Dear Cheryl,
You are almost there! If at all possible, I recommend that my patients reach within 10% of their goal weight before considering body contouring. It makes sense that if we "tighten up" everything to the optimum allowable conditions, it will become somewhat lax if you loose additional weight. I've found that 10% does not make a significant difference, so it is a reasonable goal. That being said, some patients hit a plateau and cannot seem to loss further weight. If your weight has been stable despite a healthy diet and exercise program, you might want to reconsider your goal weight, and proceed with the tummy tuck. Occasionally, after surgery with a new you, you might now notice that your weight again drops - this can be because your new figure invigorates you to push further.
It sounds like you are very close to being there - visit with a board certified plastic surgeon, discuss your goals, and have them look over your physique to give their opinion.
Best regards,
Dr.B
