Stretch marks are tears in the deeper layers of the skin. Most physicians do feel they are permanent.
Most of yours, however, can be removed with a tummy tuck because the skin is excised.
Those above the umbilicus will remain, and in my experience, may sometimes seem a little more pronounced if the skin is snug. You should discuss this with your surgeon. (David A. Lickstein, MD, Miami Plastic Surgeon)
Tummy tuck removes stretch marks belly button and below
Tummy tuck effectively removes the lax skin from the level of the belly button, down to the pubis. All of the stretch marks within the area go away with it.
The bikini after should be a go, especially if your surgeon is careful to keep the scar low and along the hip. If you have a suit in mind bring it along the day of your procedure so that your surgeon can plan to stay within the suit line. (Peter E. Johnson, MD, Chicago Plastic Surgeon)
You appear to have abdominal skin laxity and stretch marks above and below your belly button. A standard tummy tuck would be my recommendation.
This procedure places a scar inside your bell button and a long scar low on the pelvis. Scar placement varies based on your anatomy and your surgeon’s preference.
I typically place tummy tuck scars low enough that a patient can wear a reasonably sized bikini without the long scar showing. (Scott C. Sattler, MD, FACS, Seattle Plastic Surgeon)
From your picture it appears that you are a good candidate for a tummy tuck and selective liposuction. The stretch marks below your belly button would be removed. Any stretch marks above the below button would not be removed but would be down around the incision. (Earl Stephenson, Jr., MD, DDS, Atlanta Plastic Surgeon)
Tummy tuck removes stretch marks and localized fat
The photo is helpful but keep in mind that no one can give you definitive advice without personally seeing you. Tummy tucks do what you can’t accomplish with diet and exercise: remove stretch marks by taking out the skin between the belly button and the pubic area where most of them are, removing the localized fat accumulation in the abdominal area, and pulling the muscles together if they have been separated from being pushed apart during pregnancy (which is typical.) It appears that you are a great candidate from what I can tell and you should get a very good result. (Richard Baxter, MD, Seattle Plastic Surgeon)
A good candidate for a tummy tuck
I think you would be a good candidate for a tummy tuck. You have mentioned some of the key factors in determining which patient will likely have a good result: you are done having kids, you are getting close to your goal weight and are not obese, and your pictures shows excess loose skin and what seems to be loose abdominal muscles as well, both of which are improved after the procedure.
In most cases you can expect most of the stretch marks that are below the belly button to be removed, but you will still have some remaining. The other big benefit will be tightening of the abdominal muscles which will flatten your abdomen significantly.
I think if your goal is to have an improved, flatter tummy with most of the stretch marks removed, this is very reasonable in your case and you should have a very nice result. (Shahram Salemy, MD, FACS, Seattle Plastic Surgeon)
You are an ideal candidate for an abdominoplasty. You have a lot of loose appearing skin around the midsection of your abdomen and lower abdomen, that will stretch well and give you a nice contour.
In terms of stretch marks, you will be rid of alot of them, but those that are currently near your belly button or above it will still be present ( they will be tighter appearing though so less noticeable).
Go for a couple of consultations and see what different plastic surgeons have to say, but based on what I see, you should do well. (Christopher V. Pelletiere, MD, Barrington Plastic Surgeon)
Tummy Tuck for Removal of Stretch Marks
Best to see in person at least 3 boarded surgeon in New York. I recommend John Sherman or Barry Goldenberg in Manhattan. I think you can expect a great result but you will still have 30% of the upper abdominal stretch marks. (Darryl J. Blinski, MD, Miami Plastic Surgeon)