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三步法(MUC)脐成形术:在脂肪腹直肌成形术中创建深脐凹。

A Three-Step Approach (MUC) for Umbilicoplasty: Creating a Deep Umbilical Depression in Lipoabdominoplasty.

机构信息

Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.

出版信息

Aesthetic Plast Surg. 2024 Nov;48(21):4458-4465. doi: 10.1007/s00266-024-04379-2. Epub 2024 Sep 23.

DOI:10.1007/s00266-024-04379-2
PMID:39313663
Abstract

BACKGROUND

Various methods of umbilicoplasty have been proposed to create an aesthetically pleasing umbilicus. However, following conventional lipoabdominoplasty, some patients, particularly those with a thin layer of abdominal fat, may exhibit a shallow navel.

METHODS

A modified umbilicoplasty with a three-step approach was performed between Jan 2019 and Mar 2023. The three-step procedure included multiple plications, umbilical stalk fixation, umbilical insertion and central gathering (MUC). Patients were followed up for at least 6 months. Umbilical depth and complications were recorded.

RESULTS

A total of 36 patients were performed with MUC umbilicoplasty, with a mean age of 36.1 years. Patients were satisfied with umbilical appearance. The average depth of the navel after MUC procedure was 1.8±0.3 cm. A patient developed a hypertrophic scar in the umbilicus, which was treated with an intralesional injection of triamcinolone acetonide. No other complications were observed.

CONCLUSION

The MUC approach to umbilicoplasty provides a deep umbilical depression with minimal scars. This three-step procedure is particularly beneficial for patients with a thin layer of abdominal fat.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

为了创造一个美观的肚脐,已经提出了各种脐成形方法。然而,在常规的吸脂腹部整形术后,一些患者,特别是那些腹部脂肪层较薄的患者,可能会出现浅肚脐。

方法

2019 年 1 月至 2023 年 3 月期间,采用三步法进行改良脐成形术。三步程序包括多次折叠、脐蒂固定、脐插入和中央聚集(MUC)。患者至少随访 6 个月。记录脐深度和并发症。

结果

共对 36 例患者进行了 MUC 脐成形术,平均年龄为 36.1 岁。患者对脐部外观满意。MUC 手术后脐的平均深度为 1.8±0.3cm。1 例患者脐部出现增生性瘢痕,采用曲安奈德皮损内注射治疗。未观察到其他并发症。

结论

MUC 脐成形术可使肚脐凹陷较深,瘢痕最小。对于腹部脂肪层较薄的患者,这种三步法特别有益。

证据水平 IV:本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述,请参考目录或在线作者指南 www.springer.com/00266 。

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