Should I still be in pain 6 weeks post a mommy makeover? (Photos)

Thanks for your inquiry, I am sorry for yuor struggles and I am glad you a surgeon who is regularly evaluating and treating you. It is hard to know with further details how long you will need pain medications.  Please ask your surgeon about the progress you are making.

I'm sorry that you are having issues after your tummy tuck.  While most patients are no longer experiencing pain that requires narcotics six weeks after surgery, each case and each patient are different.  Discuss your concerns with your surgeon so that you may be advised on your particular recovery progress and what to expect in the upcoming weeks.

Congratulations on having undergone the "mommy makeover" procedures. The recovery experience will vary from one patient to another but, generally speaking, the recovery experience associated with tummy tuck or mommy makeover surgery is often underestimated by patients. In other words, it is a significant operation associated with a significant recovery, both from the physical (and often) emotional standpoints.
Fluctuating levels of discomfort is quite common and may be related to several factors. I think you have a good understanding: increased discomfort may be related to overdoing activity or may be related to being stationary for too long.  Other factors that may be involved include  inadequate pain control medication levels.
 Ultimately, it will be important that you "listen to your body" and titrate your activity level as well as pain control efforts carefully.   You will need to achieve a balance between gradually increasing activity (I tell my patients it is similar to a "rehabilitation" after any type of trauma) versus overdoing activity and experiencing a setback of some kind.
 Your plastic surgeon should be your best resource when it comes to helping you titrate activity level; in my practice, at this point in your recovery, I would likely suggest that you try to get outdoors (with assistance), even for short periods of time. My patients find a use of a walker very helpful during the early postoperative days.
 It is not unusual for some patients to require several months before they regain preoperative strength/stamina/energy levels.   What I have observed  is that many patients are about 70 to 80% of their energy level at the 4 to 6 weeks post op period and may require 3 to 4 months before they are 100%.   Again, it is not unusual for patients to experience significant emotional "ups and downs" as well.
Best wishes for an outcome that you will be very pleased with long-term.