Thank you for your question regarding whether you need liposuction and a tummy tuck. Thank you for attaching your pictures. Based on a single picture, you have stretch marks and skin elasticity, especially around your belly button. That means liposuction alone will yield a very poor result. In my opinion, you need a tummy tuck. You may benefit from liposuction over the love handle or superior iliac crest region if you want more contour and perhaps a less boxy look. However, it is paramount that you have a tummy tuck to improve your abdominal wall. Your abdominal wall can not improve without a high skin irregularity risk. Thank you for your question regarding whether you need liposuction and a tummy tuck. If you have any more questions regarding the tummy tuck or abdominoplasty, please contact my office. Since an abdominoplasty can be a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing tummy tucks. Do your research. Make sure your chosen plastic surgeon has performed at least 100 abdominoplasties. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Good luck! 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, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)