Umbilicoplasty Using Six Cutaneous Flaps in the Surgical Treatment of Congenital Umbilical Anomalies

A BSTRACT Congenital umbilical anomalies (umbilical cord hernia, larger umbilical hernias, and epithelialized omphaloceles) present a significant challenge for surgeons in achieving perfect reconstruction. About 10 years ago, we came up with the idea of forming six cutaneous flaps for reconstruction, resulting in what can be described as the perfect umbilicus. We demonstrate the application of this technique in three different cases of umbilical anomalies. The described technique for forming a neo-umbilicus using six cutaneous flaps is very simple and precise. Its application achieves excellent esthetic results without complications.