The Inverted-V Chevron Umbilicoplasty for Abdominoplasty

Any deformities or absence of the umbilicus is immediately recognizable. Many techniques have been described for achieving aesthetic repositioning. The authors describe the inverted-V chevron umbilicoplasty procedure and its outcome. The discontinuous incision design prevents circumferential scar contraction. The inverted-V chevron inset achieves an arrowhead-shaped design of the original umbilicus that encourages natural retrusion, inferior slope, and a cranial fold. It creates the appearance of a small umbilicus with an appropriate opening that other incisions fail to recreate. To avoid tethering sensation seen when the umbilicus is sutured to the abdominal fascia, we suture to Scarpa’s fascia to allow mobility of the umbilical stalk while still achieving a natural contour. Removal of fat from the surrounding abdominal area creates depth by accommodating the horizontal dimension of the umbilicus, hiding the scar toward the base.