Procedure An umbilicoplasty creates better defined belly button (=umbo / umbilicus) and an umbilical hernia repair reduces protruding fat (=”outie” belly button)
A prominent belly button is often caused by protruding fat from behind the muscles through the umbilical opening. Surgical access is via a small cut inside the belly button. The fat tissue is reduced, and the defect is closed with dissolving sutures.
An umbilicoplasty uses local flaps taken from adjacent skin which are fixed to the base of the umbilicus.
I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months.
Scars Inside +/– outside the belly button
Operation time 1 hour
Anaesthesia Local or General
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Pain, Numbness, Bruising, Swelling, Overcorrection, Undercorrection, Recurrent herniation, Cosmetic imperfections (higher risk after subsequent pregnancies / weight changes), Seroma, Intra–abdominal organ injury, Constipation, Subcutaneous fistula, Need for further surgery, Allergic reaction, (General anaesthetic: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs)
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes, coughing, straining, nausea
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities and driving 2 weeks, Physical work / sports / sex 6 weeks, Unrestricted 3 months
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Mesh repair

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