Mini or Full Tummy Tuck After Twins

It's difficult to make recommendations online.  So , I suggest you begin with an in-person consultation with a board certified plastic surgery to learn if you are a candidate for a surgical procedure. If deemed a candidate, you may benefit from a #drainless tummy tuck. Silicone #drainage tubes are used by trained Plastic Surgeons for many different operations.  The purpose is to drain extra fluid that may otherwise accumulate under the skin, fat or muscle following an operation.  Patients generally find this annoying and uncomfortable and they can impede mobility and therefore slow aspects of #healing. Over the years, surgeons have improved procedures and found ways to eliminate the need for these #drains in a variety of operations; including #tummy #tuck or #abdominoplasty.
I have found that most of my patients do very well with the exception of those have large areas of liposuction or lipo-abdominoplasty.  I may use drains on a case by case basis for these patients. A newer option now can include the use of tissue #glue to adhere the abdominal #skin to the #muscle; eliminating any space that previously required a drain.
Liposuction may help and often complements other cosmetic surgical procedures. However, whether it will be the sole solution for you depends on the amount of body fat in the area of concern. If liposuction alone is not recommended, you may benefit from a tummy tuck with #liposuction. Vaser liposuction, also known as Vaser #lipo, LipoSelection or Liposuction, is an advanced body #contouring procedure that selectively removes unwanted body fat. An alternative to the harsh techniques of traditional liposuction, #Vaser lipo uses state-of-the-art ultrasound technology designed to gently #reshape your body. What distinguishes the Vaser lipo procedure is its ability to differentiate targeted #fat from other important tissues; such as nerves, blood vessels and connective tissue. Innovative VASER #technology breaks up fat while preserving these other important tissues to promote smooth #results and rapid healing.
Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Always discuss your issues and concerns with the Plastic Surgeon during and following your consultation. Information that you read online may not apply to your personal situation.

Hello! Thank you for your question! I hope that these answers help!
Tummy tuck is an excellent method for shaping the belly and create a
flatter and sculpted abdomen after the procedure. Given your desires, I do believe that you would be an excellent candidate for this
procedure in order to remove the excess skin/soft tissue of your lower
abdomen and contour the areas of your belly. Also, abdominal wall
tightening may optimize your result. Stretch marks to the level of your
umbilicus will also be excised. Also, a continued healthy and active
lifestyle prior to the procedure and afterwards is recommended in order to maintain the benefits that the
procedure has given to you. Once you are ready for the
procedure, I would likely recommend a full tummy tuck with abdominal
wall tightening. This would remove the excess skin/soft tissue
and stretch marks while contouring your belly. The mini tummy tuck has
limited usefulness and limited candidates as it truly only addresses
excess skin in a small area above your pubis. It will not address your
abdominal wall and the tightening of such, frequently needed to achieve a shapely abdominal wall. While the recovery
time
is shorter, the benefits afforded to you by a full tummy tuck are much
greater and will optimize your result. You should consult with a
board-certified plastic surgeon well-versed in body contouring
procedures at anytime to go over options to assist you in deciding
which procedure(s) would be right for you. Best wishes!

Thank you for the question.  It is not possible to give you good advice without viewing pictures or in-person physical examination. 
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.
Of course, this operation is associated with a longer abdominal wall scar and a significant recovery time; on the upside, the aesthetic outcome is much more likely to be to your liking.
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.
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides.  
I hope this, and the attached link, helps.