Should stomach be uneven, belly button be off to the side & hips 2 different shapes & sizes? (Photos)

Unfortunately, if the umbilicus is off line or anywhere except the midline following an abdominoplasty, it is unlikely to move/improve position on its own. The reason is that the belly button has a stalk that is attached to the abdominal wall or strength layer of the trunk and is set in position by the surgeon when a) the new opening for it is made in the skin flap and b) sutured into place. That is why the preoperative markings are a critical part of the overall operation because once the patient is placed supine (on her back) on the OR table and the skin flap is created, made and then "inset" or readied for suturing, the surgeon relies on the markings to accurately place all key anatomic elements such as the umbilicus. I would wait several months following surgery to assess how much it bothers you so that you may make an informed decision whether to correct it. That would require elevating the skin flap again, detaching the umbilicus either at the stalk ("floating" the belly button), or anchoring it in the middle without detaching it and adjusting the lower, horizontal scar in the direction toward the midline. In your case, it looks like the lower incision is uneven and that could be improved at the same time if choose to correct the belly button position.

Thanks for your question and good luck with the next step, whichever you decide to do.

Sorry this happened to you. A revision abdominoplasty that can improve - but perhaps not perfect- your umbilical alignment is more than possible. The revision procedure can improve the lumpy contour and lower your scar into a more aesthetic and uniform line.

Be sure you are dealing with a surgeon who is experienced in revision abdominoplasty surgery- it has it s own set of pitfalls that are not for the inexperienced.

I hope this helps

Hello,
thank you for sharing you concerns and your photos.
Following a tummy tuck and BBL, asymmetry of the umbilicus can occasionally occur due to factors such as individual anatomy, healing patterns, or tension on the skin during closure. While mild deviations are not uncommon, noticeable off-centering may require evaluation to determine if revision is appropriate. Patients with concerns about contour or alignment after surgery are encouraged to consult with a board-certified plastic surgeon for a full assessment and to discuss potential options for correction, if desired.

Thank you for your question and photos. It does appear that your belly button is off centered, and your lower incision is not symmetrical. I would strongly recommend you return to your surgeon and express your displeasure, and options for correction.

I’m sorry to hear about your experience. From the photos, it appears that a tummy tuck revision may be a potential solution to correct the position of the belly button and improve overall symmetry. While it’s unfortunate that this situation occurred, the good news is that revisions can offer excellent aesthetic improvement when done by an experienced and attentive surgeon.

Unfortunately, if your surgeon is less experienced, a belly button may look off after a tummy tuck surgery. It may appear too large, too small or the positioning may look unnatural.
Your situation is one of the most obvious signs of a poor outcome. The belly button should appear symmetrical and proportionate to your abdomen. If it looks too high, too low, or oddly shaped, a revision may be necessary to restore a natural and pleasing result. Best of luck to you.

Both your previous tummy tuck and breast reduction need to be revised, along with liposuction. In your case, we are dealing with excess fat, loose skin, a mispositioned belly button, an incorrectly placed nipple-areola complex, and an irregular reduction pattern.
These issues require proper correction through a revision surgery. I believe the following combination would be most beneficial for reshaping your body:
360° liposuction,
revision mastopexy (breast lift),
revision full tummy tuck,
specifically the extended type of tummy tuck, as it will give you better contouring results.

Experiencing unexpected outcomes after surgery can indeed be emotionally challenging. It’s very important to prioritize your emotional health during this period. Remind yourself that there are always paths forward, including addressing your concerns directly with an experienced and compassionate surgeon.
If you feel that your concerns haven’t been properly acknowledged or managed, remember you always have the right to seek a second opinion. Additionally, it’s within your rights to explore legal avenues or professional support if you believe it’s necessary.
Stay strong and maintain your composure by focusing on positive steps forward. Your mental and emotional resilience will significantly help you navigate this challenging experience.
I hope this perspective provides comfort and clarity.

I would suggest a second opinion with a more compatible surgeon, and revision of the abdominoplasty.
Regarding the belly button, generally, if it is centered above the pubis, it is likely to end up there. There are not uncommon situations where the belly button is either directly below the breastbone (xiphoid) or directly above the pubis, but the breastbone and pubis central points are not in a vertical line.
When the rectus is brought together in the midline, the belly button may be off center as a result.
So, since the belly button looks best when it is in a vertical line with the pubis, regardless of where the breast bone is, we can leave a little slack in the umbilical stalk and then locate the point it is brought out on the abdominal flap as close to the vertical of the midline of the pubis as possible.
It is nice to point out right to left asymmetry to the patient before surgery, and then if there are anatomical facts that will result in the umbilicus being off the midline after surgery, no one gets defensive or upset afterwards. The belly button's location is marked at the "midline" during surgery, no matter where it appears to be marked before, telephone calls notwithstanding.

So Sorry to hear of your dissatisfaction. The most common reason for post surgical asymmetry is PRE-surgical asymmetry, which is frequently not noticed by the patient because that was not his/her focus. To assess that possibility, examine your pre-op photos. In the photos above, I assume that your right side is on the left side of the photo as it would be if you were looking at someone from his/her front. If that orientation is correct, note that you stand leaning to your right. (Your girl curves on your left go in more whereas your lateral girl curves on your right are fairly straight up). Some belly buttons are buried deeply underneath the skin flap and their off-center-ness may not be apparent until it is uncovered with surgery. Unless the surgeon cuts the bottom stalk of the belly button (as if to repair an umbilical hernia, the umbilicus stays attached to where it was always attached. With that in mind, it IS possible to move the belly button over surgically by tightening the muscle repair on the longer side, which entails another surgery.