Thank you for your question regarding what to do with your tummy with excess skin excess fat and stretch marks. The surgery you need is a tummy tuck or an abdominoplasty. During a tummy tuck excess skin inside of the abdomen is removed, the abdominal muscle is tightened, the pubic region is raised, and reduced and the belly button is reestablished. This would be your best procedure. This can be combined with liposuction of the love handles to give you more shape. In your case, if one were to do just liposuction of the abdominal wall, you would be left with significant excess skin which would not look good. Therefore, liposuction alone is not the solution. You need a tummy tuck. Thank you for your question regarding what to do with your tummy. If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)