Thank you for sharing your photo! It is difficult to tell without personally evaluating you, but people who have especially slack skin in their midsection and abdominal muscle weakness need more than what diet and exercise alone can offer. A surgical correction with an abdominoplasty reduces fat, tightens the abdominal wall muscles and removes hanging skin. A non-surgical option is EMSCULPT – the only non-invasive procedure to help both women and men build muscle and sculpt their body. In addition to reducing fat of the abdomen and buttocks, EMSCULPT helps builds muscle to create a tighter, more defined look. It can also help improve diastasis recti, or the separation of the abdominal muscles from pregnancy. And with no downtime! I suggest making an appointment with a board-certified plastic surgeon for consultation to discuss your options.