Thank you very much for your question, in the photo, I cannot see that you have excess skin in the abdomen, however, for a flat abdomen result it is very important to be able to identify how your abdominal wall is, have you had pregnancies ?, evaluate your rectus abdominis muscles, and determine whether or not they are separated (diastasis) in the case that your abdominal muscles are separated, my recommendation is to do a mini tumytuck so that the result is what is expected, in the case that your muscles and andominal wall are in perfect condition, my suggestion is to make a liposculpture and combine it with technology such as jplasma that will allow the skin of the abdomen to stick and prevent saggingLiposuctionThe surgical procedure of liposculpture,may or may not be associated with technology. Many times the characteristics of these lumps under the skin or retractions are secondary to a conventional fat extraction technique. We handle fat from the use of laser technology, which is light, or vaser, which is internal ultrasound associated with microair (PAL- Power ssisted liposuction) the first two devices allow us to vase or Laser produce lipolysis (is to pass the fat of a solid state to a liquid state so that there are no irregularities under the skin) and the microaire or the PAL allows us to make the extraction of the melted liquid without so much trauma.The problem in your case, is that not only has the sequelae of the lipo, but besides, I think you can have a little diastasis of the abdominal muscles secondary to pregnancy.It is important to be able to evaluate the case a little more to determine if only with a new lipolysis from the combination of technology can be improved. If it is only a lipolysis of the body contour, we will be able to improve the appearance by 50% towards 70% of the result you currently has; because fibrosis behaves as a scar inside the tissue and it is very difficult to be able to remove it completely. Associated with that if the skin is flaccid in order to give a little more reaffirmation, we complement it with a technology called Jplasma, the equipment is known as Renuvion, this produces plasma energy and this produces collagen retraction working inside the tissue The liposculpture that we practice is always associated with technology. What we use is Vaser, that is, internal ultrasound, laser, which is something from the light that is produced from the breakdown of fat, these two equipment fundamentally to produce lipolysis that is to pass fat from a solid-state to a liquid state This allows us to maintain that patients are not left with fibrosis or irregularities under the skin. As a complement always use microaire for the extraction of fat that is liquid, and in the final part if it is the case that the patient requires because it presents sagging skin in determinate areas, arms, back, abdomen, etc we use Jplasma, which is a specific equipment to produce Liposuction with technologies For the back, the ideal would be definitely to do an lipolysis associated between vaser and microaire combined with j-plasma to produce skin retraction (it is a tension inside the skin), and finally also a back lift, leaving a scar for remove excess of the skin that is left over. The reduction of fat through high-tech equipment and skin reaffirmation, will give us the best result; a toned skin and a scar that must be left in order to remove the skin that is left over