Do I need a mini tummy tuck or full? Have abdomen fat with sagging flanks and lower abdomen skin? Need your advice.

Thank you for the question but there is not enough information here to provide you with specific advice.  You may wish to submit better quality photographs (without clothing) more specific advice. Having said that, the vast majority of patients who present after pregnancy and/or weight gain/loss benefit from full tummy tuck surgery. Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.In my opinion, the mini tummy tuck 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. When the time is right, seek consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients achieve the types of outcomes you would be pleased with.   You may find the attached link, dedicated to tummy tuck surgery concerns, helpful to you as you learn more. Best wishes.

Thank you for your question and your photo.You look like a great candidate for a full tummy tuck combined with lipo in all areas needed.Best of luck.