Is There a Special Technique to Achieve a Hooded BB During a TT?

It is possible to get a hooded belly button. It depends on the technique that a surgeon develops over years of experience. Believe me, I had my share of average looking or ugly "target" looking belly buttons. In the last few years, I developed my technique, looking and studying hundreds of belly buttons. My preferred approach is an upside down "V" and I take a pie shaped wedge out of the lower belly button and introduce the upper part of the V into this opening. This breaks up the circular scar that you so often see on many surgeons' web sites.

The best way to create this "hooded" type of umbilicus (belly button) is to create the "neoumbilical" opening slightly below (inferior to) the umblical stalk location after abdominoplasty flap advancement, and to bevel the peri-umbilical incision during flap development from distal superior to proximal inferior.  Some examples of this type of belly button should be in the gallery on our website.