Big guy tummy tuck, 48M, 5’11”, 250 lbs, down from 310, is it a good idea for me? (Photos)

Thank you for sharing your weight loss journey and concerns. Firstly, commendations on the remarkable achievement of shedding 60 pounds!
A BMI closer to 30 is preferred for optimal tummy tuck results, which translates to around 220 pounds for your height. Losing an additional 30 pounds would enhance surgical outcomes and lessen potential complications. Achieving this would not only your surgical results but also your overall health.
If further weight reduction proves challenging, considering your weight stability over the past months, you could still be a candidate for a tummy tuck. The procedure would involve an incision spanning hip to hip, plication (tightening) of the rectus abdominis muscles for a flatter profile, and removal of excess skin and fat to address the overhang.
Regardless of your decision, it's crucial to consult a board-certified plastic surgeon to assess your unique situation and guide you to the best decision.
Sincerely,
Dr. Katzen

If you are still taking the wegovy and strength training and your weight isn’t changing, I’d say go for it. If you are still seeing a drop in weight, wait a little longer as you will have more loose skin. I have all of my patients stop taking wegovy the week before their procedures so their blood glucose can regulate and the body can return to its normal state. For your procedure I’d recommend an extended Abdominoplasty with vaser liposuction of the back, flanks, and abdomen. If you would like to be seen for a consultation to go over in more detail, feel free to reach out to my office. Smith Plastic Surgery 702-838-2455