Hello, and thank you for your question about whether your belly button needs revision after your tummy tuck and umbilical hernia repair. The changes in your belly button’s appearance are likely due to the combination of these two procedures. When an umbilical hernia is repaired during a tummy tuck, it can alter the natural shape and depth of the belly button. The repair may flatten the umbilicus, making it appear different than before surgery. A belly button revision, also called an umbilicoplasty, is a purely cosmetic procedure, as the umbilicus itself has no functional purpose. Some general surgeons even remove the belly button entirely when repairing large hernias or performing complex abdominal surgeries. However, if the appearance of your belly button bothers you, it is entirely possible to have it revised. A belly button revision typically involves a circumferential incision around the umbilicus, removing a small amount of surrounding skin in a donut-shaped pattern to reshape the area. This can help restore a more natural-looking navel. Most board-certified plastic surgeons experienced in tummy tuck revisions can perform this procedure with excellent results. I recommend waiting at least one year post-surgery before considering a belly button revision to allow for full healing and for any remaining swelling to subside. If you still find the appearance unsatisfactory after that time, consult with a board-certified plastic surgeon to discuss your options. Good luck, and I hope I have answered your question regarding belly button revision after tummy tuck and umbilical hernia repair. Sincerely, Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS