Hello and thank you for your question. Based on the loose skin on the abdomen, I would recommend an abdominoplasty, or tummy tuck, to this area. Liposuction alone would only worsen the loose skin. An abdominoplasty would tighten the abdominal muscles as well as get rid of excess fat and skin. A breast lift could be performed with or without an implant, depending on your preference and your exam. BBL could possibly be performed as well. I do agree with my colleagues that losing weight prior to surgery will help avoid complications and will give you a much better cosmetic result, so if you can do this in a healthy way and can keep the weight off, I would recommend that route. Best of luck.