Am I a candidate for a tummy tuck if I had 2 previous incisional hernias (AWR) with mesh? (Photo)

You may be an excellent candidate, but you did not show your whole abdomen. With the mesh for hernias present, the muscle work may not be done, but you can get the skin tightening.

Thank you for your question and it is a good one. It is hard to tell from the photo you provided whether you would be a candidate but certain patients that have had hernia repair with and without mesh may have an abdominoplasty. I would recommend that you attempt to coordinate this with your plastic surgery and also consult with your general surgeon that repaired the hernia. The more information your plastic surgeon has regarding your previous hernia repair the safer the procedure will be for you. Good luck.

Hi and welcome to our forum!
From your photo, I note a full abdomen, a low umbilicus, a small panniculus, and a vertical midline scar extending from ribcage to pubis.
A full abdomen may be due to the presence of a weak abdominal wall, the presence of excess superficial soft tissue fat, or the presence of visceral fat (the fatty tissue surrounding your internal organs). A physical examination is required to determine the status of your abdominal wall. BMI, or body mass index (weight in kg / square of height in meters) is one criterion to determine the results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise.
We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs.
Abdominoplasty is a soft tissue procedure. As such, dissection will be superficial and should not disturb the mesh repair. However, dissection will be considerably more difficult due to the presence of scarring about the underlying mesh. Further tightening of a lax abdominal wall may be accomplished as well. The scars of your previous procedure are vertical (up and down) and should not interfere with the blood supply to the abdominal skin and soft tissue. Your previous operative reports would be of great value.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...