Abdominal liposuction is safer, gives superior cosmetic results, and has a more natural appearance without disfiguring surgical scars. Thus, liposuction has now largely replaced tummy tuck surgery as the preferred technique for improving the silhouette of the abdomen. There is another reason why a surgeon might recommend a tummy tuck. Some surgeons and some patients believe the aesthetics benefits of a maximally flat tummy outweigh the disadvantages of an abnormal appearance of the belly button and the unnatural appearance of the lower abdominal scar. Patients should be aware of this issue when evaluating liposuction vs. tummy tuck.