Thank you for your question and for sharing your photo. Based on the details you’ve provided, the skin you’re pinching does not appear abnormal after a tummy tuck, especially for someone who has undergone significant body changes. It's common to have some residual laxity in areas adjacent to the primary tummy tuck site, such as the flanks or hips. If the loose skin bothers you, one option to address it could be a vertical torsoplasty, which removes excess skin along the sides with an incision that extends from the armpit to the hip. This would help tighten the skin significantly. However, this procedure does leave a visible scar, so it’s important to weigh the trade-offs. If you prefer to avoid further incisions, other non-surgical skin-tightening treatments like radiofrequency or ultrasound-based therapies may provide mild improvement, though they won't be as effective as surgery. Ultimately, whether or not you choose to proceed depends on how much the area bothers you cosmetically, as it doesn’t seem particularly noticeable in your case. Consulting with a board-certified plastic surgeon will provide you with more personalized advice and options. Sincerely, Dr. Katzen