Alternatives to omphaloplasty in aesthetic surgery of the abdomen: Review of the <i>Revista Brasileira de Cirurgia Plástica</i> and presentation of the experience with the technique in H

MENEZES NETO, BALDUINO FERREIRA DE; MAGNANI, LUCAS VANNUCHI; SECANHO, MURILO SGARBI; OLIVEIRA NETO, FAUSTO VITERBO DE

doi:10.5935/2177-1235.2023RBCP0706-EN

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Revista Brasileira de Cirurgia Plástica

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Review Article • Rev. Bras. Cir. Plást. 38 (3) • 2023 • https://doi.org/10.5935/2177-1235.2023RBCP0706-EN copy

Alternatives to omphaloplasty in aesthetic surgery of the abdomen: Review of the Revista Brasileira de Cirurgia Plástica and presentation of the experience with the technique in H

Authorship SCIMAGO INSTITUTIONS RANKINGS

■ ABSTRACT

Introduction:

Abdominoplasty has been among the most popular cosmetic procedures in plastic surgery in recent years. From the perspective of body image, making the new navel is a key part, and its absence, distortion, or poor healing compromises the surgical result. Several techniques have been described, but all with their limitations. The objective was to gather a summary of the surgical possibilities presented in the na Revista Brasileira de Cirurgia Plástica (RBCP), in addition to reintroducing the technique in H.

Method:

A qualitative review of the literature published in the RBCP in the period from 2000 to 2021 was carried out. Articles were included that described a proposal for umbilicoplasty, referring to the number of patients, age, follow-up time, assessment of patient satisfaction, and complications, excluding publications without aesthetic purposes or patients after major weight loss.

Results:

38 articles were found, 7 of which were excluded by analyzing the titles and abstracts. Two independent authors reviewed the other articles, excluding another 20. In the end, 11 articles were included in this review.

Conclusion:

Omphaloplasty in abdominoplasties can be performed in several ways, providing surgeons with various alternatives. The H technique is one of these tools which can be widely used and bring consistent results.

Keywords:
Umbilicus; Review; Abdomen; Reconstructive surgical procedures; Aesthetics

Article	No. of patients	Age	Time to follow-up	Satisfaction	Complications
Technique for umbilicoplasty, avoiding one of the main stigmas of abdominoplasties¹⁸18 D’Assumpção EA. Technique for umbilicoplastie avoiding one of the most important stigma of abdominoplasties. Rev Bras Cir Plást. 2005;20(3):160-6.	100	X	+ 3 months	Full of patient - 89%; Full of surgeon - 85%; Reasonable of patient - 11%; Reasonable for the surgeon - 13%; Patient dissatisfaction - 0%; Surgeon dissatisfaction - 2%.	2 cases - circular contracture of the new navel (2%).
Routine neo-omphaloplasty in abdominoplasties¹⁹19 Nogueira DSC. Routine neoomphaloplasty during abdominoplasties. Rev Bras Cir Plást. 2008;23(3):207-13.	46	X	2 to 19 months	X	1 case - erasure of the scar (keloid scar) (2.1%); 3 cases - dehiscence (6.5%).
Triangular umbilicoplasty with dermal flap²⁰20 Pereira JFV, Schutz LV, Kostic V, d’Avila CLP, Mateus FN. Triangular umbilicoplasty with skin flap. Rev Bras Cir Plást. 2011;26(3):496-501.	194	X	X	188 patients (96.91%) Had positive satisfaction; In 186 cases (95.88%) the surgeons had positive satisfaction.	5 cases - Epidermolysis in umbilical stump (10.8%); 3 cases - umbilical narrowing due to scar retraction (6.5%).
Technique with umbilical pedicle in a “kite” and incision of the skin of the abdomen in a “Y”²¹21 Vendramin FS, Fernandes AWC. Umbilicoplastia: técnica com pedículo umbilical em “pipa” e incisão da pele do abdome em “Y”. Rev Bras Cir Plást. 2019;34(Suppl.3):8-11.	31	28 and 57 years	6 months	bad 0; reasonable 3.2%; good 6.5%; very good 12.9%; Excellent 77.4%.	5 cases - epidermolysis of the stump (16.1%); 1 case - necrosis of the retail (3.2%); 3 cases - epidermolysis of creases (9.6%); 1 case - stenosis stigma (3.2%); 1 case - visible scar (3.2%).
Vertical incision umbilicoplasty: description of the technique and evaluation of satisfaction²²22 Pedroso DB, Soares DAS, Cammarota MC, Daher LMC, Galdino MCA, Santos GC, et al. Umbilicoplasty by vertical incision: description of the technique and assessment of satisfaction. Rev Bras Cir Plást. 2017;32(4):534-40.	128	25 to 62 years	40 months	92.2% of the patients were very satisfied, and the technical evaluation by the evaluating surgeon attested to a degree of 88.8% satisfaction.	2 cases - umbilical scar suture dehiscence (1.5%); 4 cases - hypertrophic scar (3.1%); 2 cases - Stenosis (1.5%); 1 case - umbilicus necrosis (0.7%).
Omphaloplasty: Y/V technique²³23 Guimarães VHM, Guimarães VA, Gonçalves FA, Carvalho PCC. Omphaloplasty: Y/V technique. Rev Bras Cir Plást. 2018;33(3):355-63.	88	27 to 62 years	36 months	It does not explain patient satisfaction.	3 cases - Suture dehiscence in (3.4%); 1 case - umbilical stenosis (1.13%); 4 cases - chromic alterations of the scar (4.54%); 2 cases - scars with keloid (2.27%).
Cosmetic and functional surgery of the umbilicus: transumbilical plication technique²⁴24 Chia CY, Roxo ACW, Labanca L, Ritter PD. Aesthetic and functional surgery of umbilicus: transumbilicous plication technique. Rev Bras Cir Plást. 2011;26(2):293-7.	30	26 to 59 years	X	X	Hassle-free.
Omphaloplasty: “infinity” technique²⁵25 Furtado IR. Onphaloplasty: “infinity” technique. Rev Bras Cir Plást. 2011;26(2):298-301.	418	21 to 73 years	120 months	91% satisfaction.	9 cases - partial dehiscence (2.1%); 7 cases - stenoses (1.5%); 5 cases - keloids (1.1%).
Neo-omphaloplasty without a scar²⁶26 Amud RJM. Omphaloplasty Without Scars. Rev Bras Cir. Plást. 2008;23(1):37-40.	127	31 to 50 years	4 to 10 months	“All patients monitored and evaluated presented results considered good by the themselves and by the surgeon”.	It does not describe the numbers: partial erasure of the umbilical depression; epidermolysis of the flap dermis.
Isosceles triangle omphaloplasty with double fixation in abdominoplasty²⁷27 Campos R, Campos BVBL. Omphaloplasty based on an isosceles triangle with double fixation in abdominoplasty. Rev Bras Cir Plást. 2019;34(1):38-44.	97	25 to 65 years	Up to 12 months	82.5% if felt very satisfied; 10.3% satisfied; 7.2% not very satisfied.	3 cases - stenoses (3%); 2 cases - hypertrophic (2%); 2 cases - atrophic (2%).
Neo-omphaloplasty with X incision in 401 consecutive abdominoplasties²⁸28 Cló TCT. Neoomphaloplasty using an X-shaped incision in 401 consecutive abdominoplasties. Rev Bras Cir Plást. 2013;28(3):375-80.	401	23 to 67 years	5 to 36 months	43 patients rated their result: 67.4% - Excellent; 23.2% - Very good; 9.3% - Good. Evaluation of surgeons: 77% -Excellent; 18% - Very good; 5% - Good.	16 cases - Infection (3.9%); 11 cases - seroma (2.7%); 6 cases - necrosis (1.5%); 4 cases - hematoma (1%); 2 cases - dehiscence (0.5%).

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[1] Conflicts of interest: none.