Do I need a mini or full tummy tuck? (photos)

Thank you for submitting your question! It appears by your photos that you don't have a ton of excess skin or skin laxity to your abdomen. The only difference in a full tummy tuck vs a mini tummy tuck is length of the incision. Your abdomen would not require a full incision so it appears you would be a good candidate for a mini tummy tuck. I would recommend consulting with a board certified plastic surgeon like myself so we can create a surgical plan that is best for you and your goals!

Thank you for your question and for providing detailed information regarding your health history and current physical condition. The presence of uterine, bladder, and rectal prolapse is a significant consideration when contemplating a tummy tuck, as the procedure increases intra-abdominal pressure, potentially exacerbating these conditions.
Therefore, prior to any cosmetic surgery, I highly recommend that you consult with your gynecologist or a specialist to address these prolapses. Once these health issues are appropriately managed, we can then consider options for enhancing your abdominal profile.
Based on the images provided and your described symptoms, it seems you may benefit from a full tummy tuck rather than a mini tummy tuck. A mini tummy tuck primarily targets the lower abdominal region, removing excess skin but does not involve much muscle tightening. In contrast, a full tummy tuck addresses the entire abdominal area and includes plication, or suturing together, of the rectus abdominis muscles, from the sternum to the pubic region.
Your profile view demonstrates that the distension in your abdomen extends above your belly button, further reinforcing the need for a full tummy tuck. Liposuction does not appear necessary in your case, as the primary issue is not excess fat but the need for muscle repair.
Again, addressing your gynecological health concerns should take precedence before proceeding with any cosmetic procedures.
Sincerely,
Dr. Katzen

Since you don't appear to have much loose skin, you may get good results with nonsurgical EMSculpt to tighten and help close back your stretched muscles. Otherwise, I think a min tuck would work well for you.