Hello Andrea,
Firstly, well done with the weight loss. It's not easy particularly when you hit menopause and it becomes harder to shift the weight. The first thing you need to do is to make sure you are at or close to your ideal weight for about 4-6 months. If I perform surgery like this and you go on to loose additional weight you'll only have loose skin afterwards.
Assuming your weight is stable then you really need a full examination by your plastic surgeon to make sure which kind of 'tuck' you might be best suited to. Tummy tucks range from mini-tummy tucks to conventional abdominoplasties all the way to belt lipectomy. A belt lipectomy is sometimes called a 'body lift' and goes all the way around your mid section. For patients that have had massive weight loss this is often the best way to address the excess laxity.
All of these operations are best when it is mostly excess skin (and not fat) that are treated.
If you like I made a few videos on this topic that you can find here:
http://www.parkclinicsydney.com/plastic-surgery/body/tummy-tuck/

If you want some more personalised advice don't hesitate to email office@parkclinicsydney.com or call 1300669488.
All the best,
Alex

Hi Andrea.
Well done on the weight loss. Not an easy feat by any means. Its' also great to hear that you are continuing to live a healthy lifestyle.
The unavoidable outcome of such massive weight loss that you have come to experience is, of course, excess loose skin, especially around the tummy. "Tummy tuck" techniques can vary, depending on the state of the abdomen and the degree and location of the loose skin. In general, abdominal contouring surgery after massive weight loss will either be a standard abdominoplasty (removal of excess tissue from the front only) or a more extensive belt lipectomy/lower body lift. Adjunctive procedures such as liposuction may be done at the same time if indicated.
What's equally important in this kind of surgery is optimising a patient's healing ability prior to, during, and after surgery. Complications from body contouring surgery can occur and, depending on the patient, can be greatly minimised by ceasing smoking, controlling diabetes, and optimising other blood parameters such as haemoglobin and protein levels.
Abdominoplasty can be a very gratifying surgical procedure, both for patient and surgeon. It is often the "last hurdle" in the patient who has achieved successful significant weight loss.
I hope this helps. Please feel free to contact my staff if you wish to find out more.
Warm regards,
Dr Ray Goh