What can I do about upper abdominal laxity after 2 children? (photos)

Thanks for the question, I would say that a classic tummy tuck would tighten that skin but that since you are in such good shape you may be left with a  small vertical incision where your old belly button was, I would suggest trying some skin tightening devices first before having a big operation

Based on your photos you may be a better candidate for a tummy tuck but I had found that just upper laxity does well with hi definition energy based liposculpture with skin tightening treatments after.  I suggest seeing a well trained body contouring specialist who can evaluate you if you are caondidate for liposuction alone or with skin surgery.  Best, Dr. Emer.

It is hard to see much detail in these photos.  However, in some cases, you can perform a Reverse Tummy Tuck were the incision is made under the breasts and the abdominal tissue is pulled upward.  It sounds as though your breasts may also need some corrective procedure and it may be possible to incorporate some (or all) of the scars for the breast surgery into the tummy tuck scar.  You need to seek out an experienced board certified plastic surgeon to see if this (or other options) might be appropriate in your case.

The procedure depends on your expectations and the extent of the procedures you are willing to undertake. The best results are with a tummy tuck as it will tighten your muscles for the laxity, remove the fat and the extra skin to give a tight abdomen.  There are patients not willing to go through an extensive procedure and thus can be offered other procedures depending on their exam and expectations.  Liposuction may help with fat and shrink the skin if it elastic but will not help with there is a lot of extra skin as well as muscle laxity.  Also, you will realize that costs of different skin tighening procedures can add up and if your expectation are still not met, you will not be happy.  It is best to meet with a board certified plastic surgeon and review your options. 

Great question! I agree you are not a candidate for CoolSculpting or Laser Lipo. From your pictures you are a perfect candidate for a full tummy tuck. A tummy tuck will help tighten the upper abdominal skin. You look like you are in great shape so the tummy tuck will help you get the tummy you are working so hard to achieve. Make sure you see a board certified plastic surgeon. Best of luck!