1 year post mommy makeover - how can the lower abdominal protruding be fixed? (Photos)

I had mommy makeover September 2025. I have struggled significantly with lower abdominal protruding. We’ve gone CT scans, ultrasounds, etc to check why this is happening. The doctor has suggested going back in and looking internally. background- I am very fit and active, went into the procedure the best shape of my life (excluding the extra skin from babies and saggy boobies) but body fat was low and my stomach was “flat” as it could be without the skin. Now I constantly look early pregnancy and can’t wear tight clothes because of how self conscious I am. I also have more extra skin around scar line which lumps up bad in clothes and very noticeable. My question is, is this common? Is there somethibg I can ask about or do? I dont want him going back in especially if we are going in blindly and I have to do that long recovery again. Help!! I’ve attached pictures for reference.