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The divine proportion "Ace of Spades" umbilicoplasty: A brand new methodology of navel positioning and plasty in abdominoplasty.


Ann Plast Surg. 2016 Mar ;76(3):265-9. PMID: 26207542

Summary Title: 

The Divine Proportion "Ace of Spades" Umbilicoplasty: A New Technique of Navel Positioning and Plasty in Abdominoplasty.


BACKGROUND: Achievement of a well-balanced positioned navel alongside the longitudinal axis with a lovely form and hidden scarring could have an incredible affect on the general beauty end result of an abdominoplasty. On this period of navel show, piercing, and tattooing, an rising consideration is paid by folks towards navel form and place. Nonetheless, in cosmetic surgery, there is no such thing as a standardization relating to navel repositioning and plasty throughout abdominoplasty. The purpose of this text is to explain the medical translation of our observational research on navel floor anatomy by reporting our expertise with a brand new umbilicoplasty approach.MATERIALS AND METHODS: Between July 2013 and March 2014, 23 consecutive sufferers underwent elective deep inferior epigastric perforator free flap breast reconstruction. Sufferers’ imply age was 45.5 years (vary, 36-68 years). Ten sufferers had been regular weight, 11 had been obese, and a pair of had been class-1 overweight. All 23 sufferers underwent the divine proportion ace of spade umbilicoplasty.RESULTS: Nice trying, depressed, and oval navels with superior hooding had been efficiently achieved. No an infection or necrosis of the navel pores and skin or belly pores and skin flaps was skilled. Moreover, no scar constriction, navel distortion, or stenosis occurred. Postoperative outcomes had been graded as glorious in 8 circumstances (36%), superb in 12 (55%), and good within the 2 circumstances (9%) with mildly hypertrophic scars. Affected person satisfaction was excessive to very excessive.CONCLUSIONS: A Fibonacci caliper would possibly assist within the correct positioning of the umbilicus on the belly wall avoiding an undesirable high- or low-riding navel. The "ace of spades" umbilicoplasty restores a natural-looking depressed navel with an oval form and superior hooding.

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