Hello considerate 562783, Thank you for reaching out with your question about addressing the appearance of skin below your belly button following a tummy tuck. Based on your description and provided images, it's important to first determine the nature of the issue – whether it's due to scar tissue or loose skin, as each requires a different approach. If the area feels firm, it might be scar tissue. In such cases, non-surgical methods like deep tissue massage and steroid injections can be effective. You could consider using massage devices like a TheraGun or even seek professional massage therapy. This conservative approach should be your first step. Give yourself about 4 to 6 more months to continue healing, which means waiting until you are 10 to 12 months post-surgery. It’s crucial to allow adequate time for your body to heal and for the results of these less invasive treatments to manifest. If, after this period, the area has not improved and you identify it as loose skin rather than scar tissue, a surgical revision might be necessary. This would involve revisiting the initial tummy tuck incision and further tightening the skin to achieve a smoother contour. In any case, it's advisable to consult with your plastic surgeon or seek a second opinion to thoroughly evaluate your condition and discuss the best course of action. Your surgeon can provide a more accurate assessment based on a physical examination and detailed analysis of your specific situation. Best of luck with your healing process and any future procedures you may decide to undergo. Sincerely, Dr. Katzen