During an abdominoplasty, or tummy tuck, the navel is moved from its original position. It is usually placed in its new position by making a small opening in the skin flap. It is important that this position is accurately marked.

The new position is found by first marking the midline of abdomen. The height of the navel above the pubic region is then identified by drawing a line between the highest point of the hip bones (iliac crests).

It is common for the surgeon to thin the skin in the area around the navel so that a more natural appearance is achieved.

Stitches are placed around the navel. Some surgeons feel that if no stitches are placed it the upper part, twelve o’clock position, then a more natural hooded appearance may occur.

Unfortunately no matter what the surgeon does, scar tissue can pull the navel out of position.