Thank you for your question and photographs. Based on your pictures you
are most likely a candidate for a full “tummy tuck”.
You must pass a medical clearance before surgery specially for COPD as this patient can put significant stress on their plication and scars.
The way we correct the rectus diastasis or “pooch”
it's by plicating or sewing the muscles back together into the midline
after being displaced laterally after pregnancy. The corrected the skin
laxity that you had I would recommend not pursuing a mini- tummy tuck,
as you can imagine keeping the scar centrally located would not allow
you to remove all the skin elasticity that you need for a good result.
Liposuction is not a good idea in your specific case, as this will only
worsen the amount of stretched skin, and usually tightening of the
muscles underneath is not perform during this procedure.
It is best
to discuss your concerns with a bore certify plastic surgeon were he can
perform an examination and give you a better idea of the potential
outcome while sharing your goals with this surgery. Using pictures will
give us an “idea” of your problem however this not replace a physical
examination. My advice to you is to do your homework, find someone who
is board certified, look at before and after pictures, discuss your
goals and ask for a scar regimen after your surgery to improve the
quality of the scar.
Best of Luck !