The only way to reliably remove the stretch marks is to remove the skin containing the stretch marks. The only way to do this is with an abdominoplasty of one kind or another. The trade-off will be the presence of a lower abdominal scar which can be placed low on the abdomen and will in most cases be concealed by most underwear and most bathing suits.
A well-placed, concealed scar is in the opinion of most of my patients preferable to the appearance of the abdomen post pregnancy with localized fact, stretch marks, skin laxity and laxity of the abdominal muscle layer. Each of these problem areas can be addressed by the abdominoplasty.
All the stretch marks located below the belly button can usually be removed, however, some of the stretch marks around the belly button and certainly those above the belly button will not be removed, however, their relative position on the abdomen will be lower.
Again, you must weigh the overall improvement in the appearance of the abdomen to the presence of the scar. He should take the time to look at before and after photographs before embarking on this procedure and even talk to several patients who have had the procedure.
