Strategies in umbilical reconstruction.

This article describes two different strategies for umbilical reconstruction. One of the techniques included four skin flaps and was indicated for patients with no vertical scar on the abdomen. This approach was applied in a patient who presented with necrosis of the umbilicus secondary to abdominoplasty. The second technique was indicated for patients who presented with vertical scars. A semilunar skin flap was performed based on the normal skin close to the edge of the vertical scar. A vaginal tampon was used as a dressing in the neoumbilicus for 30 days. Both techniques showed to be effective, with no postoperative complications at the follow-up period.