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.