Which procedure would help tighten my belly button area? (photo)

Question

Hello! I'm 26 years old, I live a reasonably healthy lifestyle however I was slightly bigger before! Since I've toned up and lost the weight my belly button has slightly sagged (the skin above my bellybutton not underneath) I'm so insecure about my belly button and I hide it from everyone -I haven't had children yet so I don't want a tummy tuck and I don't think I need one either! I just want the skin above gone and tighter, If anyone knows of any treatments that could help lmk! thank u

Brady Harris, MD · Answer

Renuvion is the best minimally invasive option for tightening mild to moderate loose skin. On average, patients usually see 25-30% skin tightening in the area treated.

Randal Haworth, MD, FACS · Answer

You could try EMSculpt Neo or Macroneedling (Collagen Induction Therapy) to tighten the skin.

Best of luck !

Ryan Rebowe, MD · Answer

For these areas I would typically recommend a moderately invasive device such as BodyTite, Renuvion, or other device that applies energy to the area under the skin. This can help cause contraction/tightening of the dermis which will ultimately tighten the skin without any significant incisions. I would also avoid a formal abdominoplasty in order to avoid the rectus diastasis repair if you are planning on eventually having children. Devices that are completely noninvasive, such as radiofrequency, can also be effective in young people (under age 35-40).

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

There are a few procedures that can help tighten the area around your belly button:
1. Tummy Tuck (Abdominoplasty): This surgical procedure removes excess fat and skin from the abdomen and tightens the muscles in the abdominal wall. It can significantly improve the appearance of a protruding or saggy belly button.
2. Mini Tummy Tuck: If your concern is primarily below the belly button, a mini tummy tuck might be an option. This procedure also involves removing excess skin and fat, but it's less invasive than a full tummy tuck.
3. Umbilicoplasty: This is a surgical procedure specifically designed to reshape the belly button. It can be done on its own or as part of a tummy tuck.
4. BodyTite or Renuvion: These are minimally invasive procedures that use radiofrequency energy or plasma energy to tighten the skin and stimulate collagen production. They can be a good option if you have mild to moderate skin laxity and don't want to undergo surgery.
5. Non-Surgical Skin Tightening: There are various non-surgical skin tightening treatments that use heat, ultrasound, or radiofrequency energy to stimulate collagen production and tighten the skin. These treatments can be a good option if you have mild skin laxity.
Remember, the best procedure for you will depend on your specific needs and goals, as well as your overall health. It's important to consult with a board-certified plastic surgeon or dermatologist to discuss your options.

Nelson Lee Novick, MD · Answer

I have had success combining intralesional injections of Profhilo, an HA bioremodeling agent and professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) for treating this kind of periumbilical skin crepeyness and crinklyness. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck and Happy Thanksgiving.

Lisa Vuich, MD · Answer

Thanks for your question. In non-surgical aesthetics, skin tightening is going to be "all about heat delivery". This is because the microinjury of heat is needed to stimulate collagen and elastin production in the skin, which happens during the healing response to the treatment. There are many devices which deliver what is called "bulk heating"- this means they deliver heat, often through radiofrequency energy, to the tissue without any 'disruption' of the skin surface. Example: Venus Bliss, but there are many, many devices which work "like this". The upside of this approach is zero downtime. The downside is you are often talking about 8 to 12 sessions, then a maintenance session every few months for a while ideally. So that's time and labor intensive. Another downside- because you are transmitting heat from the surface straight through, there is a "limit" to how high the heat can be set in order not to burn the surface skin. The next level of approach, to get around that limitation, is to deliver the heat at the tips of microneedles which penetrate the skin surface. This requires numbing of course. These microneedles are insulated partially so that significant heat does not reach the skin surface (no burn)- so now you CAN deliver very high temps to the deeper skin/fat layers and more heat + more penetration more results in fewer treatment sessions. You pay for this with some downtime- mainly redness, some puffiness, temporary "dots" on the skin- all of that resolves over the course of a few weeks of course. A great example of this type of treatment is Morpheus8 Body. This is the most advanced device of its kind available in the US. So, you could certainly do a series of 3 Morpheus8 Body sessions to any area you wish and achieve a very nice result with minor downtime. 
For a no downtime option, consider Sofwave. Sofwave delivers the heat via microfocused ultrasound, and it does not disrupt the skin surface so there's no redness or marks on the skin and no post-procedure restrictions. I hope that helps!

Kristin J. Tarbet, MD, FACS · Answer

Potenza May be a great option for you.
Potenza radiofrequency microneedling is a minimally invasive procedure that treats fine lines, acne scars and other skin blemishes. It uses your body’s natural healing process to improve skin from the inside out. This device has four different operative modes, letting your provider administer shallow or deep treatment according to your needs and desired results.
Other Benefits include:
Loose, thinning skin
Melasma
Stretch marks.
Sun damage
Uneven skin texture
Wrinkles

Camille Cash, MD · Answer

You may want to consider Morpheus8.  This treatment combines microneedling with RF technology to improve overall skin tone and texture.  Three treatment sessions are recommended for optimal results.  See my website or a provider near you to learn more.

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