Achieving Aesthetic Results in the Umbilical Float Mini-Abdominoplasty: Patient Selection and Surgical Technique

Plastic and Reconstructive Surgery
Dinah WanH Steve Byrd

Abstract

The umbilical float mini-abdominoplasty has been criticized for low final umbilicus position and umbilical distortion. The authors believe that in the properly selected patient and with proper technique, the umbilical float can achieve superior aesthetic results in a subset of patients. A retrospective review was performed of all umbilical floats performed by two surgeons (B.A.H. and H.S.B.) at the authors' institution. Postoperative photographs were reviewed by 20 blinded evaluators. Thirty-one female patients underwent umbilical float mini-abdominoplasty between 2010 and 2017. All patients had starting umbilicus position at or above the level of the iliac crest. The umbilicus was floated for a distance of 1 to 3.5 cm. Average umbilicus position was slightly above the midpoint between the xiphoid and pubis preoperatively, and slightly below the midpoint postoperatively. Final umbilicus was considered "too low" in five patients (18.5 percent), all of which were positioned at the level of the anterior superior iliac spine. Optimal candidates for the umbilical float mini-abdominoplasty are postpartum women with normal body mass index, mild to moderate infraumbilical skin excess, and minimal to mild supraumbilical excess. Starting...Continue Reading

References

Feb 1, 1978·Plastic and Reconstructive Surgery·R Dubou, D K Ousterhout
Nov 1, 1982·Plastic and Reconstructive Surgery·A Delerm
Jan 1, 1994·Aesthetic Plastic Surgery·T S Wilkinson
Apr 4, 2006·Plastic and Reconstructive Surgery·Suhas V AbhyankarPrajakta A Patil
Jul 1, 2006·Aesthetic Surgery Journal·Wilson Novaes MatosFernando V Carrillo Jiminez
Apr 17, 2010·Annals of Plastic Surgery·Amy S ColwellG Gregory Gallico
May 30, 2014·Aesthetic Surgery Journal·Shu Jin LeeHeow Pueh Lee
Jul 9, 2014·Annals of Plastic Surgery·Mladen DudukovićDavor Mijatović
Dec 10, 2014·Aesthetic Plastic Surgery·Giuseppe ViscontiMarzia Salgarello

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Citations

Jun 28, 2019·AORN Journal
Jun 22, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Federico FioriMarco Stella
Dec 23, 2021·Journal of Plastic Surgery and Hand Surgery·Nicholas MoellhoffKonstantin Frank

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