A bulging abdomen occurs commonly after childbirth and weight gain. The skin can become “saggy” with stretch marks. The underlying fascia and uterus muscle can be irreversibly stretched out. These changes can be improved with a surgery called abdominoplasty, or tummy tuck. Excess fat can be removed at the same time with liposuction. You may be a candidate for the faster healing Avelar abdomicroplasty or the short incision “mini-tuck”.