What is the Best Procedure to Fix the Loose Skin Above my Navel and the Belly Button Appearance? (photo)

I had my son 6 years ago at the age of 22. My belly button never went back to normal and the skin ABOVE the navel is loose and saggy. Its not a great deal of extra skin, but it collapses the belly button. I also had saline implants rupture after 8 years post-op, and I need to remove and replace them with silicone gel. Are there any surgeries that can be done in conjunction to fix bot problems at once?

Doctor Answers 23

Abdominoplasty? maybe not !

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Very interesting to see the numerous options provided to you regarding your question.  Firstly, you are 28.  Are you planning on more children?  Hold off if your are. You seem to have a diastasis (separation of the muscles), but difficult to assess from the photos alone.  Only problem is that your belly button is relatively high.  A full abdominoplasty would require a vertical closure in your situation... not acceptable to everyone, or an extremely high scar.   A reverse abdominoplasty with a scar extending across the midline leaves a very unsightly incision
If you are not planning extending your family, consider a modified abdominoplasty, perhaps in two stages if necessary, with lowering of the present umbilical position with tightening of the muscle.  If the skin redundancy above the belly button is still excessive and not to your liking, excision of the skin above your belly button could be undertaken in the office under local anesthesia.  This negates the vertical closure scar and minimizes the length of your abdominoplasty scar.  This is not a clear cut case, ask questions !

Best option for Loose Skin Above Navel

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This is an excellent question for someone who is in very good shape after pregnancy. It appears that you may have a separation of the rectus muscles, called a diastasis. In spite of this you  have very little excess skin above the navel. In this situation I typically recommend a modified abdominoplasty, which has a short incision, no incision by the belly button, and includes repair of the diastasis. The excess skin is shifted downward during the procedure and the excess removed in the bikini line incision. This is sometimes referred to as a floating umbilicus technique. I never recommend a reverse abdominoplasty because the location of the scar can be quite visible. A modified abdominoplasty can safely be performed in conjunction with any breast implant procedure. I hope this helps. Good luck.

Mommy makeover for breasts and belly

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It looks like you are a good candidate for a tummy tuck.  That would tighten the skin of your entire abdomen and improve the appearance of your belly button. It is common for me to perform breast surgery at the same time. In your case you might consider exchanging your saline implant for a pair of the new cohesive gel implants. Good luck!

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 60 reviews

Mommy Makeover to Tighten Loose Abnominal Skin

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The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.

In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity. 

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Full Abdominoplasty

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            It’s not unusual for patients to develop redundant abdominal skin, stretch marks, weakened abdominal muscles, and distortion of the umbilicus following pregnancy. When this situation arises, a variety of surgical options exist which are tailored to the patients individual needs. 

           Your pictures suggest that you would be an excellent candidate for a full abdominoplasty. This procedure would remove excess skin and fat, tighten your underlying muscles, remove stretch marks, and improve the appearance of your umbilicus. This procedure could be done in combination with breast augmentation revision.

            If you’re considering abdominoplasty surgery, it’ s important to consult a board-certified plastic surgeon who can perform a physical exam. This surgeon should be able to formulate an appropriate treatment plan that will address your concerns.

Procedures to consider

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To address the concerns you stated, a tummy tuck would help to contour the abdomen and redrape the redundant skin above the belly button.  Your implants could likely be replaced at the same time.  Good luck

Mennen T. Gallas, MD
Katy Plastic Surgeon


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You appear to have some degree of lower abdominal wall laxity and excess skin both of which can be corrected with a abdominoplasty. Your implants can be replaced

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

What is the best procedure for me?

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Thanks for providing the photos.  


On first glance, it appears that you would have enough excess skin for an abdominoplasty (or Tummy Tuck procedure).  That would take care of the loose skin and provide you with a much more optimal appearance to your abdominal wall.  


At the same time, you could consider changing out both of your saline implants for silicone gel implants and adjust the size as you prefer.  


The combination of these procedures is often referred to as either a "Mommy Makeover" or the "Before Baby Body" procedure  


Best of luck.  I hope this information was helpful!

Mommy makeover

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You can replace the implants with silicone implants, and to fix the abdominal issues, a tummy tuck would be the best option. This is a common combination of procedures for moms...hence the term "mommy makeover". Best of luck.

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
4.8 out of 5 stars 30 reviews

Breast Augmentation and Tummy Tuck

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You can definitely have surgery to fix both issues!  You could have a breast augmentation revision to replace your ruptured implants with silicone gel and a tummy tuck or abdominoplasty to remove loose skin in your abdomen and tighten the muscles below which are relaxed after being pregnant.  Women are extremely happy after this type of transformation!  Good luck!

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.