A full examination and discussion would be needed to determine what the best course of action would be for you to achieve the result that you desire. I suspect a full revision tummy tuck to further tighten abdominal skin and a neo-umbilicus would be needed to get maximum correction.
All the best,
Dr. Remus Repta
Excess skin after your Tummy Tuck
Unfortunately, your problem may not be correctable. Like my colleagues have already said, you likely needed a belly button transposition and not an umbilical "float". The blood supply has now been compromised and transposition can have high risk of belly button necrosis. Your only other option is to have additional float but this will bring your belly button very low, or to consider a "reverse tummy tuck" where the skin is pulled up to the breast fold, but the scar can be undesireable. I am not sure if any energy-based skin tightening will help at all.
Excess skin after tummy tuck
Thanks for the picture. The first option is to wait at least 3 months. It sounds like you had an umbilical float procedure. I agree with Dr. Zubowicz that excess skin needs to be removed and would be hesitant to remove excess skin from around/near a belly button that has been floated. I do not have experience with TITAN (energy based skin tightening) but I have worked with similar devices with minimal results and thus I don't those devices in my practice.
Earl Stephenson, Jr, MD, DDS,FACS
No treatment for surplus skin except excision.
I'm not sure I understand what you're umbilicus was transposed but there does indeed appear to be a modest surplus of skin in the area. I note no way to tighten the skin except for surgical excision. I'm not sure a satisfactory result can be accomplished through a periumbilical incision.
The belly button and the skin around it are unlikely to tighten on their own. Typically the belly button will be transposed rather than lowered. With transposition the loose skin around the belly button is tightened and the belly button is brought through a new hole in the abdominal flap. The problem is that the umbilical stalk was detached with your original surgery and this option no longer viable. Your best bet would be a noninvasive skin tightening with Titan or Thermage. I would see a Board Certified Plastic Surgeon before going foward with other treatments. An exam may reveal other options.
Loose skin after tummy tuck
I would recommend you allow some time for healing which may result in some additional improvement that may satisfy you. Surgical approaches include smart lipo to help tighten the skin or revision of your tummy tuck which will result in having a scar in vertical fashion between the belly button and the lower incision "float." External treatment may improve the skin tightening but you have to ask yourself if the mild improvements are worth the cost.
I would avoid any non-surgical skin tightening attempts, as they are very unlikely to accomplish anything. Nothing surgical can be done for some months, so waiting is the only option now. After all the swelling is gone, then a plan can be made reviewing the alternatives.
Having had an umbilical float will result in fewer corrective options, but there will be some.
All the best.
The best course of action would be to wait 4-6 months to allow the blood supply to the abdomen to become re-established and for swelling to subside. In the interim, I would get a second opinion from a trusted plastic surgeon in your area.
In summary, you will likely require a revision tummy tuck with creation of a new belly button. The current skin between your belly button and pubic region will probably be able to be removed and this is the best way to get the skin tightening you desire.
Skin laxity above floating umbilicus after tummy tuck
I do see the loose skin that you mention in your photograph. This bump may also be caused by the residual belly button stalk that was left behind.
Options to consider are nonsurgical skin tightening or after full recovery if further lower abdominal laxity occurs a revision of your tummy tuck. Next
Please be sure to discuss your concerns with your plastic surgeon.
3 weeks post op of Tummy Tuck, I have an excess skin over my belly button. What are my treatment options?
Sorry to say the floating umbilical TT was most likely the incorrect option. But over the internet not sure - you did not post before photos...