What would be the recommended procedure to fix my midsection? (Photos)

Dear lighthouse_lady,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

From your photos it appears you are a good candidate for a tummy tuck with liposuction for contouring. This would remove excess fat and skin as well as repair the abdominal wall laxity that is common after twin pregnancies. The liposuction could help accentuate your curves. The procedures can be done together. The next step is to visit with a board certified plastic surgeon near you to learn more.