Will an extended tummy tuck with lipo to flanks and bra rolls finally give me that snatched and small waistline? (photos)

I don’t think you will be happy unless weight loss is a part of the overall plan. Then after the revision surgery make sure you do not gain it back. Weight gain after tummy tuck is the number one cause of dissatisfaction.

Hello.
Great question. Thank you for your pictures. Based on your images, it appears you may benefit from a full tummy tuck procedure with muscle tightening and liposuction. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results. 

Dear Dr7423,
Based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question and sharing your photos. I believe you benefit from a revision tummy tuck and 360 liposuction of your abdomen and flanks. During tummy tuck, extra skin in the lower half of your abdomen including the
stretch marks will be removed. In addition, typically the fascial
laxity/separation of recti muscles will be taken care of by muscle plication,
giving you a flat abdomen. The added liposuction of your hips/flanks will
help with creating a natural and aesthetic waistline. Incision can be placed
very low to be hidden under bikini. With proper surgical technique, belly
button can be designed to  be a true 'innie'. Recovery from tummy
tuck is 1-2 weeks. Strenuous activity and lifting heavy weights should be
avoided 6 weeks to 3 months post op. I would seek consultation with a
board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.                                            
Johns
Hopkins-trained double board-certified plastic surgeon

You have several issues now.  You definitely have excess fat of your abdomen, sides and back.  This may be addressed with just liposuction alone.  If your belly still has loose skin, then yes, a tummy tuck or extended abdominoplasty may benefit you.You must have internal fat (visceral fat) which would require weight loss to reduce the pressure in your abdomen and flatten the front of your stomach.Anyone who dies not discuss diet and exercise with you is also doing you a disservice.Dr T

Hi, thank you for your question. After looking at your pictures you appear to be a great candidate for an ultra high definition tummy tuck. Furthermore, high definition VASER liposuction and renuvion skin tightening can be used to target other areas of fat and skin redundancy. Both these procedures will work to tighten and contour the body, while at the same time maintaining a pleasing aesthetic. A Skype or FaceTime consultation with a specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

I suggest focusing first and getting control over your eating.Until you get that taken care of you’re not going to have a great body transformation.and extended tummy tuck will address the skin laxity on your backside.Liposuction is not a bad procedure for overweight patients but it’s not the same as weight loss followed by high-quality skin surgery. Liposuction is not a bad procedure for overweight patients but it’s not the same as weight loss followed by high-quality skin surgery.These procedures are not going to make you lose weight. Eating less, healthier, smaller meals and perhaps more frequent small meals will help you lose weight.Let the body you want to be the motivation to get to a healthy weight then reward yourself with a secondary extended tummy tuck. Lose weight to the point where you don’t need liposuction and you’ll get a great result(if you find a great provider)Best, Mats Hagstrom MD