Options to get a flat stomach, and smaller waist? (Photo)

Assuming that you have already tried exercised and diet,
that your weight is stable, that you have no underlying medical conditions that
would be a contraindication to surgery, and based on your age and the possibility of having additional children, liposuction of various areas that
could include including your abdomen, flanks, back and thighs would be a
reasonable option.There are a variety of procedures that can produce a good
cosmetic result in the appropriate patient: liposuction alone, a mini tummy
tuck, a modified tummy tuck with an umbilical float, or a variety of a full
abdominoplasty. All of the tummy tuck options may, or may not, include
tightening of the muscle and liposuction of selective areas. Most plastic surgeons suggest that you finish
having children, get your weight within 10 pounds of your ideal weight, and
have a BMI less than 30 before undergoing an abdominoplasty with repair of the
stretched out abdominal muscles and liposuction of selective areas, in order to
achieve the best long term cosmetic result with the least potential
complications.
Keep in mind that following the advice from a
surgeon on this or any other website who proposes to tell you what to do based
on two dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon certified by the American
Board of Plastic Surgery and ideally a member of the American Society for
Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You
should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

With all body contouring patients we always discuss lifestyle, body fat, and overall appearance. You may want to consider diet and exercise first to achieve what you believe your best self- then with the help of a Board Certified Plastic Surgeon- you can explore the surgical options for continued improvement. That said, if you believe you're at that point now-- then you may be a good candidate for abdominoplasty provided your child bearing days are over