At 689 pounds, Dominique Lanoise carries a lot of weight all over her body, but the bariatric surgeon in charge of giving her life-saving surgery is more concerned with the fat inside than her fleshy folds.At 689 pounds, Dominique Lanoise carries a lot of weight all over her body, but the bariatric surgeon in charge of giving her life-saving surgery is more concerned with the fat inside than her fleshy folds.