Skip to main content

Advertisement

SpringerLink
Log in

A New Umbilical Reconstruction Technique Used for 306 Consecutive Abdominoplasties

  • Original Article
  • Aesthetic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

The search for a natural-appearing umbilicus that does not compromise the aesthetic outcome of abdominoplasty began in the 1950s and coincides with the period that saw increasing exposure of the female body. Since then, umbilical transposition has been favored by most surgeons.

Methods

This report describes a new technique for umbilical reconstruction using a small X-shaped incision that creates four V-shaped flaps, which are sutured to the aponeurosis with absorbable sutures. This technique was used for 306 consecutive abdominoplasty patients, and a survey was performed to determine their level of satisfaction with the surgical outcome.

Results

A natural-appearing new umbilicus was created with no visible scars, a low complication rate (9 %), and a high level of patient satisfaction.

Conclusions

The described technique had a low complication rate and allowed the creation of a new umbilicus with a natural appearance in a rapid, safe, and simple manner.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Akbaş H, Güneren E, Eroğlu L, Uysal OA (2003) Natural-looking umbilicus as an important part of abdominoplasty. Aesthetic Plast Surg 27:139–142

    Article  PubMed  Google Scholar 

  2. Andrews JM (1956) Nova técnica de lipectomia abdominal e onfaloplastia. Memória do VIII Cong Lat Am Cir Plast, Cuba

  3. Avelar J (1978) Abdominoplasty: systematization of a technique without external umbilical scar. Aesthetic Plast Surg 2:141–151

    Article  Google Scholar 

  4. Baroudi R (1975) Umbilicoplasty. Clin Plast Surg 2:431–448

    PubMed  CAS  Google Scholar 

  5. Baroudi R, Ferreira CA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441

    Article  PubMed  CAS  Google Scholar 

  6. Callia WEP (1965) Abdominoplastias. Doctoral Dissertation, University of São Paulo School of Medicine (USP), Brazil

  7. Castillo PF, Sepúlveda CA, Prado AC, Troncoso AL, Villamán JJ (2007) Umbilical reinsertion in abdominoplasty: technique using deepithelialized skin flaps. Aesthet Plast Surg 31:519–520

    Article  Google Scholar 

  8. Craig SB, Faller MS, Puckett CL (2000) In search of the ideal female umbilicus. Plast Reconstr Surg 105:389–392

    Article  PubMed  CAS  Google Scholar 

  9. Franco T, Franco D (1999) Neoomphaloplasty: an old and new technique. Aesthet Plast Surg 23:151–154

    Article  CAS  Google Scholar 

  10. Franco T, Boghossian LC, Silva ALB (1985) Neo-omphaloplasty. Rev Bras Cir 75:257–260

    Google Scholar 

  11. Hakme F (1983) Abdominoplasty: peri- and supra-umbilical lipectomy. Aesthet Plast Surg 7:213–220

    Article  CAS  Google Scholar 

  12. Illouz YG (1992) A new safe and aesthetic approach to suction abdominoplasty. Aesthet Plast Surg 16:237–245

    Article  CAS  Google Scholar 

  13. Juri J, Juri C, Raiden G (1979) Reconstruction of the umbilicus in abdominoplasty. Plast Reconstr Surg 63:580–582

    Article  PubMed  CAS  Google Scholar 

  14. Kelly HA (1899) Report of gynecological cases. Johns Hopkins Med J 10:197

    Google Scholar 

  15. Kirianoff TG (1978) Making a new umbilicus when none exists: case report. Plast Reconstr Surg 61:603–604

    Article  PubMed  CAS  Google Scholar 

  16. Lee MJ, Mustoe TA (2002) Simplified technique for creating a youthful umbilicus in abdominoplasty. Plast Recontr Surg 109:2136–2140

    Article  Google Scholar 

  17. Malic CC, Spyrou GE, Hough M, Fourie L (2007) Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg 119:357–361

    Article  PubMed  CAS  Google Scholar 

  18. Marconi F (1995) Reconstruction of the umbilicus: a simple technique. Plast Reconstr Surg 95:1115–1117

    Article  PubMed  CAS  Google Scholar 

  19. Massiha H, Montegut W, Phillips R (1997) A method of reconstructing a natural-looking umbilicus in abdominoplasty. Ann Plast Surg 38:228–231

    Article  PubMed  CAS  Google Scholar 

  20. Pardo Mateu L, Chamorro Hernandez JJ (1997) Neoumbilicoplasty through a purse-string suture of three defatted flaps. Aesthet Plast Surg 21:3490–3510

    Google Scholar 

  21. Matsuo K, Kondoh S, Hirose T (1990) A simple technique for reconstruction of the umbilicus using a conchal cartilage composite graft. Plast Reconstr Surg 86:149–151

    Article  PubMed  CAS  Google Scholar 

  22. Regnault P (1978) The history of abdominal dermolipectomy. Aesthet Plast Surg 2:113–123

    Article  Google Scholar 

  23. Ribeiro L, Muzy S, Accorsi A (1991) Omphaloplasty. Ann Plast Surg 27:457–475

    Article  PubMed  CAS  Google Scholar 

  24. Sabatier PH, Barraya L, Picaud AJ (1978) Une technique originale de réfection de l’ombilic [A peculiar technic for the umbilicus reconstruction]. Ann Chir Plast 23:245–248

    PubMed  CAS  Google Scholar 

  25. Schoeller T, Wechselberger G, Otto A, Rainer C, Schwabegger A, Lille S, Ninković M (1998) New technique for scarless umbilical reinsertion in abdominoplasty procedures. Plast Reconstr Surg 102:1720–1723

    Article  PubMed  CAS  Google Scholar 

  26. Sugawara Y, Hirabayashi S, Asato H, Yoshimura K (1995) Reconstruction of the umbilicus using a single triangular flap. Ann Plast Surg 34:78–80

    Article  PubMed  CAS  Google Scholar 

  27. Uraloğlu M, Tekin F, Orbay H, Unlü RE, Sensöz O (2006) Simultaneous abdominoplasty and umbilical reconstruction using a modified C–V flap technique. Plast Reconstr Surg 117:2525–2526

    Article  PubMed  Google Scholar 

  28. Vernon S (1957) Umbilical transplantation upward and abdominal contouring in lipectomy. Am J Surg 94:490–492

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinic Dr. Ricardo Guimarães, Eye Hospital of Minas Gerais, Rua Serranos, 131/301, Belo Horizonte, MG, 30220-250, Brazil

    Ticiano Cesar Teixeira Cló

  2. Madre Teresa Hospital, Belo Horizonte, MG, Brazil

    Darli Saúde Costa Nogueira

Authors
  1. Ticiano Cesar Teixeira Cló
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Darli Saúde Costa Nogueira
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ticiano Cesar Teixeira Cló.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cló, T.C.T., Nogueira, D.S.C. A New Umbilical Reconstruction Technique Used for 306 Consecutive Abdominoplasties. Aesth Plast Surg 36, 1009–1014 (2012). https://doi.org/10.1007/s00266-012-9925-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-012-9925-y

Keywords

Search

Navigation