Thank you for your question and for providing a photo. It’s a bit difficult to fully assess your eligibility for a panniculectomy because your clothing is covering the affected area. However, based on your weight loss history, I would recommend losing more weight first before considering the procedure to ensure you achieve the best possible results. If you're having trouble losing weight on your own, consider discussing weight loss medications like Ozempic or Wegovy with your primary care physician. These medications have helped many individuals reach their weight loss goals when combined with a healthy diet and exercise. Once you've reached a more stable weight, you could be an excellent candidate for a panniculectomy (or even better, a tummy tuck), which would remove the excess skin and fat in the lower abdomen. I recommend focusing on continued weight loss for now and consulting with a plastic surgeon once you’ve reached a more stable weight. Sincerely, Dr. Katzen