Skip to main content

Umbilicoplasty with Minimum Stump

  • Chapter
  • First Online:
Omphaloplasty
  • 408 Accesses

Abstract

Background: Abdominoplasty is a type of cosmetic surgery used for corporal contouring, which aims to treat patients with flaccid or excess abdominal skin. Within abdominoplasty, navel surgery (i.e., umbilicoplasty) is a key point. The most popular modern techniques for umbilicoplasty are split into two major groups. One is the transposition of a stump of the original navel and the other one is that of the neo-umbilicoplasty (i.e., creation of a new navel). This chapter discusses the Conventional Technique of Umbilicoplasty, emphasizing the achievement of the smallest possible scar.

Method: For this method, the opening made in the abdominal flap should be of an oval shape or fusiform, with the longer diameter between 12 and 14 mm being in the vertical plane. The infundibular resection of the adipose tissue around the incision should be perfected, making a very selective and precise hemostasis. Fixation of the new umbilicus comprises two components: first the umbilical stalk is fixed to the fascia, and second, after stretching the flap, the neo-aperture is also fixed to the fascia around the umbilical stem.

Results: Good results have been obtained with this technique and patients have received these results with great joy.

Conclusion: It is a great challenge, for plastic surgeons, to obtain a satisfactory and safe result with a low rate of aesthetic non-conformities using a more generic technique such as this one.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Prudente A. Dermolipectomia abdominal com conservação da cicatriz umbilical. Anais 11 Cong. Latino-Americano de Cir Plast Guillermo Karast. B. Ayres; 1943.

    Google Scholar 

  2. Vernon S. Ombilical transplantation upward and abdominal contouring in lipectomy. Am J Surg. 1957;94:490–4.

    Article  CAS  Google Scholar 

  3. Andrews JM. Nova técnica de lipectomia abdominal e onfaloplastia. In: 8° Congr. Lat. Amer. Cir. Cuba; 1956.

    Google Scholar 

  4. Goin JL, Guimberteau JC. La desinsertion ombilicale. In: Congrès de la SFCPR. Paris, France; 1983.

    Google Scholar 

  5. Thion A. Poussez le verrou ombilical dans les plasties abdominales. Ann Chirurg Plast Esthét. 1987;32:83–5.

    CAS  Google Scholar 

  6. Avelar JM. Umbilicoplastia: uma técnica sem cirurgia externa. Anais do 13° Congr. Bras. Cir. Plás. 1976; Porto Alegre, Brasil. Ed. Meridional; 1976.

    Google Scholar 

  7. Freeman BS, Welmer DR. Abdominoplasty with special attention to the construction of the umbilicus: technique and compliations. Aesthetic Plast Surg. 1978;2:65.

    Article  CAS  Google Scholar 

  8. Juri J, et al. Reconstruction of the umbilicus in abdominoplasty. Plast Reconstr Surg. 1979;63:580.

    Article  CAS  Google Scholar 

  9. Baroudi R. Umbilicoplasty. Clin Plast Surg. 1975; 2(3):431–85.

    Google Scholar 

  10. Kirianoff TG. Making a new umbilicus when none exists. Plast Recontr Surg J. 1978; 61:603.

    Article  CAS  Google Scholar 

  11. Illouz YG. Une nouvelle technique pour les lipodystrophies localisées. Rev de Chir Esthet de Lang Franç. 1980;19:3–10.

    Google Scholar 

  12. Illouz YG. Body contouring by lipolysis: a 5-years experience with over 3000 cases. Plast Reconstr Surg. 1983;72:591–6.

    Article  CAS  Google Scholar 

  13. Pitanguy I. Abdominal Lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg. 1967;40(4):384–91.

    Article  Google Scholar 

  14. Baroudi R, Keppke EM, Tozzi- Netto F. Abominoplasty. Plast Reconstr Surg. 1974;54:161–8.

    Google Scholar 

  15. Guerrero Santos J, et al. Some problems and solutions in abdominoplasty. Aesthetic Plast Surg. 1980;4:227–31.

    Google Scholar 

  16. Craig S, Faller M, Puckett C. In search of the ideal female umbilicus. Plast Reconstr Surg. 2000;105:389–92.

    Article  CAS  Google Scholar 

  17. Sillitoe A, Thornton D. Placement of the umbilicus in an abdominoplasty. Plast Reconstr Surg. 1979;63:291–3.

    Google Scholar 

  18. Delerm A. Refinements in abdominiplasty with emphasis on reimplantation of the umbilicus. Plast Reconstr Surg. 1982;70:632–7.

    Article  CAS  Google Scholar 

  19. Lim T, Tan W. Managing the umbilicus during abdominoplasty. Plast Reconstr Surg. 1996;98:1113.

    Article  CAS  Google Scholar 

  20. Pavajeau LA. Umbilicoplastia en semicono abierto, técnica para reducir al mínimo la cicatriz umbilical. Rev Col Cir Plast Rec. 2005; 11:29–32.

    Google Scholar 

  21. Murillo W. Neo-formación del ombligo. Comunicación personal en el XVI Curso Internacional de Cirugía Plástica Estética, Cali (Colombia).Septiembre 2010.

    Google Scholar 

  22. Massiha H, Montegut W, Phillips R. A method of reconstructing a natural- looking umbilicus in abdominoplasty. Ann Plast Surg. 1997;38:228–31.

    Article  CAS  Google Scholar 

  23. Schoeller T, Wechselberg G, Otto A. New technique for scarless umbilical reinsertion in abdominoplasty procedures. Plast Reconstr Surg. 1998;102:1720–3.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Electronic Supplementary Material

(MP4 542607 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fernández, W. (2018). Umbilicoplasty with Minimum Stump. In: Murillo, W. (eds) Omphaloplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-64313-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64313-7_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64312-0

  • Online ISBN: 978-3-319-64313-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics