Thank you for your question regarding what to do with your body. In examining your pictures, I think you would do best with a body lift. In my opinion, your buttock has a lot of excess skin, wrinkles, and cellulite. An extended tummy tuck will not take care of the buttock. A 360 circumferential lower body lift will take care of the buttock, hips, and tummy. During this procedure, the rectus muscle is plicated, the mons is reduced, the tummy is lifted and reduced, and the buttocks are lifted and reduced. With the body lift as opposed to the extended tummy tuck, the loose skin on your buttock will be removed. 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.)