Hello MKINDER 2367, Thank you for your question about the ideal treatment to enhance the appearance of your belly following your impressive 70-pound weight loss. Congratulations on achieving such a remarkable transformation! Your post-weight loss picture is amazing, showcasing your good genetics and excellent skin quality. It's noteworthy that you do not have any residual stretch marks, which is quite rare and advantageous. Given your excellent skin recoil and the absence of stretch marks, I would recommend considering liposuction. This recommendation is somewhat unique, as most patients who have experienced massive weight loss typically have poor skin elasticity, which does not respond well to liposuction alone. In most cases, a tummy tuck is the preferred option for significant weight loss patients, particularly for someone who has lost as much as 70 pounds. However, your photo does not indicate poor skin quality, suggesting that your abdomen may respond favorably to VASER liposuction. It's important for you to consult with several plastic surgeons who have experience in performing both liposuction and tummy tucks on massive weight loss patients. Avoid limiting your consultation to surgeons who specialize exclusively in liposuction or tummy tucks. Instead, seek out a plastic surgeon with expertise in both procedures and experience handling weight loss patients. This will ensure a more comprehensive evaluation and a tailored approach to your specific needs. Good luck with your decision-making process. I hope this response has helped clarify which treatment might best enhance the appearance of your belly after a significant weight loss of 70 pounds. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon