Does 5 lbs. make a difference either way?

Without the benefit of a physical examination and a consultation in person, it is difficult to be specific, but from your photographs and the information you have provided, it appears that you would benefit from a lipoabdominoplasty or "combituck". All patients can expect a better long term result if they are at a stable weight when they undergo their body contouring surgery and the closer to ideal, the better. If you were to lose weight after your surgery, you might find that your result may loosen up a bit more than you would have hoped. That being said, as long as your expectations are realistic, you should hopefully end up with a significant improvement with which you are very satisfied. Make sure your plastic surgeon is board certified and experienced in body contouring surgery.Best of luck to you.

Thank you for your question and for sharing your photographs.  Five pounds will likely not affect the outcome of your surgery significantly but I do recommend delaying surgery until you have reached your goal weight - a weight that you are comfortable at and can maintain. This will ensure the best long-term results. Hope this helps.