What are the best surgical and nonsurgical options to bring in my waist? currently 990 cm, hoping to get to 75/80 cm (photo)

Hi, Thanks for your question and picture.
The first option could be tummy tuck (abdominoplasty) and Vaser liposuction on the flanks and lower back. The tummy tuck involves surgical skin removal as well. The key here is to understand what you would like to achieve, what are your expectations. In my clinical practice, if the patient refuses to undergo for tummy tuck surgery, then the second less invasive procedure is Vaser liposuction in combination with Renuvion/J plasma or Bodytite on Upper/Lower abdomen, Flanks (anterior an posterior) and back area ( 360 degree approach). This option is indicated for fat removal and body contouring and improve the waist line if your anathomy/body allows to achieve this. The combination of Vaser lipo with J plasma- Renuvion or bodytite will help to increase the probability of skin tightening. I have experience in Renuvion and Bodytite. I usually combine Vaser lipo with Renuvion in combination as I think the results are better in terms of body shape and skin tightening. Renuvion required only 1 session and I usually perform this procedure in Hospital setting and in general anesthesia or sedation. The above approach (Circumferential body Vaser lipo and Renuvion/J plasma ) is an option for many women who want to improve their body contour/silhouette with less scars and avoid tummy tuck. I would strongly suggest to make a consultation with an expert Vaser/ body contouring surgeon for a medical/surgical assessment in order to consider the best suitable treatment. Hope this helps, All the best, Dr Fiore

For best results you will want to lower your BMI. You can consider liposuction with J Plasma for sculpting. If you have skin laxity or muscle separation a tummy tuck could be an option. An exam is needed to let you know what you can expect in terms of results.