Quite possibly, yes. Frequently, after women have their children it is very difficult to regain the lower abdominal tone. This occurs because the normal anatomy of the rectus muscles become distorted from the stretching on the abdominal wall during pregnancy.
The skin on the lower abdomen becomes stretched beyond the capacity of the collagen and elastin fibers to recoil and stretch marks and extra skin persist despite rigorous diet and exercise.
Provided one is not planning to have more children, is healthy, and does not have any contraindications, she is ready for an abdominoplasty, commonly referred to as a tummy tuck. Women are usually very satisfied with the results of a tummy tuck surgery.