I'm a 74 year old in good health who has birthed two children. Am I too old to contemplate liposuction of the abdomen? (Photos)

I've treated older patients than you. It is all about expectations.  It looks like you may be a candidate for a tummy tuck and liposuction. I can't speak to insurance coverage, but safety wise, if you do not have many medical issues, liposuction is safe. Best, Dr. Emer.

Hello and thank you for your question. If you are in good health and can obtain clearance from your medical physician, then your age is not a contraindication for this surgery.  I have performed this surgery safely in patients of similar age with nice results.  Based on your
photograph, you are a great candidate for a tummy tuck with liposuction. 
This can be done through a low and short incision, all completely below the
bikini line.  Your muscles can also be
plicated resulting in a flat abdomen.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon