Based on your pictures alone, I believe you can get a satisfactory result with liposuction and/or a tummy tuck. Liposuction can be performed around your torso, the front and the back. Liposuction can give you a better shape and contour with minimal scars. The downside of liposuction is the relaxation of the skin. The total cost of two hour liposuction in my NJ practice in $6000. The fee includes the Board Certified Professional fee, B/C anesthesia fee, and Medicare approved surgicenter fee.An abdominoplasty with a little flank liposuction will give you a flatter abdomen with tighter musculature and tighter skin with a scar from hip to hip. The surgery would remove most but not all of your vertical abdominal scar. Your health insurance may partially cover the procedure if you are deemed to have a ventral wall weakness or hernia. Otherwise the abdominoplasty and flank liposuction would cost a total of $7800. Consult with a Board Certified Plastic Surgeon.