Thank you for the good question. Understandably, the appearance of the umbilicus is of great importance to many patients undergoing tummy tuck surgery; after all, it may be the only telltale sign of having undergone the tummy tuck surgery when the patient is wearing a swimming suit or undergarments. The umbilicus should be positioned carefully; if it is too high or too low, it may be a sign of tummy tuck surgery. Ifit is too round or slit like it may also look "surgical". Most patients prefer a relatively small and oval-shaped umbilicus.
BOTH the patients "anatomy" and the plastic surgeon's technique will play a role when it comes to the final appearance of the umbilicus. For example, if a patient has a very stretched out umbilicus or a short umbilical "stalk", there may be limits as to what can be achieved aesthetically. My best suggestion: select your plastic surgeon carefully. Discuss your goals/concerns/questions directly with him/her. He/she will be able to provide you with more specifics (including realistic expectations). I hope this helps.
after a tummy tuck. And there certainly are better ways to bring that belly button to the surface. If the belly button isn't very pretty or if there is an umbilical hernia, I suggest giving up your belly button and having a reconstruction later. This produces a 'belly button' that has no scar around it but it is shallow when on your back. You should clearly discuss all of your options for your belly button but there are too many circular belly buttons surrounded by a rim of scar.
The final size and shape of the belly button (umbilicus) has a lot to do with your plastic surgeon's technique. The surgeon can control to a certain extent both size and shape. Some patients have a pre-existing hernia which can however impact the final look of the belly button. I feel the bottom portion of the belly button needs to be tucked in deep so that you can not visualize this area. You want to avoid a perfect circle as those tend to look unnatural.
Most the time the answer to your question is "yes". Sometimes there can be some physical limitations and issues based on the patients own physical anatomy. Achieving a good looking belly button is not easy and takes a significant amount of time. As with many things in life, some surgeons are better than others. look at the belly buttons when you are looking at the before and after photos.