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Rectus abdominous myocutaneous and transverse rectus abdominous myocutaneous (TRAM) flaps are increasingly used for breast reconstruction. The navel tends to deviate to one side, mostly in unilateral pedicle cases, when pulled by the muscle closure side. These sequela can be avoided by amputating the umbilicus and reconstructing a new one with a ‘U′-shaped flap or by dragging navels that have a long stalk to the midline. To avoid scar contracture, a ‘V′-shaped flap is inset into the umbilicus.
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