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

Question

I had a mini tuck, should of had a full. Now i want a full but 1st doctor transected bottom of bb stalk. Do I need to find a doctor to do vascular delay on my bb to save it from necrosis and how would i find one in my area? Im sad i didnt pick the right doctor the first time.

Carmina Cardenas, MD · Answer

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

Christopher Pannucci, MD, MS · Answer

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

Daniel Barrett, MD · Answer

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

Connie Hiers, MD, FACS · Answer

You did not post photos, so I cannot be specific. However, if the incision was not made around the belly button, just dividing the stalk should not cause loss.  Please avoid any form of tobacco.

Arian Mowlavi, MD, FACS (license on probation) · Answer

If enough time has passed from the original surgery and certain other conditions are met, probably you can have your full tummy tuck done safely.You would likely benefit from a high definition tummy tuck using high definition VASER liposuction. The tummy tuck procedure would comprehensively remove excess skin and fat in the abdominal region. The abdominal muscle would also be 'tightened' to create the appearance of a flatter stomach. A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

A delay procedure could create necrosis of your belly button and even with a delay procedure you could still lose your belly button when converting it to a full tummy tuck.

Your situation definitely warrants in person consultations while in advance of wanting to have a full tummy tuck.

Expect to get different opinions from different providers on this.

If you find someone who has done a successful delay after a floating belly button then you’ll be in good hands otherwise it’ll be up to each plastic surgeon to go off of general knowledge and experience.

It may be difficult to find someone who’s done umbilical delays Multiple times in the past and delivers stellar tummy tuck results.

Start scheduling in person consultations and see what each provider has to say.

Best,

Mats Hagstrom MD/

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