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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

Silhouette diagram of the patient’s right (A) and left (B; SBS side) profiles. The diagram was generated from superimposed clinical photographs with fixed alignment points. Yellow line = preoperative view; red line = 1 month postoperatively; black line = 7 months postoperatively. The SERI side demonstrates greater retention of buttock contour and elevation.
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Figure 4: Silhouette diagram of the patient’s right (A) and left (B; SBS side) profiles. The diagram was generated from superimposed clinical photographs with fixed alignment points. Yellow line = preoperative view; red line = 1 month postoperatively; black line = 7 months postoperatively. The SERI side demonstrates greater retention of buttock contour and elevation.

Mentions: After the early postoperative period, the patient had monthly follow-up visits. At all visits, the patient and her husband correctly identified the SBS side, although they remained blinded to this throughout the follow-up period. Their observations ranged from better shape and higher buttock position to greater comfort and less laxity with exercise. Although all of the patient’s scars remain equally hypertrophic at 7 months postoperatively (likely due to damaged dermal collagen and/or deficient circulation from her 100-lb weight loss), the SBS side looks and feels better according to the patient, her husband, and the surgeon. Moreover, virtually all buttock elevation and projection have been maintained (Fig. 4). The scar has descended further on the non-SBS side, which also demonstrates more outer and posterior skin laxity of the thigh. Although it is too early for any revisional surgery, the potential timing for contralateral SBS implantation to permit enhanced long-term symmetry is being considered actively, per the mutual preoperative agreement.


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

Kornstein A - Plast Reconstr Surg Glob Open (2014)

Silhouette diagram of the patient’s right (A) and left (B; SBS side) profiles. The diagram was generated from superimposed clinical photographs with fixed alignment points. Yellow line = preoperative view; red line = 1 month postoperatively; black line = 7 months postoperatively. The SERI side demonstrates greater retention of buttock contour and elevation.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 4: Silhouette diagram of the patient’s right (A) and left (B; SBS side) profiles. The diagram was generated from superimposed clinical photographs with fixed alignment points. Yellow line = preoperative view; red line = 1 month postoperatively; black line = 7 months postoperatively. The SERI side demonstrates greater retention of buttock contour and elevation.
Mentions: After the early postoperative period, the patient had monthly follow-up visits. At all visits, the patient and her husband correctly identified the SBS side, although they remained blinded to this throughout the follow-up period. Their observations ranged from better shape and higher buttock position to greater comfort and less laxity with exercise. Although all of the patient’s scars remain equally hypertrophic at 7 months postoperatively (likely due to damaged dermal collagen and/or deficient circulation from her 100-lb weight loss), the SBS side looks and feels better according to the patient, her husband, and the surgeon. Moreover, virtually all buttock elevation and projection have been maintained (Fig. 4). The scar has descended further on the non-SBS side, which also demonstrates more outer and posterior skin laxity of the thigh. Although it is too early for any revisional surgery, the potential timing for contralateral SBS implantation to permit enhanced long-term symmetry is being considered actively, per the mutual preoperative agreement.

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