Unfortunately, you have not provided photographs or told us your height. However, at 240 lbs, you are at a high risk for complications from surgery. You should see an internal medicine physician to begin a weight loss program. I recommend a low fat diet and abdominal core exercises such as sit-ups and pilates. After you have achieved your weight reduction, then you may be a suitable candidate for a tummy tuck.Best Wishes,Gary Horndeski, M.D.
Most plastic surgeons suggest that you finish having children, get your weight within 10 pounds of your ideal weight and have a BMI less than 30 before undergoing an abdominoplasty with repair of the stretched out abdominal muscles and liposuction of selective areas, in order to achieve the best long term cosmetic result with the least potential complications. Following the advice of anyone who would presume to tell you what to do without seeing photos and more importantly without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California.
