How to Get Rid of Pannus(fannypack)?

It’s difficult to make a specific recommendation without a
physical examination or pictures. Your history suggest the presence of a
significant lower abdominal roll that extends posteriorly into your flanks. In
my experience exercise and diet often make loose skin more noticeable.Although
it’s important to continue weight loss, this probably won’t affect your loose
hanging skin. Under these circumstances, an abdominoplasty will probably be
necessary.For
these reasons, consultation with a board certified plastic surgeon is
appropriate. This surgeon should be able to formulate a plan that addresses
your concerns.

After you reach your ideal weight, you can consider trying a serires of non-invasive techniques such as Zeltiq, which uses cold therapy to to freeze fat cells, but you will not get the results you will with abdominoplasty surgery.  Even if you do have a reduction in fat, it sounds like skin excess is also a problem - which responds best to a surgical excision.  Tummy tucks are very common procedures, have an excellent safety record, and patients are usually thrilled with the results!  Consultation with a plastic surgeon will help answer questions and make recommendations based on your body.

You are doing everything right. Diet and exercise will get you to your goal weight but your skin will not contract.

There are a number of options to help you achieve your goals. An abdominoplasty will address the excess skin of the abdomen. Liposuction will help with the "fanny pack". You may also be a candidate for a lower body lift which will address the contour of the abdomen, outer thigh and buttock.

Seek out a board certified plastic surgeon to help you understand your options.

I hope this was helpful. Good luck

You are on the right track.  Keep on your diet and exercise plan to reach your goal weight, and you will have done all you can.  Beyond that, extra skin and abdominal wall stretching from your weight gain and pregnancies will NOT go away without surgery.  Don't be afraid of a tummy tuck... It is a fantastic procedure, and can do for your body in ONE DAY what you will never ever be able to do with all the dieting and exercise in the world.  We transform moms daily, and learning more about the procedure, as you are, will incentivize you further to reach your goal... You CAN have your smokin' body back!

It is difficult to provide an accurate recommendation without the ability to examine you or view your photographs. Based on your description however it appears that you would be an excellent candidate for a full tummy tuck.In the performance of a full abdominoplasty, an incision is made from one hip to the other. The incision is carried through the skin and fat layer and stops at the muscle layer. At this level the skin and fat layer is elevated off of the underlying muscle layer. This elevation is continued up to the belly button. An incision is then made around the belly button to keep it in it's normal location allowing the skin and fat layer to continue to be elevated up to the rib margin. Very often tightening of the muscle layer is then accomplished before removing the excess skin. The loose skin and fat layer is then pulled down snugly and the excess skin and fat is then removed. The belly button has not been moved or removed. It is still in it's normal location underneath the skin and fat layer. An incision is made over the belly button and it is pulled up to the surface and re-stitched in it's original location.
This procedure would provide you with the most comprehensive recontouring of your abdomen. Good luck .My simple and illustrated video may help you--learn more about tummy tucks and other body contouring procedures.