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.