This topic is about finding ways to reduce the sagging bulge, often referred to as a "kangaroo pouch," that can appear in the lower abdomen after abdominal surgery. Even with a healthy diet and regular exercise, this issue can persist, and here are some practical suggestions to help address it:

1. Consider consulting a licensed physical therapist. They can assess the integrity of your abdominal wall and create a personalized plan of core-strengthening exercises. They might also use manual therapy techniques to help.

2. Understand that during abdominal surgery, the skin that is usually attached to the fascia is separated, which means the skin loses its "anchor" and can sag until it forms new attachments.

3. Work on scar-tissue management with your physical therapist. They can help break up adhesions, which are bands of scar tissue that can bind to underlying organs. This can improve the mobility and appearance of your skin.

4. Discuss with your medical team any unknowns, such as how quickly the skin layers might reattach to the fascia over time and how any future surgeries might affect your current progress.