It appears that you do not have significant upper abdominal laxity or redundant rolls, only relative laxity. If your laxity is due to pregancy, then it is logical that there has been some stretching out of the upper abdomen and if you pulling the upper abdominal tissue upwards it should give your abdomen a flatter and more natural look. The reverse abdominoplasty must be weighed against the fact that in order to accomplish this adequately, the incision must often cross the midline from breast to breast. Some of this can be obviated in certain circumstances by liposuctioning the resulting bulge, however the most logical anatomical design is for the incision to go from inframammary fold to inframammary fold. For this reason, it is usually chosen only for those with significant upper abdominal redundancy.
Your mini-abdominoplasty did not do anything to the upper abdomen by design. Your scar is relatively high which helps the possible tightening of your upper abdomen (i.e. the higher the scar, the more you can dissect and effect the upper abdomen safely). I would suspect that the best approach would be to proceed with a full abdominoplasty (even though it is a less anatomically logical procedure, it does work) at the price of a slightly longer scar and a scar around the belly-button. If you still have residual laxity of the upper abdomen that is displeasing to you, you will have been satisfied that you did all you can from the traditional approach and the reverse abdominoplasty will be less demanding.
