This can happen.When you re do the bellybutton it is a circular scar and as with all scars they contract.As it contracts then the opening gets smaller.This is easy to correct as an outpatinet under local.
If the belly button ends up appearing too small, it can be revised once the healing process is complete at about 6 months. If there is excess scarring that caused the opening to shrink, then excision of the scar tissue can be completed. If the opening was simply cut too small, then some small tissue rearrangements procedures can be used. Almost all options can be completed in the office with local anesthesia.
after tummy tucks are usually a result of stenosis and scarring. Options are available so discuss with your surgeon and find the one that will help you the most in achieving your goals.
There are a number of surgical answers to your problem. All can be done under local in the office in a relatively short amount of time. A quick discussion with your surgeon will help you know which procedure he or she prefers for this issue and get you on your way to your best result.
Six months after your tummy tuck when healing is complete, have your surgeon revise the belly button.
The cause can be scar contracture or cutting the belly button too small at the tummy tuck.
Revision in the office with local anesthesia is usually possible.
Z and W plasty scar revisions and other small local flaps work well for both in my experience.
Provided the belly button is well healed after a tummy tuck, it can be made larger through an opening or expanding belly button procedure. The depth and size of the belly button needs to be enlarged through the use of a small skin graft, usually taken from the tummy tuck scar line.
I agree with Dr Burke.
it is usually easier to make a small umbilicus (or belly button) larger than the other way around.
Sometimes, you can have scarring or a stricture around the opening which may need to be released.
See a board certified plastic surgeon to discuss your options.
If your belly button feels very small immediately after surgery, you could be experiencing post-surgical swelling, causing the site to look smaller that it may actually appear. If you are more than 6 months out and still not happy with the size of your belly button, revisit with your surgeon or another board certified plastic surgeon in your area as to the possibility of revision of the belly button.