Is lyposuction an alternative to other surgeries to reduce weight?

I'm a 50 year old male who is 6'3" and weighs 370 lbs, the highest in my lifetime. 

Eight years ago, when I weighed less, I read that lyposuction was
being done on heavier patients. I contacted a very reputable plastic
surgeon here in Dallas, and he told me that I should lose 50 lbs and
then think of coming back.
At the time, I thought it would be ridiculous for me to lose 50 lbs
and then pay a plastic surgeon a large amount of money and experience
alot of pain when I should just go ahead and lose the rest of the
weight myself.

( by the way, my motivation for lyposuction, both then and now, was to
lose a good amount of weight to "get started" and to take immediate
pressure off of joints, heart, etc.) I felt I would have more
initiative to lose more weight.

Since that appointment with the plastic surgeon eight years ago, I
have not considered lyposuction as a weight loss possibility. Also,
I've excluded bariatric surgery as a possibility.

However, I was in New Orleans recently and saw an ad in the New
Orleans Magazine about a plastic surgeon who was doing lyposuction on
heavy patients and pictures accompanied the ad with before and afters
of an obese male. This doctor was very well accredited and not some
charlatan.

When I got back to Dallas, I called their office and gave them
specifics. They told me that they could probably help me and would be
glad to set up an appointment. Instead of making an appointment with
the doctor in New Orleans, I called two plastic surgeons  in Dallas,
who were listed in the Dallas magazine as among the top two hundred
physicians here.

Both offices have said they would like to see me and have not
discouraged me even when given the particulars. They do disclaim that
this is not a permanent "weight loss solution" and that there are
risks. Also, I would have to have some skin tightening procedures at
the same time, such as a tummy tuck.

My question to you , as a Google researcher, would be to provide as
much information as possible about the most recent advances in this
procedure. I am totally aware that you can't give medical advice but
I'm looking for all the information I can get before I would commit to
such a procedure.

I would like as much information as possible from very recent medical
journals, plastic surgery societies, medical societies, etc.

Also, I'm totally aware that this is not a permanent weight loss
solution, but it might give me a head start and immediately take
pressure off my heart, joints, etc.

Can you help provide answers? Please contact me with any questions.

Lyposuction is meant more for thinner patients who wich to lose those
last few pounds. You could also try  gastric bypass procedure
"dangerous operation" where they shrink your stomach. The best form is
diet and exercise thou. I have a close friend who weighed in at 260lbs
three months ago. And with out even trying a specific diet. She
started stayong away from fast food candy and snacking all together
and she now weighs 224 lbs as of yesterday. I have been her coach
throuh out this.

To reply to your answer though I have found the following information for you.

Nowadays, he says, plastic surgeons are giving much more thought to
sculpting circumferentially ? thighs, calves and ankles in addition to
the waist, instead of treating localized fat deposits. Often the
reduction is only a pound or two, but it can make a large difference
in appearance.

Working in three dimensions requires more technical expertise. For
example, the female calf needs to be fuller than the surrounding
tissues, but the transition should be gradual and subtle so the leg
isn't masculinized.

http://www.dermatologytimes.com/dermatologytimes/article/articleDetail.jsp?id=137300


The Web site author has performed liposuctions on obese patients.
However, these patients have been well coached as to the possible
outcomes of liposuction and as to whether or not the fat can come
back. This is a concern in an obese patient with a sedentary
(inactive) lifestyle, one who does not exercise much or have the best
of diets. Inactive obese patients? bodies can be given the strictest
of diets. Without exercise, their bodies will act as if in a state of
starvation. Their bodies will hold onto every calorie; this simply
means that they stay fat or get fatter. An obese patient who plans
liposuction and who will definitely properly manage his/her diet and
perform exercise has a chance for success with this procedure.
Remember, although mature fat cells cannot divide, fat cells remaining
after liposuction can grow extremely large in size in response to
feeding the body more calories while the body is holding onto those
calories

http://www.lipoinfo.com/chap28.htm

My words of advice is to start cutting out bad food. Gast food snacks
candy and so forth. Pop is bad water or tea or even green tea will do
your body wonders. And by mearly cutting out the bad foods you should
lose weight. Now I would suggest you check into detoxing. This is
useually a 1-3 day course where you do not consume no solids.
Water,green tea, and v8 work best for you. As our bodies tend to feel
up with a bunch of crap that makes our body so it dosent process the
food correctly. And a exercise program will help your alot. Start out
with 15 minutes a day for the first week. As is your body will get
tired quickly becuse it isnt use to the exercise. Then work you way up
to 30 minutes and then a hour. Check into some weight training as
musle will help burn the body fat. And once you get things going and
you have set your body to no longer crave alot of bad foods then you
can check into a diet. As you will primarely weened away from certain
foods your body will take better to it. And some might say diest are
bad. But what most of them do is they retrain your body to accept the
foods correctly. And with your height and size if you form yourself a
plan from some of these steps I have mentioned you should shed those
extra pounds fairly quick. And as for my friend she followed the same
guide lines and at the rate she is going whe shoudl reach her goal
weight of 150 with in about 4 more months. Thats 110 lbs off her
previous weight.

Really, if you know it's not a long term solution, you might as well
hit the bricks running with the long term solution now, no? 
Especially since you can lose quite a bit of weight in just one month.

I believe a big secret to losing weight is to cut down on the number
of carbs you eat at NIGHT.  Eat a lot of carbs in the morning, and
decrease more toward the night.  Get yourself an elliptical machine
and use it 30 minutes a day at 75% your maximum heart rate (work up to
it).

There is an excellent, excellent book called "Body By God", written by
Dr. Ben Lerner, a former Olympic physician which talks more about
this.  It was on a bestseller's list.  It shows a very down-to-earth,
doable plan for getting your body on track without transient dieting.

Check  it out at Amazon.com.