I have saggy skin and bad stretch marks below the belly button. What procedure would you recommend? (photos)

We can remove the lower stretch marks with a Tummy tuck but the upper ones are difficult to get rid of. You should get a consultation with a board certified surgeon and dicuss the options of stretch removal. 

The lower stretch marks will be removed with a tummy tuck and
the upper ones brought to a lower position where they will be less obvious.
While there are many nonsurgical procedures that are claimed to get rid of
stretch marks, most ethical knowledgeable plastic surgeons will tell you that
they have limited if any benefit, are unreliable, and not a satisfactory option
in your particular situation.

If you are planning to have additional children, it is best to
delay having a tummy tuck until you are finished with your pregnancies.

Keep in mind that
following advice from a surgeon on this or any other website who proposes to
tell you what to do based on two dimensional photos without examining you,
physically feeling your tissue, assessing your desired outcome, taking a full
medical history and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that you find a surgeon
certified by the American Board of American Plastic Surgery and one who is
ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS)
that you trust and are comfortable with. You should discuss your concerns with
that surgeon in person.

Robert Singer, M.D.,
FACS

La Jolla,California