Hello, thank you for your question about how you can look normal again and would a 360 circumferential lower body lift help. Thank you for your history and your pictures. First, we should analyze your pictures to determine the best procedure for your body. On you buttocks and hips, you have cutis pleonasmus (excess skin), dermatocholosis (loose skin), cellulite, and stria (stretch marks). On you abdomen, from the limited picture, you have excess skin and fat and stretch marks around the umbilicus. To address the abdomen, hips, and buttocks in one surgery, most plastic surgeons would suggest a 360 circumferential lower body lift. During a 360 circumferential lower body lift, an abdominoplasty (tummy tuck), mons lift, mons reduction, hip lift, hip reduction, buttock lift, and buttock reduction are performed. During the tummy tuck portion of the 360 circumferential lower body lift, excess abdominal skin and fat are removed, the rectus abdominis muscle are plicated to correct for rectus diastasis, and the belly button is reconstructed. The 360 circumferential lower body lift takes about six hour to complete under general anesthesia. Plan for a two to three week recovery. I hope I have answered you question about how you can look normal again and would a 360 circumferential lower body lift help. If you have any more questions regarding the 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 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, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (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 RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)