I need full muscle repair and hernia repair but sagging skin is only centered. Would that be a full or mini tummy tuck? (Photo)

The key component to
a tummy tuck is repair of the fascia, not the muscle.  The fascia is the support layer that provides
mechanical strength when the muscles are not contracting.  If you have a hernia, frequently mesh is used
to augment the hernia repair.  You have
not stated your age or whether you desire future children but the technique I
recommend, in women who do not desire future pregnancies, is abdominoplasty
with mesh reinforcement.  This requires a
full abdominoplasty and the mesh is used to run side to side to create more
hourglass figure.  From your photographs,
you have significant lower abdominal bulging, which would benefit from mesh.  A mini tummy tuck would not correct this
degree of bulging.       Best Wishes,Gary Horndeski, M.D.

You might be a candidate for a 'floating umbilical' tummy tuck.  This essentially involves an incision as described by the physician you saw in consultation but would not require an incision around the umbilicus.  The muscle repair and loose skin can be addressed through this incision.  It is difficult to say without examining you, but looking at your pictures you may very well benefit from a full abdominoplasty.  The only difference between the floating umbilical and full abdominoplasty would be that in addition to the horizontal scar you would have the circular scar around the umbilicus.  A mini tummy tuck (based on your photographs) would not be appropriate.   I recommend you see a board-certified plastic surgeon specializing in abdominoplasty.

Hello and thank you for your
question. Based on your photograph, you are a better candidate for a full tummy tuck
with liposuction.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon