial weight loss. This not only will create a better result but will also result in the need for less surgery to try and do so.

Dr. Barry Eppley

Indianapolis, Indiana