What procedures would you recommend? Or in what order? Loose skin? (Photo)

Thank you for your query. Your skin seems to be quite good and a tummy tuck may not be needed. A 360 Vaser Liposuction with breast and/or buttock augmentation will give you very good contours. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Greetings! There are a few issues going on in this picture, Full abdominoplasty with muscle repair is the best option based on photos for possible rectus diastasis " muscle separation" from pregnancies and c-section. There is intra-abdominal fat in the abdomen which is fat meant to protect organs, this layer of fat can't be liposuctioned it can only be lost with diet and exercise changes. Mini Abdominoplasty "mini tummy tuck are for those with minimal skin laxity and no muscle separation. Please feel free to schedule a consult to discuss your body goals.
Mays Plastic Surgery

Dear Considerate357572,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would need to reach goal weight prior to any procedure. And also, you will most likely need tummy tuck in order to get good results. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello, You are a candidate for tummy tuck and BBL which would also cover you with Lippo 360, to take advantage of all the fat in the same process. Breast surgery is a surgery that can be done before or after, it is a decision to be made in consultation, for us the patients' personal goals come first.

You can text us via whatsapp 1-829-554-6062 so that we can give you the necessary recommendations abaout surgery. A pleasure to help.

You bring up many different surgical options.
I think you need to focus on what bothers you the most and what you’re trying to achieve.
Let’s start with the front of your abdomen.
There are four tissue variables that determine what the abdomen looks like.
if somebody says they don’t like the way their belly looks then it is almost always because of one or more of these four tissue variables.
Understanding which tissue variable is contributing more to the problem determines which is the better procedure.
The four variables that determine what the abdomen looks like are the following.
1) Abdominal skin laxity, typically due to previous pregnancies or significant weight loss.
2) Excess subcutaneous fat.
3) Muscle separation from previous pregnancies.
4) excess visceral or intra-abdominal fat.
In regards to treatment options at tummy tuck primarily treats, pregnancy related changes, which are going to be skin laxity, and muscle separation.
Subcutaneous fat is the only variable treated by Liposuction.
Excess visceral or intra abdominal fat can only be reduced through weight loss.
In your case, I would say you have moderate abdominal skin laxity, moderate excess subcutaneous fat with significant bulging of your abdominal wall.
The bulging of your abdominal wall is due to muscle separation and access visceral fat.
Without producing the visceral fat, you’re not a good candidate for a full tummy tuck, which is your best surgical option if you want a flat tight abdomen.
Differentiating muscle separation, and excess visceral fat can be somewhat tricky, but is key for understanding your candidacy for surgery.
Liposuction is not going to get you a flat abdomen may create slightly better in your waist line.
The best outcome would come from first having significant weight loss followed by a full tummy tuck.
To make an assessment for a BBL we need to see your body from your neck to your knees.
Your pictures don’t include proper views of your buttocks or thighs.
Likewise, without seeing pictures of your breast, we can’t make an assessment regarding breast surgery.
I don’t know what local plastic surgical prices are like in your community but I think $6000 maybe insufficient to get quality work done.
My best recommendation is you start with the obvious which is weight loss if you want to look and feel better about yourself.
Weight loss is free And surgical outcomes are going to be limited unless you lose weight first try
I recommend you avoided temptation of making your own assessment or deciding what your best course of treatment is without having in person consultations with plastic surgeons in your community.
For now I suggest you focus on weight loss and schedule in person consultations with local plastic surgeons.
Best,
Mats Hagstrom MD