Umbilicoplasty to Reduce Large Belly Button After Tummy Tuck?

Question

6+ months ago i had a tummy tuck and hoped to keep it between me and my surgeon. The TT was perfect, however, my belly button is now a walking billboard that I've had work done. The scar is actually around the belly button by a far margin, it has 2 "hoods", and the shape is perfectly round and large - very UN-natural and obviously from surgery. 1) Can the scar be hidden? 2) Can the shape be made more natural? 3) Can the extra hood be removed? 4) can it be made at least smaller somehow?

Christian A. Prada, MD, FACS · Answer

In general you should wait between 12 to 18 months to see the final result of the scar. If after this time the umbilicus appears to big or noticeable, then revision may be required. These can be quite challenging since it appears that skin from the abdominal flap was already removed to fit the larger umbilical stalk. An attempt can be made to make the umbilicus smaller and tack it down to the muscle layer with permanent sutures. In time it may relax and widen again, and you need to be prepared for this if a revision is undertaken. Good Luck!

Scott C. Sattler, MD, FACS · Answer

You've got a circular scar that appears to be hypertrophic (thickened) arounf the outside of your BB. The ideal is a fine-line scar INSIDE the BB. Wait a few months before doing a revision. Your BB can be revised and made prettier.

Amy T. Bandy, DO, FACS · Answer

Absolutely! It will never be as perfect as it could have been if done meticulously at the time of your first surgery, but there are things that can be done to make it look MUCH better. I agree, talk to your surgeon. If he/she doensnt sound enthusiastic or tells you that no improvement can be made, find another surgeon who can guide you through your options. Good luck!

Raj S. Ambay, MD · Answer

Yes it can be improved but the issue is that you will need an incision and you cannot garantee you wil like the way you heal that incision. I would wait before making a decision to have surgery because scar do fad overtime. Best Wishes.

Tom J. Pousti, MD · Answer

Yes, this scar can most likely be improved. You have to allow for time before considering scar revision (I would recommend 8-12 months - closer to the year mark is best) so that the scar is mature. Scars fade with time. This is a potential risk associated with the tummy tuck surgery but it is correctable. Keep in contact with your surgeon and allow him/her to take care of you.

Umbilicoplasty to Reduce Large Belly Button After Tummy Tuck?

Answers (9)