INTRODUCTION: The umbilicus is essential for the aesthetic appearance of the abdomen, the vertical, long and deep shape is desired by the patients, however, in traditional aesthetic abdominal surgery, the rectus sheath around umbilicus is not plicated, the ring of umbilicus is not reduced, staying a gap of weakness, and the navel is widened and flat. OBJECTIVE: The authors present a technique for aesthetic and functional repair of umbilicus, its efficacy and specially the safety, are analyzed. METHODS: The technique consists in approach the umbilicus with a "U' shape suture across the umbilicus, plicating the rectus sheath, reducing the ring of the umbilicus, and deepening its base. It's made a retrospective study of 30 female patients, with the age between 26 and 59 years, media of 42.1 years, in the period of one year, all of them were submitted a abdominoplasty, except one which is made treatment of isolated diastasis and hernia. RESULTS: All the patients were satisfied about the size and the shape of the umbilicus, there is no recurrence of diastasis or hernias, no ischemic complications was presented, nor scars contractions. CONCLUSIONS: The technique is simple, efficient with good functional and aesthetic results, and overall safe, without ischemic complications.
Umbilicus; Abdomen; Plastic surgery
