Modified Diamond-Shaped Umbilicoplasty in Abdominoplasty

Çelik, Vasfi; Tuluy, Yavuz; Sır, Emin

doi:10.1007/s00266-023-03303-4

Cited by 6 publications

(3 citation statements)

References 20 publications

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“… 1 It is generally recommended to place the umbilicus at the level of its pedicle base without any measurements. 1 , 4 , 17 , 35 – 37 To aid in exact localization, a suture can be attached to the xiphoid for reference. 38 Alternatively, use of a Lockwood marker, 28 spherical stainless-steel device, 39 magnet, 40 or even a shaped wire 41 have been described.…”

Section: Discussionmentioning

confidence: 99%

“…5 If absent or not well-positioned, it can result in an unnatural looking abdomen. 2,4,[6][7][8][9] Despite that its physiological and aesthetic importance have long been recognized, the umbilicus was routinely discarded during surgery until the late 1950s. 10,11 With increasing appreciation of its importance in defining a harmonious anterior trunk, umbilical transposition performed toward the end of the surgery was described by Vernon in 1957.…”

Section: Introductionmentioning

confidence: 99%

“…The umbilicus is a superficial scar and an essential aesthetic feature of abdominal appearance. [1][2][3][4] Anecdotally, the painting Adam and Eve by Jean-Baptiste Santerre (1651-1717) lacking an umbilicus caused a scandal, which later led to the addition of an umbilicus to the painting. 5 If absent or not well-positioned, it can result in an unnatural looking abdomen.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Determination of Appropriate Umbilicus Position during Abdominoplasty in Male Patients

Atiyeh,

Emsieh,

Ibrahim

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Abdominoplasty techniques are well documented. The ideal position of the umbilicus has, however, received limited attention. Unfortunately, umbilicus position is not universally agreed upon in male cosmetic abdominoplasty. This study was conducted to determine the ideal umbilicus anthropometric measurements in young men, and the relationships between umbilical position and anterior trunk and torso reference points that may be applicable to intraoperative positioning. It is aimed also at investigating whether umbilicus position would be more accurately determined by considering nipple position instead of the abdominal crease, as recently proposed. Methods: Several anthropometric measurements of various anterior abdominal and thoracic landmarks were conducted on 60 young and middle-aged male volunteers and 30 cadavers at São Paulo city. All statistical analysis was completed using Stata software. Results: Of all the measured reference points, a much stronger correlation (0.513) was demonstrated between umbilicus-anterior axillary fold (U-AX) and inter-nipple (N-N) distances with a constant golden number ratio relationship (N-N = U-AX × 0.618) compared with the weak correlation of 0.034 between umbilicus-xiphisternum and umbilicus-abdominal crease. In 75% of volunteers, the calculated U-AX was within ±3 cm of actual measurement, and in 33.33% within ±1 cm. Conclusions: U-AX = 1.618 × N-N equation is more predictive of adequate umbilicus repositioning during abdominoplasty in male patients. Chest and abdomen of men are a single aesthetic unit. Proper positioning of the nipples and umbilicus, as well as harmonious abdominal and torso proportions are critical for an optimal final aesthetic outcome.

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