Spare parts neoumbilicoplasty

 

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Umbilical preservation can be challenging, particularly in complex cases involving simultaneous ventral hernia repair and abdominoplasty. Although the umbilicus serves no functional purpose, removal of the umbilicus can draw unwanted attention to the abdominal area and can cause emotional distress to patients. There are several well documented options for umbilical reconstruction. We present a new umbilical reconstruction technique relevant for such cases. This neoumbilicoplasty allows for preservation of the original umbilicus with relocation and reconstruction using local flaps. The technique is relatively simple and the time needed is minimal. The result is a natural, well positioned umbilicus using the principles of spare part surgery.

Publication History

Received: 30 June 2018

Accepted: 11 October 2018

Article published online:
28 March 2022

© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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• REFERENCES

• 1 Southwell-Keely JP, Berry MG. Umbilical reconstruction: a review of techniques. J Plast Reconstr Aesthet Surg 2011; 64: 803-8
  CrossrefPubMedGoogle Scholar
• 2 Thorek M. Plastic reconstruction of the female breasts and abdomen. Am J Surg 1939; 43: 268-78
  CrossrefGoogle Scholar
• 3 Rodriguez-Feliz JR, Makhijani S, Przybyla A. et al. Intraoperative assessment of the umbilicopubic distance: a reliable anatomic landmark for transposition of the umbilicus. Aesthetic Plast Surg 2012; 36: 8-17
  CrossrefPubMedGoogle Scholar
• 4 Joseph WJ, Sinno S, Brownstone ND. et al. Creating the perfect umbilicus: a systematic review of recent literature. Aesthetic Plast Surg 2016; 40: 372-9
  CrossrefPubMedGoogle Scholar
• 5 Rohrich RJ, Sorokin ES, Brown SA. et al. Is the umbilicus truly midline? Clinical and medicolegal implications. Plast Reconstr Surg 2003; 112: 259-63
  CrossrefPubMedGoogle Scholar
• 6 Delerm A. Refinements in abdominoplasty with emphasis on reimplantation of the umbilicus. Plast Reconstr Surg 1982; 70: 632-7
  CrossrefPubMedGoogle Scholar
• 7 Pitanguy I. Abdominal lipectomy. Clin Plast Surg 1975; 2: 401-10
  CrossrefPubMedGoogle Scholar
• 8 Choudhary S, Taams KO. Umbilicosculpture: a concept revisited. Br J Plast Surg 1998; 51: 538-41
  CrossrefPubMedGoogle Scholar
• 9 Juri J, Juri C, Raiden G. Reconstruction of the umbilicus in abdominoplasty. Plast Reconstr Surg 1979; 63: 580-2
  CrossrefPubMedGoogle Scholar
• 10 Malic CC, Spyrou GE, Hough M. et al. Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg 2007; 119: 357-61
  CrossrefPubMedGoogle Scholar
• 11 Bruekers SE, van der Lei B, Tan TL. et al. “Scarless” umbilicoplasty: a new umbilicoplasty technique and a review of the English language literature. Ann Plast Surg 2009; 63: 15-20
  CrossrefPubMedGoogle Scholar
• 12 Castillo PF, Sepulveda CA, Prado AC. et al. Umbilical reinsertion in abdominoplasty: technique using deepithelialized skin flaps. Aesthetic Plast Surg 2007; 31: 519-20
  CrossrefPubMedGoogle Scholar
• 13 Rozen SM, Redett R. The two-dermal-flap umbilical transposition: a natural and aesthetic umbilicus after abdominoplasty. Plast Reconstr Surg 2007; 119: 2255-62
  CrossrefPubMedGoogle Scholar