This patient wanted a better shape. When doing a tummy tuck the area between the belly button and the ribs can only tolerate a minimal amount of liposuction. If someone needs more than the minimal they can lose weight, get more liposuction during another time, or have an Avelar tummy tuck. The Avelar tummy tuck allows for more aggressive liposuction. A shortcoming are sometimes the scar can ride up.