18 days post Tummy Tuck bellybutton looks bad is this swilling or extra skin?

Thank you for your question and thanks for the photographs.

At 18 days post op you will definitely still be quite swollen and the final result will still be many weeks away.  Without details of the procedure such as did you have a full tummy tuck, lipoabdominoplasty, tummy tuck with umbilical float, or mini abdominoplasty it is difficult to give any advice on your early post operative result.  Be confident that your results should continue to improve over the first 3 months and follow your surgeon's post operative instructions.  I typically tell all patients that it will take at least 3 months before we can begin to see what the final results will be but full healing should take up to a year.

Best Dr. L

Thank you for the question and photos.  At 18 days after your surgery there is bound to be a lot of swelling.  As far as loose skin, once you've healed some more you should be able to tell if enough skin was removed or more needs to be removed.  Have this conversation with your plastic surgeon along the way so that you both know how long you will wait prior to making a decision for a revision if needed.All the best,Dr. Remus Repta