Am I dealing with leftover stubborn fat or loose skin? (photo)

Congratulations on your massive weight loss. Often with the massive weight loss patients, I find that the skin has been stretched so it cannot retain all its elasticity after an extreme amount of weight loss.I would recommend a tummy tuck or, a mini tummy tuck to remove the excess skin of the lower abdomen.   I would definitely look for a board-certified plastic surgeon in your area who can give a more in-depth consultation and describe what your options are for you.

Congratulations on your weight loss. It looks like most of your problem is now skin. You could try non surgical treatment like the Viora Reaction but surgery would be the best treatment. Good luck.

Congrats on the weight loss, based on the photos provided you will at some point want to get a tummy tuck when you reach your goal weight.Tummy tuck does two
things, it removes excess loose skin and it tightens the underlying abdominal
wall muscles. The trade-off it is a scar in the lower abdomen usually hidden under the bathing suit or bikini line .

From the photograph I cannot
tell you how loose the abdominal wall muscles are, but you clearly have a
significant amount of loose abdominal skin.

A board certified plastic
surgeon can evaluate the skin with a pinch test and give you a sense of
abdominal muscle separation.

Your plastic surgeon can show
you before and after pictures of the scars associated with this type of
surgery.