The single most noticeable feature of an abdominoplasty (tummy tuck) is the belly button inset (umbilicoplasty). As a Los Angeles plastic surgeon expert on the Mommy Makeover, I go to great lengths to create a natural looking “neo-belly button” for my patients.
Attention to the inset of a belly button is important whether as part of an abdominoplasty (tummy tuck), lower body lift, or umbilical hernia repair.
The technique that I use when insetting the belly button during a cosmetic abdominoplasty is based in my reconstructive surgery training. The goal of my technique is to hide, or camouflage, a large portion of the scar. By using a patient’s own tissues to create a skin flap, the upper half of the umbilical inset scar becomes undetectable once healed (see photo above).
Advantages of Dr. Brenner’s belly button inset:
1) Minimized visible scarring
2) No suture marks (“track marks”)
3) Overall natural appearance.
By contrast, the traditional belly button inset (below) is susceptible to a number of potential problems:
1) Visible scarring.
2) Concentric stenosis (narrowing of the belly button hole)
3) Suture marks
4) Size disproportion
Below is an example of a patient that presented to me following an abdominoplasty done in another country. Important to note is the elongated, narrow and unnatural appearance of this poorly executed umbilical inset.