An abdominoplasty may be the perfect answer for you after this much weight loss, but only an examination by a plastic surgeon would really be able to give you the answer.
The surgeon would evaluate not only the amount of excess tissue that could be removed, and discuss the possible results of the surgery, but would also consider any other health issues that might need to be taken into account before having surgery. (Catherine T. Milbourn, MD, FACS, San Antonio Plastic Surgeon)
Without picture, it is hard to say what the best treatment plan would be for you.
See a board certified plastic surgeon in your area with an expertise in body contouring and tummy tucks for more individualized information.
In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. (M. Dean Vistnes, MD, Bay Area Plastic Surgeon)
Consult with a board-certified plastic surgeon who does tummy tucks. He/she can assess your health history and perform a physical examination to determine if you are good candidate. (Heather J. Furnas, MD, Santa Rosa Plastic Surgeon)
Safety is extremely important in order to reduce the risk of complications, mainly because of your age.You already have helped yourself in this matter losing weight, and losing a bit more will be even better (10-15 lbs more).
You will need also to be in perfect health condition shown in blood work and EKG Other than that, you will be a perfect candidate for a Tummy Tuck and enhance you body shape. (Laura Carmina Cardenas, MD, Mexico Plastic Surgeon)
I think that if you are within 5-7 pounds of your goal weight, you can consider having a procedure that would reduce the amount of excess skin that you have in the abdominal area. If you plan on losing more weight ,you should wait until you lose it so that you get the optimal result with the least complications.
Also, your weight should be stable and not fluctuate or else the results of a tummy tuck would not last very long. Of course, the overall state of your health is another important factor to consider before considering a major surgery, such as a tummy tuck. (Christine Rodgers, MD, Denver Plastic Surgeon)
Weight appropriate for Tummy Tuck
There is probably a significant amount of loose skin and even abdominal protrusion with laxity in the muscle wall of your abdomen. Tummy Tucks can correct these issues and at 200 lbs you can be a candidate if you are in good health and you feel you have reached a point of maximal weight loss currently. (David Liland, MD, Dallas Plastic Surgeon)
I would certainly think you are a candidate in that you probably have loose skin on the belly from the loss of weight. Also, most people with extreme weight loss have laxity to the abdominal wall muscles. A tummy tuck tightens the muscles and removes excess skin and fat. It is an operation with dramatic results not only in how you look but also how you feel afterwards. The muscle tightening helps improve core strength. Many patients become motivated to continue to lose weight and lead a healthier life. (Robert J. Spies, MD, Paradise Valley Plastic Surgeon)