Noisy, and Ugly, I'd rather just get a decent LPH filter and use that to disturb the surface.
Try that on my small 7 gallon tank, I would have to throw the fish out to do so.
I think whether you use an air pump or power head additionally, or more powerful filter just depends on the size of tank,current setup, personal preference and requirements of the tank. I certainly don't need anything else in my small tank, as the filter is circulating the water about 17 times an hour(400L/H) and the outflow is a long srpay bar splashing this into the surface, but with a less powerful filter which most tanks come with, I don't see this being the case.