How to Remove Vertical Belly Crease?

The creasing around your belly button is clearly due to skin laxity which will increase after significant weight loss due to a "deflationary" effect. Unfortunately, liposuction will not provide any significant skin tightening and your best bet is a full tummy tuck. It would be best to do this when you have reached your final weight. 

Thank you for the question and picture.

 

I think you'll be best served with the standard tummy tuck procedure. Liposuction and/or  mini tummy tuck surgery will leave you disappointed with the end results  of surgery.

In my opinion, for example,the mini tummy talk is an  operation that  produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.

 
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides. It is not unusual to see patients who've had mini tummy tuck  surgery present for  revisionary surgery.
 
For some patients an area of concern may be the “muffin top” (flank or lower back skin and adipose tissue).Treatment of the stubborn muffin top involves excision (lipectomy) of excess skin and adipose tissue. Liposuction  surgery alone  will potentially leave you with loose skin and an  unsatisfactory result.
 
Treatment of this stubborn area involves excision (lipectomy) of excess skin and adipose tissue. Liposuction  surgery alone  will potentially leave the patient with loose skin and an  unsatisfactory result.
 
Although not relevant in many cases, patients who are undergoing a standard tummy tuck procedure  should be aware however that often an “extended” tummy tuck is necessary to treat the muffin top area. This extended tummy tuck procedure involves flank and back skin and adipose tissue excision as well as liposuction surgery. If liposuction alone is done the patient may still end up with the muffin top and require further surgery to improve the waistline in the future.
 
It is important to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to  improve your chances of a successful outcome and minimize the need for further surgery.
I hope this helps.

 

Abdominoplasty would be the most complete solution to the laxity in your tissues, but only if it would meet your overall goals. It is not a minor procedure, and it comes with a transverse scar. Although the scar is usually easy to "hide" under a barthing suit or underwear, you need to be sure that it would be a good tradeoff for you. If the "crease" is your only concern, you may want to consider less aggressive alternatives (e.g. fat grafting, non-invasive skin tightening) . There is no substitute to a thoughtful discussion with a qualified plastic surgeon to establish goals and discuss alternatives.