Can you have a tummy tuck when the loose skin is on top of belly but not it's tight on the bottom?

The answer is yes you can. In fact, this is exactly what the tummy tuck operation was designed for.  The skin is tucked throughout your abdominal wall. Also, the muscles are tucked and some liposuction is typically performed during a tummy tuck. From your photos it looks like you are a good candidate for this procedure. Virtual consultations are available during which many options that are available to you can be discussed. 

Hello, in situations where there’s more loose skin in the upper part of the abdomen, one can perform either a mini tummy tuck or even a reverse tummy tuck. I recommend a virtual consultation with a board-certified plastic surgeon near you. Thank you.

Mark G. Albert, M. D.
New York, NY