Do I need a mini tummy tuck or will exercising improve it?

Given the pictures, you are likely a good candidate for tummy tuck as the skin will not correct itself with exercise or weight loss.  A short scar tummy tuck would remove loose skin, tighten the muscles, and remove the stretchmarks below the navel with a short scar.  The shorter scar it leaves is the same length as that of the mini tummy tuck. Ideal patients have to be in general good health and somewhere close to their ideal body weight. A healthy lifestyle is a must, both before and after the procedure. 
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Hello and thank your for the question. I believe you are a good candidate for a tummy tuck. Given the high position of you belly button and limited skin excess, you can probably have an umbilical float. I would see consultation with a qualified plastic surgeon for a complete evaluation. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon

Exercise may improve your muscular tone but it will not substantially reduce the loose excess skin. Any recommendation on the appropriate type of tummy tuck would require a consultation and physical examination. Your surgeon can then guide you through your options.