Sagging fat or skin after weight loss; how do I get rid of it and improve belly button shape? (photos)

First, I want to congratulate you on losing so much weight, and maintaining your weight loss. Saggy skin can only be tightened up by removing the excess skin, and that means a tummy tuck would be the most suitable option for you. A tummy tuck would also reshape your belly button, giving it a better shape.

There
are a variety of tummy tucks that can produce a good cosmetic result in the
appropriate patient: a mini tummy tuck, a modified with an umbilical float,
or a variety of a full abdominoplasty, all of which may, or may not,
include tightening of the muscle and liposuction. Generally if there is
significant loose skin above the umbilicus (belly button), a full tummy tuck
will result in a greater correction and better outcome.Keep
in mind that following the advice from a surgeon on this or any other
website who proposes to tell you what to do based on two dimensional photos
without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of
each operative procedure would not be in your best interest. I would suggest
you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic
Surgery (ASAPS) that you trust and are comfortable with. You should
discuss your concerns with that surgeon in person.Robert
Singer, MD FACSLa Jolla, California

To tighten loose skin and to reshape the belly button, I would suggest a tummy tuck. This will tighten your stomach muscles and remove excess skin and fat. It can also be combined with liposuction for further contouring. Good luck!