Getting lower body lift: does it look like I have a lot of visceral fat? (photo)

Based on the very few is seen in your photo.
You have not only visceral fat, also a very thick layer of subcutaneous fat, and definitely both may affect negatively the surgery outcome in terms of results and very importantly in terms of complications.
It is proven patients with high BMI (above 30), visceral fat, thick flaps are more prone to developing complications as are: open wounds, fat necrosis and local infections just because of the excess of fat. Plus visceral fat will prevent a nice and tight muscle repair, which means you will still look protruding after surgery.
You already have lost significant amount of weight, so I am sure you can lose a bit more

Thank you for your question regarding whether you have a lot of visceral fat. First “a lot” is subjective. Some patients believe they have “a lot“ of visceral fat when indeed, they don’t. In your case, it is wise to undergo a 360 circumferential lower body lift. I think you will obtain exceptional results. The 360 circumferential lower body lift eliminates abdominal, hip, mons, pubic, and buttocks excess skin and fat. It also tightens the abdominal muscle. This will get rid of the excess skin and fat above the rectus muscle. This will tighten your abdominal core. Underneath the rectus abdominous muscle is your visceral fat. This will remain but you can lose further visceral fat by conscientious eating and diligent exercise. Either way, I still would suggest that you undergo a 360 circumferential lower body lift and adhere to a high protein low carbohydrate diet after the surgery. I hope this helps to answer your question regarding whether you have a lot of visceral fat. Good luck.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Dear rluke,
generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The best time to proceed with surgery is after you are have completed weight loss and are able to maintain a steady, healthy weight. Your surgeon can go over with you if further weight loss is indicated due to visceral fat. From the provided photo it appears you will have some improvement from the procedure, but still have a fair amount of visceral fat as well.