Hi and welcome to our forum! From your photos, I note a protuberant abdomen with moderate stretch marks. There is a hanging pannus. The flanks and hips are full as well. BMI (body mass index equals weight in kg / square of height in meters) describes the relationship between height and weight, and is one criterion to determine the anticipated results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. In our practice we recommend a BMI of less than 30. We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs. If your BMI is above 35, we recommend a regimen of diet and exercise to reach a safe and healthy body weight. If not achievable, one may consider a bariatric procedure such as a gastric sleeve to achieve dramatic weight loss. If your weight is satisfactory, abdominoplasty will tighten the abdomen and remove lax skin and soft tissue. The remaining soft tissue is advanced downward to close the incision. This will potentially distort the appearance of a tattoo placed before the procedure. It is beat to wait until after the abdominoplasty. Visit a board certified plastic surgeon for in-person evaluation and discussion. Best wishes...