Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Oct;47(5):1911-1919.
doi: 10.1007/s00266-023-03303-4. Epub 2023 Mar 1.

Modified Diamond-Shaped Umbilicoplasty in Abdominoplasty

Vasfi Çelik  1 , Yavuz Tuluy  2 , Emin Sır  3
Affiliations

Modified Diamond-Shaped Umbilicoplasty in Abdominoplasty

Vasfi Çelik et al. Aesthetic Plast Surg. 2023 Oct.

Abstract

Background: The aim in umbilicoplasty is to obtain a scar that is less visible, the appropriate navel shape and depth. In our study, we aimed to achieve a more natural and younger appearance of the navel which significantly affects the aesthetic result after abdominoplasty. Modification of diamond-shaped umbilicoplasty technique and clinical results were evaluated.

Patients and methods: Fifty-three patients were included in the study. Modified diamond-shaped umbilicoplasty was performed in 21 patients, and diamond-shaped umbilicoplasty was performed in 32 patients. Demographic data, complications, revision surgery, and follow-up periods of the patients were reviewed retrospectively. Different from the standard technique, we deepithelialized the diamond-shaped skin over the abdomen flap and designed four triangular flaps. Then, the navel was inset over these four flaps.

Results: Forty-six (86.8%) of the patients were females and 7 (13.2%) were males, with a mean age of 39.49 ± 9.18 years, ranging from 22 to 57 years. Complications were occurred in 9 patients in total. There was no difference between groups in complication rates. The mean VAS value of the patients in the MDSU group was 9.48 ± 0.75, it was 8.28 ± 0.99 in the DSU group, and the difference was statistically significant (p:0.001). The mean age of the MDSU group was found to be significantly higher than the DSU group (p:0.008). The BMI of the MDSU group was found to be significantly higher between two groups (p:0.009).

Discussion: In our study, there was no difference between the complication rates of the two techniques. Therefore, MDSU is a reliable technique. High VAS score of the patients of MDSU was statistically significant. This shows that this modification provides good aesthetic results.

Conclusion: Modified diamond-shaped umbilicoplasty is easy to perform and provides better aesthetic results.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Abdominoplasty; Modified diamond-shaped umbilicoplasty; Navel shape.

PubMed Disclaimer

Comment in

References

    1. Visconti G, Visconti E, Bonomo L, Salgarello M (2015) Concepts in navel aesthetic: a comprehensive surface anatomy analysis. Aesthet Plast Surg 39(1):43–50. https://doi.org/10.1007/s00266-014-0434-z - DOI
    1. Pallua N, Markowicz MP, Grosse F, Walter S (2010) Aesthetically pleasant umbilicoplasty. Ann Plast Surg 64(6):722–725. https://doi.org/10.1097/SAP.0b013e3181ba5770 - DOI - PubMed
    1. Delpierre V, Coquerel-Beghin D, Aktouf A, Auquit-Auckbur I, Milliez PY (2012) Biometric and morphometric analyse of the umbilicus: about 70 cases. Ann Chir Plast Esthet 57(6):575–579. https://doi.org/10.1016/j.anplas.2011.10.006 - DOI - PubMed
    1. Hodgkinson DJ (1983) Umbilicoplasty: conversion of “outie” to “innie.” Aesthet Plast Surg 7(4):221–222. https://doi.org/10.1007/BF01570663 - DOI
    1. Matarasso A, Matarasso DM, Matarasso EJ (2014) Abdominoplasty: classic principles and technique. Clin Plast Surg 41(4):655–672. https://doi.org/10.1016/j.cps.2014.07.005 - DOI - PubMed