At 2 years after a tummy tuck, a belly button piercing is usually possible if the umbilicus healed normally and there is no active irritation, open skin, thick scarring, or blood supply concern. The piercing should be placed by an experienced professional who understands that the belly button anatomy and scar tissue may be different after surgery. The main risks are infection, irritation from jewelry, delayed healing, or a scar that becomes more noticeable. If your belly button was reconstructed, has a tight scar, poor sensation, recurrent drainage, or any history of wound healing problems, it is best to have your plastic surgeon examine the area before piercing. Seek care promptly if redness, worsening pain, swelling, pus, fever, or spreading warmth develops afterward.