Fixing Post Pregnancy Belly After Hernia Repair?

It’s not unusual for women to develop redundant saggy skin,
weakened abdominal muscles, diastasis recti, stretch marks and fat accumulation
following pregnancy. In many cases these problems are refractory to diet and
exercise and for this reason correction usually requires abdominoplasty
surgery.Although
it’s impossible to make a specific recommendation without a physical
examination, your history and pictures suggest the presence of significant skin
sag with associated laxity of the abdominal wall muscles. Under these
circumstances, correction will usually require a full abdominoplasty with
muscle tightening. This
procedure should be delayed for at least three to six months. This delay will
allow adequate time for additional weight loss and further recovery from your
hernia repair.Unfortunately
abdominoplasty is the only treatment option that can effectively address this
problem. It’s therefore important to consult a board certified plastic surgeon
with experience performing this type of surgery. This surgeon should be able to
formulate a treatment plan that addresses both your anatomic findings and
aesthetic goals.

The most common reason is laxity of the abdominal fascia or weakness/separation of the abdominal muscles.  Another reason is that some people store fat around internal organs and the only solution would be weight loss followed by a tummy tuck.  Without examining you it is difficult to say how much of an improvement you would get with surgery alone.

An abdominoplasty procedure is the gold standard for improvement of the abdominal bulge in the picture. Patients benefit from having the excess skin and muscle removed as well as tightening of the abdominal muscles and fascia that are stretched after pregnancy or with age.