Thank you very much for your question and photographs. There are several factors to a successful cosmetic surgery procedure, including a Mommy Makeover. Generally, patients’ needs to be at a stable weight that is close to their ideal shape. Additionally, every surgeon will have their own set of protocols, but in most cases, an ideal patient will have a BMI of 30 or less. My recommendation is for you to schedule a consultation with a board certified plastic surgeon, who can perform a physical examination and discuss your medical background. At this time, he/she will determine if now is the best time to schedule a Mommy Makeover, or if you will need to shed added weight before considering surgery.