Neoumbilicoplasty with a Superiorly Based Abdominal Skin Flap. Issue 4 (April 2018)

• Record Type: Journal Article
• Authors: Tessler, Oren; Bourn, Lynn; Khoobehi, Kamran; Walters, Jules; Jansen, David
• Is Part Of: Plastic and reconstructive surgery. Volume 6:Issue 4(2018)
• Publication Date: 2018-04
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000001762
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Summary: We propose a neoumbilicoplasty technique that can be applied when the umbilical stalk becomes disrupted during an abdominoplasty. This case used surgical concepts that involved progressive thinning of the flap in a 3-cm radius around the neoumbilicus, with increased thinning toward the neoumbilical position. This was followed with suture tacking of the thinned abdominal flap to create a concavity around the neoumbilicus. A longer "U" shaped incision was created and also sutured down to abdominal wall to recreate an umbilical "floor" with the adjacent skin sutured to the superior-based flap to construct the walls of the neoumbilicus. An aesthetically pleasing umbilicus resulted with high patient satisfaction and a lack of postoperative complications. There were no additional scars extending beyond the umbilical region.