Thank you for your question. The belly button shape, with scars inside the belly button will enhance the natural look after an abdominoplasty. A well done abdominoplasty with a poor or scarred belly button broadcasts to the world (at least on the beach) that you had a tummy tuck. This is true of the location of the belly button as well. A youthful looking abdomen has the belly button at a higher position than an "aged" abdomen. Every surgeon has his/her way of creating the belly button to try to make it look natural, but not all succeed. Why? the belly button is the last surgical step in an abdominoplasty and it seems that not a lot of detail is devoted to it.At times, if the original belly button is scarred or seems too low, I actually remove it and reconstruct one later. This also has the advantage of not placing extra tension on the lower abdominal skin between the belly button and the pubic incision, thus leading to no incision breakdown. The reconstructed BB looks natural, it's an inny and no sutures or visible scars.See a board certified plastic surgeon with experience in advanced body sculpting techniques for an in person consultation/evaluation.