Your brief "history" and "exam" (photos) indicate you are not an "ideal" candidate for tummy tuck, but you may be a "good" or "acceptable" candidate. The likelihood of a "good result" is based on multiple factors: It is imperative you follow pre-op instructions carefully, for example, be sure you get the necessary pre-op studies to confirm you are "medically healthy" to undergo the procedure, including medical clearance from your PCP... and presumably you do not smoke. Presumably the surgeon will perform this surgery to the best of his/her ability, i.e., you did your homework on surgeon selection. It is imperative you follow your surgeon's post-op regiment to a tee....he/she may have done a snap job, but if you stand up straight the first night, your abdominal wound may either separate or the edges could "die". Another factor is one that we may have no control over....you may have followed the pre-and post op regimen perfectly, the surgeon has done everything perfectly, but "it" happens. In those cases, the important thing is to recognize and treat appropriately the complication, should something unexpectedly occur. Finally, realistic expectations are the key to satisfaction.....based on your photos, 3 things will be improved....the skin excess including the visible scar(area from the pubic bone to just above the bellybutton) should be removed and the upper abdominal tissue will be pulled down, appearing tight; the fat beneath the skin just mentioned will be removed as well, and the remaining fat will be "thinned" when pulled down (note:don't liposuction this area or you run the risk of increased vascular compromise), and finally, the muscles underneath will be tightened, also providing a flatter abdominal appearance. Be aware, the intra-abdominal contents will NOT be improved, and with your weight, undoubtedly you have some extra fatty tissue here which will remain behind. This is why you will not be "svelte", rather more likely an "apple". But based you your comments, it sounds as though you know you will not be a "model", so I assume your expectations are realistic. I have a motto in my office: An educated patient is a happy patient. Patients of mine that have similar findings as you are typically happy because I have fully discussed those issues noted above! Hopefully you will be happy too!