My stomach shows a lot of fat when I bend over / sit down. Can you help? (Photo)

You may want to consider liposuction for the lower abdomen region.  If you skin elasticity is also compromised from over stretching with weight gain, then a mini-tummy tuck may also be in order.  One non-invasive approach you can try first is Coolsculpting in this region.  You may need one or two treatments to notice the reduction.  If after this, you have more skin laxity than you desire, then the mini-tummy tuck would be the right option.  Otherwise, if the Coolsculpting procedure gets you what you are looking for, then your done.

Thanks for the question. It is difficult to tell through picture if you need liposuction, but from what I see you seem fit to undergo liposuction. I recommend you seek an in person consultation with a board certified plastic surgeon to evaluate and determine if you need liposuction.All the best,Dr. Results