There are many medications that surgeons can prescribe in order to help manage pain during recovery. Some patients elect to have Exparel injections during surgery to help control pain for the first few days. There are other medications as well non medicinal interventions such as positioning to...
You appear to be a good candidate for just a tummy tuck. If your consultation surgeon is suggesting that you need to pay more than the average patient for multiple procedures, you just need to visit another surgeon. A traditional abominoplasty will correct any laxity you have of the mons pubis....
An examination would tell for sure. However, even with a tummy tuck, your abdominal muscles could be tightened to help flatten your abdomen. Based on your photo, you would be a good candidate.