Thank you for your question regarding what to do with your abdomen in regards to excess skin and fat of your central and lateral abdomen. My opinion would be to try to lose as much weight as you possibly can. If you cannot lose any more weight and your weight has plateaued then I would suggest a tummy tuck or abdominoplasty. During the abdominoplasty, the rectus abdominus or six-pack muscles are repaired and the mons is lifted and reduced. Typically, all of the skin and fat from your c-section scar to above the belly button would be removed from hip to hip. I would suggest an extended tummy tuck to go past your hips to take care of the love handles and excess skin and fat. At the conclusion of the procedure, I would also suggest lipo over the love handle region to remove even more fat. In conclusion, I would suggest a horizontal tummy tuck, muscle repair, pubic lift and reduction, and liposuction. I hope this helps to answer your question regarding what to do with your abdomen. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. 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, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)