Neoumbilicoplasty through a purse-string suture of three defatted flaps

A wide range of techniques have been described to reconstruct a nonexistent umbilicus; nevertheless, a perfect result is difficult to obtain. We provide another alternative to reconstruct the umbilicus using a purse-string suture of three defatted flaps. Good results were obtained by creating a rounded umbilicus with a sufficient depth, which will have long-term effects. Widening, stenosis, or external scars did not occur. The purse-string suture as a complementary technique of neoumbilicoplasty allows us to obtain and keep the shape of a cylinder which is the umbilicus and avoid its widening. It can also be done in an abdomen with thick or thin adipose panniculus, thus helping to improve and influence the final result.