Abstract
The vertical abdominoplasty technique always had its biggest statement in correcting large hernias or unsightly scars on the midline of the abdomen. With the global spread of gastroplasty for treatment of morbid obesity, we noticed an increase in demand for the correction of intense sagging in the abdomen of emaciated patients. A traditional abdominoplasty is not well indicated in these cases as there is the need for skin resection also vertically to better wear the new body. There was then a huge advance in vertical techniques. In this chapter we present our surgical routine with special emphasis on refining the umbilical region. We propose routine amputation of the original umbilical stump and making a new navel from side flaps as described by Correa and Iturraspe in 1951. We introduced the dermoepidermal security strip, designed to place with pinpoint accuracy the flaps in the original navel position. The technical details as well as the postoperative care and possible complications are described in detail.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Amud RJM (2008) Neo-umbilicoplasty without scarring. Rev Bras Cir Plast 23(1):37–40
Chang TN, Baroudi R (2006) Abdominoplasty techniques. In: Mathes SJ (ed) Plastic surgery, vol 6, 2nd edn. Philadelphia: Saunders, pp 168–170
Craig SB, Faller MS, Puckett CL (2000) In search of the ideal female umbilicus. Plast Reconstr Surg 105:389–392
Franco D, Medeiros J, Farias C, Franco T (2006) Umbilical reconstruction for patients with a midline scar. Aesthetic Plast Surg 30:595–598
Nogueira DSC (2008) Routine neo-umbilicoplasty in abdominoplasty. Rev Bras Cir Plást 23(3):207–213
Pontes R (2004) Lifting de coxa. In: Abdominoplastia - Ressecção em Bloco e sua Aplicação em Lifting de Coxa e Torsoplastia. Revinter 14:153–183
Rozen SM, Redett R (2007) The two-dermal-flap umbilical transposition: the natural and aesthetic umbilicus after abdominoplasty. Plast Reconstr Surg 119(7):2255–2262
Silva FN, Oliveira EA. Neo-onfaloplastia na abdominoplastia vertical. Rev Bras Cir Plást. 2010;25(2):330-6
Sinder R. Esquemas das Principais Técnicas de Plástica do Abdome. In: Cirurgia Plástica do abdome. Rio de Janeiro; 1979; 7:21:36
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
de Oliveira, E.A., Neves, F. (2016). Vertical Abdominoplasty: Indications and Refinements. In: Avelar, J. (eds) New Concepts on Abdominoplasty and Further Applications. Springer, Cham. https://doi.org/10.1007/978-3-319-27851-3_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-27851-3_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-27849-0
Online ISBN: 978-3-319-27851-3
eBook Packages: MedicineMedicine (R0)