After a tummy tuck surgery will I be able to get pregnant again without causing a big mess up in the abdomen? (photo)

Hello, thank you for your question and the pics. You are definitely a tummy tuck candidate, and as you well put it, only a tummy tuck will get you your abdomen back. First off no mesh is required for a tummy tuck, and the umbilical hernia seen protruding in the pictures will be repaired as well with the muscle repair alone without use of a mesh. Secondly, the problem is that sadly, after a tummy tuck you should not conceive again because your child might have some intrautero grown retardation from the inability of your abdomen to distend because of the muscle repair, after some three years you can get pregnant, but the work of the tummy tuck will be undone and you would have to get another tummy tuck in order to return you abdomen to a flat state. If you are thinking of conceiving again, my best advise is to wait until you are done, your result will be much better

Yes, it is possible to safely carry a baby after having the abdominoplasty procedure.  In general, it is in your best interest, to be as certain as possible that no more pregnancies are in your future prior to having the tummy tuck.  Pregnancy after abdominoplasty may cause changes that will require further surgery to correct. Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight. I hope this, and the attached link ( dedicated to abdominal wall contouring surgery concerns) helps. 

It is ideal to wait until you are sure you are done with children before a tummy tuck procedure.  Although you can get pregnant again after a tummy tuck, it may well stretch the skin again requiring another operation.