Umbilicoplasty for Removing Excess Skin Above Belly Button?
- Asked by Annie2009 in California
- 4 years ago
I am 5’ 3” and weigh 103 pounds. Six weeks ago I had a mini-tummy tuck and hernia repair in hopes of removing the excess skin I had from two pregnancies. My plastic surgeon and one other recommended that I get a full tummy tuck to correct the amount of extra skin I had above my belly button, but for personal reasons, I chose to do a mini instead. Although my stomach is very flat and looks much better than it did prior to the mini, I have a small amount of skin that is starting to cover my belly button. The skin covers approximately half my belly button, extends about ¾ of an inch when I pull it away from my stomach and measures approximately 2 inches wide.
What options do I have to remove some of the skin so that I have a normal looking belly button? Could an umbilicoplasty work?
Redundant umbilical skin after mini tummy tuck
Your best option is to convert the mini tummy tuck to a full tummy tuck. Otherwise the only other method is to leave you with an unsightly vertical scar. It would be nearly impossible to hide any incision in the umbilicus. I am no aware and cannot recommend any consistent skin tightening ultrasound, laser or radiofrequency devices that will correct this degree of laxity.
A Secondary Abdominoplasty May Be Needed to Correct Your Excess Skin
The abdomen will often have significant changes following pregnancy. These include saggy, redundant skin, weakened muscles, and stretch marks. Treatment varies and needs to be individualized based on the deformity encountered. Careful analysis of the anatomic deformity is essential to obtaining an aesthetically attractive result.
In the absence of a thorough physical examination, your picture and comments suggest that you have a residual deformity, which primarily involves the area above the belly button.
Conversion of your mini abdominoplasty to a full abdominoplasty may be necessary to correct your problem. A small, vertical incision may be necessary if there is insufficient laxity of the upper abdominal skin to allow transverse closure of the wound. Utilizing this approach, it’s possible to correct these types of problems with secondary abdominoplasty.
Peri-umbilical Incision Tummy Tuck are possible
There are abdomenoplasty, or tummy tuck techniques that excise skin around the belly button or umbilicus alone.
Peri-umbilical tummy tucks have not become very popular due to concerns about the resultant scar, and limitations on the amount of skin that can be removed.
Most often you will need a full tummy tuck to correct significant skin excess. I suggest that you seek a second opinion consultation with a board certified plastic surgeon who can examine you and discuss the options to address your concerns.
Recent Mini Tummy Tuck Reviews
Mini Tummy Tuck Photos
Definition of Reverse Upper Tummy Tuck
Not infrequently I see patients in whom there is as much skin laxity in the upper abdomen as there is in the lower abdomen. In fact, some patients after pregnancy will have fairly 'toned' lower abdominal skin, but very lax and redundant upper abdominal skin. In these situations, the removal of skin in a vertically downward direction ( a conventional tummy tuck) is not adequate to correct the upper abdominal skin laxity. Such patients are often very good candidates for what I refer to as a 'reverse upper' abdominoplasty.
This surgical technique involves removing excess abdominal skin vertically upwards using incisions hidden in the inframammary folds underneath the breasts. THERE IS NO INCISION MADE BETWEEN THE BREASTS. In general, this operation is best reserved for patients with fairly full or at least slightly droopy breasts, which serve to nicely conceal the inframammary folds. An important part of this procedure is the placement of permanent lifting sutures that elevate the lower skin edge, following removal of excess skin, to the upper skin edge in the inframammary fold. These permanent sutures ensure that the resulting surgical scar remains hidden within the inframammary fold.
A great advantage of this procedure is that the patient's original belly button is preserved, and thus there are absolutely no surgical scars that are visible when wearing a two-piece swimsuit or typical underwear (bra and panties). Additionally, because this procedure generally requires less skin undermining and thus less interruption of the normal blood supply of abdominal skin, more thorough liposuction of the waist and back can be performed at the same time.
Many patients having this surgery, therefore, undergo a reverse upper abdominoplasty combined with a lower 'mini' abdominoplasty, tightening of the entire length of the rectus abdominis muscles, and liposuction of the circumferential trunk - and keep the belly button with which they were born. I usually refer to this operation as 'reverse upper / modified lower abdominoplasty'.
Web reference: http://michaellawmd.com
An isolated umbilicoplasty will not solve your problem.
The treatment of choice was and remains a 'full' abdominoplasty which includes the umbilicoplasty.
Umbilicoplasty is not the answer for loose skin above the belly button
Umbilicoplasty is not the answer following mini tummy tuck. Unfortunately, the skin above the belly button has not been properly redraped nor has the belly button been properly recontoured. Only a formal abdominoplasty will accomplish both. For those with isolated excess periumbilical skin (uncommon condition), an umbilicoplasty can be helpful.
Correction of a belly button after tummy tuck
The gold standard for surgical repair is an abdominoplasty. Lesser treatments will only provide less than satisfactory results.
Umbilicoplasty to correct excess laxity after mini tummy tuck
I believe the question has been answered well. The picture is very helpful. Sorry to repeat that you should have had a full tummy tuck for the best result. Umbilicoplasty can work but only for very minor revisions. Unfortunately, I don't think you would have a very nice result. I wish to add that less than 1% of tummy tuck candidates are really appropriate for mini tummy tucks in my experience. Even those with similar body builds and less skin laxity than yourself in whom I was almost sure were going to get a mini tummy tuck ended up getting a maxi through a mini incision with much nicer results. One cannot get a maxi result through a mini incision. The idea is to cut and stretch the "bad skin." A lot of bad skin means a longer incision, more dissection, or both.
Correcting the loose skin after a mini tummy tuck
The ideal candidate for a Mini Tummy Tuck is an individual who has:
1. Good skin elasticity with minimal looseness
2. No or minimal stretch marks
3. A belly button high above the bikini line
4. Thin with a long waist
I have had good results with Mini Tummy Tucks, but I see very few women in my practice who are good candidates for this procedure. At issue is the fact that Mini Tummy Tucks do not tighten the skin very much. The flattening of the abdomen with a Mini Tummy Tuck results from liposuction and tightening the muscles. The scar is shorter because less skin is removed during a Mini Tummy Tuck than during a Tull Tummy Tuck.
Based on the photo you have submitted, I think that you would have a very nice result with a Full Tummy Tuck. An Umbilicoplasty will not provide you with the improvement you are looking for.
I would recommend discussing your concerns with your Plastic Surgeon.
Andrew Lyos, MD, FACS
Upper abominal work after a mini tummy tuck
Good candidates for mini tummy tucks are few and far between. The longer I am in practice, the fewer I do because of patient dissatisfaction with the long term result. Do not have an umbilicoplasty. It won't work and could leave you with a really weird looking umbilicus. I have seen the post op results of another surgeon's "purse string" periumbilical umbilicoplasty and it looks like an anus. Not a pretty thing in the middle of your abdomen!
Your best option is a full tummy tuck if your skin is loose enough or a reverse tummy tuck where the skin and fat is pulled up and the incision is hidden under your breasts.
I don't know of any nonsurgical skin tightening procedures that would work for you but if you find one, let me know!
Lisa Lynn Sowder, M.D>
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.