One of the most important aspects of a well-performed tummy tuck is recreating the belly button. If we look at patients who have had babies, you will notice that the belly button has certain characteristics. Excessive skin tends to fall over the belly button, negatively affecting it. The belly button also gets larger and, because of the amount of excess skin, shallower. In addition, many patients develop a umbilical hernia, which creates a bulge in the belly button that negatively impacts the overall aesthetic. Now, look at pictures where somebody has a nice-looking belly button. Notice all the features of a nice belly button: 1. It is small, 1 cm or less in diameter. 2. It is deep. 3. It has a hood appearance on the top. When I recreate the belly button, I use these aesthetic guidelines to make it look nice. Controlling the tension when the belly button is recreated is important, because when the abdominal flap is pulled, the belly button can become elongated and the scar can lie on the outside of the abdominal flap. By controlling the tension of the closure, I make the belly button small and deep, and recreate the natural hood appearance on the top. Recreating the belly button is important for the overall aesthetic of the abdomen. If no attention is paid to the belly button, your results will not be as impressive, even if you are pleased with how tight your belly is after surgery.