This patient presented to Dr. Brenner for a Mommy Makeover with very specific complaints about her abdomen. Although she was very thin and had excellent abdominal wall/muscle tone, she had noticed an increased laxity to her lower abdominal skin when sitting and moving around. In particular, she noted excess hanging skin over her belly button. The interesting part, however, is that this patient did not have a belly button. She had her belly button removed when she was a baby following repair of a very large umbilical hernia (ventral abdominal defect/omphalocele) and was left with nothing but a thin linear scar. After she had children, she developed increased laxity of the skin which created a somewhat natural appearing fold. To help make it look more natural (i.e. more like a belly button), the patient decided to have the extra skin pierced. If you note in the picture, the piercing was just to the right of midline.
Because of this patient’s very unique complaints, Dr. Brenner designed a very customized operation for her. In addition to silicone implant breast augmentation and “donut mastopexy,” she underwent a modified abdominoplasty (without muscle tightening). This included only excision of redundant skin and fat. The skin that was excised was fashioned into the shape of a belly button. The third photo (on the botton) shows the patient one month after Mommy Makeover surgery with her brand new belly button.