Marking of neo-omphaloplasty flaps using a standardized mold in anchor-line abdominoplasty

INTRODUCTION: Abdominal dermolipectomies have shown to be highly valuable in promoting a better life quality for post-bariatric patients, with the navel being an essential scar for the aesthetics of the abdomen. Several neo-omphaloplasty techniques are described in the literature in patients who und...

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Main Authors: Augusto César de Melo Almeida, José Carlos Ribeiro Resende Alves, Aloísio Ferreira da Silva Filho, José Lindomar Delgado, Vitor Pereira de Aquino, Raquel Cristina Fuchs, Thiago Ferreira Delgado, Alfredo Donnabella
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2017-09-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/1870/en_v32n3a15.pdf
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Summary:INTRODUCTION: Abdominal dermolipectomies have shown to be highly valuable in promoting a better life quality for post-bariatric patients, with the navel being an essential scar for the aesthetics of the abdomen. Several neo-omphaloplasty techniques are described in the literature in patients who undergo anchor-line abdominoplasty, but the systematic use of a mold for preoperative marking has not been reported yet. The objective of this study was to standardize the marking of the flaps for the preparation of the neo-omphaloplasty using a mold and to demonstrate the results of its clinical application. METHODS: A prospective, descriptive, and analytical study was conducted. Between April 2015 and December 2016, 50 patients underwent anchor-line abdominal dermolipectomy with neo-omphaloplasty using a mold to mark the two flaps for the neo-navel. A questionnaire was used to evaluate the satisfaction index regarding the new navel. RESULTS: Forty-eight patients were female. The mean age and body mass index of the patients before abdominoplasty was 40.5 years and 27.9 kg/m2, respectively. The new navels resulted in a smaller, more oval scar, with no scars around and with adequate depth. The rate of complications was low, and none of the patients expressed dissatisfaction. CONCLUSION: The use of the mold in the standardization of the preoperative marking in neo-omphaloplasty was effective, easy and safe to learn, low-cost, fast, and reproducible, with a low index of complications, good surgical results, and excellent patient satisfaction.
ISSN:1983-5175
2177-1235