2 Adaptation crowd and taboo crowd

1) Adapt to the crowd: people with protruding navel after birth who need plastic surgery in adolescence, and people with flat navel who need plastic surgery.

2) Taboo crowd

(1) Small protruding umbilicus.

② those with severe scar constitution.

③ Menstrual and lactating women.

④ Patients with hematological diseases or other infectious diseases.

People with heart disease, hypertension, diabetes or other organ diseases.

6 long-term use of anticoagulants, vasodilators, corticosteroids and other drugs.

⑦ Those who have psychological barriers, high expectations and are too harsh on the outline of navel.

3. Technical methods

① The patient lies flat, removes the dirt in the navel and disinfects the surrounding tissues.

② Anesthesia: Generally, local infiltration anesthesia is used.

③ Make a large angle star-shaped incision on the umbilical surface to separate the flap.

(4) Turn down the lower flap and fix it on the surface of the umbilical skin with mattress suture to create the shape of the umbilical fossa in the deep part (for those who are thin and flat, a little autologous fat particles can be sucked and injected under the umbilical skin).

⑤ Suture the remaining small triangular flap and fix it with rectus abdominis sheath.

⑥ Cover with auxiliary materials and wrap with adhesive tape.

4. Risks and complications

① Infection: Because there are many folds and dirt on the navel, if it is not cleaned properly, the possibility of infection will be greatly increased.

② Bleeding: Careless operation may damage blood vessels.

③ Scar formation: There may be local scar formation after operation.

④ Umbilical cord position deviation: There are many reasons for umbilical cord position deviation during operation, which can be corrected by reoperation.

⑤ Partial umbilical necrosis: Infection or poor blood supply may lead to partial umbilical necrosis. Once found, you should seek medical advice in time.

⑥ Poor appearance: Improper suture of skin flap during operation may affect the appearance of navel after operation.

5. Recovery time

The dressing can be changed about 2 days after operation, and the stitches can be removed about 7 days. The navel can basically return to normal, but the specific recovery time varies according to individual circumstances.

6. Preventive measures

1)

① Navel plastic surgery is technically difficult and needs to be treated in a regular hospital or institution.

② Patients with small omphalocele are not suitable for this operation because the skin flap will become smaller due to contraction after operation.

③ If the patient is complicated with umbilical hernia, it should be repaired first.

(4) before the operation to ensure good health, no infectious diseases or other body inflammation.

Smokers need to quit smoking one week in advance.

2) Matters needing attention after operation

① Do not eat irritating food in the near future after operation.

(2) Minimize postoperative activities to prevent collision with the surgical site.

(3) It is forbidden to touch the surgical incision by hand after operation to avoid the incision from being affected with damp.

(4) follow the doctor's advice.