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KMID : 1037220160220020096
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Archives of Aesthetic Plastic Surgery
2016 Volume.22 No. 2 p.96 ~ p.99
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A Novel Technique for Umbilical Reconstruction Using Four Transposition Flaps
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Kim Yoon-Soo
Park Eon-Ju
Yi Hyung-Suk
Park Jin-Hyung
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Abstract
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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.
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KEYWORD
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Abdominoplasty, Surgical flaps, Umbilicus
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