Hello and thank you for your question. For starters, congratulations on losing all that weight, that's quite an accomplishment and you should be very proud! From the pictures you have provided, you have a significant amount of striae (stretchmarks) diffusely present throughout your entire abdomen and extending to your sides and even into your back. You also have a severe amount of excess skin and subcutaneous fat present throughout your entire abdomen and flanks (sides) with excess skin predominating in your lower back. There is a significant amount of both horizontal and vertical excess tissue present to your abdomen. Based on all this, you would most benefit from a fleur-de-lis abdominoplasty (tummy tuck) and staged 360 liposuction and possible upper back vs lower body lift to improve your abdominal/trunk contour.
