Hello and thank you for your question. For starters, it's great that you are doing what you can to maintain a healthy and active lifestyle- this helps physically condition your body for surgery and makes the recovery process easier. From the pictures you have provided, you have a significant amount of striae (stretchmarks) present throughout your lower to mid abdomen and extending to your sides into your flanks. You also have a severe amount of excess skin and subcutaneous fat in these regions. There is a significant amount of both horizontal and vertical excess tissue present. Based on all this, you would benefit from a fleur-de-lis abdominoplasty (tummy tuck) and staged 360 liposuction to improve your abdominal/trunk contour.
