Getting a full tummy tuck with lipo to love handles and bra area. Do I have too much visceral fat to have a flat tummy?

Based on your limited photo, you appear to be anatomically a candidate for a full tummy tuck and liposuction of selective areas. It is difficult to tell whether you are a good candidate without a physical examination and complete medical history. It would depend on your anatomical findings, motivation, realistic expectations, and whether you are finished having children. An abdominoplasty should be delayed until you are within 10 pounds of your ideal weight and have finished all of your pregnancies. Lesser procedures will not produce a good cosmetic result in a patient with your anatomy.

If a member of my family underwent a tummy tuck, it would be performed by an experienced plastic surgeon who is board certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery (ASAPS) . If you are serious about undergoing these procedures, you should have a thorough consultation with a plastic surgeon having those credentials, who will fully explain what is entailed in the procedures, including both the positives and potential problems. You should be complimented on the fact that you are seeking valid information before jumping into any procedure. 

Robert Singer, MD FACS

La Jolla, California

Hard to tell exactly from photos how much is intrabdominal--but it looks like you should have a fantastic result and be waaaaaaayyy flatter.  If your up to it post after photos on real self I think you will look great

Thank you for sharing your question and photographs.  Though best determined with an in-person examination it does appear that you have an increased amount of visceral fat that can only be treated with diet and exercise.  That said, based on your apparent skin excess a tummy tuck would offer you a very nice improvement, especially if combined with some liposuction of the waist and flanks.  Hope this helps.