Is liposuction the solution for my tamoxifen/menopause-induced muffin top? (Photo)

Your pictures show that liposuction could make a major difference in your situation. It is good that you are exercising, but you should also be careful about how many calories you are having in your diet. You don’t have any stretch marks and this indicates that your skin is in good shape for liposuction. 

Based on this photo you are a prefect candidate for body contouring by means of liposuction. In person consultation with a board certified plastic surgeon with good reputation in  body contouring should be your next step. good luck.