22 days post op from tummy tuck with muscle repair and breast augmentation. I didn't have an outie belly button before (Photo)

A beautiful belly button is an innie with some hooding on the top and indrawing at the bottom.  The scars should be pulled in to make sure that they are as little visible as possible.  Not all surgeons focus on making a nice belly button.  So long as you thought your surgeon did a nice belly button based on consultation photos then you should be fine.  It is true that the umbilicus can swell early on.  In my patients I use a dressing the helps push the belly button in while it heals.  Speak to your surgeon to make sure they are comfortable with this.  Swelling can take several weeks or even months to resolve.

You are still early in your healing from your tummy tuck. Swelling is common and expected. Your belly button should improve as you continue to progress. If not your surgeon can advise options to assist in healing.

Hello, Thank you very much for your question. It is difficult to say as there may still be swelling. It'd be best to speak with your Board Certified Plastic Surgeon for their suggestions. All the best. 

Without a good set of pre-op photos it's difficult to comment optimally. It could possibly be swelling, but if after 6 months or more-the condition persist- a re-exploration of this area may be indicated.

From the photograph I see nothing to be alarmed about. The umbilicus commonly looks as way due to swelling after and abdominoplasty.