From what I have seen on her website, she is NOT the person to go to for these type of procedures for a big person, even if they lose weight, unless it is a considerable amount. She requires her meta patients to habe a BMI of less than 28, which for your size is somewhere around the 145 mark from one BMI chart I just took a look at. Personally, I like Dr. Crane's results the best in the U.S., but I say go to the person whose results you like the best though and plan accordingly.