ATLANTA A novel surgical technique for aesthetic remodeling of the navel is proving safe and effective, Betssy C. Hazoury, M.D., reported at the joint annual meeting of the American Society for Dermatologic Surgery and the American College of Mohs Micrographic Surgery and Cutaneous Oncology.
In 42 patients aged 1540 years, the simple techniquewhich involves relocation of the umbilical fundus at the lower level of fasciaresulted in aesthetic improvement of congenital or acquired umbilical deformities in all patients, high overall patient satisfaction, and only one complication, said Dr. Hazoury, a dermatologic surgeon in private practice in Santo Domingo, Dominican Republic.
Of all the patients, 20% said they were satisfied with the outcome, and 80% said they were very satisfied. One patient experienced a deep broken suture and required an additional procedure, but no other complications, such as hematoma, infection, or dehiscence occurred, she said.
The ambulatory technique involves a semicircular incision of the skin of the navel, suture fixation to the deep fascia, and posterior cerclage of the skin. It is associated with only minor discomfort and is appropriate for patients with deformities resulting from aging, pregnancy, or weight gain, as well as for those with congenital deformities, Dr. Hazoury noted. Most patients seeking this procedure have a protruding umbilicus and desire "omphaloplasty" for a deeper-looking belly button, she said, noting that umbilical hernia must be ruled out in patients with protrusions.