Dear Leila, Thanks for posting your picture, though additional side view would have been very helpful. From observing your picture you appear to have abdominal skin and muscles laxity. The corrective procedure depends on your goal. For optimal result you will benefit from a full tummy tuck because your muscles laxity appear to start from the mid upper abdomen. This procedure will give you flat stomach, narrower waists, improved body posture and most likely you will lose weight due to the muscle tightening that will reduce the amount of food that you can eat and your sense of hunger. If you are only bothered by the hanging paniculus, than just cutting it out will suffice. Always consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety.Most importantly, check the before and after pictures of tummy tuck surgery in the photo gallery. to make sure that they are numerous, consistent and attractive as mentioned above. Best of luck, Dr Widder widderplasticsurgery.com