Abstract
The umbilicus is a second intention healing scar, circular or oval in its shape, usually located in the midpoint between the xiphoid and the pubic symphysis. Umbilical esthetic appearance is not only the result of the umbilical shape, but also of its surrounding tissues, location and relation to the neighboring structures in the abdomen, pelvis, and chest. A treatment protocol has been designed based on specific diagnostic characteristics of the umbilicus: alterations of shape, alterations of position, alterations of surrounding tissues, and scarring problems. A wide variety of techniques are detailed: umbilicosliding, enriched adipose migrografts, abdominoplasty, reversed abdominoplasty, floating umbilicus mini-abdominoplasty, and 5 flourouracil infiltrations, among others.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Dubou R, Ousterhout DK. Placement of the umbilicus in an abdominoplasty. Plast Reconstr Surg. 1978;61(2):291–3.
Baroudi R. Umbilicoplasty. Clin Plast Surg. 1975;2:431–48.
Craig SB, Faller MS, Puckett CL. In search of the ideal female umbilicus. Plast Reconstr Surg. 2000;105:389–92.
Blugerman G, Schavelzon D, Wexler G, Lotocky M. “Umbilicosliding” or repositioning of the navel during or after abdominal liposuction to prevent or correct the “sad umbilicus” appearance. Am J Cosmet Surg. 2015;32(3):165–71.
Matarasso A. Abdominoplasty. In: Guyuron B, Achauer BM, Eriksson E, et al., editors. Plastic surgery: indications, operations, outcomes, vol. 4. Philadelphia: Mosby-Yearbook; 2000. p. 2783–821.
Sillitoe AT, Thornton DJ, Srinivasan J, Hart NB. Elevation of the umbilicus with skin hooks aids excision in abdominoplasty. Plast Reconstr Surg. 2005;115:349.
Baroudi R, Ferreira C. Seroma; how to avoid it and how to treat it. Aesthet Surg J. 1998;18:439–41.
Blugerman G, Podda M. Movilización adiposa interna (Liposhifting) con espátula y cortador de microinjertos de grasa. Dermatol CMQ. 2007;5(2):105–11.
Acali A, Khan U, Khaw PT, McGrouther AD. Decrease in adhesión formation by a single application of 5Fluorouracil after flexor tendon injury. Plast Reconstr Surg. 1999;103(1):151–8.
Fitzpatrick RE. Treatment of inflamed hypertrophic scars using intralesional 5-FU. Dermatol Surg. 1999;25:224–32.
Blugerman G, Schavelzon D. Intralesional use of 5-FU in subcutaneous fibrosis. J Drugs Dermatol. 2003;2:169–71.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Blugerman, G., Schavelzon, D., Wexler, G., Lotocki, M. (2018). Management of Esthetic Alterations of the Umbilicus. In: Murillo, W. (eds) Omphaloplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-64313-7_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-64313-7_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-64312-0
Online ISBN: 978-3-319-64313-7
eBook Packages: MedicineMedicine (R0)