Hello Fearless, Thank you for posting photographs and asking a question.Looking at the photographs shown, I would say you need a tummy tuck to remove the excess skin. Bodytite and other skin tightening procedures work best for patients with good quality skin that needs minimal tightening. Patients that have very damaged skin, loose with stretch marks, tend to need a tummy tuck to remove that skin. During the tummy tuck surgery, abdominal muscles are brought back together to flatten the stomach, and the damaged skin is removed, leaving the abdomen flat and tight.In general, women who have had children tend to need a tummy tuck as the abdominal wall has possibly widened (separation of the muscles along the midline of the abdomen known as diastasis).During the tummy tuck, these muscles are brought back together, which gives the stomach a lean appearance without a pooch. 'I recommend you acquire several in-person consultations with surgeons who are very experienced in these procedures before making a final decision. Best of Luck.