Umbilical Reconstruction with Double Half-Cone Flap

The aesthetics of the abdomen is directly related to an agreeable aspect of the umbilicus. The umbilicus should have a good shape, an appropriate position, and a natural aspect, and it should not present a stigmatic scar, stenosis, or enlargement. The umbilicus is formed by a base and a groove or ring that surrounds it. Its upper portion, which surrounds the depressed portion, is called the impeller. In order to have a reconstruction that will be as close to the ideal as possible, it is mandatory that every anatomical unit of the element be suitably reconstructed. Here we introduce a technique in which the anatomical units such as dome, umbilical groove, and impeller are reconstructed step by step. The great difficulty in reconstructing the umbilicus is to achieve the desirable depth in it. The technique presented here which uses the surrounding fat tissue can solve this matter.