Hello and thank you for your question. Tummy tucks and extended tummy tucks dramatically improve stretch marks, but I would need a more complete view of your abdomen to better answer your question. I would recommend that you seek a consultation with a board-certified plastic surgeon who specializes in aesthetic plastic surgery and be sure he/she addresses all your concerns about an abdominoplasty and discusses the surgery details including the risks and benefits of the procedure, recovery time, and post-operative course. In terms of the abdominoplasty details -- the necessary skin and fat is removed, the abdominal muscles are plicated (tightened), a small umbilical incision is made that is not externally visible (to give you an "innie" belly button), and a short, low waistline incision is designed to be easily hidden by your underwear or bikini. Please view plenty of before-and-after pictures in real women (and not just computer-generated images) who have a similar abdominal appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For further information on tummy tucks, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon