Do I need a vascular delay to save belly button? 5'6" 175lbs

You may a have a perfect Tummy Tuck and remove the old scar of your original belly button.
There are multiple options and techniques to create a new belly button. It is totally unnecessary to try to save your original bb.
Be encouraged!!! Your full Tummy tuck will be a total success this time.
Dr. Cárdenas

Hi Fantastic415791,
Your belly button is a scar, at the site where your umbilical cord used to go through the abdominal wall to your liver. When you were born, the umbilical cord falls off, and the wound heals as a dent...otherwise known as a belly button.
Thus, the belly button's primary blood supply comes from its attachment to the abdominal wall. When the belly button is "floated" in a mini tummy tuck, its connection to the abdominal wall is divided, and the blood supply is divided too.
A "delay" procedure can improve the blood supply but even after a delay, it's likely that the belly button wouldn't survive in this situation. . I would suggest talking with your plastic surgeon about the possibility of removing your belly button if it looks questionable during the tummy tuck, and having a neo-umbilicus created at that time.
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Dear Fantastic415791,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery