San Diego Tummy Tuck doctors

You apppear to be a good candidate to undergo an abdominoplasty, and you are wise to scrutinize  how the  umbilcus is dealt with as part of the procedure. This si paricularly true if you expect to wear a 2 piece bathing suit.  There are many different techniques for designing the new umbilicus.  Some surgeons use a circular pattern, others use a diamond shape or a heart.  As far as the size of the umbilicus, I tend to err on the side of a smaller umbilicus.  As the area heals, the final size  may either stretch out leaving  a larger belly button which I think looks very conspicuous. Also, if you don't like the final size, it is much easier to enlarge an umbilicus which is too small than to try to reduce  one that is too large.

The double hernia repair is the key, and indicates your abdominal wall is already subject to weakness.  Compound the hernia repairs with wide rectus abdominis plication accomplished during abdominoplasty, and the resulting tension exceeds intraperitoneal "eminent domain" and the pressure your abdominal wall deep connective tissue fascial layers are able to resist.  They relax to achieve a new equilibrium, which explains your distention.

Treatment is possible, and may or may not be successful.  Reoperation with elevation of the abdominoplasty flap, repeat plication, reinforcement with prosthetic mesh or acellular dermal matrix extending across the abdominal wall, and repeat skin removal to lower the scar as much as possible would be my choice.  Post surgical care involves wearing a latex free elastic binder snugly applied for three months (except when showering) to stablize the reconstruction.

Thank you for your question and photo.

I believe that you would benefit from revisionary surgery to improve the appearance of your belly button.  I do not know how long ago you had your tummy tuck surgery but a physical examination is key before discussing the exact procedure with you.

Visit with well experienced plastic surgeon's who can show you examples of their work.

Best Wishes!