Dear Summer, Thanks for submitting your pictures. From observing your pictures, you appear to be a very good candidate for tummy tuck, however, I would not recommend to combine tummy tuck with liposuction , due to the significant increase in severe complication rate , when combining the two. In a recent article in the plastic surgery journal that was based on data from cosmetic surgery only insurance company, it was revealed that combining tummy tuck with liposuction, increases the complication rate X 10 in comparison to tummy tuck alone . Additionally, in the state of Florida, it is illegal to perform tummy tuck with liposuction of over 1000 cc (relatively, very small amount). That was legislated after the state investigated a very high rate of severe complications in plastic surgery centers, including many deaths. Obviously, it is your decision, however, in my opinion, an ounce of prevention is better than a pound of cure. More over, many of my tummy tuck patients lose significant amount of weight after tummy tuck, due to the abdominal muscles tightening, which reduces the amount of food that you can eat and your sense of hunger. So, you might not require liposuction after all. Only about 10% of my patients request liposuction after tummy tuck. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with flat stomach, tight and youthful skin, nice belly button, improved body posture and low scar. Best of luck, Dr Widder