Advertisement

Omphaloplasty pp 153-165 | Cite as

Umbilicoplasty with Minimum Stump

  • William Fernández
Chapter

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.

Keywords

Belly button Abdominoplasty Umbilicoplasty Omphaloplasty Tummy tuck 

Supplementary material

Video 1

(MP4 542607 kb)

References

  1. 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. 2.
    Vernon S. Ombilical transplantation upward and abdominal contouring in lipectomy. Am J Surg. 1957;94:490–4.CrossRefGoogle Scholar
  3. 3.
    Andrews JM. Nova técnica de lipectomia abdominal e onfaloplastia. In: 8° Congr. Lat. Amer. Cir. Cuba; 1956.Google Scholar
  4. 4.
    Goin JL, Guimberteau JC. La desinsertion ombilicale. In: Congrès de la SFCPR. Paris, France; 1983.Google Scholar
  5. 5.
    Thion A. Poussez le verrou ombilical dans les plasties abdominales. Ann Chirurg Plast Esthét. 1987;32:83–5.Google Scholar
  6. 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. 7.
    Freeman BS, Welmer DR. Abdominoplasty with special attention to the construction of the umbilicus: technique and compliations. Aesthetic Plast Surg. 1978;2:65.CrossRefGoogle Scholar
  8. 8.
    Juri J, et al. Reconstruction of the umbilicus in abdominoplasty. Plast Reconstr Surg. 1979;63:580.CrossRefGoogle Scholar
  9. 9.
    Baroudi R. Umbilicoplasty. Clin Plast Surg. 1975; 2(3):431–85.Google Scholar
  10. 10.
    Kirianoff TG. Making a new umbilicus when none exists. Plast Recontr Surg J. 1978; 61:603.CrossRefGoogle Scholar
  11. 11.
    Illouz YG. Une nouvelle technique pour les lipodystrophies localisées. Rev de Chir Esthet de Lang Franç. 1980;19:3–10.Google Scholar
  12. 12.
    Illouz YG. Body contouring by lipolysis: a 5-years experience with over 3000 cases. Plast Reconstr Surg. 1983;72:591–6.CrossRefGoogle Scholar
  13. 13.
    Pitanguy I. Abdominal Lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg. 1967;40(4):384–91.CrossRefGoogle Scholar
  14. 14.
    Baroudi R, Keppke EM, Tozzi- Netto F. Abominoplasty. Plast Reconstr Surg. 1974;54:161–8.Google Scholar
  15. 15.
    Guerrero Santos J, et al. Some problems and solutions in abdominoplasty. Aesthetic Plast Surg. 1980;4:227–31.Google Scholar
  16. 16.
    Craig S, Faller M, Puckett C. In search of the ideal female umbilicus. Plast Reconstr Surg. 2000;105:389–92.CrossRefGoogle Scholar
  17. 17.
    Sillitoe A, Thornton D. Placement of the umbilicus in an abdominoplasty. Plast Reconstr Surg. 1979;63:291–3.Google Scholar
  18. 18.
    Delerm A. Refinements in abdominiplasty with emphasis on reimplantation of the umbilicus. Plast Reconstr Surg. 1982;70:632–7.CrossRefGoogle Scholar
  19. 19.
    Lim T, Tan W. Managing the umbilicus during abdominoplasty. Plast Reconstr Surg. 1996;98:1113.CrossRefGoogle Scholar
  20. 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. 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. 22.
    Massiha H, Montegut W, Phillips R. A method of reconstructing a natural- looking umbilicus in abdominoplasty. Ann Plast Surg. 1997;38:228–31.CrossRefGoogle Scholar
  23. 23.
    Schoeller T, Wechselberg G, Otto A. New technique for scarless umbilical reinsertion in abdominoplasty procedures. Plast Reconstr Surg. 1998;102:1720–3.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • William Fernández
    • 1
  1. 1.Universidad del ValleCaliColombia

Personalised recommendations