I had a 360 degree skin removal that lifted the butt, thighs and flattened the belly. I also has a boob lift and augmented. Though, I don't think you'll need an augmentation

I didn't need any muscle tightening done at all. I worked out with free weights, isometric exercises, and my Bowflex. You may still need a lift if you have a lot of saggy breast tissue. I know my hubby's chest sags to his belly. (I've lost 155lbs, he lost 220).
My surgery wasn't covered in any part by insurance. All self paid. Even for my hubby, who has a lot worse skin than I, wasn't able to get it covered by insurance. He even was turned down by a surgeon because he's a smoker too. His surgey, if he stops smoking, will take two operations.
I'm still in recovery, so I'll check back in to let you know how it's going. I had planned for 3 weeks off. I'll take an extra week since I had a complication.