Thank you for your question regarding getting a tummy tuck or having BodyTite. Thank you for your history of 100-pound weight loss five years ago. Thank you also for your pictures. Examining your pictures reveals that you have no visible skin or fat when standing. However, when you are in a sitting or forward position, there is excess skin and fat on the abdomen. You must realize that everyone, even the skinniest person, has some excess skin when they bend forward. This allows for their ability to stand upright. If the abdominal skin were completely flat when you were hunched over, it would be impossible for you to stand up straight. Therefore, some skin redundancy is normal. You should consider yourself very fortunate, as most of your skin has fully contracted after your 100-pound weight loss. Most people who lose 100 pounds or more have significantly more abdominal skin and fat in the abdomen and love handle region than you do. In terms of treatment, most plastic surgeons would agree that you do not need a tummy tuck or abdominoplasty. If you’re considering a treatment, consider Renuvion, J-Plasma, or BodyTite. These can contract the skin alternatively. If you want to sculpt your abdomen and achieve a defined rectus abdominis, consider VASER high-definition ab etching liposuction. I hope this information helps clarify whether you may need a tummy tuck or BodyTite after losing 100 pounds. Good luck. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)