Disappointed in the Results of Mini Tummy Tuck - looking for Advice

Conventional wisdom is to either pull just from the belly button down for a mini tummy tuck.  OR pull the entire abdomen down, make it really tight and create a new belly button - full tummy tuck.  But there is a hybrid surgery where we float the belly button down to a lower spot without creating a new one.  We get way more tightness but still use the mini incision.

 A mini TT is just that, a mini.  Some need to have a full TT so more skin can be removed, and the tightness is greater.  In addition, the muscle can be tightened in several locations if needed.  The full TT is just more of a complete procedure.  The mini is for those with small issues, and a good muscle.

In my opinion, the mini tummy talk is an  operation that  produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.

For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides. It is not unusual to see patients who've had mini tummy tuck  surgery present for  revisionary surgery.

It is important to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to  improve your chances of a successful outcome and minimize the need for further surgery.
I hope this helps.