Umbilicus reconstruction with modified 'unfolded cylinder' technique

Area of Science:

• Plastic and reconstructive surgery
• Surgical techniques

Background:

• Umbilical reconstruction aims for a stable, aesthetically pleasing, and deep navel.
• Existing techniques vary in complexity and outcomes.

Observation:

• A novel technique applies the 'unfolded cylinder' design, previously used for nipple reconstruction, to umbilical reconstruction.
• The procedure utilizes local anesthesia and is performed on an outpatient basis.
• The design involves simple drawing and flap manipulation without twisting or tension.

Findings:

• The 'unfolded cylinder' technique creates a stable and lasting neoumbilicus.
• Long-term stent use is unnecessary due to flap construction.
• Neoumbilicus depth is adjustable by modifying the design's top rectangle, accommodating thin patients.

Implications:

• This adaptable technique provides a reliable solution for umbilical reconstruction.
• It offers improved aesthetic and functional outcomes for patients.
• The method's simplicity and adjustability make it a valuable addition to reconstructive surgery options.