Hello, from what I see in your photo, you definitely don't need a tummy tuck surgery. Abdominoplasty is recommended when there's a 'sad face emoji' appearance, meaning when the edges around the belly button droop down. Your skin only shows some looseness and waviness, so Thermage would be an excellent choice. Thermage is a single-session treatment; its effects last for a long time and are particularly successful in areas like the abdomen, inner arms, and inner thighs. It tightens loose skin. Until now, we could only elevate the subdermal temperature to 80 degrees Celsius in a surgical setting under general anesthesia using J Plasma. Only J Plasma could achieve this before Thermage FLX came along. However, Thermage FLX elevates the subdermal temperature to 80 degrees without causing pain, thanks to its vibration feature, and in one session, it eliminates cellulite and sagging. Thermage FLX can be administered in a clinical setting, without anesthesia, without disrupting daily life, and within a short period. Thermage is an extremely superior and effective technology. I highly recommend it with confidence.