Four pregnancies, upper stomach skin is loose. Am I a good candidate for a reverse tummy tuck? (Photos)

From the posted photos it appears you may be a candidate for a reverse tummy tuck. They are not as common as a standard tuck and have some risk/benefit considerations to take into account. Be sure to speak with your surgeon about your options to help decide what is best for you. I've included a video I hope you find helpful.

Unfortunately, you have not provided a photograph of your breasts. You may need a breast lift with possible implants. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique also lifts the upper abdominal skin without crossing the midline. It functions like a reverse tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

If you find a surgeon in your area who has produced results you like for women with an abdomen that appears like yours, then maybe YES, you should consider the procedure. From submitted photos, your body has endured four pregnancies far better than most. You appear to be in rather good physical condition, and not overweight. My own personal recommendation would be a modified abdominoplasty with tightening of the abdominal wall, verticalizing the belly button, and smoothing the loose upper abdominal skin through a bikini-line low short scar (modified abdominoplasty). Reverse abdominoplasty generally places a scar between the breasts which can descend over time, and it's more difficult in my experience to conceal than the C-section type scar.