ArticleAesthetic plastic surgery2026
Neo-Umbilicoplasty Through Umbilical Pedicle Anchoring: Surgical Technique and Clinical Outcomes.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
backgroundThe umbilicus is a central aesthetic landmark of the abdomen and a key determinant of patient satisfaction after abdominoplasty. Although preservation and transposition of the native umbilicus are feasible in most cases, certain anatomical and surgical conditions render umbilical preservation unsafe or impractical, making neo-umbilicoplasty a reconstructive necessity.
objectivesTo describe a novel neo-umbilicoplasty technique based on anchoring the neo-umbilical flaps to the residual umbilical pedicle and to evaluate its aesthetic outcomes, reliability, and complication profile.
methodsA retrospective single-surgeon study was performed on consecutive patients undergoing full abdominoplasty or lipoabdominoplasty between March 2022 and March 2024 in whom the native umbilicus was excised and reconstructed using the described technique. Indications included large umbilical hernias, compromised or elongated umbilical stalks, severe rectus diastasis, and revision cases. Aesthetic outcomes were assessed using a standardized Likert scale (1-5) by two blinded plastic surgeons at 3, 6, and 12 months. Patient satisfaction was evaluated using a visual analog scale (VAS, 0-10). Umbilicus-related complications and long-term morphological stability were recorded.
resultsThirty-six patients were included, with a mean follow-up of 11.2 months. The mean composite aesthetic score improved from 4.12 at 3 months to 4.48 at 6 months and remained stable at 12 months. Patient satisfaction increased from a mean VAS of 8.6 to 9.2, with sustained results at late follow-up. No cases of umbilical necrosis, stenosis, progressive flattening, or loss of depth were observed. All complications were minor and managed conservatively.
conclusionsNeo-umbilicoplasty through umbilical pedicle anchoring provides accurate positioning, durable depth, and high aesthetic satisfaction with minimal additional fascial stress. It represents a reliable reconstructive option in complex abdominoplasty cases when native umbilical preservation is not feasible. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. 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 .
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