Congratulations on the weight loss as well as the perseverance to keep up with the workouts. From your photos, it appears that you would be a very good candidate for a NO Drain, Rapid Recovery tummy tuck or abdominoplasty. You should get a great result and the rapid recovery would allow you to get back to your work outs within a couple of weeks.
You pose an interesting question since there are many options for you and just as many surgeons will give you an opinion.
What is most important is what your goals are. If your tummy tuck or abdominoplasty goal is to get rid of the excess skin in the lower tummy or below your belly button, then a simple lower tummy tuck or mini tummy would work well and have far fewer potential complications. This has the advantage of leaving you belly button in place, shortening the lower scar and meeting your wish to have less scaring.
If you are wanting a tight abdomen above and below your belly button, then you might be best advised to have a full tummy tuck. You may also need a full tummy if you have a lot of loose skin above the belly button or umbilicus.
Sometimes we can lower the umbilicus a little without leaving a scar around it and that may be ak alternative.
No matter, you should always get a consultation to help you determine what kind of tummy tuck you need to get the results you are looking for.
Make sure you chose a surgeon who is a member of the American Society for Aesthetic Plastic Surgeons. This not a guarantee that you will be getting the best but at least you will know your surgeon will have met certain criteria that make them among the best. In addition look for a surgeon who will do a NO Drain, Rapid Recovery tummy tuck. This reduces complications and drastically reduces your down time. I have added a web reference and a video that gives you information on this.
It is always best to be as close to your ideal body weight as possible before a tummy tuck. This will help to get the best possible results and decrease your potential for complications. However, some patients find that last 20 or 30 pounds hard to lose and the results of a tummy tuck can act as a motivator to finish up the weight loss. It really depends upon what you think will work best for you.
If you had a NO Drain, rapid recovery tummy tuck, you could easily be back to your desk job or back to classes at school within a couple of days. While many do not think this is possible, I have added a video testimony of a woman who had this done and she was able to get back to her regular life very quickly.
A tummy tuck or abdominoplasty would be an excellent solution for the excess skin in your abdomen and help a lot the protuberance that your profile photo shows. While a tummy tuck is not so that you can wear a bikini it would help you look considerably better in clothing.
As you look for a surgeon be sure to search out one who is certified by the American Board of Plastic Surgery and preferably a member of the American Society for Aesthetic Plastic Surgery. This will give you the best chance of finding a reputable surgeon who will get a good result for you. In addition, I would suggest that you find a surgeon who uses a no drain technique as well as a rapid recovery protocol. This will drastically reduce your downtime as well as your potential complication rate.
In my experience, most women should start staring with a tummy tuck to get a flat abdomen. Liposuction of the abdomen is an option, but it will not tighten those muscles that have been stretched out from pregnancy and may leave hanging skin in the lower abdomen that ultimately will require surgery anyway. Many women who I have taken care of find that their butt looks much bigger and better with a flat abdomen and often do not proceed past getting a tummy tuck.
When you are looking for abdominoplasty surgeons make sure you chose one who is a member of the American Society of Aesthetic Surgeons. This will give you the best chance of getting a qualified surgeon. In addition, look for someone who uses a NO DRAIN tummy tuck technique and a 24 hour rapid recovery protocol.
Tummy tucks or abdominoplasties do not have to include liposuction and a rectus diastasis or wide rectus muscle repair. These added tummy tuck procedures should only be done if you need them as they only serve to increase the potential for complications from the surgery, although this increase is usually small.
Many patients are adverse to the repair because of the recovery but with a 24 hour rapid recovery, no drain tummy tuck you should be able to do most things within a couple of days and back to the gym in a week if not sooner. You are not healed and may be on a more limited workout routine but certainly back dong things very quickly without any narcotics.
The recovery and down time from a tummy tuck or abdominoplasty can be as short as 24 hours. When a NO DRAIN, NO NARCOTICs, 24 hour rapid recovery technique is used you can be back to your activities of daily living after 24 hours. This is exclusive of muscle repair or how much is done. You are certainly not healed but you will be recovered to do things like drive, go to out shoppping and do light house chores. My patients return to the gym at a week but they start with a much lighter workout routine than before surgery.
Many surgeons and other patients either do not believe this or keep asking how this is possible but I have added a video of a patient who is seen the next day and then a month after surgery so I will let her tell you if it is possible or not.
A tummy tuck is also called an abdominoplasty and it is cosmetic surgery procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. Here is a video animation of the procedure.
While there is some downtime, with a 24 hour rapid recovery, no narcotic and no drain tummy tuck most women are back to their normal daily activities in about a day or two. Here is a link to more information on this protocol.