Tummy Tuck Belly Button Technique? (photo)

Hello- I would like to know what is considered the best technique for the belly button in my case (round, oval, etc). Does that depend on the surgeons technique or the patient? I have seen many tummy tucks with belly buttons that are not appealing and look too obvious. Thank you.

Doctor Answers 22

Natural Looking Belly Button after Tummy Tuck

A full abdominoplasty requires the surgical creation of a new belly button. Creating the new belly button, which is called an umbilicoplasty, is a part of tummy tuck surgery that requires a great deal of attention and finesse on the part of the surgeon. My goal is to create a new belly button that, as much as possible, resembles a 'natural' belly button. Natural belly buttons do NOT look like a perfect circle, and circular umbilicoplasty scars are a tummy tuck dead giveaway.
The technique I use for umbilicoplasty is designed to create a slightly 'hooded' appearance to the upper half of the belly button, an appearance that is generally considered fit and athletic. Not all patients have the goal of wearing a two-piece swimsuit, but many do, and I want these patients to be able to do so without feeling self-conscious about the appearance of their new belly button.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 110 reviews

A Good Belly Button Is The Quintessence Of A Good Tummy Tuck

What a great question, thank you very much.  The answer, of course, is choose the right Board Certified plastic surgeon, and you will get a great belly button along with the other necessary elements of a tummy tuck.  I personally use a vertical ellipse which then rounds out due to the vectors of force placed on it by suturing the umbilical tissue to the abdominal skin. 

That having been said, the key to a great belly button is what the surgeon feels most comfortable with.  Choose the right surgeon, discuss every aspect of the tummy tuck with him/her, see before and after pictures, if possible have a cup of tea with one or more of his/her patients who will show you their belly buttons and also their abdominoplasty suture lines.  A great abdominoplastologist has a specific technique for each portion of the abdominoplasty, i.e. rectus repair, minimal abdominoplasty scarring, umbilicalplasty, ancillary liposuction, etc. etc.  What you are really looking for is not the best technique for an umbilicalplasty but an artistic, Board Certified experienced plastic surgeon who cares. 

What is the best technique for the belly button after Tummy Tuck?

This is a great question and is very important to ask your plastic surgeon before surgery. The reason is that large round belly buttons are a telltale sign of an abdominoplasty and are unattractive.

The best and most natural looking belly buttons have four distinct characteristics. They are usually small in size, vertically-shaped, have a circumferential scar that is located inward as much as possible, causing a central depression of surrounding skin. This can be re-created surgically when the surgeon understands the intricacies of aesthetic surgery.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
4.8 out of 5 stars 28 reviews

Belly Button shape with a Tummy Tuck

As with much of plastic surgery, there is not a one size fits all when it comes to belly buttons.   I find the complete circular scars and mushroom shapes to be very obvious and unattractive.   In my opinion, the belly button is tell tail sign of a tummy tuck, so we must do our best to conceal the scar.

A belly button scar can be carefully hidden by precisely contouring the size of the belly button incision and native stalk.    Sutures to the fascia can help give a sunken in/hooded appearance, helping to conceal the scar deeper inside the belly button.  

Based on your hip contour and belly button shape, I would recommend a rounder belly button.


I wish you a safe and healthy recovery!!


Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 84 reviews

Tummy tuck belly button technique

Thank you for you picture and a very important and rarely asked question about the belly button technique. Each surgeon has their own technique. Most aesthetic technique in my opinion is a superior V flap inset. This will have a smaller vertical umbilicus with a very natural upper hood and inward scars that are not visible. It's best you see examples of your surgeons work to asses the same. Also significant time must be spent in the operating room to achieve this very relevant portion of the abdominoplasty as correction is a difficult task.

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.8 out of 5 stars 88 reviews

Belly button shape

Every doctor has their way but also it can depend on the thickness of the abdominal wall flap as well.I think an inward pull superior is best.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 56 reviews

What is the best belly button shape for me? (photo)

Studies have demonstrated that vertical or T shaped belly buttons have the most broad general appeal.  If you agree, ask your surgeon to do this, and be sure you like examples of his/her work before consenting to abdominoplasty.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Tummy Tuck Belly Button Technique?

Thanks for the interesting question/concern. You should understand there are ALWAYS trade offs in doing surgery. To correct a flaccid hanging abdomen only incisions can correct but scars can occur, even around the "new" belly button. Best to see many of your chosen surgeon's photos than decide if the risk/reward to to your liking. 

Belly button

An esthetic umbilicus should be devoid of visible scars, should restin a peri-umbilical depression, and have a small hood on top some women use to place a piece of jewelry.

We have worked on thi for some time and presented the worksix years ago. Rewcently another plastic surgeon published similar results and a british plasti surgeon had also presented similar technique and findings 3 years ago.

The problem is some surgeons are not listening and are satisfied with mediocre results

M. Vincent Makhlouf, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 11 reviews

Natural Tummy Tuck Belly Button Appearance

The best and most natural looking tummy tuck belly buttons have four distinct characteristics. They are usually small in size, vertically-shaped, have a circumferential scar that is located inward as much as possible and causes a central depression of the surrounding skin. This can be created surgically by how the overlying skin is excised for the belly button delivery and shortening the umbilical when putting it together.

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.