Is this a realistic tummy tuck expectation for a contoured/hourglass look?

You appear to be a great candidate for a tummy tuck with liposuction for sculpting. While your goal body may not be realistic, I do offer an additional procedure to my tummy tucks called "waist enhancement" that reduces the waist even further. Consult with a board certified plastic surgeon to learn what options are available to you. Good luck.

A short-scar TT was developed to enhance a patient’s abdomen and get rid of excess fat and skin in a way that created more attractive results. The shorter scar it leaves is the same length as that of the mini TT.  A short-scar TT, however, offers double the amount of loose skin and fat removal that a mini offers.
A physical exam would be necessary to determine what procedure (short,full) is most appropriate for you to achieve the results you are seeking.  A TT addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen.  The TT also creates a more youthful belly button. 
Liposuction, along with the TT, will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (stomach, flanks, back).  If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same.  A smaller waist may make the buttocks more conspicuous, but definition will not change.
Healthy people at their ideal weight should have the best overall recovery from a TT, but some of this will depend upon the surgical technique and adherence to postoperative protocol. Your anatomy is incompatible with your aesthetic goals, but I think you would be pleased with the results.

Thank you for your question and photos. From your photos you appear to be a good candidate for a tummy tuck and lipo, since you do not plan on any future pregnancies. I think your desired after photo is not a realistic expectation of outcome from this procedure. Be sure you meet with a board certified plastic surgeon. 

You are a very good candidate for a tummy tuck. It will make your tummy flatter and tighten the skin very well. However it will not narrow the waist much of at all. It’s a great operation for someone like you but it won’t accomplish everything you want.

Thank you for your question and photos. It is impossible to compare your limited view photos with the full body bikini wearing "wish" photo. You can achieve a very good result with VASER Hi Def Lipo 360 degrees and a modified 4D tummy tuck with a very low pubic bone level abdominoplasty scar and a natural no scar belly button in the hands of an experienced body sculpting surgeon. Fat grafting to the buttocks might further enhance your shape and results. There's no reliance on mesh to give you an hourglass figure. Placement of a mesh is not a substitute to good surgery by a board certified plastic surgeon who can define your anatomy based on your muscle and bony frame. good luck in your search. See the attached web reference. No fat grafting was done.

If you are not planning future pregnancies, the technique I recommend is abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.Best Wishes,Gary Horndeski, M.D.

Hello
and thank you for your question and sharing your photos. Based on the photo, I believe you are a great candidate for tummy tuck.  During tummy tuck, extra skin in the
lower half of your abdomen including the stretch marks will be removed. In
addition, typically the fascial laxity/separation of recti muscles will be
taken care of by muscle plication, giving you a flat abdomen. The added
liposuction of your hips/flanks will help with creating a natural and aesthetic
waistline. Incision can be placed very low to be hidden under bikini. With
proper surgical technique, belly button can be designed to  be a true
'innie'. It's important to understand that tummy tuck cannot change the underlying body frame and therefore, individual results can vary, as everyone has a different anatomy. Recovery from tummy tuck is 1-2 weeks. Strenuous activity and lifting
heavy weights should be avoided 6 weeks to 3 months post op. I would seek
consultation with a board-certified plastic surgeon for a full evaluation and
advice. Best,
Pejman Aflaki, M.D.                                            
Johns
Hopkins-trained double board-certified plastic surgeon

I appreciate your concerns and desires and it appears from your photos that you would be a reasonable candidate for Tummytuck surgery. Your exercise regimen sounds excellent and Tummytuck should contour your body nicely. It is hard sometimes to match expectations with wish photographs, and this must be understood. Discuss your concerns and aspirations with a board-certified plastic surgeon in your area. Good luck

Dear BBxH,
Based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Your results will be most likely similar to your body before the pregnancy. It can be additionally enhanced by flanks liposuction. I would suggest you to consult a board-certified plastic surgeon because 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

Thanks for your question.First of all, even though we have a sportive and active life routine, we may not be able to prevent sagging after birth. You also said you had fat on your side. The only thing that can be done is the application of liposuction. I would definitely recommend Tummy Tuck surgery for you. But I strongly recommend that you find a good and experienced doctor while performing this surgery.I wish you a good day.