2 kids, 1 emergency c-section, 1 Vbac, extended tummy tuck required? (Photos)

You have developed a severe saggy skin not only abdomen and also in lovehandles as the result of the the huge about of fat gaining and losing after every pregnancy.
Your lovehandles are very thick and after liposuction the area will become extremely saggy and wrinkly, so you will be a great candidate for a Circumferential Tummy Tuck to remove the saggy skin on your abdomen and also lovehandles and take advantage to lift the buttocks, muscle repair to achieve a flatter abdomen and smaller waistline, Mons lift and liposuction to waist and lovehandles. If you want add some volume to buttocks.
Just have in mind you are not getting any younger and the saggy lovehandles will only be worst in a just couple of years.
As expert in After Weight loss surgery I am very familiar with patients who have developed severe degree of saggy skin. My goal is total rejuvenation.
Be encouraged!
Dr. Cárdenas

Thank you for your question. Based on the left lateral photo, it appears that the skin fold extends at least partway on to the flanks. Unless this loose skin were removed, you might have residual skin laxity ("dog ears") in this area. You would need a proper assessment to determine the exact length of the incision but based on the images it seems that a short incision might not address this area of skin laxity. Certain liposuction modalities can tighten skin a little, but not typically to the same extend as actually excising the skin. In my experience, most of my patients will accept a longer scar if it creates a better contour, but this is an important discussion to have with your surgeon as part of the informed consent process.

Hello!
This is a great question.From the photos you have provided, it seems that your incision would be from hip to hip for the best possible aesthetic results.
As always, an in-office consultation is required to really examine your abdomen and your own unique anatomy, as well as discuss the procedure and any questions you may have.
Best,Dr. Tanovic