Hello and thank you for your question. From the pictures you have provided, you have some striae (stretchmarks) present throughout your lower abdomen, a moderate amount of excess subcutaneous fat and skin throughout your lower to mid abdomen, with excess skin particularly notable above your umbilicus (belly button). There is some flank adiposity (excess skin/fat), and minimal upper abdomen adiposity. Based on all this, you would benefit from a traditional abdominoplasty (tummy tuck) with liposuction of your flanks to best help improve your abdominal/trunk contour. Regarding the transverse lower abdominal scar, it should be well hidden within your bikini or underwear, and if you adhere to proper scar care and sun avoidance after surgery, it should eventually heal to be minimally noticeable. Liposuction is a great adjunct which could definitely provide some additional benefit, particularly to the contour and symmetry of your flanks, and would be done at the same time as your tummy tuck procedure for the best possible single operation results. With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps! Best wishes, Dr. Donald Groves Plastic Surgeon