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

There does seem to be loose skin that can possibly be fixed with a reverse tummy tuck, however, it would be best to also see what the condition of the skin is for your lower abdomen, in a lot of cases when doing a regular tummy tuck when they pull downward the upper skin is also pulled down and it can all be removed with that incision as opposed to a reverse tummy tuck however, if you’re not interested in having a regular tummy tuck with an incision in your lower abdomen then yes it does seem to be that you do have skin for it but the video )additional footage) can help further evaluate, this will help see how much pull the skin has and make sure that they are is enough to actually be able to do the procedure without leaving too much tension.

A reverse tummy tuck can be an excellent option and produce a beautiful correction of upper abdominal skin laxity when performed by a detail-oriented surgeon. If appropriately planned and executed, the resultant scar will fall at the breast fold and with even a modest volume breast can remain largely hidden within the breast fold.
From your photos it appears you have enough tissue laxity to undergo either a reverse or standard tummy tuck. I encourage you to discuss both options with a board-certified plastic surgeon during an in-person consultation to better understand which option is right for you.
Dr. Brandon Lambiris Board-Certified Plastic Surgeon–Sarasota, FL

You seem to have some looseness in the upper part of your stomach, which is really common after multiple pregnancies—especially with four. The good news is that your lower abdominal skin tone sounds excellent, which helps.

A reverse tummy tuck can tighten the upper skin, but it leaves a scar between the breasts that tends to be more noticeable than the looseness itself, so it’s not always the best trade-off.

Since there’s also muscle separation, a better option might be a modified full tummy tuck. This can address both the muscle issue and the upper abdominal skin without putting a scar around the belly button.

The incision is placed low, in the bikini line. The belly button stays attached to the skin—no circular scar—and usually moves down about 3 cm. Sequential tension sutures are often used to help keep the scar low and stable during healing.

It’s worth finding a surgeon who has experience with this kind of approach and is comfortable tailoring the procedure to your specific needs.

-DrB