I would suggest first doing liposuction to remove excess fat from the abdomen and flanks. Then, if you have excess skin or your muscles are weak, consider the tuck 6 months later. Weak and prominent muscles can also be treated nonsurgically with EMSculpt. You may need medical clearance first.
I would suggest going with liposuction for now to remove excess fat of your abdomen and flanks. Also, weight loss would be very helpful to get you into a much healthier weight, and no fat transfers should be done during weight loss. A weight of 285 in a women of 5'8" is not "good health."
Hello, thank you for your question and photos. Tummy Tuck and Liposuction would be suggested for you. You will have a flatter abdomen once the excess skin is removed. Contoured body shape will be achieved via Liposuction when the excess fat is taken out of the body. A better evaluation can be...