It is amazing how many otherwise good tummy tucks are ruined by a large scar around the belly button; we refer to it as the lily pad in the middle of the pond. It is generally either a lack of knowledge on how to create a small, naturally appearing umbilicus or a lack of effort on the part of the surgeon. It takes only a few minutes during an abdominoplasty for a surgeon to trim the umbilicus, create a small opening to reduce scarring and pin the skin around belly button down to the muscle to give it a more natural, unoperated appearance. A careful closure using only dissolving sutures in this area also helps to reduce scarring and create a naturally appearing umbilicus. So, when you are looking at before and after photographs to determine which plastic surgeon you are going to see for your tummy tuck surgery, be sure to take a good look at the belly button.