J.S.
Loose skin can only be removed. BUT ..... I did a ton of ab excercises after my kids. Under the skin were strong ab muscles. I went to a plastic surgeon and talked about a tummy tuck. The tuck is loose skin but they also cut you muscle, it rips during pregnancy and doesn't usually heal perfectly, and restitch the muscles then cut away the skin. I had done so many ab crunches and leg lifts and just ab excercises that my muscles had healed very well. I only needed half of the surgery and it was a lot cheaper. I also had a quicker recovery and a lot less pain since my muscles weren't cut. Go to a plastic surgeon, mine was Nahai (the son) at Paces Plastic Surgery, he does free consultations. I think you should go do a consult find out about the cost and financing, work your abs for a year and see where you are in your life. I had three inches of skin removed from my lower belly. I was grotesquely pregnant. I feel awesome having it gone!
If you have any questions message me on mamasource.
J.