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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 1/2017

01-02-2017 | Original Article

Patient Versus Surgeon Preferences Between Traditional and Neo-omphaloplasty in Post-bariatric Abdominoplasty

Published in: Aesthetic Plastic Surgery | Issue 1/2017

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Abstract

Background

Abdominoplasty procedures have been proven highly valuable in promoting better quality of life for post-bariatric surgery patients. The literature reveals that the aspect of the navel is one of the most problematic issues regarding surgical results and many different surgical techniques have been proposed to obtain a satisfactory outcome. However, little is known about patients’ preferences regarding these different techniques and their results. The aim of the present study was to compare evaluations made by plastic surgeons and patients of the results of two different techniques—traditional omphaloplasty and neo-omphaloplasty with lateral flaps.

Methods

Five plastic surgeons analyzed postoperative pictures of 54 post-bariatric abdominoplasties performed between 2008 and 2013 at the Unicamp Hospital. Pictures of 12 cases were selected and evaluated by 50 patients waiting for a post-bariatric abdominoplasty. A standardized scale was used that contained the following criteria: volume of the abdomen, lateral contour, quality of the scars, umbilicus and skin excess/flaccidity.

Results

Surgeons gave the highest scores to 71.6% of neo-omphaloplasty cases and patients to 43.7%. Both surgeons and patients graded navels operated on using this technique higher, although the comparison was not statistically significant for patient evaluations (p = 0.062). The navel aspect was considered the fourth most relevant aspect among those evaluated.

Conclusion

Neo-omphaloplasty results were considered better than traditional omphaloplasty for surgeons and patients, although there was not a clear differentiation of results by the latter. The navel postoperative aspect was considered secondarily important by patients to the results of post-bariatric abdominoplasties.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
1.
De Oliveira VM, Linardi RC, de Azevedo AP (2004) Bariatric surgery: psychological and psychiatric aspects. Rev Psiq Clin 31:199–201CrossRef
2.
Reno BA, Mizukami A, de Calaes IL, Staut JG, Claro BM, Baroudi R, Kharmandayan P, Bueno MAC (2013) Neo-omphaloplasty in anchor-line abdominoplasty performed in patients who have previously undergone bariatric surgery. Rev Bras Cir Plást 28:114–118CrossRef
3.
Van der Beek ES, Te Riele W, Specken TF, Boerma D, van Ramshorst B (2010) The impact of reconstructive procedures following bariatric surgery on patient well-being and quality of life. Obes Surg 20:36–41CrossRefPubMed
4.
5.
Nogueira DSC (2008) Routine neo-omphaloplasty during abdominoplasties. Rev Bras Cir Plast 23:207–213
6.
Chia CY, Roxo AC, Labanca L, Ritter PD (2011) Aesthetic and functional surgery of umbilicus: transumbilicus plication technique. Rev Bras Cir Plást 26:293–297CrossRef
7.
Pereira JFV, Schutz LV, Kostic V, D’Avila CLP, Mateus FN (2011) Triangular umbilicoplasty with skin flap. Rev Bras Cir Plást 26:496–501CrossRef
8.
Avelar JM (1979) Umbilicus: its importance and the art of making the abdominoplasty. Rev Bras Cir Plast 69:41–52
9.
López Tallaj L, de Gervais J (2003) Umbilical restoration in abdominoplasty: a simple rectangular technique. Aesthet Surg J 23:464–466CrossRefPubMed
10.
D’Assumpção EA (2005) Technique for umbilicoplasties avoiding one of the most important stigma of abdominoplasties. Rev Bras Cir Plast 20:160–166
11.
Mello DF, Yoshino H (2009) Umbilical base plicature: technique proposition for treatment of the bulge aspect and to avoid stigmas after abdominoplasty. Rev Bras Cir Plast 24:525–529
12.
Saldanha OR, De Souza Pinto EB, Mattos WN Jr, Pazetti CE, Lopes Bello EM, Rojas Y, dos Santos MR, de Carvalho AC, Filho ORS (2003) Lipoabdominoplasty with selective and safe undermining. Aesthet Plast Surg 27:322–327CrossRef
13.
14.
Viterbo F (1988) The H technic in omphaloplasty. Rev Paul Med 106:85–88PubMed
15.
Franco D, Medeiros J, Farias C, Franco T (2006) Umbilical reconstruction for patients with a midline scar. Aesthet Plast Surg 30:595–598CrossRef
16.
Pfulg M, Van de Sijpe K, Blondeel P (2005) A simple new technique for neo-umbilicoplasty. Br J Plast Surg 58:688–691CrossRefPubMed
17.
Pita PC, Lacerda AM, Ferreira Filho AR (2011) Neo-omphaloplasty: Graft Technique umbilical skin and dermal flap in inverted “V”. Presentation of cases. Rev Bras Cir Plast 26:78
18.
Southwell-Keely JP, Berry MG (2011) Umbilical reconstruction: a review of techniques. J Plast Reconstr Aesthet Surg 64:803–808CrossRefPubMed
19.
Mizukami A, Ribeiro BB, Renó BA, de Calaes IL, Calderoni DR, Basso RCF, Kharmandayan P, Barreiro GC, Bueno MAC (2014) Retrospective analysis of 70 patients who underwent post-bariatric abdominoplasty with neo-omphaloplasty. Rev Bras Cir Plást 29:89–93
20.
Salles AG, Ferreira MC, do Nascimento Remigio AF AF, Gemperli R (2012) Evaluation of aesthetic abdominal surgery using a new clinical scale. Aesthet Plast Surg 36:49–53CrossRef
21.
Bailey S, Saint-Cyr M, Zhang K, Mojallal A, Wong C, Ouyang D, Maia M, Zhang S, Rohrich RJ (2010) Breast reconstruction with the latissimus dorsi flap: women’s preference for scar location. Plast Reconstr Surg 126:358–365CrossRefPubMed
22.
23.
Garcia E, Stone E, Chan LS, Van Vliet M, Garner WL (2014) Donor-site preferences in women during autologous skin grafting. Plast Reconstr Surg 133:378e–382ePubMed
24.
Craig SB, Faller MS, Puckett CL (2000) In search of the ideal female umbilicus. Plast Reconstr Surg 105:389–392CrossRefPubMed
25.
Visconti G, Visconti E, Bonomo L, Salgarello M (2015) Concepts in navel aesthetic: a comprehensive surface anatomy analysis. Aesthet Plast Surg 39:43–50CrossRef
26.
Malic CC, Spyrou GE, Hough M, Fourie L (2007) Patient satisfaction with two different methods of umbilicoplasty. Plast Reconstr Surg 119:357–361CrossRefPubMed
27.
Castro DPR, Saldanha OR, Pinto EBS, de Albuquerque FM, Moia SMS (2014) Aesthetic evaluation of two omphaloplasty techniques. Rev Bras Cir Plást 29:248–252
28.
Saldanha OR, Salles AG, Ferreira MC, Llaverias F, Morelli LH, Saldanha Filho OR, Saldanha CB (2013) Aesthetic evaluation of lipoabdominoplasty in overweight patients. Plast Reconstr Surg 132:1103–1112CrossRefPubMed
Metadata
Title
Patient Versus Surgeon Preferences Between Traditional and Neo-omphaloplasty in Post-bariatric Abdominoplasty
Publication date
01-02-2017
Published in
Aesthetic Plastic Surgery / Issue 1/2017
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-016-0753-3

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