Aesthetic SurgeryNeoumbilicoplasty With a Pedicled Deep Inferior Epigastric Perforator Island FlapDelMauro, Matthew A. MD*; Auguste, Louis-Joseph MD†; Korn, Peter T. MD‡Author Information From the *Division of Plastic & Reconstructive Surgery and †Department of Surgery, Northwell Health, Hofstra Northwell School of Medicine; and ‡Division of Plastic & Reconstructive Surgery, Hofstra Northwell School of Medicine, Manhasset, NY. Received December 18, 2017, and accepted for publication, after revision March 13, 2018. Conflicts of interest and sources of funding: none declared. All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Reprints: Peter T. Korn, MD, Aesthetic Plastic Surgery, PC, 833 Northern Blvd, Suite 160 Great Neck, NY 11021. E-mail: [email protected]. Annals of Plastic Surgery: August 2018 - Volume 81 - Issue 2 - p 148-151 doi: 10.1097/SAP.0000000000001479 Buy Metrics Abstract Management of the umbilicus is a common dilemma at the time of abdominoplasty and abdominal wall reconstruction. It is not uncommon for underlying pathologies, such as hernias and surgical scars, to result in a disfigured or obliterated native umbilicus or make the blood supply to the umbilical stalk unreliable. In these scenarios, the umbilicus is often sacrificed. Staged neoumbilical reconstruction may be offered and typically utilizes a small skin flap and full-thickness skin graft (Ann Plast Surg 2009;63:358–360). Our technique, in contrast, permits reconstruction of the neoumbilicus in the immediate setting utilizing normally discarded skin with a robust blood supply from a deep inferior epigastric artery perforator. In this series of 13 consecutive neoumbilicoplasties, the pedicled deep inferior epigastric artery perforator island flap provided reliable results and favorable aesthetic outcomes. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.