Standard tummy tuck or extended? + BBL (Photo)

I would begin with a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique also lifts the upper abdominal skin. At the same time, you can undergo a tummy tuck. You will eventually need a circumferential lift.

Best Wishes,

Gary Horndeski, M.D.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided , for a detailed and personalized plan I would recommend that you consult with your plastic surgeon in person.
As you start consulting with different plastic surgeons you will get different opinions, and you will have to decide based on who you feel comfortable with. but all of them will probably ask you to reach your goal weight first if possible prior to your surgery. If you are already there then they will assess the reason of the bulging upper abdomen , if it is internal fat then surgical intervention will not fix that , if it is secondary to an over stretched fascia then plication during a tummy tuck will fix it . If it is external fat then coupling your abdominoplasty with liposuction will probably fix that issue. When it comes to proceeding with an extended vs regular abdominoplasty , based on the pictures , you do seem to hold some fat and loose skin in your flanks, the fat can be taken down through liposuction but you will likely benefit from an extended abdominoplasty as that will deal with the excess skin and help avoid any dog ears, that being said this will include a longer scar but will give you a better hourglass shape .
I hope this helps, best of luck!