I responde to another thread about this yesterday. There is another procudure that might be an option. I had a (guessing at the spelling here) Penekelectmy. It is usualy an outpatient procedure and does not include surgical tightening of the muscles. Basicly you are cut form hip to hip and the "curtin" as my dr called it is pulled down, excess is cut off and you are stiched back up. I was able to move around the next day, very slowly. I did use prescription meds for 2-3 days but I didn't think it was so bad. I did have drain tubes for about a week and you have to wear a guirdle that they put on you as soon as you are stitched up for about 6 weeks. It was a dream come true for me not to have that horrible roll of fat hangin there. I think most dr do some complimentry lipo in combination with this and a tummy tuck. Check out your doctor carefuly, there are some horror stories out there. I need to get my before and after surgery photos on here.