RECONSTRUCTION OF A NATURAL-LOOKING UMBILICUS

Fabio Santanelli From the Departments of Plastic and Reconstructive Surgery, Policlinico Umberto I, University of Rome “La Sapienza”, II School of Medicine,

Marco Mazzocchi From the Departments of Plastic and Reconstructive Surgery, Policlinico Umberto I, University of Rome “La Sapienza”, II School of Medicine,

Luca Renzi University of Rome “La Sapienza”, I School of Medicine, Rome, Italy

Emanuele Cigna From the Departments of Plastic and Reconstructive Surgery, Policlinico Umberto I, University of Rome “La Sapienza”, II School of Medicine,

Abstract

Based on the assumption that the umbilicus is a wound that has healed by second intention, we describe a method of reconstruction. The procedure consists of complete resection of the umbilical scar and its reconstruction by a linear incision at the site of the new umbilicus and inversion of the skin hedges, which are sutured to the linea alba leaving a 1 cm space between the skin borders to cause secondary wound healing. This procedure provides a natural-looking umbilicus. It is easy and quick to do, and can be used for reconstruction after abdominoplasty, excision of a naevus, or when the umbilicus has been removed during a previous xiphopubic incision.

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RECONSTRUCTION OF A NATURAL-LOOKING UMBILICUS

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RECONSTRUCTION OF A NATURAL-LOOKING UMBILICUS

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