Skip to main content

Advertisement

SpringerLink
Log in

Subdermal neo-umbilicoplasty in abdominoplasty

  • Original Paper
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Umbilicoplasty is an important surgical procedure in abdominoplasty, regardless of the technique used. An unaesthetic umbilicus often irreversibly affects surgical outcomes. This study describes the experience of our team with the subdermal neo-umbilicoplasty technique and assesses patient satisfaction with the appearance of the new umbilicus.

Methods

Fifty-eight patients with abdominal deformity underwent abdominoplasty with subdermal neo-umbilicoplasty. Patients were followed up for at least 1 year with photographic documentation, assessment of patient satisfaction, and evaluation of eventual postoperative complications.

Results

Postoperative complications included one case of shallow umbilicus, four cases of superficial necrosis, and one case of midline deviation. No patient required surgical revision. There was a high level of patient satisfaction with the natural-looking umbilicus.

Conclusions

Subdermal neo-umbilicoplasty resulted in low postoperative complications and provided a new, natural-looking umbilicus without external scars.

Level of evidence: Level IV, therapeutic study

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
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15

Similar content being viewed by others

References

  1. Dobou R, Ousterhout DK (1978) Placement of the umbilicus in an abdominoplasty. Plast Reconstr Surg 64:291–293

    Article  Google Scholar 

  2. Dogan T (2010) Umbilicoplasty in abdominoplasty: a new approach. Ann Plast Surg 64(6):718–721

    Article  CAS  Google Scholar 

  3. Bruekers SE, van der Lei B, Tan TL, Luijendijk RW, Stevens HP (2009) “Scarless” umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature. Ann Plast Surg 63(1):15–20

    Article  CAS  Google Scholar 

  4. Malic CC, Spyrou GE, Hough M, Fourie L (2007) Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg 119(1):357–361

    Article  CAS  Google Scholar 

  5. Franco T, Franco D (1999) Neoomphaloplasty: an old and new technique. Aesthetic Plast Surg 23(2):151–154

    Article  CAS  Google Scholar 

  6. Craig SB, Faller MS, Puckett CL (2000) In search of the ideal female umbilicus. Plast Reconstr Surg 105(1):389–392

    Article  CAS  Google Scholar 

  7. Lee MJ, Mustoe TA (2002) Simplified technique for creating a youthful umbilicus in abdominoplasty. Plast Reconstr Surg 109(6):2136–2140

    Article  Google Scholar 

  8. Pardo Mateu L, Chamorro Hernandez JJ (1997) Neo-umbilicoplasty through a purse-string suture of three defatted flaps. Aesthetic Plast Surg 21(5):349–351

    Article  Google Scholar 

  9. Pfulg M, Van de Sijpe K, Blondeel P (2005) A simple new technique for neo-umbilicoplasty. Br J Plast Surg 58(5):688–691

    Article  CAS  Google Scholar 

  10. Rozen SM, Redett R (2007) The two-dermal-flap umbilical transposition: a natural and aesthetic umbilicus after abdominoplasty. Plast Reconstr Surg 119(7):2255–2262

    Article  CAS  Google Scholar 

  11. Amud RJM (2008) Omphaloplasty without scars. Rev Bras Cir Plast 23:37–40

    Google Scholar 

  12. Nogueira DSC (2008) Routine neoomphaloplasty during abdominoplasties. Rev Bras Cir Plast 23:207–213

    Google Scholar 

  13. Nahas FX (2001) A pragmatic way to treat abdominal deformities based on skin and subcutaneous excess. Aesthetic Plast Surg 125:365–371

    Article  CAS  Google Scholar 

  14. Nahas FX (2001) An aesthetic classification of the abdomen based on the myoaponeurotic layer. Plast Reconstr Surg 108(6):1787–1795

    Article  CAS  Google Scholar 

  15. Likert R (1932) A technique for the measurement of attitudes. Arch Psychol 140:1–55

    Google Scholar 

  16. McKnight CL, Fowler JL, Cobb WS, Smith DE, Carbonell AM (2012) Concomitant sublay mesh repair of umbilical hernia and abdominoplasty. Can J Plast Surg 20(4):258–260

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Brazilian Institute for Cancer Control (IBCC), São Paulo, Brazil

    Alejandro Povedano & Lauren Klas Iurk Leme dos Santos

  2. Department of Plastic Surgery and Breast Surgery, IBCC, São Paulo, SP, Brazil

    Gabriel Salum D’Alessandro & João Carlos Sampaio Góes

  3. Department of Plastic Surgery, University of Sao Paulo School of Medicine (FMUSP), São Paulo, SP, Brazil

    Alexandre Mendonça Munhoz & Rolf Gemperli

Authors
  1. Alejandro Povedano
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gabriel Salum D’Alessandro
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lauren Klas Iurk Leme dos Santos
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alexandre Mendonça Munhoz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rolf Gemperli
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. João Carlos Sampaio Góes
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alejandro Povedano.

Ethics declarations

Funding

There was no external funding for this study.

Conflict of interest

Alejandro Povedano, Gabriel Salum D’Alessandro, Lauren Klas Iurk Leme dos Santos, Alexandre Mendonça Munhoz, Rolf Gemperli, and João Carlos de Sampaio Góes declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments. However, for this type of retrospective study formal consent from a local ethics committee is not required.

Patient consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Povedano, A., D’Alessandro, G.S., dos Santos, L.K.I.L. et al. Subdermal neo-umbilicoplasty in abdominoplasty. Eur J Plast Surg 41, 335–344 (2018). https://doi.org/10.1007/s00238-017-1374-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-017-1374-z

Keywords

Search

Navigation