Wanting above my bellybutton tightened but unsure what procedure (if any) can fix my issues (Photo)

Dear rrachros,

based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There are good options for rejuvenating your tummy. The first question is if you have noticeable diastasis, meaning a bulge in-between your six-pack muscles when you do a sit up or plank type of action. Your muscles look flat in your photo so this is likely not a major issue in decision making. Assuming so, the I would recommend some liposuction (not a major part of the procedure) with skin excision and umbilical transposition. This is a tummy tuck type of skin excision excluding the muscle tightening. This can be done with an oral cocktail for sedation and local tumescent anesthesia, so you never go "under". There are no drains with resumption of activity as tolerated. There is an overall lower complication rate and down time compared to a traditional tummy tuck. On caveat is that you may have a vertical scar if your umbilical opening does not stretch down to your horizontal scar below the bikini line; but still, I think it would be a good "trade-off" to rejuvenate your tummy. This is a great option for many women out there . . . An in-person exam by an experienced body plastic surgeon will help guide you in your decision. Thank you, I hope this helps.

Thank you for submitting your questions and including photos! You would be a great candidate for a reverse abdominal wedge. A reverse abdominal wedge uses IMF incisions located in the folds of your breasts from your previous breast surgery. That procedure would remove excess skin from your upper abdomen. I recommend scheduling a consult with a board certified plastic surgeon like myself so we can create a surgical plan based on your goals.

You may be a candidate for an umbilicoplasty. This can cut out some of the excess skin. The result may not be perfect but should be improved. The scar will be hidden more in the stalk of the umbilicus.

Best Wishes,

Gary Horndeski, M.D.

You are very slender but you do need to have the skin redraped due to the stretching with pregnancy You will need a full abdominoplasty, you will need the skin above your umbilicus pulled down to your pubic area and a new umbilicus/ belly button to be created. This is the best way to address the skin excess about your belly button. Lasers would not work, skin tightening procedures will not yield the desired results. You may not need to have repair of your rectus muscles. The focus would be on removal of lower abdominal skin in order to redrape the skin above your belly button to your lower pubic area. Thank God skin stretches :)

Loose skin can be tightened with a full tummy tuck. This would target the area above your belly button. At the same time, your belly button can be reshaped.

Hello @rrachros, thank you for your question. thank you for your question and showing your pictures. Ideally, a patient should undergo a personalized consultation with a surgeon, during which a surgical plan tailored to the patient's expectations will be presented. That said, from your pictures an option can be a mini tummy tuck modified lipectomy that leaves a small scar and improve all aspects of your appearance. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

This is very difficult problem to treat. Combination of liposucton and skin tightening like Renuvion, Bodytight, should be considered. Direct excision, which would be the best solution, will leave you with a bad scar. Hope this helps.

it's possible that you may benefit from a tummy tuck (abdominoplasty) procedure. A tummy tuck is a surgical procedure that involves removing excess skin and fat from the abdominal area, as well as tightening the underlying muscles. This can help achieve a flatter and firmer abdomen.

During a tummy tuck, the surgeon can address the sagging skin above your belly button by repositioning and tightening the skin to create a smoother and more toned appearance. They can also make adjustments to the belly button if necessary.

Considering your history of having children and the changes that can occur in the abdominal area as a result of pregnancy and childbirth, a tummy tuck may be an appropriate option to address your concerns about sagging skin.

I hope this helps,
best of luck !

Hello
In the front-facing photo, since your hands are raised, it doesn’t fully reflect the condition of the upper abdominal skin. Because the issue is with the skin above the belly button, a mini tummy tuck wouldn’t be very effective. Surgically, a full tummy tuck or a reverse abdominoplasty could be considered.
Additionally, for surgical skin tightening of the upper abdomen, Renuvion J-Plasma or BodyTite could be an option. If you prefer a non-surgical approach, you might consider Thermage FLX Body. To further increase collagen production under the skin, 5-6 sessions of PLA injections (such as Sculptra or Lanluma) could also be beneficial.