2 months postpartum. Is this fat or loose skin? (photo)

Congratulations on the birth of your fourth child!

Your skin seems to be loose, which is natural after having multiple children. Please allow about a year or to allow your body to return to as close to your pre-pregnancy shape as possible. If at that time you’re still concerned, you can consider talking to a board certified plastic surgeon about a tummy tuck.

After pregnancy, it takes time to for the uterus and skin to contract. Additionally it takes awhile to lose pregnancy weight. Restarting healthy diet and exercise program is first line for restoring one's abdomen. If skin changes and excess fat persist six months later, one could consider mini-tummy tuck or liposuction if only excess fat.