To make an accurate quality assessment, we need to see quality pictures. Look at how plastic surgeons take before and after pictures to get an idea of how we need to view your body to make an assessment. Basically you should take pictures of your body that’s cropped, including your body from your neck to just below your knees wearing undergarments. Take the picture from about 8 feet away. Using the timer on your camera or have someone else hold the camera. Include pictures, showing your front, side, and back side. We cannot access bodies for cosmetic surgery if you’re wearing clothing. It looks like you would be a very good candidate for a liposuction with or without fat transfer. There’s a great deal of variability among different plastic surgeons in their approach, skill and experience with these procedures. It makes a great deal of difference if you find the right provider. For that reason, I suggest patients have multiple in person consultations to help them find the right provider for your needs. During each consultation, ask you to provide her to open up your portfolio and show you as many pictures as possible of previous patient, who had similar body characteristics to your own. For reference an experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like or how many of these procedures any one surgeon has actually performed. Patients should steer on being more selective And be critical of plastic surgeons during the vetting process. The results from these procedures is permanent and irreversible. You’ve done poorly people can be left with undesirable outcomes that are not correctable. There are generally only two variables that determine quality cosmetic surgery outcomes. The first is the patient’s candidacy for the procedure and the second is the scale of the surgeon. There isn’t that much patients can do to change during candidacy, but what patients do you have control over is choosing the right provider. That is a powerful tool that everyone should use to their fullest advantage. Having multiple consultations is time-consuming but in my opinion, it is very well worth the effort. Believe me when I tell you that there are major differences, depending who you choose, despite being board-certified, having years of experience and lots of positive reviews. The time to be critical of plastic surgeons is before you schedule surgery. Even though your picture is very limited, I do think you may be one of the best candidates for body contouring I’ve seen in a long time. My best recommendation is to be as selective as you possibly can insisting on seeing sufficient before and after pictures in both quantity and quality before scheduling surgery. I typically recommend patient start by having at least five in person consultations before scheduling surgery. For some people, it may require more than that. Having a single consultation, and then scheduling surgery really doesn’t give you any chance to compare providers at all. That is the number one biggest mistake people make when it comes to cosmetic surgery. Find the right plastic surgeon, and everything falls into place. Good luck, Mats Hagstrom MD