Omphaloplasty pp 127-140 | Cite as

Creation of the Umbilical Region During Full Abdominoplasty: New Concepts and Techniques

  • Juarez M. Avelar


Ever since Vernon (Am J Surg 94:490–492, 1957) introduced transposition of the umbilicus during abdominoplasty, creation of the new umbilical region is an expected procedure that is a constant challenge. Due to its location in the central area of the abdomen and the fact that there will always be scars around the umbilicus when the new region is created, this procedure requires a special approach. Using my technique, it is possible to achieve good aesthetic results, avoiding scar retraction and contraction, which are both unfavorable results. According to pre-operative evaluation, planning, and demarcation, the whole cutaneous covering of the infra-umbilical region is always resected. Cutaneous incisions on the umbilicus are done prior to skin resection. The umbilicus transposition is not performed when lower and upper abdominolipoplasty are done since the skin around the navel is not resected. To perform upper abdominoplasty, sub-mammary incisions are done on each side. When lower abdominoplasty is carried out, skin resection is done only on the suprapubic area.


Umbilicus New umbilicus Creation of new umbilicus Abdominoplasty Full abdominoplasty 


  1. 1.
    Kelly HA. Report of gynecological cases. John Hopkins Medizinhist J. 1899;10:197.Google Scholar
  2. 2.
    Vernon S. Umbilical trasplantation upward and adbominal contouring in lipectomy. Am J Surg. 1957;94:490–2.CrossRefGoogle Scholar
  3. 3.
    Pitanguy I. Abdominallipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg. 1967;40(4):384–91.CrossRefGoogle Scholar
  4. 4.
    Grazer FM, Goldwyn RM. Abdominoplasty assessed by survey with emphasis on complications. Plast Recontr Surg. 1977;59(4):513–7.CrossRefGoogle Scholar
  5. 5.
    Avelar JM. Umbilicoplasty – a technique without external scar. 13rd Bras Cong of Plast Surg and First Brazilian Cong of Aesthetic Surgery. (Umbilicoplastia – uma técnica sem cicatriz externa). 13° Congresso Brasileiro de Cirurgia Plástica e 1° Congr Bras Cir Estética, Porto Alegre. 1976:81–82.Google Scholar
  6. 6.
    Avelar JM. Umbilicoplasty. A techique without external scar. Cahiers de chirurgie Esthétique. Journees internationals de Chirurgie Esthetique. Vendredi 21 mai. 1976Google Scholar
  7. 7.
    Avelar JM. Abdominoplasty: of a technique without external umbilical scar. Aesthetic Plast Surg. 1978;2:141.CrossRefGoogle Scholar
  8. 8.
    Avelar JM. Cicatriz umbilical – da sua importância e da técnica de c Avelar onfecção nas abdominoplastias (Umbilical scar – importance and technique for creating during abdominoplasty). Rev Bras Cir. 1979;1(2):41–52.Google Scholar
  9. 9.
    Avelar JM. Abdominoplasty: technical refinements and analysis of 130 cases in 8 years follow-up. Aesthetic Plast Surg. 1983;7:205–12.CrossRefGoogle Scholar
  10. 10.
    Avelar JM. Fat-suction versus abdominoplasty. Aesthetic Plast Surg. 1985;9:265–76.CrossRefGoogle Scholar
  11. 11.
    Avelar JM. Uma nova técnica de abdominoplastia – sistema vascular fechado de retalho subdérmico dobrado sobre si mesmo combinado com lipoaspiração (A new technique for abdominoplasty – Closed vascular system of subdermal flap folded over itself combined to liposuction). Rev Bras Cir. 1999;88/89(1/6):3–20.Google Scholar
  12. 12.
    Avelar JM. Novos conceitos para abdominoplastia (new concepts for abdominoplasty). Paper presented at the 36th Congress of the Brazilian Society of Plastic Surgery. Rio de Janeiro. 1999.Google Scholar
  13. 13.
    Avelar JM. Abdominoplastia: Nuevos conceptos para una nueva técnica. (Abdominoplasty: New concepts for a new technique). XXVI Annual International Symposium of Aesthetic Plastic Surgery, Chairman: Prof. Jose Guerrerosantos - Puerto Vallarta, Jalisco - México. 1999. p. 10–13.Google Scholar
  14. 14.
    Callia WEP. Contribuição ao estudo de correção cirúrgica do abdomen pêndulo e globus (Contribution to the study of surgical correction of the pendulum abdomen and globus). original art. Doctoral Thesis Fac Med USP, São Paulo. 1965.Google Scholar
  15. 15.
    Sinder R. Plastic surgery of the abdomen. Personal Technique. In: Abstracts of the 6th International Congress of Plastic and Reconstructive Surgery, Paris, Masson. 1975. p. 584–391.Google Scholar
  16. 16.
    Sinder R. In: Sinder N, editor. Cirurgia plástica abdominal (Abdominal plastic surgery). Philadelphia: Saundrs; 1979.Google Scholar
  17. 17.
    Pitanguy I. Dermolipectomy of the abdominal wall, thighs, buttocks, and upper extremity. In: Converse JM, editor. Reconstructive plast surgery. 2nd ed. Philadelphia: Saundrs; 1977. p. 3800–23.Google Scholar
  18. 18.
    Avelar JM. Abdominoplasty without detachment (Abdominoplastia sem descolamento). XX Jorn Paulista Cir Plast, São Paulo. 2000.Google Scholar
  19. 19.
    Avelar JM. Abdominoplastia com presevação do sistema vascular profundo. Comunicação Pessoal. Reunião Mensal da Sociedade Brasileira de Cirurgia Plástica do Rio Grande do Sul. 2000.Google Scholar
  20. 20.
    Avelar JM. Abdominoplasty without lipectomy. Mini Course of ISAPS with Aesthetic Plastic Surgery Congress of Spain, Valladolid. 2001.Google Scholar
  21. 21.
    Avelar JM. Abdominoplasty without panniculus undermining and resection: analysis and 3-year follow-up of 97 consecutive cases. Aesthetic Surg; 2002. p. 16–25.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Juarez M. Avelar
    • 1
  1. 1.Brazilian Scientific Institute of Plastic and Reconstructive SurgerySao PauloBrazil

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