Thank you for your question. Congratulations to your achievement so far. Weight loss through diet and exercise is not easy and you are doing a great job. Mommy makeover surgery is a broad term and can include surgery to address the tummy, breast, back, buttock, arms, legs, and face depending on the desire of the patient. I agree with my colleagues assessment to achieve a more lasting result and to decrease your risk of complications, I recommend you losing more weight (20-25 pounds) before considering extensive surgery e.g. tummy tuck surgery. Patients often reach a plateau, a phase where they have a hard time losing more weight, although they haven't achieved their goal weight yet. So you are not alone on this journey. One potential option atm might be a panniculectomy. It is the removal of the overhang of skin on your pubic area to help with persistent rashes in your skin fold (should you have them). A panniculectomy can potentially be covered by your insurance company. Having a panniculectomy now does not exclude more body contouring surgery e.g tummy tuck at a later time. It does not address or contour your upper abdomen, it only removed the overhanging skin. This step might help you be more active and to lose more weight achieving your goal weight. I recommend you being seen and evaluated by a board certified plastic surgeon, who can guide you in this process and develop a surgical plan specifically for you. Please keep up the great work.. you are doing an amazing job. Best wishes, Franziska Huettner