I have lost 90 pounds and kept it off since 1985. Would I benefit from a tummy tuck?

Congratulations on maintaining your significant weight loss for such an extended period! Based on your description of having undergone a panniculectomy previously and now experiencing skin rolls and a lack of waist definition, an extended tummy tuck could indeed be beneficial for you. This procedure is designed to remove excess skin and fat from the abdomen and sides, and it can also tighten the abdominal muscles, which might have become lax over time. The extended version of a tummy tuck is particularly effective for addressing concerns that span beyond the front of the abdomen to the sides, helping to create a more defined waist and smoother contour overall. Given your age and previous surgery, it's important to have a thorough evaluation by a board-certified plastic surgeon who specializes in body contouring after significant weight loss.

Congratulations on your impressive sustained weight loss! From your description it sounds like you would benefit from a tummy tuck. This would remove excess fat and skin as well as correct abdominal wall laxity. Begin by scheduling a consultation with a board certified plastic surgeon near you to learn more.