Do belly button scars show much or are they hidden under the folds after Tummy tuck?

Doctor Answers 9

With attention and technique this scar can be hidden fairly well.

Umbilicoplasty is a cosmetic surgery procedure to help create a more attractive belly button. This can be accomplished by itself such as creation of an "innie" from an "outie" but is more frequently done at the time of a tummy tuck. In my opinion, the belly button is the most important cosmetic part of a good tummy tuck. The lower tummy tuck scar is hidden well too low for the patient to routinely "show it off", but the belly button is easily flaunted. Patients are very concerned about their belly button and want as natural an appearance as possible.

Attractive belly buttons are generally vertically oriented. A "T" shape created by an overlying small "hood" is considered attractive as well. Additional attractive attributes include the absence of surrounding stretch marks, minimal fat, no hair (on a female) and smooth surrounding skin without visible scarring.

To try to achieve the perfect belly button surgically, plastic surgeons have modified our technique over the years. I have been happy with a modification of an inverted "U" incision pattern. This helps to prevent narrowing (stenosis) of the scar and hides it on the inside of the belly button where it is not as visible. This creates a very nice vertical belly button with a small overlying hood. The umbilical stalk should be attached tightly to the abdominal fascia to help create an "innie".

Salt Lake City Plastic Surgeon
4.9 out of 5 stars 182 reviews

There will be a scar around belly button after tummy tuck

There will be a scar around the belly button following a tummy tuck; however, in some patients, it can be only modestly noticeable. One can attempt to keep the belly button scar on the inner edge of the belly button to make it more inconspicuous. 

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 224 reviews

Belly Button Scars

Thanks for your question JD. You shouldn't have any folds after a tummy tuck. The scar around a belly button can be noticeable if not done well. In our San Francisco office our tummy tucks get incisions and plications designed to leave patients with a cosmetically attractive "inny" belly button. There are many thoughts about the ideal way to create a cosmetic umbilicus. The technique we use most frequently involves a vertical scar with plicating the stalk of the umbilicus down to the abdominal fascia as necessary. Be sure to ask your surgeon about what the belly buttons look like. Ask if they can use techniques to keep your belly button from looking too "target like" (round with a prominent scar around it). And be sure to ask for post-op pictures that show the new umbilicus. I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Discuss Your Goals Before Surgery

It’s not unusual for women to be concerned about the appearance of their belly button following abdominoplasty surgery.These patients want a belly button with an attractive shape and well hidden scars.
With careful attention to detail these goals can be easily accomplished by placing the scars on the inner aspect of the umbilicus.
If you’re concerned about the appearance of your belly button following this procedure, it’s essential that you discuss your aesthetic goals with your plastic surgeon prior to surgery.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Tummy tuck scars

The tummy tuck scar should be well hidden by your underwear, so it would be below the top of the your underwear, going horizontally across. It may extend from hip to hip, or be a little shorter. The scar could be placed using the same incision as was used for a C-section. But the purpose of a tummy tuck is to get rid of any folds, so it wouldn't be located in one. The scar around your belly button would look like it's part of your belly button, so that shouldn't be visible either.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Belly button scar appearance after tummy tuck

Belly button scars vary tremendously in their appearance with some being barely visible and others appearing red and thickened. This is quite difficult to predict.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Belly button scars after a tummy tuck

Tummy tucks are a very popular and effective technique to contour the abdomen. During this procedure, your surgeon will elevate the skin and fat flap and put downward areas. In fact, your bellybutton does not move during this procedure only the skin around. In our practice, we place a great deal of emphasis to make the scar as unnoticeable as possible. We do this by creating a vertical bellybutton which will complement the vertical columns that we sculpt into your abdominal wall during your tummy tuck. We also take great efforts to bury the tummy tucked incision at the bottom of the tummy tuck. In this way, you will see the beautiful new skin that goes into tummy tuck and you will feel confident in your favorite bikini

To learn more about tummy tucks, see photos, and help you decide which one is best for you, please visit us at the link below:

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 108 reviews

Belly button scar and tummy tuck

Yes, there is a scar around the border of the belly button after a tummy tuck. Usually this scar heals very well, but for some people, the scar is a bit more prominent.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Belly button scar can be partially hidden

Belly button scars will heal similar to the rest of your scars. If you heal well, it will always be the case and if you get hypertrophic scars, they will show. Portion of the umbilical scar could be hidden though, when the incision is mainly drawn on the inside.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 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.