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Omphaloplasty pp 167-181 | Cite as

Umbilicoplasty Without Scars: My Personal Experience

  • Harold Villalobos Cárdenas
Chapter

Abstract

The naval completes the final appearance of the abdomen in its integral form after the tummy tuck, and umbilicoplasty is a very important aspect in this procedure. In this chapter, I describe an umbilicoplasty technique for a tummy tuck that does not leave any external wounds and the results are very close to the navel from a natural abdomen. This is my personal experience.

Keywords

Abdominoplasty Omphaloplasty Umbilicoplasty Scarless omphaloplasty 

Supplementary material

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Bibliography

  1. 1.
    Morestin A. La restauration de la paroi abdominale par resection etendue de teguments des apuneuroses superficielles envisage comme complement de cure radicale dehernies ombilicales, Paris. These; 1911.Google Scholar
  2. 2.
    Gaudet F, Morestin H. In: French congress of surgeons Paris; 1905. p. 125.Google Scholar
  3. 3.
    Beck C. Pendulous abdomen. Cure by removal of wxcws fat and obliteration of ventral hernias. Surg Clin Chicago. 1917;1(4):731–6.Google Scholar
  4. 4.
    Markman B, Barton FE Jr. Anatomy of the subcutaneous tissue of the trunk and lower extremity. Plast Reconstr Surg. 1987;80(2):248–54.CrossRefGoogle Scholar
  5. 5.
    Avelar J. Regional distribution and behavior of the subcutaneous tissue concerning selection and indication for liposuction. Aesthetic Plast Surg. 1989;13(3):155–65.CrossRefGoogle Scholar
  6. 6.
    Craig SB, Faller MS, Puckett CL. In search of the ideal female umbilicus. Plast Reconstr Surg. 2000;105(1):389–92.CrossRefGoogle Scholar
  7. 7.
    Visconti G, Visconti E, Bonomo L, Salgarello M. Concepts in navel aesthetic: a comprehensive surface anatomy analysis. Aesthetic Plast Surg. 2015;39(1):43–50.CrossRefGoogle Scholar
  8. 8.
    Cavale N, Butler PE. The ideal female umbilicus? Plast Reconstr Surg. 2008;121(5):356e–7e.CrossRefGoogle Scholar
  9. 9.
    Ellis H. Anatomy: applied anatomy for students and junior doctors. New York: Wiley; 2006.Google Scholar
  10. 10.
    Eycleshymer AC, Schoemaker DM, Potter P, Smith C, Jones T. A cross-section anatomy. New York: Appleton-Century-Crofts; 1911. p. 36.Google Scholar
  11. 11.
    Pallua N, Markowicz MP, Grosse F, Walter S. Aesthetically pleasant umbilicoplasty. Ann Plast Surg. 2010;64(6):722–5.CrossRefGoogle Scholar
  12. 12.
    Pavajeau LA. Umbilicoplastia en semicono abierto, técnica para disminuir la cicatriz umbilical. Trabajo ganador del concurso León Hernández en el 32° congreso nacional de la sociedad colombiana de cirugía plástica Marzo de 2005. comunicación personal.Google Scholar
  13. 13.
    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
  14. 14.
    Lee MJ, Mustoe TA. Simplified technique for creating a youthful umbilicus in abdominoplasty. Plast Reconstr Surg. 2002;109:2136–40.CrossRefGoogle Scholar
  15. 15.
    López Tallaj L, de Gervais J. Umbilical restoration in abdominoplasty: a simple rectangular technique. Aesthet Surg J. 2003;23:464–6.CrossRefGoogle Scholar
  16. 16.
    Rozen SM, Redett R. The two-dermal-flap umbilical transposition: a natural and aesthetic umbilicus after abdominoplasty. Plast Reconstr Surg. 2007;119:2255–62.CrossRefGoogle Scholar
  17. 17.
    Rogliani M, Silvi E, Arpino A, Gentile P, Grimaldi M, Cervelli V. The Maltese cross technique: umbilical reconstruction after dermolipectomy. J Plast Reconstr Aesthet Surg. 2007;60(9):1036–8.CrossRefGoogle Scholar
  18. 18.
    Hazani R, Israeli R, Feingold RS. Reconstructing a natural looking umbilicus: a new technique. Ann Plast Surg. 2009;63:358–60.CrossRefGoogle Scholar
  19. 19.
    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
  20. 20.
    Cló TC, Nogueira DS. A new umbilical reconstruction technique used for 306 consecutive abdominoplasties. Aesthetic Plast Surg. 2012;36(5):1009–14.CrossRefGoogle Scholar
  21. 21.
    Mazzocchi M, Trignano E, Armenti AF, Figus A, Dessy LA. Long-term results of a versatile technique for umbilicoplasty in abdominoplasty. Aesthetic Plast Surg. 2011;35(4):456–62.CrossRefGoogle Scholar
  22. 22.
    Malic CC, Spyrou GE, Hough M, Fourie L. Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg. 2007;119(1):357–61.CrossRefGoogle Scholar
  23. 23.
    Murillo W. Neo formación del ombligo. Comunicación personal en el XVI curso internacional de cirugía plástica estética, Cali Colombia, Septiembre 2010.Google Scholar
  24. 24.
    Ambardar S, Cabot J, Cekic V, et al. Abdominal wall dimensions and umbilical position vary widely with BMI and should be taken into account when choosing port locations. Surg Endosc. 2009;23:1995–2000.CrossRefGoogle Scholar
  25. 25.
    Dubou R, Ousterhout DK. Placement of the umbilicus in an abdominoplasty. Plast Reconstr Surg. 1978;61:291–3.CrossRefGoogle Scholar
  26. 26.
    Rodriguez-Feliz JR, Makhijani S, Przybyla A, Hill D, Chao J. Intraoperative assessment of the umbilicopubic distance: a reliable anatomic landmark for transposition of the umbilicus. Aesthetic Plast Surg. 2012;36(1):8–17.CrossRefGoogle Scholar
  27. 27.
    Abhyankar SV, Rajguru AG, Patil PA. Anatomical localization of the umbilicus: an Indian study. Plast Reconstr Surg. 2006;117(4):1153–7.CrossRefGoogle Scholar
  28. 28.
    Parnia R, Ghorbani L, Sepehrvand N, Hatami S, Bazargan-Hejazi S. Determining anatomical position of the umbilicus in Iranian girls, and providing quantitative indices and formula to determine neo-umbilicus during abdominoplasty. Indian J Plastic Surg. 2012;45(1):94–6.  https://doi.org/10.4103/0970-0358.96594.CrossRefGoogle Scholar
  29. 29.
    Massiha H. Superior positioning of the ptotic umbilicus in abdominoplasties and TRAM flaps. Ann Plast Surg. 2002;48:508–10.CrossRefGoogle Scholar
  30. 30.
    Dini GM, Ferreira LM. A simple technique to correct umbilicus vertical malposition. Plast Reconstr Surg. 2007;119(6):1973–4.CrossRefGoogle Scholar
  31. 31.
    Colwell AS, Kpodzo D, Gallico GG 3rd. Low scar abdominoplasty with inferior positioning of the umbilicus. Ann Plast Surg. 2010;64:639–44.PubMedGoogle Scholar
  32. 32.
    Cárdenas Restrepo JC, Muñoz Ahmed JA. New technique of plication for miniabdominoplasty. Plast Reconstr Surg. 2002;109:1170–7; discussion 1178–90CrossRefGoogle Scholar
  33. 33.
    Villegas F. Segundos tiempos quirúrgicos después de abdominoplastia y liposucción. Rev Col Cir Plast Reconstr. 2011;17(1):47–58.Google Scholar
  34. 34.
    Bruekers SE, van der Lei B, Tan TL, Luijendijk RW, Stevens HP. “Scarless” umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature. Ann Plast Surg. 2009;63(1):15–20.CrossRefGoogle Scholar
  35. 35.
    Dini GM, Ferreira LM. Putting the umbilicus in the midline. Plast Reconstr Surg. 2007;119(6):1971–3.CrossRefGoogle Scholar
  36. 36.
    Pitanguy I. Personal approach to aesthetic abdominal deformities. In: Shifman M, Mirrafati S, editors. Aesthetic surgery of the abdominal wall. Cham: Springer International Publishing; 2005. p. 102–14.CrossRefGoogle Scholar
  37. 37.
    Mowlavi A, Huynh PM, Huynh DC, Wilhelmi BJ. A new technique involving a spherical stainless steel device to optimize positioning of the umbilicus. Aesthetic Plast Surg. 2012;36(5):1062–5.CrossRefGoogle Scholar
  38. 38.
    Forouzanpour F. The umbilical locator. In: Di Giuseppe A, Shiffman MA, editors. Aesthetic plastic surgery of the abdomen. Cham: Springer International Publishing; 2016. p. 51–8.CrossRefGoogle Scholar
  39. 39.
    Avelar JM. Lipoabdominoplasty. In: Di Giuseppe A, Shiffman MA, editors. Aesthetic plastic surgery of the abdomen. Cham: Springer International Publishing; 2016. p. 199–234.CrossRefGoogle Scholar
  40. 40.
    Niranjan NS, Staiano JJ. An anatomical method for re-siting the umbilicus. Plast Reconstr Surg. 2004;113(7):2194–8.CrossRefGoogle Scholar
  41. 41.
    Gonzales HO, Torres E. Scarless umbilicoplasty technique. In: Di Giuseppe A, Shiffman MA, editors. Aesthetic plastic surgery of the abdomen. Cham: Springer International Publishing; 2016. p. 371–6.CrossRefGoogle Scholar
  42. 42.
    Al-Shaham AA. Neoumbilicoplasty is a useful adjuvant procedure in abdominoplasty. Can J Plast Surg. 2009;17(4):e20–3.CrossRefGoogle Scholar
  43. 43.
    Bayumi EK. Neoumbilical reconstruction as an adjuvant procedure in abdominoplasty. J Surg. 2016;4(1-1):16–8.  https://doi.org/10.11648/j.js.s.2016040101.14.CrossRefGoogle Scholar
  44. 44.
    Lemperle G, Tenenhaus M, Knapp D, Lemperle SM. The direction of optimal skin incisions derived from striae distensae. Plast Reconstr Surg. 2014;134(6):1424–34.CrossRefGoogle Scholar
  45. 45.
    Villegas FJ. A paradigm shift for abdominoplasty: transverse hypogastric plication without supraumbilical dissection, unrestricted liposuction, neoumbilicoplasty, and low placement of the scar (TULUA). In: Di Giuseppe A, Shiffman MA, editors. Aesthetic plastic surgery of the abdomen. Cham: Springer International Publishing; 2016. p. 171–93.CrossRefGoogle Scholar
  46. 46.
    Villegas FJ. A novel approach to abdominoplasty: TULUA modifications (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar). Aesthetic Plast Surg. 2014;38(3):511–20.CrossRefGoogle Scholar
  47. 47.
    Visconti G, Tomaselli F, Monda A, Barone-Adesi L, Salgarello M. Deep inferior epigastric artery perforator flap donor-site closure with cannula-assisted, limited undermining, and progressive high-tension sutures versus standard abdominoplasty: complications, sensitivity, and cosmetic outcomes. Plast Reconstr Surg. 2015;135(1):1–12.CrossRefGoogle Scholar
  48. 48.
    Baroudi R, Ferreira CA. Seroma; How to avoid and how to treat it. Aesthet Surg J. 1998;18(6):439–41.CrossRefGoogle Scholar
  49. 49.
    Pollock H, Pollock T. Progressive tension sutures. A technique to reduce complication in abdominoplasty. Plast Reconstr Surg. 2000;105(7):2583–6.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Harold Villalobos Cárdenas
    • 1
  1. 1.Private Practice, World Trade CenterCaliColombia

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