Tummy tuck, hands down

Resurfacing procedures (Laser, chemical peels, dermabrasion) all rely on the body's ability to heal a superficial "burn". These procedures work very well on the face, due to the excellent blood supply, but cannot be pushed to the same level elsewhere on the body. If they were done to the same extent, unsightly scarring would result.

As such, any physician doing resurfacing off the face will be less aggressive, and the results will not satisfy you (ie: that excess hanging skin you see when bending over will still be there.) Consult with a board certified plastic surgeon who does both abdominoplasty surgery and is experienced with resurfacing procedures and hear what they have to say.

If you already have a c-section scar, you already have half of a full tummy tuck scar, and you might know that it takes over a year to fade. If you go for the tummy tuck, you will have a very flat stomach, and (almost) no skin laxity.

There is more to your situation than just a bit of extra skin, as your description hints.

Yes, the skin has lost elasticity, and it sounds like you are lean and otherwise in good shape.  Howevre, the underlying supporting structures (like suspension structures), and the strength layer around the muscles are lax, explaining why things look flat when you are supine, and then slide when you are erect.

You already have the C-section scars, and likely this contributes to your deformity.  Without benefit of exam, I would urge you to see a plastic surgeon to discuss tummy tuck which will remove the old scars, excess skin, stretch marks and tighten the muscle/strength layer.  All will contribute to a sculpted torso.

The laser will not be able to get close to fixing all of the other issues.

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