Dear Candy baby, Thanks for posting your pictures. Your BMI is 37, so in my over 32 years of experience, for your own safety, you will have to get down to BMI of 35 or less, which for you means 195 pounds or less. When you reach that goal, I recommend to start with tummy that will help you to lose more weight due to the tightening of the abdominal muscles, which will reduce the amount of food that you can eat and your sense of hunger. I do not recommend to combine tummy tuck with large liposuction or breasts reduction, because of the significant increase in severe complications, by comparison to tummy tuck alone. All these surgeries are purely elective ( you want them , you do not have to have them ) and complication should be reduced to a minimum. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Best of luck, Dr Widder