Thank you for your question and for providing your history and photo. Based on your photo and history, a tummy tuck (abdominoplasty) is an excellent procedure for addressing the concerns you’ve described, including the loose skin above the belly button and the adhered scar tissue from your cesarean sections. During a tummy tuck, the excess skin and fat are removed, and the abdominal muscles are tightened, which will address the loose skin and create a smoother, more toned appearance. However, given your petite size and the amount of skin laxity, it’s important to note that you may not have enough excess skin to completely eliminate the previous position of your belly button. This means you will likely have a small vertical scar where your original belly button was, as it cannot be completely removed during the surgery. This is common for patients with less significant skin laxity, and your surgeon can strategically position the scar to minimize its visibility. The benefits of a tummy tuck for your case include: Smoothing the lower abdominal area: The shelf and adhered scar tissue from your cesarean sections will be corrected. Tightening loose skin above the belly button: The tummy tuck will pull and flatten this area, which lasers and non-surgical options cannot achieve permanently. Improved overall contour: Combined with muscle repair, this procedure will enhance your abdominal aesthetics and provide permanent results, provided you maintain a stable weight. It’s crucial to consult with an experienced, board-certified plastic surgeon who can evaluate your anatomy in detail and create a tailored surgical plan. Your surgeon will ensure the best approach to minimize scars and optimize your results. With your great physical shape and dedication to fitness, you are an excellent candidate for a tummy tuck, and this procedure will help you achieve the long-lasting results you’re looking for. Good luck with your transformation journey! Sincerely, Dr. Katzen