I’m 5’1 201 pounds
Congratulations on your weight loss and lifestyle change! If the submitted photos are current- then I would consider additional significant weight loss. The vertical component is reserved for reducing the circumferential excess. The horizontal excess that is the tissue hanging below your belly button is treated with extended transverse incision. If you proceed with a tummy tuck now- before any further weight loss, the low transverse incision should be adequate
Hello dear!Thanks for the question and provided information as well.Unfortunately, right now your BMI is 38 and it needs to be 33 or less, for you to be considered a good candidate for plastic surgery.l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and the best options for you.Good luck :)