What procedure/s would be most helpful for my tummy and back (skin removal or fat removal)?

Congratulations on your weight loss!

A tummy tuck is recommended for your front to tighten the loose skin and remove unwanted fat. For your back, it depends on the quality of your skin. If you have loose skin, a circumferential tummy tuck would help. Liposuction can also be performed to enhance results. An in-person consultation with a board certified plastic surgeon is recommended to determine which treatment would be most suitable.

Congratulations on the 65 pound weight loss. I cannot see your lower abdomen in your photos, so I have no idea how much overhanging skin you have. Generally, with that much weight loss a tummy tuck is required for the most optimal result. If there is no overhang, then a liposuction with a Renuvion to tighten the skin may work.

For your back area, a liposuction with the Renuvion (formally called J-plasma) to tighten the skin would give you a beautiful result. The Renuvion is like shrink-wrapping your skin.

Thank you for our question and photos, and good luck.