Hi there and thank you for your question: Curious if I could do lipo 360 to get rid of stomach or do I need a tummy tuck? By examing your photo, you have excess skin AND fat. I believe you would have optimal results by combining liposuction with a tummy tuck. This could either be done in the same procedure or in staged surgeries. You could also use your fat for a BBL if you wish. If you were to just do liposuction, you would be left with excess skin of the abdomen. Another benefit of the tummy tuck is that you will get muscle plication which is when we stitch up your abdominal muscles to take off 4-6 inches off of the waist (giving you an hourglass figure). I hope this helps answer your question regarding if you need liposuction or a tummy tuck. If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have 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, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, 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 and RealSelf Hall of Fame.)