How to fix bulge, sagging skin, hip dents and center belly button? (Photo)

Hello, although an in-person examination is necessary to confirm this, it appears that you are a good candidate for a tradition tummy tuck (hip-to-hip scar), which would be the best option for her. I wish you the best of luck. Vasileios Vasilakis, MD. Double board certified, fellowship-trained plastic surgeon. Houston, TX.

Dear sidewaysrevolution,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From your photos you will have the best results from a standard tummy tuck with liposuction for contouring. I don't think non surgical options will give you the flat tummy and skin correction that you are wanting, but the tummy tuck will. See a board certified plastic surgeon near you for an evaluation and to learn more.