Would you recommend a tummy tuck considering the current state of my belly? (Photo)

Thanks for the question.

In this regard, I recommend you a Mini Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Thank you for your question. if your goals are to obtain a flat abdomen, surgery would be required. Loose skin will not improve with exercise. Either a full or modified abdominoplasty would be best. I would consult with a board certified plastic surgeon and discuss your options.

Thank you for your question!  Congratulations on your weight loss and dedication to a healthy lifestyle.  Given you have worked so hard to improve your health and after looking at your photos, I would recommend performing a full abdominoplasty.  Not only will it tighten the muscles both above and below the belly button, it will also tighten the skin in the same locations.  It is the gold standard for skin tightening of the abdomen, especially since you lost all that weight.  The photos suggest skin hanging up over the belly button.  This is the indication that a full tummy tuck would be the most appropriate.  While there are skin tightening devices out there, the full tummy tuck will remove skin and fat and provide a beautiful shape.  I would combine the tummy tuck with liposuction to your love handles to further contour your shape.  I hope this helps!!

If you have loose skin of your lower abdomen, then a tummy tuck may be right for you. An exam in person is the only way to confirm what's best for you. Exercise will not tighten the skin, although it may strengthen your abdominal muscles.  There are several skin tightening devices available but their success depends on the quality of your skin. Consult with a few experienced plastic surgeons in person for a complete exam.Best wishes,Dr.Bruno

BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues.  It can be combined with liposuction to improve contours dramatically.  BodyTite only works well for people who are near their target weight and who have skin elastic enough to bounce back from the procedure.  Results can be seen immediately after one treatment and are more evident over three to six months post-treatment.  If you maintain your target weight within 5 to 10 pounds of your goal weight, the results should last for years.
Consult via email or Skype with a board certified PS who can determine if this procedure would provide the results you are seeking in lieu of a short scar TT.

Congratulations on losing so much weight! Your stomach appears to be smooth and flat. It’s difficult to see what issues you have, however, if it’s related to skin laxity, then a tummy tuck would be recommended. Skin laxity cannot be predictably improved with exercise and diet.

Thank you for your question.After reading your story I am amazed at how good you look.  I would NOT recommend a tummy tuck because you dont need it.  If the small amount of skin laxity bothers you, Bodytite a radiofrequency skin tightening and fat removal device can be ideal for you.  Perhaps forma which is an external radiofrequency device may also be a good option with no surgery and no downtime.  Hope that helps.

Exercise will not change skin quality. Although you don't have hanging skin, or redundancy, your skin quality and subcutaneous skin attachments are likely to be loose, making liposuction a less than favorable option. You are a great candidate for a low scar, full abdominoplasty with a small midline vertical scar that represents your old belly button hole, which would be translocated downward toward your pubis. The concept that you are either going to get a high scar with a full abdominoplasty, or that you just "aren't a candidate for a full abdominoplasty", or that you are only a candidate for a modified abdominoplasty is outdated. As part of a the process, 360 degree liposuction would also be performed. Adding heat to liposuction like laser (Smartlipo), ultrasound (Vaser), or radiofrequency (Bodytite) will not significantly tighten skin in any meaningful way. 

Dear Ellecastellini,
it is hard to tell for sure without an examination. Based on your photos, it doesn't look like you have a lot of loose skin. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs and congratulations on your impressive weight loss.  Recommendations are best made after an in-person examination of your tissues and a thorough discussion of your goal results.  Unfortunately loose skin can not be exercised away, only surgically removed.  That said your stomach looks very good in your photographs and it may be hard to accept a permanent scar for the degree of improvement that could reasonably be anticipated.  Seek out a series of consultations to get the best treatment advice based on your skin and muscle laxity.