Abdominoplasty surgery
The overhanging and saggy skin on your lower abdomen can only be removed surgically with a abdominoplasty surgery.
No amount of exercise will help with that. After multiple pregnancies, your abdominal muscles have likely spread apart. The tummy tuck procedure can address that as well.
Your images are not ideal, however it does appear that you have some fat inside the abdomen (underneath your abdominal muscles) which is not addressed with the procedure.
Further weight-loss will help with this. My advice is to seek a consultation with a board-certified plastic surgeon who can examine you and offer realistic expectations from the procedure.
Abdominoplasty surgery image
I have performed abdominoplasty surgery on many patients who look like you who have achieved excellent results and are extremely happy. (Erik Miles, MD, FACS, Charlotte Plastic Surgeon)
From your photos it appears that you would be a good candidate for a tummy tuck. You would need a formal exam and need to see a board certified plastic surgeon. (Gaurav Bharti, MD, Johnson City Plastic Surgeon)
You may indeed be a good candidate for tummy tuck, especially if your weight is stable and you are not planning more children. There are many factors to be considered including status of your rectus muscle, how much fat is inside the abdominal wall, and how much excess skin you have.
Abdominoplasty surgery medical reason
If you visit with a board-certified plastic surgeon, you can have all your questions answered. (Heather J. Furnas, MD, Santa Rosa Plastic Surgeon)
It appears that you may be a good candidate especially if you BMI is around 30. Please consult with several board certified plastic surgeons. (Earl Stephenson, Jr., MD, DDS, Atlanta Plastic Surgeon)
Provided you are otherwise in good health and are indeed finished having children, based on your photos (unsure if you are “relaxing” your abdominal muscle tone, however), you would currently be a reasonable candidate for a tummy tuck. You would probably be an even better candidate, however, with some significant preoperative weight loss, as it appears you have a fair amount of intra-(inner) abdominal fullness, as well as the obvious external tissue excess (the latter is more easily treated with a tummy tuck, but aggressive midline muscle tightening can do a fair amount for the muscle framework issues).
Abdominoplasty surgery photo
Ultimately, you would definitely get a better long-term result with pre-operative weight loss (which would also likely lower your risk for wound healing issues or a blood clot in the limbs and/or lungs) and toning activities. Conversely, there would be some limitations in the potential result of a tummy tuck performed at present, and weight loss thereafter would probably result in more laxity of the tissues that remain (although either way, you would definitely have an improved appearance overall).
Just be sure to have this somewhat challenging case performed by a board-certified plastic surgeon with adequate pre-operative clearance and anesthesia care, as well as post-operative follow-up. (Paul M. Steinwald, MD, Denver Plastic Surgeon)
Am I a Good Candidate for abdominoplasty surgery?
Abdominoplasty surgery picture
The Abdominoplasty surgery before
Looking at the photos that you have provided, it does appear that you have some extra abdominal skin/fat that could be removed with a tummy tuck.
However, it does also appear that you also have quite a bit of intra-abdominal fat that would not be corrected with a tummy tuck. Therefore, your result may be less than ideal.
You would likely end up having a roundish appearance to your abdomen rather than a nice flat appearance.
However, looking at the photos you have provided does not substitute for an actual in-person examination. Definitely, meet with a board certified plastic surgeon to find out more, but be prepared for he/she to recommend that you lose some weight prior to a tummy tuck in order to achieve better results. (Joshua Cooper, MD, FACS, Seattle Plastic Surgeon)
