Can I get a tummy tuck without having to loose a lot of weight prior? (Photo)

You can have a lipoabdominoplasty which is a combination of liposuction and TT. In this operation liposuction is performed first in the abdomen and the hips. This allows mobilisation of the skin without the need for excessive undermining. You can expect good results with tighter skin and less fat under the skin of the abdomen and hips.

Hello and thank you for your
question. Based on your photograph and skin laxity, you are a candidate for a tummy tuck
with liposuction at your current weight.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon