Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, GA.
Aesthet Surg J. 2021 Mar 12;41(4):463-473. doi: 10.1093/asj/sjaa051.
The loss of the umbilical vertical axis, causing a horizontal shape deformity after liposuction, is a current aesthetic issue. The use of energy devices, such as LASER and VASER, has been advocated as an option for improving skin retraction, but no data are available on the prevention of umbilical sagging.
The authors sought to describe a technique for preventing umbilical deformities after medium definition liposuction employing suction-assisted liposuction.
Over a period of 31 months, 62 patients underwent medium definition liposuction with direct needle fixation of the umbilical stalk to prevent horizontal umbilical deformities. All patients underwent surgery performed by a single surgeon (G.B.). All patients underwent objective measurements of the umbilical shape before and after the procedure utilizing digital image measurements by Mirror Image software, version 6.0 (Fairfield, NJ). Statistical analysis was performed with IBM SPSS Statistics V26. The mean age of the patients was 28.8 years. The follow-up evaluation was performed 2 weeks and 9 months postoperatively.
Over a period of 31 months, 60 patients (96.7%) who underwent abdominal etching liposuction showed maintenance of (n = 9, 14.5%) or improvements in the umbilical shape 9 months postoperatively (n = 51, 82.2%, P < 0.05). Two patients (3.2%) experienced worsening of the umbilical shape after surgery despite suture fixation.
Horizontal shape deformities of the umbilicus after liposuction can be improved by utilizing direct needle fixation of the umbilical stalk. The approach has been shown to be effective, safe, and reproducible for the prevention of umbilical sagging in selected patients.
吸脂后脐垂直轴丢失，导致脐水平形状变形，这是目前的美学问题。使用能量设备，如 LASER 和 VASER，已被提倡作为改善皮肤回缩的一种选择，但尚无关于预防脐下垂的数据。
作者旨在描述一种使用吸脂辅助吸脂术预防中定义吸脂后脐畸形的技术。
在 31 个月的时间里，62 名患者接受了中定义吸脂术，脐梗直接用针固定，以防止脐水平变形。所有患者均由同一位医生（G.B.）进行手术。所有患者均在手术前和手术后通过 Mirror Image 软件（Fairfield，NJ）的数字图像测量进行脐形状的客观测量。使用 IBM SPSS Statistics V26 进行统计分析。患者的平均年龄为 28.8 岁。术后 2 周和 9 个月进行随访评估。
在 31 个月的时间里，60 名（96.7%）接受腹部蚀刻吸脂术的患者中，有 9 名（14.5%）脐形状维持不变，51 名（82.2%，P<0.05）术后 9 个月脐形状改善。尽管进行了缝线固定，但仍有 2 名患者（3.2%）术后脐形状恶化。
通过直接固定脐梗，可改善吸脂后脐的水平形状变形。该方法已被证明在预防选定患者的脐下垂方面是有效、安全且可重复的。
