Liposuction will most likely really improve your final shape with a tummy tuck. Aggressive liposuction of the front and sides could increase the risks of surgery, especially if you smoke, so be sure to talk with your surgeon about whether you are a good candidate. The muscle tightening does increase the downtime, but it is the best way to get rid of the bulge below the belly button. The end result basically makes it look (and feel) like you are sucking your stomach in all the time. In my opinion, it’s worth it.