The aesthetics of a ‘natural looking’ umbilicus are subjective, changing with time and
fashion, but the general consensus is that a vertically orientated umbilicus with a
superior hood and slight surrounding fullness is most desirable. There are different
types of incision to create the desired shape, e.g. reverse omega or ‘smiley’. De-fatting
of the midline to recreate the effect of a raphe is advocated by some.
The umbilical stalk needs to be positioned through the flap: the normal position of
the umbilicus is level with the top of the iliac crest. Traditionally the umbilicus is
tacked to the anterior rectus sheath. This has been reported to cause discomfort and
consequently some have suggested tacking to the superficial fascia instead.
fashion, but the general consensus is that a vertically orientated umbilicus with a
superior hood and slight surrounding fullness is most desirable. There are different
types of incision to create the desired shape, e.g. reverse omega or ‘smiley’. De-fatting
of the midline to recreate the effect of a raphe is advocated by some.
The umbilical stalk needs to be positioned through the flap: the normal position of
the umbilicus is level with the top of the iliac crest. Traditionally the umbilicus is
tacked to the anterior rectus sheath. This has been reported to cause discomfort and
consequently some have suggested tacking to the superficial fascia instead.
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