If you do hundreds of belly buttons and tummy tucks a year, you run into this issue due to previous hernia repair and umbilical devascularization. Neoumbilicoplasty can be performed in a variety of ways. For a full tummy tuck, the umbilicus must remain attached to the abdominal wall to maintain its blood supply so it is still there. There are a multitude of ways to create a belly button. Every plastic surgeon will have a different skill set, but umbilicoplasty is fairly straightforward. Find a board certified plastic surgeon with who performs hundreds of tummy tucks and umbilicoplasties each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA