Can a tummy tuck with 360 degree waist lipo give me a more hourglass shape and remove this loose skin ABOVE my belly button? (ph

From what I can see in the picture you provided, I believe a Tummy Tuck will be a great procedure to help with rejuvenation of your trunk. With a full Tummy Tuck I would expect to be able to remove excess skin, tighten and somewhat flatten and support the muscle wall of the abdomen, and shape in the waistline and lower back area.In addition to liposuction of the "love handle" area, the waistline is also shaped from the tummy tuck through both the tightening of the muscle wall as well as from the downward and inward movement of the skin above the belly button that is accomplished with removal of skin from below the belly button.With Tummy Tuck procedures I commonly also perform a small amount of fat transfer to the outer buttock area. Even in thin patients like yourself, we are able to improve the pretty curves of the feminine figure with this fat transfer and give a figure more like the one you show in in the first picture.While a tummy tuck will not completely transform you into your "wish" picture, I believe that you would enjoy a significant step in that direction. I recommend that you visit an experienced plastic surgeon -- I suggest that you seek out a surgeon that has significant experience with both tummy tuck and fat transfer in patients like you.Hope this helps.Nick Slenkovich, MD

  I think that a tummy tuck with liposuction of the sides and back will produce your best result.Kenneth Hughes, MDBeverly Hills, CA

It is not possible to tell  from the photos how much narrowing of your waistline you could achieve with lipo and tummy tuck, but probably not as much as the goal photo because you have different hip-to-waist ratios. There are several versions of a tummy tuck, and on occasion I consider a reverse tummy tuck when the skin laxity is in the upper abdomen only.