From another guy's point of view: I don't think it's vain for a relatively young woman with a decent figure to be concerned about a visible, ugly scar on her body. I can appreciate any woman's concern over visible scarring from the belly incision. My wife had some surgical scarring about 10 years ago and was fortunate that the scars eventually dissipated. She used lots of vitamin E oil, which helped. Had the scarring not resolved on it's own, I would have seriously considered plastic surgery for her if she had wanted it. I doubt our medical insurance would have covered it but we would have found a way to pay for it, even if that took some time.
Of course, minimizing the incision in the first place would be the best solution. I hope the doctors will start to recognize and address that issue, especially with younger female patients. The skull incision isn't any larger than necessary, so why should the belly incision not reflect that attempt at minimization?
I agree that this would be an excellent subject to raise at the AN symposium this year or next. My hope is that AN surgeons eventually abandon the 'belly fat approach', as mine did, and thus make this a moot point.
Jim