Good evening Independent601615, I hope this message finds you well. A abdominoplasty would be a significant procedure involving liposuction along with a skin reduction procedure which would give you a much more refined and contoured outlook showing a defined waist. It can also be used to create more defined abdominal muscle definition. It would continue to remain as good of an outcome so long as you control your diet and continue to exercise regularly. Since most of the fat cells and deposits are evacuated from those spaces, a return of fat in those areas are rare but not completely gone. Although an image is a great starting point , I would recommend a video consultation / in person consultation with a board certified Aesthetic Plastic surgeon to take this forward and thoroughly answer your query. Dr. Pranav Reddy JambulaIAAPS, ISAPS, APSI, APRAS, ASI MemberMBBS, MS, MCH, IAAPS Fellow