Aesthetic SurgeryReconstructing a Natural Looking Umbilicus A New TechniqueHazani, Ron MD*; Israeli, Ron MD, FACS†; Feingold, Randall S. MD‡ Author Information From the *Division of Plastic Surgery, University of Louisville, KY; †Aesthetic Plastic Surgery, PC, Great Neck, NY; and ‡Plastic and Reconstructive Surgery, Albert Einstein College of Medicine, New York, NY. Received June 2, 2008, and accepted for publication, after revision, November 14, 2008. Presented at the Northeastern Society of Plastic Surgeons 21st Annual Meeting; January, 2005; Naples, FL. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article. Reprints: Ron Hazani, MD, Division of Plastic Surgery, University of Louisville, 550 South Jackson St, ACB 2nd floor, Louisville, KY 40292. E-mail: [email protected]. Annals of Plastic Surgery: October 2009 - Volume 63 - Issue 4 - p 358-360 doi: 10.1097/SAP.0b013e31819537e4 Buy Metrics Abstract An attractive umbilicus is an essential component of the abdominal wall. It defines the midline abdominal sulcus and adds to a shapely abdominal curvature. Certain procedures place the umbilicus at risk thus providing a need for a neoumbilicus. Three-hundred and twenty cases of abdominoplasties, panniculetomies, and TRAM flaps for breast reconstruction were reviewed. Five patients underwent an umbilical reconstruction after loss of the native umbilicus. A crescent-shaped incision was used to create an inferiorly based skin flap. The flap was inset to the abdominal fascia. A small full-thickness skin graft was used to form the superior hood. All patients attained an esthetically pleasing umbilicus with minimal scarring. No contracture, flap necrosis, or graft loss were noted. We present a novel, simple, and reliable technique of umbilical restoration. It circumvents the need for external scars and allows for achieving a naturally appearing umbilicus. © 2009 Lippincott Williams & Wilkins, Inc.