Hello and thank you for the question. The best advice you can get is from an in-person consultation with a board-certified plastic surgeon. You benefit from an abdominoplasty. I would advise to lose some weight prior to any body-contouring procedure. Your weight and height will determine your body mass index (BMI). Ideally, you would like your BMI to be less than 30, however, this decision is individualized based on your overall health status and what procedure you are having among others. The closer you are to your ideal body weight, the better the results of the surgery and the less likelihood of perioperative complications. Best,Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
Thank you for sharing your excellent question. Assuming you are an otherwise good candidate for surgery, I would first start with lifestyle changes of diet and exercise to help you lose weight naturally. This will not only limit the risks of any procedure but will also achieve superior aesthetic results. Once at a stable, goal weight, and a BMI under 30, surgical options can then be entertained, with a tummy tuck the most likely procedure. Hope this helps.