Neoumbilicus after Selective Excision in Deep Inferior Epigastric Perforator Flap Breast Reconstruction.

Abstract:

:The umbilicus offers no functional importance to the adult human but remains a key aesthetic landmark of the anterior abdominal wall, and its absence can be a cause for concern in aesthetic and reconstructive patients. Umbilical reconstruction or transposition for abdominoplasty and abdominally based flap operations is frequently complicated by umbilical death, infections, development of wounds needing prolonged wound care, and generally poor aesthetic outcomes. A multitude of techniques have been described to create the "ideal" neoumbilicus, but none has proven to be superior to the technique that comes before it. Our data demonstrate that, in a select set of patients, it may be beneficial to electively remove the umbilicus. Thus, umbilical reconstruction can be performed as an adjunct procedure to the primary operation with a superior aesthetic result and minimal risk for complications. This article describes the authors' approach to delayed neoumbilical reconstruction in patients undergoing elective umbilical resection.

journal_name

Plast Reconstr Surg

authors

Haddock NT,Kelling JA,Teotia SS

doi

10.1097/PRS.0000000000007292

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

548e-551e

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-202011000-00009

journal_volume

146

pub_type

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