Thank you for your question about whether you need a mini or short scar tummy tuck and what would be the best option for a flat stomach and smaller waist. First, let’s talk about the differences between a mini and a short scar tummy tuck. A mini tummy tuck and a short scar tummy tuck are both variations of a tummy tuck procedure, but they differ in their extent of tissue removal and the length of the incision. A mini tummy tuck is a less extensive procedure than a full tummy tuck, and it is typically performed on patients who have a small amount of excess skin and fat in the lower abdomen. During a mini tummy tuck, the surgeon makes a small incision in the lower abdomen and removes a small amount of skin and fat, focusing on the area below the belly button. The abdominal muscles may or may not be tightened during a mini tummy tuck, depending on the patient's individual needs. A short scar tummy tuck is a variation of a full tummy tuck that involves a shorter incision than the traditional tummy tuck. This technique is designed for patients who require more extensive tissue removal and muscle tightening than can be achieved with a mini tummy tuck, but do not require a full tummy tuck. During a short scar tummy tuck, the surgeon makes a horizontal incision above the pubic area, and removes excess skin and fat from the abdomen. The abdominal muscles are tightened, and the belly button may be repositioned for a more natural appearance. In summary, the main differences between a mini tummy tuck and a short scar tummy tuck are the extent of tissue removal, the length of the incision, and the degree of muscle tightening involved. In your case, I would highly recommend the short scar tummy tuck. On profile view, your abdomen is distended indicating a weak abdominal wall, probably due to multiple pregnancies. This abdominal muscle MUST be repaired to achieve a flat abdomen. Therefore, my vote for you is for a short scar tummy tuck. I hope that I have answered your question about whether you need a mini or short scar tummy tuck and what would be the best option for a flat stomach and smaller waist.