1. At 226 pounds you are still far from an ideal candidate for a body contouring procedure. You would get a vastly superior cosmetic result if your your weight was stable and your BMI was below 25.
2. I assume the photo provided was your ORIGINAL pre-"360 Tummy Tuck" photo. It would have been extremely useful to have seen both this photo and the way you look today to be able to advise you.
3. "I need to have it done due to poor skin" - This is extremely common. Unfortunately, damaged skin does not regenerate and even well-done tummy tucks may "give" and become loose due to poor skin tone. This makes it even more important to time the operation to when you achieved the most weight loss / achieved a stable weight and preferably reached a BMI under 25, if possible.
4. Re-do Tummy Tucks are more complicated than the first tummy tucks. As long as all risk factors are addressed though you should do fine.
To read everything you need to know about POST-WEIGHT LOSS BODY CONTOURING SURGERY, follow the link below -
Dr. P. Aldea