A versatile technique for repositioning of the umbilicus in abdominoplasty.

Background: Umbilical repositioning is a main step during abdominoplasty; surgeon aims are minimal visible scars and natural-looking result. Several techniques have been described but none of them completely satisfied the aesthetic targets in all kind of patients. We introduce a versatile technique for umbilicoplasty: an elliptical vertical incision of the umbilical skin and a double opposing “Y” incision on the abdominal flap to create a stable natural-looking umbilicus. Methods: 40 abdominoplasties were performed. Patients’ satisfaction and postoperative results were evaluated over 12 months follow-up. A modified 5 ml syringe was used to assess depth and volume of umbilical stalk. Depth value variations between 1 and 12 months were statistically compared using the Wilcoxon test. Results: In all patients, a three-dimensional umbilicus with adequate depression was created. In one case, de-epithelization of the umbilical skin occurred and spontaneously healed in two weeks. After 12 months, no significant changes in shape, dimension and appearance were observed. All patients were pleased with the final result. No cicatricial umbilical stenosis occurred and no statistical significance was found comparing depth variations between 1 and 12 months. Conclusion: This technique gives a natural depth appearance, ensures optimal position, pulls scars deeply and allows achievement of different shapes according to the patient’ habitus. The double opposing “Y” incision, reinforces the vertical shape, creates natural umbilical dimpling and prevents stenosis with stable results. This technique is easy to learn, simple to be performed, effectively hides scars and gives a youthful appearance to the umbilicus.