Thank you for thoughtful question?
Yes there are different types of 'tummy tucks" they can be performed depending on the specific patient's needs and goals.
In my opinion, for example,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.
For some patients an area of concern may be the “muffin top” (flank or lower back skin and adipose tissue).Treatment of the stubborn muffin top involves excision (lipectomy) of excess skin and adipose tissue. Liposuction surgery alone will potentially leave you with loose skin and an unsatisfactory result.
Treatment of this stubborn area involves excision (lipectomy) of excess skin and adipose tissue. Liposuction surgery alone will potentially leave the patient with loose skin and an unsatisfactory result.
Although not relevant in many cases, patients who are undergoing a standard tummy tuck procedure should be aware however that often an “extended” tummy tuck is necessary to treat the muffin top area. This extended tummy tuck procedure involves flank and back skin and adipose tissue excision as well as liposuction surgery. If liposuction alone is done the patient may still end up with the muffin top and require further surgery to improve the waistline in the future.
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.