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

A tummy tuck will address the loose skin and stretch marks below the
belly button.  It will not remove the upper stretch marks but they will
be less noticeable.  Since you are only
20, keep in mind that any additional pregnancy can have an effect on your post-surgical
result so I would suggest waiting until after you are done having children before
moving forward with surgery. Seek a consultation with a Board Certified Plastic
surgeon to discuss all of your options.

Your story and photos suggest you would benefit from a tummy tuck.  It is the only way to remove the stretch arks and loose skin.  Since you are 20 you might want to wait until you are sure you are done having children.  Good luck

   A tummy tuck would probably be a reasonable surgical alternative if you have finished having children.Kenneth Hughes, MDLos Angeles, CA

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. 

Exercise works for weight loss but you can't "spot reduce" or tone skin. If there was a muscle separation (called a diastasis) then that cannot be corrected with exercise either. That is why we do tummy tucks instead of sending patients to the gym. From your description and the photos, a full tummy tuck is likely to be your best option. See a board certified plastic surgeon, preferably an ASAPS member with a focus on aesthetic (cosmetic) plastic surgery.

Abdominoplasty (tummy tuck), is a procedure that removes excess, loose belly skin and tightens the abdominal wall.  It is recommended when there are no plans for having more children.

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

You appear to be an excellent candidate for a tummy tuck.  A full tummy tuck willallow the removal of most if not all of the stretch marks below your belly button.  Through liposuction of your sides and abdominal wall tightening (muscle repair) your waist willalso be narrowed and your profile will be thinner and straight.I recommend a fee consultations with well trained board certified plastic surgeons.All the best,Dr Remus Repta

Your photos suggest your problems could be really dramatically improved with a standard tummy tuck.  There is great value, in your case, in having this discussion with a board certified plastic surgeon that you like and trust.  You are young and an abdominoplasty, though likely to address your concerns, may not be in your best interest if you intend to have more children going forth.  The tummy tuck is not likely to do any harm to future pregnancies but future pregnancies are likely to do harm to your result.  Because revision abdominoplasty is usually a bit more challenging than the initial surgery, it is usually advised that you finish having children before you have your tummy tuck. Best,Dr. Pyle

Thanks for the question and the good photos. Unfortunately there are no nonsurgical procedures proven to remove the stretch marks no matter what you might hear from some "salons". It takes a full Tunmmy Tuck to take away the bad skin of the lower abdomen and pull the better upper abdominal skin down. But at only 20 you may have plans for more babies, and if so it might be good to postpone any surgery until after your family is complete so you don't have to repeat the surgery later.