How is The Belly Button Made Smaller During a Tummy Tuck?

Doctor Answers 3

Contouring of the umbilicus during a tummy tuck

The umbilicus is surgically contoured and reduced in size to fit with the new configuration of the abdomen in general.This is accomplished when it is separated from the tissues during the dissection and then later inset into its new position.

Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

Tummy Tuck Surgery and the Belly Button?

Thank you for the question.

The appearance of the bellybutton after tummy tuck surgery is very important given that it is the only area of “scarring” that is visible after the tummy tuck surgery when a patient is in a bikini or wearing undergarments. Therefore, keeping the scar as hidden as possible is important. Also, a   large round bellybutton is a telltale sign of a person having had a tummy tuck procedure. Generally, an oval shaped smaller appearing bellybutton appears  to be more “natural”.

During the tummy tuck procedure is important to avoid compromising the blood flow to the umbilicus. This can happen if the surgical dissection is too close to the umbilicus. Patients who have umbilical hernias and  very thin/stretched overlying skin  are more prone to develop problems with blood flow/ necrosis to the bellybutton.

During the procedure the belly button should be incised such that it is large enough to create and “inny” appearance  but not too large to appear surgical ( as discussed above).  Importantly, the opening that is made in the abdominal wall skin ( that is draped down during the tummy tuck procedure) should also be of appropriate size ( again not too big or too small).

The technique used for suturing the belly button to the abdominal wall skin is also important.  I tried to keep the suture line hit in “inside” the umbilicus and avoid any external sutures ( that can leave suture marks later).

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Smaller Belly Button after Tummy Tuck

The surgeon can make it smaller and place the incision in such a way that the scar is less visible. You should discuss this with your surgeon. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.