Having children does not change your fat distribution. When choosing a procedure, it’s important to start by having a clear understanding of what the underlying problem or ideology is. There are four tissue variables that determine what the abdomen looks like. These are. 1) abdominal skin laxity typically due to previous pregnancies or weight loss. 2) excess subcutaneous fat. 3) muscle separation from previous pregnancies. 4) excess visceral or intra-abdominal fat. Whenever somebody comes in and says they don’t like the way their abdomen looks, and it is generally always because of one or more of these for variables. Depending which variable is primary, which is secondary, which is tertiary, etc. helps determine what procedure is going to give a good outcome. The two variables that have to do with pregnancy are skin laxity and muscle separation. You don’t look like your subcutaneous fat layer is particularly thick. I’m guessing it’s about 1/2 inch or maybe 3/4 of an inch. the primary problem is muscle separation, and your abdominal wall is no longer creating a bee line between the sternum and the pubic bone, which is the insertion and origin of the abdominal muscles.Bulging of the abdominal wall can be seen in individuals with excess visceral fat as well. Because the problem is not excess subcutaneous fat Liposuction is only going to have a moderate impact and will leave you looking more or less the same with a thinner, fat distribution. The bulging appearance will still be there. The best patient for Liposuction are young women who have not had children. Pregnancy related changes are best treated with a full tummy tuck, which primarily treats, abdominal skin laxity, and or muscle separation. No one has to have a tummy tuck. Just don’t expect Liposuction to give you a tummy tuck result Essay mentioned in the beginning. It’s important to understand the ideology or to make an accurate assessment or diagnosis before prescribing an operation. I suggest having a few in person, consultations with plastic surgeons in your community to get a better assessment and understanding of treatment options. Finally, for those who do choose Liposuction recognize the delivering, consistent quality liposuction results is not nearly as easy as most people think. The number of providers who have mastered this procedure is actually quite low. Most plastic surgeons think they’re better at Liposuction than they actually are. Best, Mats hagstrom MD