Loose Skin or is It Fat?

Don't worry, you have a common concern. There are many problems leading to abodominal fullness. First is fat, but you seem to be exercising well without any change in your abdomen. The second is diastasis of your abdominal muscles. When you have children the fascia holding your rectus muscles (six pack) together becomes loose and the abdomen has a round appearance despite exercise and weight loss. In this case, you may require a surgery (abdominoplasty or "tummy tuck") to tighten the muscles back together and to excise any extra skin. This is a common operation. The incision can be hidden in your waist line and the surgery can be combined with liposuction to help define your flanks and remove any excess fat.
The best way to tell if you have fat, extra skin, or diastasis of your muscles is to feel your belly.
If you can "pinch and inch," then there is fat which may be improved with liposuction.
If all you feel is loose skin, then it is likely a skin issue requiring abdominoplasty.
If your abdomen remains round despite tightening your muscles (six pack), then you likely have diastasis requiring tightening.
Good luck.

Dear Livinthedream,

Thank you for reaching out and sharing your concerns. Based on your description, it sounds like you may be experiencing a combination of excess fat and loose skin in the lower abdominal area, commonly associated with muscle separation, also known as diastasis recti.

Diastasis recti occurs when the abdominal muscles separate, often as a result of pregnancy or significant weight fluctuations. This separation can create a bulging or protruding appearance in the midsection, even in individuals who are otherwise fit and toned.

Given your history of pregnancy and the changes you've noticed in your abdominal area despite your efforts with a personal trainer, it's possible that you have diastasis recti contributing to the appearance of your belly. In cases like yours, a tummy tuck procedure can be incredibly beneficial.

A tummy tuck, or abdominoplasty, is a surgical procedure designed to address excess abdominal skin, tighten weakened or separated abdominal muscles, and remove stubborn pockets of fat. By repairing the muscle separation and removing excess skin and fat, a tummy tuck can help restore a flatter, more contoured abdomen and improve overall body proportions.

I recommend consulting with a board-certified plastic surgeon experienced in performing tummy tuck procedures. During your consultation, your surgeon can evaluate your abdominal area, discuss your goals and concerns, and recommend the most appropriate treatment plan to help you achieve the results you desire.

Sincerely,

Dr. Katzen
Plastic Surgeon

Thank you for your question. It is hard to provided with a valid medical opinion without photos.  I would suggest to be treated by board certificated plastic surgeon with experience in this procedure, to get the best desired results.
Kind Regards,Dr. Emmanuel Mallol Cotes.-