Hi DianaJ89, Thank you for your question regarding "Do I have loose skin?" Thank you for your history and your pictures. Yes, you have excess abdominal skin and fat. Based on your pictures, you would do best with a tummy tuck or abdominoplasty, rather than lipo. A tummy tuck would eliminate your excess abdominal skin and fat. If you undergo liposuction, even if you use VASER liposuction, there is no guarantee that your abdominal skin will snap back. If you have VASER liposuction, you will probably will have skin irregularities and asymmetries. I hope I have answered your questions about "Do I have loose skin?' Good luck. Sincerely, Dr. J. Timothy Katzen, MD