Subumbilical dermolipectomy with varying patterns of resection: optimizing abdominoplasty results without umbilical transposition.

[BACKGROUND] Abdominoplasty has become a common procedure for improvement of body contour, but patients often prefer less aggressive procedures with faster recovery.

[OBJECTIVES] We sought to optimize abdominoplasty results without umbilical transposition by use of different patterns of skin resection, depending on abdominal anatomy, pathologic condition, and patient desires.

[METHODS] A prospective study of 25 patients who underwent abdominoplasty without umbilical transposition between January 2003 and January 2005 was conducted. Patients with widespread cutaneous flaccidity and more extensive lipodystrophy received a high lateral tension abdominoplasty cutaneous resection pattern. Those with a more periumbilical disorder received a UM cutaneous resection pattern. Three stitches that take a bite of muscular aponeurosis close to the pubis were used to firmly secure the abdominal flap downward.

[RESULTS] Combined dermolipectomy and lipoplasty achieved good aesthetic results and high patient satisfaction with no serious complications.

[CONCLUSIONS] Rational management of cutaneous flaccidity, with different means of resection while pulling the abdominal flap downward, achieved successful aesthetic results. Selection of appropriate patients is essential because of the small amount of upper umbilical skin traction.