Hi Jlp10231! Thank you for your question! From your photos, it looks like you would have a nice result from a full Abdominoplasty. I typically recommend patients be within 15-20 pounds of their goal weight prior to surgery. Determining when you want to start the consultation process is completely up to you. If you want to get started and find the right surgeon for you now, I would do so! Once you have chosen a surgeon, he/she can always do a second consultation once you're down to an ideal weight. I commend you for being so thorough and doing your homework. Make sure that you look at plenty of before-and-after photos and that you're thoroughly impressed with your surgeon's work. If you have any doubts, keep searching. There are many reputable, board-certified plastic surgeons in your area, and you will not have a problem finding one whose work and personality are the perfect fit for you. Best of luck!