I Want to Get a Belly Button Revision Will It Help? What Are My Options?

Thank you for the question and pictures.

The appearance of the umbilicus after tummy tuck surgery is of critical importance to many patients. Essentially, it is the only scar visible when patients are wearing undergarments or swimming suits. It can be a telltale sign of a patient who has had abdominal plastic surgery.  As much as possible, it is best to keep the belly button relatively small, oval shaped, and attempt to hide the resulting scars.

In your case, it is difficult to give you good advice without direct examination. whether the appearance of your umbilicus can be improved will depend on physical examination approximately one year after your initial tummy tuck surgery.

Best wishes.

Your umbilicus (belly button) is too big and needs a revision. I also don't like the shape. Fortunately this can be repaired under local anesthesia.

Scar or other surgical revisions should be performed after all swelling has subsided and all healing has occurred. It appears that the diameter of the belly button is a bit large, that it is positioned slightly off-center and that you have some hyperpigmentation of the (widened?) peri-umbilical scar. In addition, the protrusion centrally appears to be consistent with what is typically seen in the presence of an umbilical hernia. I don’t know if this was present prior to your tummy tuck; or perhaps it has worsened following the muscle plication.

To move the belly button to the left will require making an even larger opening, and given the size that is already present, I think some sort of purse string technique will be needed to narrow the skin opening and ultimate diameter of the belly button. Hopefully this will also prevent any additional scar widening.

If that central bulge is the result if an umbilical hernia, that will need to be repaired, but must be done carefully since the only reliable blood supply to the belly button now comes through the stalk.

Post-op sun protection and prophylactic use of a skin bleacher will be helpful to reduce the risk of hyperpigmentation post-op.

Discuss your concerns with your surgeon so you understand how s/he plans to address these issues. Best wishes.