Summary
Introduction
The navel plays a major role in the aesthetics of the abdomen. A navel that is abnormally
shaped, malpositioned or has evident scarring may compromise the outcome of an otherwise
well-executed full abdominoplasty. The aim of the technique in question is to recreate
a navel that looks natural, with no visible scar, and that is properly positioned.
Materials and methods
The technique was performed in 147 abdominoplasties of patients of both sexes (123
females and 24 males), with an average age of 35 years and a mean BMI of 24 kg/m2. The procedure involves the creation of a navel of reduced size, 10 × 5 mm, and its
inset in the abdominal wall. Subsequently, the as-yet-not sutured abdominal flap is
extended caudally to determine the point of projection of the navel. The abdominal
skin is marked, the flap is reversed and an internal suture is carried out.
Results
The appearance of the navel is aesthetically pleasant and natural looking and with
no visible scarring. In addition, the position of the umbilicus is always correct.
At the two-year follow-up, the results remain stable. No major complication occurred.
Conclusions
The technique allows for the attainment of an extremely natural looking navel that
satisfies the aesthetic criteria of attractiveness without visible scarring. The navel
is always correctly positioned, without requiring measurements during surgery.
The procedure is rapid, and although it does require a short learning curve, the results
are extremely aesthetically pleasing and reproducible. The patient satisfaction rate
is extremely high.
Keywords
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Article info
Publication history
Published online: February 09, 2019
Accepted:
January 18,
2019
Received:
July 6,
2018
Identification
Copyright
© 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
