Omphaloplasty pp 105-125 | Cite as

Emulation of a Newborn’s Umbilical Scar

  • William L. Murillo


Background: Since the early ages of modern abdominoplasty, surgeons have paid special attention to the aesthetic aspects of the umbilicus. Studies have reported a variety of efforts to recreate a natural-looking belly button. This chapter presents another approach in this surgical field, which emulates the natural healing course of a newborn’s navel.

Method: After performing abdominal undermining, the position of the new navel is marked. A vertical incision of 2 cm is then made, and the subcutaneous cylinder-shaped tissue is resected. The umbilical stalk is tied at approximately 0.5 cm above its implantation and the distal portion is ablated. About 3 mm behind the borders of the incision, a 2-0 silk or 2-0 Monosyn suture is used to subdermally sew four cardinal points of the umbilical stalk to the abdominal flap. The points corresponding to 3 and 9 o’clock are also anchored to the aponeurosis of the rectus abdominis muscle using inverted knots.

Results: The healed neo-umbilicus has an incredibly natural appearance and is barely distinguishable from a nonoperated umbilicus.

Conclusion: The natural appearance obtained in this procedure will help to change the way that this important, yet stigmatized, component of abdominoplasty is viewed and treated in the future.


Omphaloplasty Umbilicoplasty Neo-umbilicoplasty Neo-omphaloplasty Abdominoplasty 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • William L. Murillo
    • 1
    • 2
  1. 1.Division of Plastic and Reconstructive Surgery, Louisiana State University Health Science CenterLouisiana State UniversityNew OrleansUSA
  2. 2.Colombian Society of Plastic SurgeryUniversidad del ValleCaliColombia

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