Tummy tucks address skin, muscle, and fat.

From what you describe you are suffering from a weakening in the muscle wall that is usually a result of pregnancy. Many women come in to my office desiring liposuction or even "Smartlipo" when in fact the correct procedure is a tummy tuck. An abdominoplasty (tummy tuck) is a surgical procedure which allows the surgeon to tighten the muscles of the abdominal wall (like tightening a corset,) remove the extra stretched out skin, and remove any excess fat. The tradeoff is a scar where incisions are made however most women are happy to trade this "scar for skin." Liposuction will remove fat but will not address the skin or fat. Smartlipo may cause a very small amount of skin tightening but the percentage of tightening is small and certainly muscle will not be addressed. At 60 years of age (I have done tummy tucks on many 60 year olds) in good health I would require you to have a medical clearance just based on age as this is a real operation with a real recovery. Schedule an appointment with a plastic surgeon and get some information about your options! Good luck!