Do I need a second round of Lipo? (Photo)

When deciding between liposuction or a tummy tuck you must consider the underlying issues. If the abdominal contour is from subcutaneous fat but there is good skin elasticity then liposuction alone should give a nice result. If the contour is from skin laxity, excess fat, and/or muscle separation then a tummy tuck is the right way to get the best results. I've included a video that I hope you find helpful.

Thank you for your question. Based on your photos you appear to be a good candidate for Tummy Tuck to tighten the muscles and correct this small sagging skin also, combine with belly, waist, flanks and back liposuction to improve your body contour and get better curves, especially in your waist area, and adding the J-plasma to stimulate the skin retraction
Kind regards, Dr. Emmanuel Mallol Cotes.-

Your photos are not clear, but it looks like you have skin laxity and excess at and above your umbilicus. A mini tummy tuck won't help. It also appears like you have muscle laxity. The combination points to prior pregnancies, and if I'm correct, I'm certain that only a full tuck will give you what you want.