Best results are obtained with tummy tucks when a patient is as close as possible to their ideal body weight before proceeding. As such, if you weight 280 pounds, it would be best to lose at least 100 pounds before moving forward with this type of procedure. However, if the excess skin is bothering you and you just can't weight, there is an alternative. A technique known as a panniculectomy can remove excess skin without addressing muscle laxity. You could certainly look into this procedure and then plan to have a definitive tummy tuck in the future when you are closer to your ideal body weight. I hope this helps!
I recommend patients to be at their ideal weight before any tummy tuck or liposuction surgery for best results. Weight gain and weight loss significantly increase the chance of undesirable results.