Improving Umbilical Aesthetics in Abdominoplasty Surgery: A Step-by-Step Technique Guide.

[BACKGROUND] The umbilicus is a central aesthetic element of the abdomen. A natural-appearing, well-positioned, and inconspicuous umbilicus is essential for optimal abdominoplasty outcomes.

[OBJECTIVES] To describe a reproducible umbilicoplasty technique that enhances umbilical aesthetics while minimizing visible scarring.

[METHODS] Between October 2021 and October 2024, 223 female patients underwent abdominoplasty using a standardized umbilicoplasty method. The approach includes an oval incision around the native umbilicus, repositioning at the midpoint between the xiphoid process and pubic symphysis, and an inverted crescent-shaped excision at the new site. The umbilicus is fixed to the rectus fascia, Scarpa's fascia is approximated, and the new umbilicus is shaped with precision. Postoperative care involves paraffin gauze and silicone plugs to preserve contour and prevent stenosis.

[RESULTS] The resulting umbilicus was small, vertically oval or circular, with superior hooding and a concealed scar. Patient satisfaction was high: 72.6% reported being highly satisfied, 21% satisfied, and 6.27% neutral. No cases of stenosis or necrosis were observed.

[CONCLUSIONS] The authors described umbilicoplasty technique consistently produces aesthetically pleasing results, characterized by a small, vertically oval or circular umbilicus with superior hooding and a concealed scar. The high patient satisfaction rates suggest that this technique is effective in achieving a natural-looking umbilicus in abdominoplasty surgery.