Surgical Scar Revision

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This patient had an open wound that was left to heal on its own 10 years ago. The result was the wide and cosmetically unpleasing scar shown on the left. What is not obvious is that he also had multiple large hernias on his belly that required advanced repair. During the course of his abdominal wall reconstruction, we also decided to remove all of the old scar as well as rebuild his umbilicus.