Minilipoabdominoplasty with umbilicus detachment: indications and comparison of surgical tactics for umbilicus reintegration, an prospective study

• Published in: Revista Brasileira de cirurgia plástica Vol. 32; no. 1; pp. 92 - 100
• Main Authors: Pignatti, Vinicius Teixeira de Paula, Tiveron, Luciana Rodrigues da Cunha Colombo, Cunha, Marco Tulio Rodrigues da, Marinho, Marco Aurélio de Oliveira, Silva Neto, Manoel Pereira, Cunha, Carlos Renato Rodrigues da, Santos, Thomas Green Morton Gonçalves dos, Medeiros, Aluisio Goncalves, Soffner, Julia Prudente
• Format: Journal Article
• Language: English
• Published: Sociedade Brasileira de Cirurgia Plástica 01.03.2017
• Subjects: abdominal wall; abdominoplasty; cicatrix; umbilicus
• DOI: 10.5935/2177-1235.2017RBCP0013
• ISSN: 2177-1235; 1983-5175

INTRODUCTION: The minilipoabdominoplastia with umbilicus detachment represents a surgical procedure restricted to cases in which isolated liposuction would cause worsening of sagging skin, while the conventional abdominoplasty would imply excessive skin resection. It allows xyphopubic plication of the rectus abdominis muscle and good resection of the excessive lower abdominal skin. The objective is to provide patients with high umbilucus treated with liposuction, mini-abdominoplasty with umbilucus detachment and reinsertion below, and comparison of two techniques for umbilical reinsertion. METHODS: We included six women aged 32- to 50-year-old and who underwent surgery under spine and general anesthesia from January to June 2013 in the Hospital of the Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil. RESULTS: After surgery, patients had natural silhouettes of body contours and umbilicus repositioned without external scars. CONCLUSION: The technique used allows treatment of moderate sagging skin of upper and lower abdomen with need of a small incision, the technique provides umbilicus scarring without external scarring and less chance of complications due to the small detachment.