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Options to Correct Stomach After Mini Tummy Tuck?
This is a challenging situation. Once the umbilicus (belly button) has been separated from its native blood suppy it makes repeat abdominoplasty more challenging because you cannot reposition the umbilicus relative to the abdominal skin. A repeat mini in combination with liposuction may be an option but it is likely that you're umbilicus will likely be positioned more inferiorly than you might prefer. A more drastic option would be a full abdominoplasty with creation of a new belly button. Be prepared for this to not look as natural as your original belly button.
Clinical Context
When the umbilical stalk has been separated during a prior tummy tuck, its blood supply is altered, which limits how much a surgeon can safely reposition it in a revision. This is why repeat mini-abdominoplasty often leaves the belly button lower than desired, and why more extensive correction usually requires a full abdominoplasty with creation of a new umbilicus. A new belly button can look different in shape and scarring compared to a natural one, so expectations should be discussed carefully with your surgeon before proceeding.
