Umbilicoplasty is a cosmetic surgery procedure to help create a more attractive belly button. This can be accomplished by itself such as creation of an "innie" from an "outie" but is more frequently done at the time of a tummy tuck. In my opinion, the belly button is the most important cosmetic part of a good tummy tuck. The lower tummy tuck scar is hidden well too low for the patient to routinely "show it off", but the belly button is easily flaunted. Patients are very concerned about their belly button and want as natural an appearance as possible.
Attractive belly buttons are generally vertically oriented. A "T" shape created by an overlying small "hood" is considered attractive as well. Additional attractive attributes include the absence of surrounding stretch marks, minimal fat, no hair (on a female) and smooth surrounding skin without visible scarring.
To try to achieve the perfect belly button surgically, plastic surgeons have modified our technique over the years. I have been happy with a modification of an inverted "U" incision pattern. This helps to prevent narrowing (stenosis) of the scar and hides it on the inside of the belly button where it is not as visible. This creates a very nice vertical belly button with a small overlying hood. The umbilical stalk should be attached tightly to the abdominal fascia to help create an "innie".