A Novel Technique for Umbilical Reconstruction Using Four Transposition Flaps.
10.14730/aaps.2016.22.2.96
- Author:
Yoon Soo KIM
1
;
Eon Ju PARK
;
Hyung Suk YI
;
Jin Hyung PARK
Author Information
1. Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine, Busan, Korea. atreyue@naver.com
- Publication Type:Case Report
- Keywords:
Abdominoplasty;
Surgical flaps;
Umbilicus
- MeSH:
Abdomen;
Abdominoplasty;
Adult;
Cicatrix;
Debridement;
Female;
Follow-Up Studies;
Humans;
Mammaplasty;
Necrosis;
Rectus Abdominis;
Surgical Flaps;
Umbilicus
- From:Archives of Aesthetic Plastic Surgery
2016;22(2):96-99
- CountryRepublic of Korea
- Language:English
-
Abstract:
The umbilicus is of paramount aesthetic importance for the abdomen, and its absence can be psychologically distressing to patients for cosmetic reasons. An aesthetically-pleasing umbilicus tends to be small and vertically oriented in nature, with superior hooding and shadow, inferior retraction and slope, and a position at the topmost level of the iliac crest. A 42-year-old woman had undergone delayed breast reconstruction using a transverse rectus abdominis myocutaneous (TRAM) flap. Unfortunately, the patient developed umbilical necrosis following surgery. She underwent complete surgical debridement, which resulted in a large vertical scar. Delayed umbilical reconstruction was performed with four transposition flaps. The patient underwent follow-up at 11 months postoperatively, and the umbilicus had a satisfactory appearance. This case shows that using four transposition flaps can yield sufficient depth and an aesthetically pleasing shape for the umbilicus.
