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Revision Umbilicoplasty - Indications and Procedure

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Revision umbilicoplasty is a cosmetic technique used to repair or rectify the appearance of the navel following an earlier umbilicoplasty or abdominal surgery.

Written by

Dr. Sameeha M S

Medically reviewed by

Dr. Suvash Sahu

Published At May 10, 2024
Reviewed AtMay 10, 2024

Introduction

The belly button is a prominent feature of the abdomen, and its appearance can greatly impact one's overall body aesthetics. Belly button surgery or umbilicoplasty is performed to change a person's navel (or belly button) appearance. It can be done separately or with a lower body lift or tummy tuck. However, factors such as genetics, weight fluctuations, pregnancy, and the healing process can lead to unsatisfactory results or complications after an initial umbilicoplasty. Revision umbilicoplasty is a procedure that can be used to revise and improve the appearance of the belly button, restoring balance and symmetry to the abdominal area.

What Is Umbilicoplasty?

Umbilicoplasty is a surgical operation that alters the appearance of the belly button. It has become a popular cosmetic procedure in recent years. It is performed to improve the aesthetics of the navel or address specific concerns related to its shape, size, position, or scarring. During the umbilicoplasty procedure, the surgeon will carefully evaluate the existing belly button and discuss the desired changes with the patient. The specific technique employed for umbilicoplasty will depend on the individual case.

The surgery typically involves making small incisions around the belly button, reshaping the tissues, and repositioning the skin to achieve the desired result. The incisions are then sutured, and proper wound care instructions will be provided for the recovery period. The purpose of umbilicoplasty is to make the belly button more vertical rather than horizontal. Women who have had a pregnancy or who have scarring from a previous belly button piercing are likely to consider this surgery.

What Is Revision Umbilicoplasty?

Revision umbilicoplasty is not a common cosmetic surgical procedure. It is usually performed to restore or enhance the appearance of the navel following a previous umbilicoplasty or abdominal surgical procedure. It is often performed when the initial operation fails to accomplish the desired objective or results. As revision umbilicoplasty is a rare procedure there are only very few techniques available for this surgery. The technique employed for revision umbilicoplasty will depend on the cosmetic surgeon and the patient's needs.

Revision umbilicoplasty carries some risks and probable difficulties, like any surgery. These may include infection, bleeding, scarring, asymmetry, changes in sensation, or dissatisfaction with the results. It is essential to have a thorough discussion with the plastic surgeon about the potential risks and realistic expectations before proceeding with revision umbilicoplasty.

What Are the Indications of Revision Umbilicoplasty?

Revision umbilicoplasty aims to fix difficulties or complications that may have occurred from the initial surgery or produce better aesthetic outcomes if the patient is dissatisfied with the results of the first procedure. There are several reasons why a patient might consider revision umbilicoplasty. It includes:

  • Unsatisfactory Result - After the initial umbilicoplasty, a patient may not be pleased with the appearance of their belly button. Common concerns include asymmetry, unnatural shape, excessive scarring, or an overall unsatisfactory appearance.

  • Functional Issues - Some individuals may experience functional problems following the initial surgery, such as herniation or distortion of the belly button. Revision umbilicoplasty can address these issues and restore proper function.

  • Body Changes - Significant weight changes, pregnancy, or aging may impact the appearance of the belly button. Revision surgery can be used to modify or reposition the navel so that it better fits the patient's current body shape.

  • Scar Revision - If the initial navel surgery caused severe scarring or formation of keloid tissue around the belly button, revision umbilicoplasty can be performed to lessen scar appearance and create a more aesthetically pleasing result.

  • Correcting Complications - Complications from the first umbilicoplasty, such as infection, poor wound healing, or other difficulties, may occur in some individuals. These issues can be addressed during revision surgery, improving the patient's overall result.

How Is Revision Umbilicoplasty Done?

  • The procedure for revision umbilicoplasty begins with an appointment with a plastic surgeon or cosmetic surgeon who specializes in revision umbilicoplasty. During this session, the patient will address their concerns, intended results, and any problems they had with their previous umbilicoplasty. The surgeon will examine the belly button's existing appearance and discuss the surgical solutions available to address the unique demands.

  • A preoperative assessment will be performed on the patient before revision umbilicoplasty surgery. They will then be given instructions on how to prepare for the treatment, such as fasting before the procedure and avoiding certain drugs or supplements that may increase the chance of bleeding.

  • Depending on the extent of the treatment and the surgeon's preference, revision umbilicoplasty can be performed under local anesthesia or general anesthesia.

  • Incisions will be made in and around the belly button, with care to minimize apparent scarring. The precise incision pattern will be determined by the remedial actions required. Excess skin may be removed, the belly button reshaped, the size or position of the umbilical opening adjusted, or any other concerns noted during the consultation addressed.

  • After making the necessary changes, the surgeon will gently close the incisions with sutures. The incisions can be closed with dissolvable sutures or sutures that must be removed later. To cover the incision site and promote normal healing, the surgeon will place a dressing or bandage over it.

  • After the procedure, the patient will be brought to a recovery area where they will be observed until the effects of the anesthetic wear off.

  • Some patients may suffer some discomfort, swelling, or bruising in the abdomen area, which can be treated with pain medication provided by the surgeon.

  • Patients will be given precise postoperative instructions on wound care, activity restrictions, and follow-up consultations. It is critical to carefully follow these directions in order to achieve the best possible healing and results.

Conclusion

Choosing a skilled and experienced plastic surgeon or cosmetic surgeon who specializes in revision umbilicoplasty is crucial for achieving satisfactory results. They will assess the specific concerns, discuss the surgical plan, and tailor the procedure to address the individual needs and goals. Always remember the possible risks and benefits after revision umbilicoplasty before proceeding with the surgery.

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Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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