Mini tummy tuck revision? (Photo)

Based on your photos I'd do liposuction of your abdomen, flanks. Re-plicate your abdominal muscles. I'd also think there is enough skin to excise more and lower and improve your incision

Your issue could potentially be remedied with either a revision 'mini' or full abdominoplasty. The former would be done in concert with liposuction, which would help with contouring of soft tissue thickness, but more importantly it would allow greater gliding of that soft tissue over the muscle so that more skin can be tightened around and above the belly button. This would facilitate lowering of the scar by a small amount, possible upto an inch at the midline. Muscle wall tightening could be entertained as well. Alternatively, a full tuck would allow not only full muscle tightening, but also optimized skin redraping and tightening above the belly button and more significant scar lowering. This does come at a modest cost of having a relatively short vertical scar located at the midline somewhere below your belly button. This scar represents where the abdominal skin was previously attached to the belly button. Regardless of choice dogears would be addressed and general scar depression would be flattened, making the scar less apparent.

An examination is needed to know for sure, but it does appear you have excess skin that can be removed. The dog ears can be addressed at the same time. Pockets of fat can be addressed through liposuction.

An examination is needed to see if there is some excess fat. If so, this can be treated with liposuction. the dog ears can be revised.

You do have excess skin and high scar. The revision will take care of both. The only concern is that will have vertical scar from belly button revision.

Most plastic surgeons, recommend women consider having a tummy tuck after they are quite certain they’re done having children. We understand life continues and pregnancies. Do happen after tummy tuck surgery. Having a second full tummy tuck may be possible but there is not enough skin laxity to clear the skin between your current incision line and your belly button.
If you converted this to a second full tummy tuck, then you’ll need to add a vertical scar, representing the incision around the belly button on your lower abdomen.
I suggest having a few a second opinion consultation with other providers in your community.
Best,
Mats Hagstrom, MD