Approximately how much does a circumferential tummy tuck cost (including OR fees and anasthesia)? (Photos)

I cannot see your flanks and back very well.  You may be treated with a tummy tuck and liposuction to the flanks ("muffin tops").  But if the tone of your buttocks is an issue (and it may not be), consider a lower body lift (basically the same as a circumferential tummy tuck).  Abdominoplasty and lipo costs about $8500 including anesthesia and the surgery center here in Kansas city.  Add $5000 for extending it to a lower body lift.  The results are highly rewarding and these are common procedures.  I've copied a link to my website in case you wish to look at some photos and do some more reading.

First of all an exam would be needed to see if your are a good candidate for a circumferential Tummy Tuck. Your photos suggest that an extended tummy tuck with liposuction on your hips, flanks and back may be a consideration. Please see a board certified plastic surgeon to be sure. Costs will be dependent on which type of surgery will be done, location of the procedure and experience of the surgeon amongst other factors.

 Thank you for the question and pictures. I would agree that undergoing the extended/circumferential tummy tuck operation will provide you with the best outcome. Also, it will be in your best interests to reach your long term stable weight, if you are not there already.When it comes to the costs of the plan procedure, there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure ( quality of surgery facility), type/quality of anesthesia provider… are some of the potential variables involved.  You will find some average costs listed on this website and on individual plastic surgeons' websites as well.
In regards to outcome of the planned procedure, more important than costs of the procedures will be careful selection of your plastic surgeon. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.
Again, I would also suggest that you do not base your selection of plastic surgeon primarily on costs of surgery; keep in mind that revisionary surgery may be more costly in many ways.
 I hope this, and the attached link, helps.