There are four tissue variables that determine what the abdomen looks like. The choice of treatment should be based on having a clear understanding of which tissue variables are causing the problem. The four variables that determine what the abdomen looks like our abdominal skin laxity due to previous pregnancies or weight loss, excess subcutaneous fat, muscle separation from previous pregnancies and excess visceral or intra-abdominal fat. Based on your picture, you have a typical pregnancy related changes which are skin laxity and muscle separation. To get a tight, flat abdomen you’ll need a full tummy tuck. Your subcutaneous fat layer is not particularly thick and Liposuction will not have impressive outcomes. Do not expect Renuvion to make a significant visible difference. If you want a pre-pregnancy, a appearing abdomen, your best option is a full tummy tuck, despite the drawbacks and inconvenience of the procedure. A mini tummy tuck will address skin laxity of the lower abdomen, but would not address your muscle separation, which is causing your abdominal wall to bulge. I suggest having multiple in person, consultations with local board-certified plastic surgeons in your community. Best, Mats Hagstrom, MD