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

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.

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!

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.