Scar Under Belly Button After Tummy Tuck

Thank you for reaching out with your question about the presence of a scar underneath your belly button following a tummy tuck (abdominoplasty). Understanding the specifics of your surgery is important in addressing your concerns.
Based on your description, it seems your procedure involved more than just a mini tummy tuck, which typically focuses only on removing excess skin and fat. The fact that you had muscle correction and alterations, as well as surgery involving your umbilicus, indicates a more extensive procedure.
The incision around your belly button might have been necessary for the repositioning of the belly button. This often happens in cases where the abdominal skin is tightened significantly, potentially causing the belly button to shift downward. To correct this and reorient the belly button to its anatomical position, an incision is usually required.
As for the cause or treatment of the discolored skin, this is a specific detail that only your plastic surgeon can clarify, as they have complete knowledge of what occurred during your surgery.
If you have questions or concerns about your surgery, especially about the scar formation and its reasons, the best course of action is to discuss them directly with your plastic surgeon. They can provide the most accurate explanations and guidance based on your individual surgery and healing process.
In case you are dissatisfied with the results, exploring the option of a revision surgery with your surgeon is advisable. A revision might involve a larger incision, further muscle plication (tightening), correction of the belly button positioning, and additional removal of excess skin and fat.
I hope this information offers some clarity regarding the scar underneath your belly button after your tummy tuck. Don't hesitate to consult your plastic surgeon for more personalized and detailed insights.
Good luck, and I hope you achieve the results you are seeking.
Sincerely,
Dr. Katzen

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The circumstances you describe indicate that the surgeon was telling you the truth and that his/her intra-operative observations were not consistent with his/her pre-operative assessment requiring a change in plan. He/she converted from a mini to a full tummy tuck but one in which the low lying incision prevented complete excision of all the infra-abdominal skin. This left you with the vertical umbilical incision which likely hyperpigmented. Over time this should lighten in appearance (2 years).