Nobody actually ‘needs’ a tummy tuck, but when properly done by an experienced and board-certified plastic surgeon can correct many of the more frustrating signs of aging and restore a natural and youthful appearance to the legs and therefore improve self-confidence and quality of life for appropriately selected patients. There are many options and approaches for improving abdominal contour depending on skin and aging patterns, extent of laxity and fat excess, body shape, tolerance for scarring and downtime, goals, and budget. The most important consideration is finding a qualified plastic surgeon that you can trust in order to fully explore and determine your best options.