Thank you for your question. I reviewed many of your photographs and, based on what I can see, I think that you were probably a better candidate for a full tuck rather than a 'modified' mini. I have never needed to use mesh and I always use absorbable sutures, however, I always double sew the muscle so that you won't accident tear them out in the first six weeks after surgery.
Thanks for your inquiry. I
would say that it is less than 1% of the time when you would need to use mesh
to the abdomen. Most people have enough
tissues to warrant direct closure and plication. Mesh is really only used in recurrent hernia cases
or in cases where the abdominal fascia is so stretched out that suturing is
just not enough to support the closure in something we call a “prune belly”
abdomen where direct closure becomes impossible. I hope this is helpful.
When the abdominal wall has been stretched and weakened, support with a mesh material may be appropriate in order to maintain the result. It does not always need to be permanent however, as newer materials induce a layer of your own collagen to form. These include SERI scaffold and Galaflex.