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. 

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.

You have done well to lose weight and improve your lifestyle. It is common for the skin not to have the same smoothness and tone after a significant weight loss. You should think about your specific goals and share these with your Plastic Surgeon. An extensive tummy tuck with liposuction of the torso will likely give the best results. This procedure would remove much of the damaged and poor quality skin from your lower abdomen and produce the flattest and firmest results. However, if you goal is to become slimmer and look better in fitted clothes then further weight loss or laser assisted liposuction would help you. Liposuction does not remove skin so a flatter and not tighter  tummy would be possible with this less invasive approach. If you are truly focused on the creases then skin removal as part of a tummy tuck is the only way.

Dr. Mosher

From the picture, you look like an excellent candidate for a tummy tuck / abdominoplasty.  While liposuction will remove the fat, you have loose skin and likely loose underlying muscles which can be fixed during tummy tuck / abdominoplasty.  

 

Good Luck.

Thank you for posting the photo.  If you are planning on loosing more weight, I would recommend that you wait until you are at your goal weight before making any decisions.  You may end up having more laxity, and may choose to have a tummy tuck. But if you stay the same or similiar, and the only thing that bothers you about your abdomen is the crease, then you can have a minimal liposuction for fat harvesting, and have a fat transfer to the area at the crease.  This often times can give excellent results with a small procedure.  Good luck!