Hi mrsWalker0509 from Brunswick, Georgia, Thank you for your question regarding whether you'd benefit from a mommy makeover having lost 80 pounds on GLP 1 medication, with another 10 to 15 pounds to lose before achieving your goal weight. Congratulations on your significant weight loss. What an accomplishment! Let’s analyze your pictures. Examination of your abdomen reveals excess skin, excess fat, and a weakened rectus abdominis muscle. Therefore, I would highly suggest an abdominoplasty. Relying solely on abdominal liposuction might leave you with excess skin. While you can combine liposuction with the tummy tuck, the tummy tuck or abdominoplasty is essential. This procedure will eliminate the excess skin and fat, repair or tighten the rectus abdominis muscle, and lift and reduce the pubic or mons region. Turning to your breasts, you have noticeable asymmetry, with one breast larger than the other. Additionally, your left breast sags more than the right. Given these observations, a breast lift would be beneficial. The next consideration is size: do you want your breasts larger, smaller, or the current size? If you desire larger breasts, you might consider implants. For smaller breasts, a reduction would be apt. If you wish to retain the current size, an anchor or inverted T mastopexy would be ideal. Combining the abdominoplasty and breast surgery can be done in a single procedure, commonly termed a "mommy makeover." This might also encompass liposuction of the flanks or abdomen. However, it's vital to first attain and stabilize at your target weight for at least three months before considering this surgical intervention. Proceeding with plastic surgery before reaching your weight objective isn't typically advisable. Good luck, and I hope you reach your goal soon and consider the rewarding impact of a mommy makeover as the final chapter in your weight loss journey. Sincerely, Dr. Katzen