How Can my Belly Button Be Made Smaller and More Attractive? And How Can my Breasts Be Made More Symmetric? (photo)

Question

I had BA & TT 3 months ago. I hate my bb. I feel it's too large & the skin inside almost sticks out, not even a straight line in the center. I wanted a small little oval shaped belly button. Can this be corrected? I asked my surgeon & he said the only way to correct it would involve making my bb larger. Also, one breast is shaped different, higher than the other, & my right nipple pointing more downward. How & can this be corrected? I know he did stitching underneath to hold them up higher. Thx!

Richard J. Bruneteau, MD · Answer

Although your history and post-operative pictures are
helpful, it’s difficult to make a specific recommendation without performing a physical
examination. Review of your post-operative pictures suggests several areas of
concern.These include breast asymmetry
and distortion of your umbilicus.It’s
important to wait at least six months before undertaking revisional
surgery.This will provide time for
adequate healing and resolution of muscle spasm and swelling. At this point,
the situation will be stabilized and the surgeon won’t be trying to hit a moving
target.There’s
no question that the right breast implant sits higher than the left implant,
but the cause of this deformity is unclear.It may be related to sutures placed in the inferior pocket, capsular
contracture, inadequate pocket dissection or spasm of the pectoralis
muscle.If it’s still present six months
following surgery, additional surgery will be necessary.Surgery will most likely require expansion of
the right inferior breast pocket.It’s
also important to note that the left nipple areola sits lower than the right
nipple areola complex.This deformity
may also need to be addressed if the goal is symmetry.This may require a unilateral breast lift
procedure.Pictures
of your umbilicus suggest a separation of the superior portion of the
closure.This can be easily corrected
with a minor procedure under local anesthetic.It’s
important to discuss these issues with your plastic surgeon.After six months, it may be reasonable to
consider revisional surgery.Your
surgeon should be able to formulate a treatment plan if this becomes necessary.

Kenneth Hughes, MD · Answer

A circumareolar lift will improve areolar position and symmetry for your breasts.  An umbilicoplasty may be an option.  It is important to realize that the belly button you have probably looked exactly like that prior to tummy tuck.  However, it is not covered or hooded by loose skin.  Having said that, it may be possible to change the shape and contours with some stitches under the belly button to anchor it at several points.

Richard Baxter, MD · Answer

The photo attached seems to show a relatively good sized belly button, and the problems you describe could probably be fixed without making it larger. These types of procedures are typically done under local anesthesia. The breast asymmetry is a bit more complicated. You may need a breast lift on one side.

M. Scott Haydon, MD · Answer

Thanks for your question and your pic. Without seeing your preoperative picture it is hard to comment on what your outcome is. I do thing the BB can be revised under local in the office. If you think of it as a clock, you could remove from 5-7 o'clock to decrease the area. The diameter is trickier to decrease but would involve removing a "ring" around the top.

	Regarding your breasts, I would give it a full 6 months from surgery to know where the implants settled. Not knowing your original shape or the implant size makes it harder to comment on whether or not the outcome is expected. Some revision could likely be done if you were not satisfied but the surgeon must feel confident in giving you the outcome you want. Best of Luck!

Ronald A. Lohner, MD · Answer

Difficult to give you specifics without assessing a pre op photo.  The umbilicus seems to be a relatively simple fix, perhaps in the office under local or with a breast revision if necessary in the OR.  Related to the breasts, again need more facts as one normally does not suture under the breasts in a primary augmentation.  Questions would be difference in implant volumes and differences in nipple height pre-operatively. Lifting one side with a periareolar lift would address nipple height but not implant height.  Need face to face exam with another surgeon to work out options here.

How Can my Belly Button Be Made Smaller and More Attractive? And How Can my Breasts Be Made More Symmetric? (photo)

Answers (9)

Answer: Postop Belly button repair

Answer: Postop Belly button repair

Answer: Timing of Surgical Revision

Answer: Timing of Surgical Revision

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How Can my Belly Button Be Made Smaller and More Attractive? And How Can my Breasts Be Made More Symmetric? (photo)

Answers (9)

Answer: Postop Belly button repair

Answer: Postop Belly button repair

Answer: Timing of Surgical Revision

Answer: Timing of Surgical Revision

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Recommended reading

Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.