Crinkly Skin over Belly Button After Mini Tummy Tuck

i had a mini t.tuck ,i still have crinkly skin over the belly button,protrusion under the belly button,one can grab handfuls of flesh,it really bothers me,the mini t.tuck used the same scar from my c-section.i was told i need a full t.tuck making a whole new scar only higher! and...in addition i would have a 2 to 3 inch straight up and down scar to fix to belly button...i heal beautifully the scar from the mini is almost invisible..yet i love the low placement ..their has to be another way...

Doctor Answers (8)

Mini Tummy Tuck vs Full Tummy Tuck

+3

Loose skin above the belly button is an indication for a full tummy tuck. With the mini tummy tuck the belly button is not detached, so the skin above it cannot be tightened. While the skin (and muscle) below the belly button can be tightened with a mini tummy tuck, about twice as much skin can be removed with a full tummy tuck. This provides enhanced tightening that can improve abdominal skin laxity all the way up to the ribs.

Usually to scar for mini and full tummy tucks is at the same level. The length of the scar is determined by how much skin is removed and how wide the removal, and not by the technique. Since mini tummy tucks are usually removing less skin, the scar is usually smaller.

A hybrid technique is available, sometimes called an umbilical float. This allows for repositioning the belly button lower on the abdomen to tighten slightly loose skin above the belly button. Since the umbilical stalk is cut with this technique, it can cause problems if a full tummy tuck is desired in the future.

The best way to determine which tummy tuck technique is right for you is to get a consultation with a board certified plastic surgeon who does many tummy tucks. Second opinions can also be helpful when there is some debate over what will work, or you are not comfortable with the plan.


Walnut Creek Plastic Surgeon
4.5 out of 5 stars 7 reviews

Revisional Surgery: Full Abdominoplasty

+1

The majority of patents who present for abdomioplasty following pregnancy require a full abdominoplasty.  It’s not unusual for patients to desire a lesser procedure, but they are often unhappy with results of mini abdomioplasty.  This procedure has limited applications and should be used only when the primary anatomic deformity is located beneath the level of the umbilicus.  When the primary deformity is located at this level mini abdomioplasty gives excellent results.

Unfortunately the procedure is often utilized when greater anatomic deformities exist.  When this occurs, it’s not unusual for patients to require secondary revisional surgery. 

Based on your history it appears that you have residual excess skin above your umbilicus.  This has caused the crinkly skin you describe.

Although it’s impossible to know exactly what you need without performing a physical examination, it appears that a full abdominoplasty is indicated.  This procedure would convert your mini abdomioplasty to a full abdominoplasty with umbilical transposition.  It might also require a small vertical scar in the lower abdomen to address the previous site of your umbilicus.

It’s important that you discuss these issues with your plastic surgeon.  Your surgeon should be able to help develop a treatment plan that’s appropriate for you.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 86 reviews

Mini or full tummy tuck?

+1

 In my opinion, the mini tummy talk is an  operation that  produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.

For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides. It is not unusual to see patients who've had mini tummy tuck  surgery present for  revisionary surgery.
It is important to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to  improve your chances of a successful outcome and minimize the need for further surgery.
I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 780 reviews

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Mini tummy tuck results can be disappointing

+1

Looks like you needed a full tummy tuck. Mini tummy tucks do not treat skin laxity above the belly button, which you clearly have.

Scott C. Sattler, MD, FACS
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Crinkly skin above the belly button after mini tummy tuck

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A mini tummy tuck is a safe and effective procedure that can create a more contoured abdomen, a tight waist and a beautiful figure.

What you are experiencing is excess skin and tissue above the belly button that may not of been treated completely. When we perform a mini tummy tuck, we take great care to retract the skin above the belly button so that this punching does not occur afterwards. Sometimes, it may be necessary to address the belly button orts final position at the same setting. At this time, be sure to return to your plastic surgeon and let them know of your concerns. They will let you know the components of the procedure that they performed, if this extra skin is anticipated, or any other options you may have to correct this issue.

Pat Pazmino, MD
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Loose skin after mini tummy tuck: treat with eitjher a full or reverse tummy tuk

+1

A full tummy tuck with short vertical scar is likely your best option to control loose skin after mini tummy tuck. A reverse tummy tuck is another option but would create a whole new scar and may be more difficult to hide.

Otto Joseph Placik, MD
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Crinkly skin above umbilicus

+1

One of the problems of a mini-tummy tuck is that it does not treat the skin above the umbilicus very well.  A full tummy tuck does that better.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Crinkly skin after mini-tuck

+1

Yiu can have a modified abdominoplasty or floating belly button procedure. Thus stretches the skin immediately above the belly button at the cost of a lower belly button. Obviously there is a limit as to how far down you can move the belly button before it looks too low. This limit then limits the amount of tightening that can be done. The other option is to try non-surgical modalities like Thermage, Titan, or laser liposuction without the liposuction in order to try to get some minor skin tightening. These works to limited and variable effect.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.