Is it possible to minimize the extra skin over the belly button causing the hooded look without a reverse tummy tuck? (Photo)

From your photo, it appears that the hooding over your belly button may be able to be improved by removing a skin segment along that upper border.  This can be simply done with local anesthesia and would leave a half-circle scar along the upper umbilical border.  A reverse tummy tuck is only needed if you have a lot of stretchy, excess skin in the upper abdomen that creates folds and uneven contour.  I don’t really see that in the photo.  Although I don’t have any personal experience using non-surgical skin tightening technologies radio frequency or ultrasound for this type of problem, I don’t think that it would lift the hooding enough to correct this problem.

You
can undergo a local circum-umbilical incision to cut out the excess skin.  This will only effect the immediate area of
the umbilicus and will not tighten your tummy or lift your abdominal wall.  Thermitight will be of no value.Best Wishes,Gary Horndeski, M.D. 

Honestly, your abdomen looks very good.I wouldn't recommend any surgery for it at all.  The scar of the reverse tummy tuck is not worth the small improvement you would see.  Unfortunately, the non-surgical options are more limited in their results, and less predictable.  You could certainly look into ThermiTight or BodyTight procedures, but in general, they give at best, about 30% of the effect of surgery.

While a reverse tummy tuck is an option, there are some drawbacks. First, the scar MUST be brought all the way across the upper abdomen, including (and most importantly) across the midline, where the scars are often very poor. If, if, if the scar does well all is good. If not, there is no taking it back. Second, when "pulling/repositioning" from above gravity is always trying to fight your result so you may find the degree of long term change at the umbilical hood is not all that you'd hoped it would be - especially for the investment. Non-invasive methods are unlikely to provide satisfactory lasting results. Local skin excisions frequently distort the umbilicus. From your photos, it appears that a more traditional abdominoplasty technique would more predicatably meet your expectations.

Thank you for the question.  While there is no guarantee that minimally invasive technologies work as well as a definitive surgical procedure, I think that you are a great candidate for one of the radiofrequency tightening technologies.  Forma by InMode is a great procedure.  I use it in my office and have gotten some great results.  

Thermatight is useless. Reverse tummy tuck is misguided. You need abdominoplasty. Start thinking fresh.