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SERI Surgical Scaffold as an Adjunct for Circumferential Abdominoplasty and Lower Body Lift.

Kornstein A - Plast Reconstr Surg Glob Open (2014)

Bottom Line: When employed in body lifting for patients with massive weight loss who desire long-lasting aesthetic results, it may represent a paradigm shift that has the potential to solve at least some issues that plague this patient population.In the present case of circumferential abdominoplasty and lower body lift, this silk-based bioresorbable scaffold was implanted in one side of the patient's body but not the other.Throughout the 7-month follow-up period, the patient and her husband (who were blinded as to which side received the SBS) and the author consistently observed more favorable results for the SBS side, which included greater postoperative comfort, better shape, higher buttock position, less recurrent laxity, and less descent of the scar.

View Article: PubMed Central - PubMed

Affiliation: Museum Mile Surgery Center, New York, N.Y.

ABSTRACT

Summary: Patients who have undergone massive weight loss typically have poor-quality skin and fascia and thus are prone to experiencing recurrent skin laxity, bulges, and poor scarring after body contouring efforts, even in the hands of experienced surgeons. Moreover, this challenging patient population often has nutritional deficiencies and concomitant medical problems, which may lead to delayed or suboptimal wound healing. A silk-derived biological scaffold (SBS) and its facilitation of autogenous tissue generation may be viewed as a qualitative reinforcement of the superficial fascial system. Therefore, it may help support and stabilize a superficial fascial system that has been weakened by obesity and other factors. When employed in body lifting for patients with massive weight loss who desire long-lasting aesthetic results, it may represent a paradigm shift that has the potential to solve at least some issues that plague this patient population. In the present case of circumferential abdominoplasty and lower body lift, this silk-based bioresorbable scaffold was implanted in one side of the patient's body but not the other. Throughout the 7-month follow-up period, the patient and her husband (who were blinded as to which side received the SBS) and the author consistently observed more favorable results for the SBS side, which included greater postoperative comfort, better shape, higher buttock position, less recurrent laxity, and less descent of the scar.

No MeSH data available.


Related in: MedlinePlus

Preoperative and postoperative images of the patient. A, preoperative left lateral view. B, left lateral view 11 months postoperatively (SBS side). C, right lateral view (reversed) 11 months postoperatively. Note: the red line joins the anterior superior iliac spines; postoperative scars have been removed to highlight the contour discrepancy.
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Figure 1: Preoperative and postoperative images of the patient. A, preoperative left lateral view. B, left lateral view 11 months postoperatively (SBS side). C, right lateral view (reversed) 11 months postoperatively. Note: the red line joins the anterior superior iliac spines; postoperative scars have been removed to highlight the contour discrepancy.

Mentions: This 39-year-old, 5'2″ woman previously lost 100 lb through dieting and exercise and is now a triathlete. Her weight at consultation was 120 lb. She presented with pan body laxity, most obvious in the breast, buttock, and thigh, and desired body contouring surgery. On December 6, 2013, she underwent thigh/buttock lift with rotation flap autologous buttock augmentation.15,16 (Augmentation-mastopexy was performed concurrently.) Preoperative and postoperative clinical photographs are shown in Figure 1 (lateral views; postoperative right image has been reversed for demonstrative purposes).


SERI Surgical Scaffold as an Adjunct for Circumferential Abdominoplasty and Lower Body Lift.

Kornstein A - Plast Reconstr Surg Glob Open (2014)

Preoperative and postoperative images of the patient. A, preoperative left lateral view. B, left lateral view 11 months postoperatively (SBS side). C, right lateral view (reversed) 11 months postoperatively. Note: the red line joins the anterior superior iliac spines; postoperative scars have been removed to highlight the contour discrepancy.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255887&req=5

Figure 1: Preoperative and postoperative images of the patient. A, preoperative left lateral view. B, left lateral view 11 months postoperatively (SBS side). C, right lateral view (reversed) 11 months postoperatively. Note: the red line joins the anterior superior iliac spines; postoperative scars have been removed to highlight the contour discrepancy.
Mentions: This 39-year-old, 5'2″ woman previously lost 100 lb through dieting and exercise and is now a triathlete. Her weight at consultation was 120 lb. She presented with pan body laxity, most obvious in the breast, buttock, and thigh, and desired body contouring surgery. On December 6, 2013, she underwent thigh/buttock lift with rotation flap autologous buttock augmentation.15,16 (Augmentation-mastopexy was performed concurrently.) Preoperative and postoperative clinical photographs are shown in Figure 1 (lateral views; postoperative right image has been reversed for demonstrative purposes).

Bottom Line: When employed in body lifting for patients with massive weight loss who desire long-lasting aesthetic results, it may represent a paradigm shift that has the potential to solve at least some issues that plague this patient population.In the present case of circumferential abdominoplasty and lower body lift, this silk-based bioresorbable scaffold was implanted in one side of the patient's body but not the other.Throughout the 7-month follow-up period, the patient and her husband (who were blinded as to which side received the SBS) and the author consistently observed more favorable results for the SBS side, which included greater postoperative comfort, better shape, higher buttock position, less recurrent laxity, and less descent of the scar.

View Article: PubMed Central - PubMed

Affiliation: Museum Mile Surgery Center, New York, N.Y.

ABSTRACT

Summary: Patients who have undergone massive weight loss typically have poor-quality skin and fascia and thus are prone to experiencing recurrent skin laxity, bulges, and poor scarring after body contouring efforts, even in the hands of experienced surgeons. Moreover, this challenging patient population often has nutritional deficiencies and concomitant medical problems, which may lead to delayed or suboptimal wound healing. A silk-derived biological scaffold (SBS) and its facilitation of autogenous tissue generation may be viewed as a qualitative reinforcement of the superficial fascial system. Therefore, it may help support and stabilize a superficial fascial system that has been weakened by obesity and other factors. When employed in body lifting for patients with massive weight loss who desire long-lasting aesthetic results, it may represent a paradigm shift that has the potential to solve at least some issues that plague this patient population. In the present case of circumferential abdominoplasty and lower body lift, this silk-based bioresorbable scaffold was implanted in one side of the patient's body but not the other. Throughout the 7-month follow-up period, the patient and her husband (who were blinded as to which side received the SBS) and the author consistently observed more favorable results for the SBS side, which included greater postoperative comfort, better shape, higher buttock position, less recurrent laxity, and less descent of the scar.

No MeSH data available.


Related in: MedlinePlus