Is there any way to make my stomach tighter looking 6 years after a mini tummy tuck? (Photo)

Here are my recommendation: 1. liposuction the abdomen and love handles/flanks 2. remove excess skin: a small ellipse of skin can be removed from the lower abdomen. 3. tighten the abdominal muscles: rectus plication. This would give you a much flatter and tighter abdomen.

You were never a great 'mini tummy tuck' candidate. Your striae and muscle wall laxity indicate that only a full tuck would give you a great result. Why didn't you get it, or at least offered it? Because most surgeons have been trained that if there is not enough skin laxity above the belly button (to get the little hole out with the excess skin) than a full tuck is not an option. I'm here to tell you that's incorrect. Placing the long incision very low on the abdomen (even lower than your current scar) and closing the hole (that was once attached to your belly button) vertically is far better than a long incision that is too high or not being offered the surgery. The good news is that you can still get your full tuck, with no difference in result than if you got it in the first place.

Your mini tuck can be converted to a full tummy tuck. There may need to be a small vertical scar in the midline but it would be low down enough to be covered with a two piece bathing suit

I would suggest doing EMSculpt, a nonsurgical treatment to help build and tone your abdominal muscles which will flatten your abdomen.

From your photos it appears you are a good candidate to revise your mini tummy tuck to a standard tummy tuck. This would give your improved contour through fat and skin removal and further correction of abdominal wall laxity. The result will be a tighter, flatter tummy.

You need a full tummy tuck if you want more of an improvement.
It’s definitely possible to do a full tummy tuck on those who don’t have significant skin laxity.
I suggest scheduling a few more consultations with other providers who can give you better/different advice.
Maintaining a low set scar on individuals who only have mild skin laxity may require adding a small vertical scar from the incision around the belly button.
Ask providers during each consultation to open up their portfolio and show you their entire collection of before and after pictures of the previous patient who had similar body characteristics to your owner.
An experienced plastic surgeon should have no difficulty showing you the before, and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing only the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
Recognize that there are significant differences in skill and experience level among providers.
I suggest patients schedule multiple consultations before choosing a provider and scheduling surgery.
Best,
Mats Hagstrom, MD