My Body Looks Like an Hourglass Figure in the Mirror and Photos, Can Surgery Make It Look Like This in Real Life?

Thank you for your picture.  You can achieve the shape desired but it will require several steps

1.  Significant weight reduction

2. Tummy tuck with liposuction after stabilization of your weight

You must consult with a BC PS to get your plan of action organized.

Dr. ES

Hello dear!
Thanks for the question and provided information as well.
Unfortunately, right now your BMI is 44 and it needs to be 33 or less, for you to be considered a good candidate for plastic surgery.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and the best options for you.
Good luck :)