Creating a New Belly Button During Tummy Tuck?

Question

I'm curious as to the different ways to make a 'new' belly button during abdominoplasty. I've heard of different techniques. What kinds are there? I want minimal scarring on the outside and a realistic look. What kind of technique would create a realistic-looking belly button?

Michael S. Beckenstein, MD · Answer

There are so many ways to "create" an umbilicus (belly button). First of all, the belly button is attached to the abdominal wall and is freed from the skin that will be removed. It stays where it always is on the wall, the repositioned skin in the incised and a variety of patterns which determines the shape, size of the "new" belly button. When you seek out your surgeon, make sure you see several photos of results so you can see if those results are what you might be happy with.

J. Timothy Katzen, MD, FACS · Answer

Hello IHGB in Victoria, BC. Thank you for your question regarding the techniques for creating a new belly button (umbilicoplasty) during a tummy tuck (abdominoplasty). It’s great that you are looking into the details of the procedure to ensure the most natural-looking results with minimal scarring.

The creation of a new belly button is a critical aspect of achieving an aesthetically pleasing tummy tuck. The goal is to make the belly button look natural, appropriately sized, and well-positioned with minimal visible scarring. Here are some common techniques used:

Innie Technique: This approach is favored for its ability to create a natural-looking “innie” belly button. The surgeon creates a small incision inside the new belly button, which is then anchored to the muscle underneath. This technique allows the belly button to have a natural depth and minimizes visible scarring since the incision is hidden inside.

Umbilical Float Technique: This is the technique I most commonly perform. It is used if less skin needs to be removed or if the patient has a high original belly button placement. The belly button is detached from its original position but left attached to a stalk of tissue and then repositioned slightly lower on the abdomen. This method can preserve the original belly button but might alter its placement relative to the rest of the torso.

Hooded Umbilicoplasty: For those desiring a slight hood or overhang, which is characteristic of many natural belly buttons, this technique involves sculpting the skin around the new umbilicus to create a small “hood” at the top. This can add depth and an even more natural appearance.

Vertical or Horizontal Oval Technique: The shape of the incision can vary; some surgeons prefer a vertical or horizontal oval, which can influence the depth and the appearance of the belly button. The choice often depends on the patient's original anatomy and the desired final appearance.

Choosing the Best Technique:

Consult with a Board-Certified Plastic Surgeon: Discuss your expectations and any concerns with your surgeon. They can recommend the best technique based on your body type, the amount of excess skin, the position of your current belly button, and the desired outcome.

Considerations for Minimal Scarring: For minimal scarring, ensure that your surgeon plans to place the incision inside the rim of the new belly button, which can hide the scar inside the umbilicus.

Review Before and After Photos: Ask to see examples of the surgeon’s previous work specifically looking at the results of different belly button techniques to understand the potential outcomes.

Post-Surgical Care: Follow your surgeon’s guidelines carefully post-surgery to ensure the best healing and aesthetic outcome, as good wound care is crucial in minimizing scarring.

Every patient's body is different, and personalizing the approach to your specific needs is key to achieving a result that looks natural and meets your aesthetic goals. A thorough discussion with your surgeon about the techniques they are skilled in and what they recommend for you is essential.

I hope this provides a clear understanding of the options available for creating a new belly button during a tummy tuck and helps you in making an informed decision for your procedure.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Jeffrey Horowitz, MD · Answer

There are many techniques to shape the belly button. If you are unsure, check out pictures of swimsuit models to see what appeals to you. There is no right or wrong answer here, but a study showed that a long narrow belly button was thought to be most attractive in a survey. Having said that, there's nothing wrong with a short round shape--it's up to you!
Good Luck!

Tom J. Pousti, MD · Answer

Understandably, the appearance of the umbilicus is of great importance to many patients undergoing  tummy tuck surgery; after all, it may be the only telltale sign of having undergone the tummy tuck surgery when the patient is wearing a swimming suit or undergarments. The umbilicus should be positioned carefully; if it is too high or too low, it may be a sign of tummy tuck surgery.  Ifit is too round or slit like it may also look "surgical". Most patients prefer a relatively small and oval-shaped umbilicus.  I hope this helps.

Steven Wallach, MD · Answer

When performing a tummy tuck, the umbilicus is not recreated. It is left in place and the skin that sits over it iafter the excess is removed is opened up to allow the umbilicus to be set in place. Yes, there are different ways to do this but that is something to go over with your doctor in person.

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