PATIENT RESOURCES / DR’s Blog

I often see patients who are unhappy with the appearance of their belly button post-pregnancy. During and post-pregnancy, the belly button’s appearance can be altered due to an umbilical hernia or stretched skin that overhangs the belly button. The best way to correct this is to fix the cause of the problem: either repairing the hernia or removing loose skin with a tummy tuck or mini-tummy tuck

The most obvious sign that someone has had a tummy tuckis an unattractive belly button. The importance of a nice belly button is often overlooked. My goal in tummy tuck surgery is to allow someone to walk along a beach in a bikini without a stranger knowing they had surgery. This requires a low scar that hides under the bikini and a natural looking belly button with no visible scars. An ideal belly button is not too large or too small, has a natural flow into it from below, has slight hooding on the top portion and is oval in shape. It takes additional time in surgery to create this, but it is one of the most important considerations to me as a surgeon.

What can potentially happen to a belly button during and post-pregnancy?

Two things can happen to alter the appearance of the belly button during pregnancy. One is an umbilical hernia. The contents of the abdomen are pushed into the belly button making it protrude and look wider. Women often complain that it looks like their “innie became an outie”.

The other real change is to the tissue around the belly button. The umbilical base is fairly fixed. After pregnancy, the skin and fat which had been stretched for a long time then hangs over the belly button, giving it a widened and deepened appearance. In this case, the belly button hasn’t changed but its appearance still has.

Under what circumstances or time frame can a woman get the surgery?

It is never a good idea to have surgery for cosmetic reasons at the time of birth or right after. That is a time to focus on recovering and enjoying your baby. Also, the uterus, skin and fat are all undergoing changes for several months after. The uterus will shrink down and the skin will tighten up as this happens. Many women also experience a lot of weight loss during this time. It is always best to perform cosmetic procedures when your weight is stable for several months.

What other reasons are there for someone wanting to receive umbilicoplasty besides pregnancy?

Distortion from an umbilical hernia. Other causes of distortion or scarring such as piercings, laparoscopic surgery, or open surgery loss of a belly button following intra-abdominal surgery, requiring a complete belly button reconstruction, and finally, a cosmetic revision to make a tummy tuck look more natural.

How is an umbilicoplasty performed?

It really depends on the reason for the surgery. Hernia repairs are not considered a cosmetic procedure and are usually done by a general surgeon; typically under general anaesthesia. They make an incision next to the belly button and cut the base of the belly button where it connects to the muscle layer. They then push the contents back into the belly and repair it with sutures or a mesh. This usually makes the appearance look much nicer, but the main goal is to prevent that protruding tissue from losing blood supply. What is important for people to understand is that this procedure will alter the plastic surgeon’s abdominoplasty technique. For patients that have an umbilical hernia but also want a tummy tuck, they should consider having both done at the same time. If they have already had a repair, they should be certain to let their plastic surgeon know or there can be a risk of losing the belly button altogether.

For most other umbilical procedures, they can simply be done under local anaesthetic, with the plastic surgeon correcting things as needed. Some stitches will be used, which will be removed in about a week.

What are the risks and benefits of an umbilicoplasty?

Any time you operate there are risks of bleeding, infection, and poor wound healing. Specific to the belly button, there could be a recurrence of the problem (especially the hernia), a thickened scar, or a scar that contracts causing the belly button to become too small.

Hernia repairs improve cosmetic appearance, but also minimize the risk that the tissue which was protruding loses its blood supply, which would necessitate urgent surgery. For all other procedures, the main benefit is cosmetic enhancement.

What is the recovery time?

Aside from the hernia repair, this is minimal surgery with limited discomfort and virtually no downtime. Often sutures will be placed that need to be removed approximately one week following surgery.

What can the patient expect long term?

The results for cosmetic surgery of the belly button are typically permanent. If someone were to put on or lose a lot of weight, it could alter the appearance again.

To book a consultation with Dr Shortt, visit drshortt.com or telephone 905-849-4282.

As seen in the online publication Deep Body: deepbody.ca/umbilicoplasty/

Reviews

Dr. Shortt preformed a gynecomastia gland removal on me

Dr. Shortt preformed a gynecomastia gland removal on me, I am 20 years old and have been dealing with gynecomastia my whole life, it has caused me alot of pain and discomfort. I am very athletic and fitness is my passion, having these glands affected how I looked cosmetically as well. I was recommended by my doctor to have Dr. Shortt as my surgeon, and I am so happy I was recommended to him. Throughout the process getting ready for my surgery he was extremely knowledgeable and professional providing all the information I needed to know. His staff were very helpful as well and I sent several emails asking questions and always got a reply right away. The surgery itself went really well and I was surprised that there was very little pain following the surgery, I didn’t really need any painkillers. He removed both glands which happened to be quite large from my chest. I saw Dr Shortt for follow up appointments for the first 3 weeks after, we were both extremely happy with how I was healing and the results. In fact, I am blown away by how much better I look, there is no scar at all and no soreness and discomfort like I had before I got the surgery done. I’m impressed, and I haven’t even healed fully yet since I am only 3 weeks out, I am looking forward to the final results because it’s only going to get better from here. This was a life changing surgery for me, I am so pleased I was able to get the opportunity to have such a great surgeon perform it. If you are a male that is looking for a good surgeon to perform this type of surgery, I am confident that you will be beyond happy with what Dr. Shortt can do, I know I was. Thank you.

I highly recommend dr. Shortt, he is very honest.

I highly recommend dr. Shortt, he is very honest. I had a consultation for my son to do his nose he explained everything to us thoroughly and spend enough time with us and answered all our questions.

I had sought a breast reduction to ease the back and neck pain

I had sought a breast reduction to ease the back and neck pain I had endured for years. I had met a few other plastic surgeons over a year period. I had never been comfortable or confident enough to make the decision to have surgery…not until I met with Dr Shortt. I had been afraid of surgery and never felt convinced it was worth it. After my consultation with Dr Shortt , I was excited about how he could help. He made me feel very comfortable. During the initial examination we also spoke about the large deposits of skin and fat under my arms – a constant source of embarrassment and discomfort. I had not worn anything sleeveless in years as they spilled out. He spoke to me about “auxiliary breast tissue removal”. I was thrilled there was something that could be done and both surgeries could be performed together When explaining what the procedure would entail and the recovery time, he spoke with me not at me. He acknowledged my fears and concerns. All my questions had been answered and I knew that surgery was the right decision and he was the right surgeon for me! ( I was so excited about the prospect now that I shared with my daughter now amazing he was – she had also meet other plastic surgeons for implants for herself – she met him and was also so impressed – she had her surgery performed by him as well!) The surgery went well. At all the follow up appointments, he was always timely. You would think being exposed and examined would be uncomfortable, but is wasn’t. He is such a professional and put you at such ease with him that I never had the chance to feel uncomfortable He would exam the areas and scars and instruct how to best take care of them. He shared in my joy and excitement for the difference this had made! I feel better and look better I also want to mention what an amazing team he has as well. Everyone I came into contact with at his office were amazing! I can’t come up with one thing that I feel he could have improved on. Without any hesitation I would, and do, recommend him!

I selected Dr Shortt based on his credentials and experience

At 51 years of age and many, many years of pain, I sought out a Surgeon who would perform for me an OHIP covered Breast Reduction and after a great deal of research, I selected Dr Shortt based on his credentials and experience. Reviewing his past surgery accomplishments, I soon wanted the “Mommy Makeover”. At my first appointment, I was pleasantly surprised by the Dr Shortt’s demeanor. He was found to be very approachable and empathetic. He took the time to explain everything that I needed to know and also answered all of my questions without making it seem a burden. He went through step by step what I would go through during and after my surgery. As a very self-conscious person, he was able to make me feel very comfortable being fully exposed and was professional every step of the way. His Support Staff are all so very courteous and professional. As far as the surgery itself, I would have to say I think that not only is he an excellent Surgeon, he is a Sculptor. I am extremely pleased with the results. The few people that I have shown my stomach and newly formed belly button are astounded at the results. Currently I am 9 weeks post op and feel wonderful and able to go back to the gym. Dr Shortt being a Perfectionist wants another 6mth appt to ensure that I remain am as happy as I am today and that the scarring is as minimal as possible. He has changed my life and I am very grateful. I would and have recommended him to several people already.

I am currently 5 weeks post op and am extremely pleased with my results

I am currently 5 weeks post op and am extremely pleased with my results so far and Dr.Shortt told me if I’m happy with the results so far, wait until I’m finally healed. Dr Shortt is an amazing doctor, his bedside manner is impeccable and at every step of the way he made me feel comfortable and you could tell he genuinely really cared. He took his time to listen to me and my concerns and reassured me he would do his very best, and the results so far are amazing, I am extremely happy and feel amazing. With any big surgery it can be scarey and nervous but Dr.Shortt is very knowledgeable and most of the time had already answered all my questions I had for him and he put me at ease. His staff are amazing to work with too, especially Joanne. Thank you guys, from my very first consult to today you have made this whole experience absolutely amazing. I would highly recommend you definitely go see Dr.Shortt his professionalism and the fact that he actually treats you like a person first shows he really cares.

I am very pleased with the excellent work of Dr. Rodger Shortt

I am very pleased with the excellent work of Dr. Rodger Shortt. His expertise and great manners helped me a lot through the difficult times and multiple operations I went through. As a cancer breast patient, I had two mastectomies for my right and left breasts. Dr. Short joined the surgeon on my second mastectomy and started his wonderful work of inserting the breast tissue expanders. I visited Dr. Shortt’s clinic several times to inject the saline into the breast expanders. During these visits, I appreciated the staff pleasant attitudes and Dr. Shortt recommendations. At the last stage of the process, Dr. Shortt removed the breast expanders and inserted the breast implants and he reconstructed my nipples from my breast skin. I am very pleased with the wonderful job Dr. Shortt has completed. I highly recommend Dr. Shortt and wish him every success with all the patients.

I am so very grateful for all the hard work he did

About 8 years ago I had a lumpectomy leaving my breasts very unbalanced. It has made super uncomfortable about my appearance especially in a bathing suite. Dr. Shortt did an amazing job fixing this. I am so very grateful for all the hard work he did. My girls look like twins instead of cousins. Also, his staff is excellent and caring. I am so happy and recommend him to anyone who needs a good Plastic Surgeon who listens and get the best possible results for his patient.

The above statements are from third party sites.
Dr. Shortt does not control any third party websites and is therefore not responsible for the content of third party sites.
They are provided as a source for your review and discretion.

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