Tummy tuck? Other options? (Photo)

Given the loose skin above the umbilicus, you will need to have skin excision and umbilical transposition. It looks like you have tight muscles, so a skin only type of tummy tuck will suffice. This can be done with oral sedation and local without drains so your recovery will be limited. The only significant cosmetic factor is that you will likely have a vertical scar extending from the low transverse scar as the umbilical opening may need to be closed in an up-and-down fashion. Possibly not, but also need to expect a vertical incision. Thank you.

Eclectic9704, Thank you for your photos and great questions as well!
Tummy tuck is not your only route to get back to the old you. If you want immediate and long lastly results, surgery would be the best way to go. Other non-surgical treatments are going to fall short of your expectations. Scarring is inevitable with any surgery, but there are techniques to minimize and conceal scars as much as possible. Post-op patients can use various treatments to further minimize permanent scarring such as Scar Guard (a liquid containing steroid, Vitamin E, and silicone), silicone gel strips (such as Neosporin scar strips), and silicone ointment (such as Scar Fade).