Dear Forceful844255, First and foremost, congratulations on your children! Upon reviewing your photos and taking into consideration the details you've provided, it appears that your primary concern is both excess skin and fat. Liposuction is primarily designed to remove fat, and given the presence of excess skin, opting solely for liposuction may not deliver the desired result. In fact, removing the fat without addressing the skin could leave you with even more loose skin. I would recommend a tummy tuck combined with liposuction of the flanks. A tummy tuck would address the excess skin and tighten the abdominal muscles, giving you a more contoured, firmer appearance. Adding liposuction to the flanks would enhance your waistline, providing an overall improved silhouette. I hope this answer helps. Take care. Sincerely, Dr. Katzen