Do I need a full tummy tuck or a mini tummy tuck with lipo?

There are some nice surgical options for improving the abdominal area including a full tummy tuck (which is the most dramatic option), a mini tummy tuck and liposuction. There are also some nonsurgical options such as laser treatments and injections.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of tummy tucks. Good luck with your future correction!

I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right. Have a great day.

Based on your photos it appears you will get the best results from a full tummy tuck with liposuction for contouring. This will remove excess fat and skin as well as address abdominal wall laxity. Most of your stretch marks will be removed and the pubic area can be addressed as well. The next step is to meet with a board certified plastic surgeon near you for a consultation.

For most moms, they have separation of the muscles above the level of the belly button and only the full tummy tuck or abdominoplasty will address this. Otherwise it may be flat below the level of the belly button and bulging above. It is a rare occasion for me to do a mini tummy tuck and it is for a very specific candidate that has intact muscles above the level of the belly button and with no stretch marks. Make sure to see a board certified plastic surgeon.

It is a rare individual in whom the mini TT produces the best result.  The mini TT would only address the skin below the bellybutton, leaving the upper abdominal wall potentially lax. No plication or muscle tightening is performed, and belly button remains attached and unchanged. 
The TT will remove the stretchmarks to the level of the belly button. The scar can be well concealed if placed in a low position.  Stretch marks above the navel cannot be removed during a TT.  However, because the skin is lifted and repositioned during the TT, stretch marks above the navel prior to the surgery will be less visible following the TT, as they will be moved to a lower position.  When I perform the TT, there is substantial flattening and tightening of the pubic area.  You would need to be examined by a board certified PS to determine if you have enough skin laxity to obtain the results you are seeking. Consult via email or Skype if you are unable to visit a board certified plastic surgeon's office during this stay-at-home time.

Your abdominal wall is protruding anteriorly and a mini tummy tuck will not correct this.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.Best Wishes,Gary Horndeski, M.D.