Do I need a Full Tummy Tuck or Umbilical Float Tummy Tuck - or nothing? (Photo)

Your choices ultimately depend on your goals, the condition of your abdomen, and your surgeon's assessment. Based on the information provided, it seems you have a small umbilical hernia with no pain and mild diastasis. If you're not experiencing significant discomfort or skin laxity, and your concerns are minimal, doing nothing may be a valid option. However, if you want to address the umbilical hernia and minor muscle separation, a less invasive approach like an umbilical hernia repair with liposuction (with or without a skin tightening device) or a mini tummy tuck could be considered. It’s essential to consult with an experienced plastic surgeon to discuss your options.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thank you for your question. There is no wrinkle-inducing laxity in your upper abdominal skin. There is no sagging or excessive laxity in your lower abdominal skin. There is mild fat in the upper and lower abdomen.
There is no serious diastasis when standing. If you have a bulge in the center of your abdomen while doing sit-ups, you have abdominal muscle weakness and rectus muscle separation.If there is no diastasis in the abdomen, I recommend abdominal Vaserlipo and Renuvion j plasma. An umbilical hernia repair can be done at the same time.If there is diastasis in the abdomen, an incision similar to Mini Tummy Tuck operation is applied to the lower abdomen. Both diastasis and rectus muscle repair can be performed by applying abdominal Vaserlipo and floating umblicus operation. Or laparoscopic rectus plication can be performed by applying 3 separate incisions of 2 cm, 5 cm and 2 cm in the lower abdomen.

Your photo suggests that if you were to weigh the risks vs benefits of surgery, that "do nothing" would win out. If you are seriously considering surgery, seek a consultation with a board-certified plastic surgeon to confirm this.

Dear UserChang,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thankyou for your query. Based on your picture , the best technique for you, with minimal incisions, will be a repair of the umblical hernia with some liposuction of the flanks. You can get a non surgical skin tightening technique like ThermiTight or Bodytite for further shaping of your abdomen. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

I like the do nothing option. Nothing, looking at you cries out to be done, and you can live just fine with a small asymptomatic umbilical hernia. The subtleties of the options you were told can be related to measuring the distance of xiphoid to pubis, dividing by 1/2 or marking 2/3 the distance down from xiphoid. Between those two marks, Hoyos, et al., PRS 12, 2022, says you figure out how much the umbilicus will slide down if released. If it does not slide down out of that zone, you can float the umbilicus, since that zone is an area where it will still look normal, even if floated down. Not sure I agree with this, I like the umbilicus where it came from. If there is sufficient upper laxity, say 4 cm, you can slide the skin up and remove it under the breast. However, that requires inframammary incisions, not so good unless you have had a breast lift with pre-existing scars.
Unless you have a significant amount of loose skin either above or below the umbilicus or both, and don't have a significant rectus diastasis, why do a tummy tuck.
Flank liposuction? we can't see your flanks, they are on the other side of you, so that is subjective and purely up to you to decide if you think your love handles are too prominent and spoil your shape. Flank liposuction is easily done and low risk.

Your belly looks flat, you have good muscle definition, and great skin. Any tummy tuck would offer modest improvement. I don't think the juice is worth the squeeze.

Thanks for your question! Without knowing what is truly bothering you, I can't quite answer that question. If it is just the hernia that is concerning, you can simply have that repaired by a general surgeon. Maybe since you are unsure on the tummy tuck, start with the hernia repair and see how you feel. Good luck!

Hi, thank you for sharing your question. As you can see there are a variety of surgical options based on surgeon’s experience/preferences but since no one has actually examined you, the exact diagnosis is limited and the plan will be only a guess. Based on this one photo, I don’t see much skin laxity. That is not to say you don’t have any, it’s just hard to see from one view. An in person evaluation is always best and will give you the best advice. If you are happy with your body, there is no need to do any surgery.

I don’t see in your pictures how you could need a full tummy tuck. Maybe a mini with a float, but need to check to see what your muscles are like. Meaning their tone and position relative to one another. Your flanks don’t look like that need liposuction.