In addressing your concern about sagging tummy skin, it's important to understand that the effectiveness of a procedure can vary depending on individual factors such as the extent of sagging, skin quality, and overall health. Generally, for significant sagging and loss of elasticity in the tummy area, a tummy tuck (abdominoplasty) is often considered the most effective surgical option. This procedure involves removing excess skin and fat and tightening the abdominal muscles, leading to a firmer, smoother abdominal profile. Non-surgical options, like radiofrequency treatments or laser therapies, can offer mild to moderate skin tightening but are usually less effective for significant sagging skin compared to a tummy tuck. These non-surgical treatments might be more appropriate if the sagging is less severe or if you prefer a procedure with less downtime and fewer risks. It's crucial to have a personalized consultation with a trained plastic surgeon. They can assess your specific situation, discuss your aesthetic goals, and recommend the most suitable treatment plan. Keep in mind that each procedure has its own set of risks and benefits, and your surgeon can help you understand these in the context of your individual needs and health status. All of that being said, bending over should produce some wrinkles in your skin - that is normal.