Reduction Umbilicoplasty: A Simple and Effective Method

Kim, Eui Sik; Hwang, Jae Ha; Kim, Kwang Seog; Lee, Sam Yong

Abstract

Many ideal definitions have been proposed about the desirable shape and position of the appealing umbilicus. The attractive umbilicus is a moderately small umbilical size with an overall vertical orientation We would like to propose a new, simple and effective technique to correct a abnormal distorted large protruding umbilicus which developed on a 43 year-old man who undergone previous surgery. A inner circle 1cm in diameter, which was generally considered as a normal size, was drawn in the center of deformed umbilicus. Another outer circle, which was drawn between normal abdomen and deformed umbilicus, was horizontally divided into 2 portions. The upper portion of the outer ring was excised down to the dermal area and lower portion was deepithelized. The inner circle flap was meticulously defatted down to the abdominal wall fascia. Then, this inner circle was fixed to the fascia with 3-0 monofilament sutures at 3,9,12 o'clock direction for making a superior hood. Remnant outer circle was closed primarily with adjacent proper undermining. The natural looking umbilicus was shown until postoperative 2 weeks. A longitudinal deep umbilical depression was cosmetically pleasing. This new method of reduction umbilicoplasty is a safe, simple, and effective technique for aesthetically pleasing umbilicus.