At 22 years old, 5’6” and 220 lbs, the most important first step is weight reduction before considering a tummy tuck. Abdominoplasty is designed to remove excess loose skin and tighten muscles after weight has stabilized, not as a weight-loss procedure. If surgery is done before significant weight loss, the results are less defined, complication risks are higher, scars may widen, and future weight changes can negatively affect the outcome. Reaching a stable, lower weight first will not only improve your overall health but also give you a much better surgical result if you still want a tummy tuck later. Right now, focusing on sustainable weight loss is the safest and most effective first step.