as you can see, you got answers from surgeons all over the world. All of us agree that you will propably need a tummy tuck, combined perhaps with other procedures.
Please do not underestimate that this is a surgery. It needs controls afterwards. Thus you should decide do do that at a place near to the place you live ! In case of any problem it would be safer !
Best regards, Dr. Meyer-Gattermann from Hannover, Germany