Thank you for your question regarding if J-Plasma will work in place of a tummy tuck. By examining your pictures, your issue is excess skin. Not excess fat. J-Plasma may have some skin tightening qualities but it won't fix a majority of your problems. I recommend a tummy tuck with muscle plication. Most plastic surgeons include muscle plication with their tummy tucks. Muscle plication is when we permanently suture the abdominal muscles to bring in the waistline by 4-6 inches. This will help with a distended tummy after pregnancy. I hope this helps answer your question regarding whether j-plasma will suffice or if you are better suited for a tummy tuck. If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)