Well done Liposuction should not have all that much impact on what the umbilicus looks like. The exception is individuals who have moderate skin, laxity and significant amounts of subcutaneous fat, whose skin is already loose enough to create a sad, looking belly button. One that’s the case removing further fed will cost a skin to drop a little more creating a slightly more sad, appearing belly button. Without including pictures, we can’t begin to make an assessment to see if you were at risk for having belly button changes from Liposuction. Delivering consistent quality, liposuction, results is more difficult than most people believe. Simply choosing a board-certified plastic surgeon even those with years of experience, and an overall good reputation does not mean that anyone that surgeon has mastered this procedure. The number of plastic surgeons who truly mastered Liposuction is in a small minority. Liposuction results should be considered permanent, and if done poorly results are difficult to improve upon. And some individuals belly button changes are inevitable, and what happen if the patients lost weight as well. This is particular only two individuals who had the “sad belly button”. To find the best provider, a recommenda patients have multiple in person consultations. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own. This will give you an opportunity to see what belly buttons look like, and the results in the hands of each provider. For a reference and experience provider should have no difficulty showing you the before, and after pictures of at least 50 previous patience for common procedures, like abdominal liposuction. Start the process by getting quality pictures taken of your body, the same way plastic surgeons take before and after pictures. Use pictures of your own body whenever reviewing before and after pictures whether at home or during consultations. People do not remember what your body looks like and having pictures of your body is a good reference to make sure you’re comparing apples to apples and oranges to oranges when it comes to reviewing before and after pictures. In the end, they only two variables, that really matter when it comes to quality results are patient candidacy and the skill of the surgeon. Patients should be more selective than anything necessary when it comes to liposuction procedures. The number of providers to do this procedure well on a consistent basis, including the ability to make an accurate assessment and deliver predictable outcomes is relatively small. Best, Mats Hagstrom, MD