Objective:

This study aims to introduce a novel umbilical reconstruction technique to create a three-dimensional, stable, and aesthetically pleasing navel in patients with a flat umbilicus, thereby improving the overall aesthetic outcomes of abdominoplasty.

Approach:

• Surgical Technique: A bipolar fan-shaped incision and folded suture technique was employed in 24 female patients, involving fan-shaped incisions at the superior and inferior poles of the umbilical stalk to enhance the depth and aesthetics of the umbilical fossa.

Key Findings:

• 87.5% of patients reported high satisfaction with the umbilical appearance postoperatively, with 8.3% satisfied and 4.2% neutral due to hypertrophic scars.
• The technique resulted in a deep, three-dimensional umbilical morphology with concealed scarring.
• No complications such as umbilical stenosis or skin flap necrosis were reported.

Interpretation:

The bipolar fan-shaped incision folded and suture technique is effective for reconstructing a flat umbilicus during abdominoplasty, achieving high patient satisfaction and aesthetic outcomes.

Limitations:

• The study involved a small sample size of 24 patients, which may limit the generalizability of the findings.
• Follow-up duration was limited to a minimum of 6 months.

Conclusion:

The bipolar fan-shaped incision folded and suture technique demonstrates high satisfaction rates and achieves a desirable aesthetic outcome in umbilical reconstruction.