Is It Possible to Lower Tummy Tuck Scar and Fix Belly Button?

I had a Tummy Tuck 14 mos ago. The actual flatness of my stomach is good; however, much more important to me is how it appears.

The scar is way too high and literally hangs out of 99% of my clothes, including my suit. The scar also is an odd shape with my belly button looking far from natural.

I would like to see if there is any possible way to correct by lowering scar and make my belly button look somewhat natural but my skin is now very tight, I am not sure if this is even a possibilty. This impacts me everyday.

Doctor Answers 11

Not now

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I see your concern. The scar is irregular, and in a less than optimal position. The umbilicus is similiarly, suboptimal in its outcome.

I believe it will be fairly easy to improve the navel. The transverse scar is another story. You will need to wait until the skin is no longer tight. Secondly, the scar beneath the skin/fat will reduce the amount that the skin can be pulled down.

My opinion is that the scar can be revised and straightened, and maybe even brought down a bit, but it will likely always be higher than ideal.


High Scar From Tummy Tuck

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First I'm sorry to see such a scar. There really is no reason to put the incision this high. As far as correcting it it's almost impossible. It's difficult to see the scar but it may be possible to redo it and decrease the appearance. This should be possible for belly button as well.

But scar revisions are not perfect. I think you would get an improvement but it will never be perfect.

Unhappy with abdominoplasty scar

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It seems as though your scar is in fact quite high. Since you are only one year out from your procedure and describe that your abdomen skin is very tight, it would be quite impossible to lower your scar at this time. I agree that lasers can help improve the coloration and thickness of the scar. Once the skin loosens, you will certainly be a candidate for a revision.

In terms of the belly-button, if there is a little looseness to the skin just around the belly button, it would be possible to revise that scar. I'm sorry that this procedure has impacted you in a negative way and hope that you will be able to get some correction soon. Good luck Kendall.

Sirish Maddali, MD
Portland Plastic Surgeon

Revision tummy tuck

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Your scars are indeed suboptimal in position and character. Revision tummy tuck is an option to improve the scars, but you would need to wait until the abdominal wall skin relaxes more before considering this. Also, your tattoo would need to be at least partially removed. The belly button scar could be revised at any time. Good luck!

Tough situation

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The tightness you feel means there is no extra skin that would allow you to revise the surgery and maybe move the scar down slightly. So the scar is locked in. The belly button looks odd because of the hole that was cut in the skin to bring it out. Maybe it could be revised a bit if there is any laxity around it.

Bad news and good news

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Unfortunately, your incision line is quite high on your abdomen. With the tautness of your skin, it would be impossible to lower your scar. However, your incision is still red and this can potentially be treated with a V Beam laser. If the redness was gone the scar may become inconspicuous. Regarding your belly button, it is possible to revise it to give it a more natural look.

Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon


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Your scar does look rather high and your skin looks quite tight.  That said, I think it would be rather difficult to surgically lower the scar.

Edmond A. Zingaro, MD
San Francisco Plastic Surgeon

Lowering a high tummy tuck scar (abdominoplasty)

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It would be very difficult, if not impossible, to lower your scar at this point. There are some options but these are not practical. This would involve a multiple procedures with an initial stage of placement of a tissue expander to stretch the skin immediately above the scar (similar to pregnancy) and create sufficient laxity to remove the scar and place it at a lower location.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

With Time Revision May Be Possible

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Your pictures demonstrate a relatively high abdominal incision with associated distortion of the umbilicus.In addition your incision is asymmetric and somewhat irregular.
Unfortunately, this is a difficult problem to fix, especially in the presence of tight abdominal skin.With time your skin may relax, under these circumstances a revision may be a consideration.This might result in improvement of the umbilical contour.It might also improve the contour and symmetry of your scar.This procedure might lower your scar, but it would still be significantly higher then what is usually seen following an abdominoplasty procedure.
It’s appropriate to discuss these issues with your plastic surgeon.Hopefully, these types of changes will be enough to make your current situation more acceptable.

Anchoring sutures

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Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.