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.

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!

Excellent question. Often when individuals undergo a significant weight loss there is residual skin that does not contract back down as one would expect. This is often due to the inherent loss of skins elasticity. There are some minimally invasive procedures which do have some mild skin tightening associated with them but they are often under powered to provide the level of correction people are looking for. Often a surgical excision of the skin redundancy is required.I would suggest a consultation with a Plastic Surgeon who can go over what option best suits your needs.

Congratulations on your weight loss! It is difficult to tell
without personally evaluating you, but people who have especially slack skin in
their midsection and abdominal muscle weakness need more than what diet and
exercise alone can offer. Typical candidates for a full tummy tuck are women
with drooping abdomens after pregnancy, women and men who've lost a great deal
of weight, menopausal women, or older people with loose skin due to age. In the
tummy tuck, the skin from the rib cage down to the pelvic area is tightened,
and the navel is moved up and secured in a new position.
A mini-tummy tuck is especially effective for people who look pretty good from
the navel up. The main difference between the 2 procedures is that the
mini-tummy tuck doesn't require moving or reconstructing the navel and the
incision is shorter than the one made in a full tummy tuck.

Hi Amberness,looking at your picture, I would only suggest circumferential liposuction over your mid-section, meaning front, pubis, flanks and back. I do not think you need a tummy tuck with all the scaring...you want to consult with a board-certified plastic surgeon of course.good luck,F. Mussat

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

What you are describing is the main reason patient come to my office for a tummy tuck.  A tummy tuck is a procedure that will address the loose, often hanging skin of the abdomen, remove unwanted problem areas of fat, and tone the abdominal wall.  Based on your photos, I believe you would be a good candidate for an abdominoplasty with or without liposuction, however, the real recommendation would follow a consult.  I think a tummy tuck would help address all of your concerns.  Hope this helps!