Uneven Fat Distribution and Saggy Belly Button - Options?

To start with, if you are planning on losing more weight, do this and stabilize your weight prior to any surgery. Depending upon the quality and tone of your skin, liposuction alone may give you the results you are looking for. Otherwise, a full abdominoplasty will tighten the skin, correct underlying muscle separation, and improve the look of your belly button. In some cases this can be performed at the same time as a breast lift.

I recommend you wait until you have stabilized in your weight loss before you opt for any abdominal contouring procedures.  Although it is impossible to give recommendations without a formal physical assessment/exam of your belly, I would like recommend a full tummy tuck.

A tummy tuck (also called abdominoplasty) is a very popular cosmetic surgery procedure. A tummy tuck can be an effective tool for shaping and sculpting the body for better body appearance and improved self esteem.

Sometimes no amount of diet and exercise can create a flat tummy. Tummy tuck plastic surgery actually tightens abdominal muscles and removes excess fat and skin from the stomach area to create a tighter, slimmer, smoother belly. A tummy tuck can be combined with other procedures such as liposuction of your waists or flanks (i.e. love handles) to fine tune your result

Patients choose abdominoplasty cosmetic surgery for a number of reasons, including:

Excess abdominal skin following weight loss; Weight gain (beer belly or spare tire) from a sedentary lifestyle; Abdominal fat that is resistant to diet and exercise; Stretched stomach muscles from pregnancy; Desire for a thinner profile; Desire to look younger and fitter; Desire to fit into clothes better

I recommend you visit with an ASPS member plastic surgeon to further explore your options and to find out if you are a candidate for this procedure.