Thank you for your question regarding what to do with your abdomen after pregnancy and several children. Thank you also for your pictures. Your pictures depict loose skin with stretch marks. Stretch marks are a key indicator that shows that your skin does not have normal contractility. This means that if you have liposuction, your skin will not contract and is unpredictable. If you have liposuction, you will have loose skin and significant irregularities. For optimal results, you need a tummy tuck. Anything less would risk having suboptimal results, especially loose skin. In addition, there is no way to tighten your loose rectus abdominis muscle, which can be seen on the profile. This is your lower abdomen bump, mainly seen on the profile view. This cannot be corrected with liposuction and can only be fixed with a tummy tuck. Therefore I would suggest you seek a board-certified plastic surgeon with significant experience performing abdominoplasties or tummy tucks. I hope this helps answer your question about what to do with your abdomen after several pregnancies, childbirth, and stretch marks throughout the lower abdomen. If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)