I’m a 39-year-old, 6.2” male. In my early 20s, I weighed 280 lbs, but I now weigh 185 lbs after several years of caloric-deficient weight training, resulting in a significant weight loss, I have some loose skin. Trying to figure out what type of tummy tuck I need (extended/circumferential).  I would appreciate some professional opinions. I have had a few virtual consultations through pictures, and they’re putting me for a mini tummy tuck. 
4 photos
Answers (2)
From board-certified doctors and trusted medical professionals
Hello and congratulations on your weight loss!You do have both vertical and horizontal skin laxity. A FDL would excise more skin and lead to a tighter result but you will have a vertical scar. If you want to avoid the vertical scar, you will still have a nice result with a standard...
It is ok to get an umbilical piercing, but you risk the piercing rejecting itself d/t the scar tissue around the belly button. This would lead to more scarring. If you do get a piercing there, make sure they are piercing deep from the scar tissue and only through healthy tissue.
From the photos it appears liposuction of the fuller area on the hips would improve the contour. Since this is a smaller area there is a possibility that the liposuction could be performed under local anesthesia in the office surgical suite. I've included a video I hope you find helpful.
