The superficial fascia of the lower trunk has been described in its functional importance as a lifting layer by Lockwood in the early 1990s. Preparation more superficially is supposed to reduce the rate of seroma formation in abdominoplasty procedures. Using the superficial fascia in circumferential bodycontouring procedures of the lower trunk is assumed to combine these benefits.
Between November 2008 and April 2010, 50 patients were scheduled for circumferential superficial fascia lifting of the lower trunk at our department. Nine men and 41 women underwent a central or lower bodylifting procedure. The ultrasonically activated scalpel was used for preparation.
Only one major complication (secondary bleeding) needing revision occurred. There were few minor complications such as seroma formation (8%) and superficial wound dehiscences <2 cm in extension (16%). No other complications occurred.
The superficial fascia is an ideal layer for preparation and tissue lifting in circumferential bodycontouring of the lower trunk.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Superficial fascial sytem (SFS) of the trunk and extremities: a new concept.Plast Reconstr Surg. 1991; 87: 1009
- Lower bodylift.Aesthet Surg J. 2001; 21: 355
- Circumferential lower truncal dermolipectomy.Clin Plast Surg. 2008; 35: 53
- Scarpa fascia preservation during abdominoplasty: a prospective study.Plast Reconstr Surg. 2010; 125: 1232
- Abdominoplasty flap elevation in a more superficial plane: decreasing the need for drains.Plast Reconstr Surg. 2010; 125: 677
- Comparing the ultrasonically activated scalpel (harmonic) with high frequency electrocautery for postoperative serous drainage in massive weight loss surgery.Plast Reconstr Surg. 2007; 120: 1092
- The zones of adherence: role in minimizing and preventing contour deformities in liposuction.Plast Reconstr Surg. 2001; 107: 1562
- Correcting the saddlebag deformity in the massive weight loss patient.Plast Reconstr Surg. 2004; 114: 1313
- Seroma development following body contouring surgery for massive weight loss: patient risk factors and treatment strategies.Plast Reconstr Surg. 2008; 122: 280
- Body lift: an account of 200 consecutive cases in the massive weight loss patient.Plast Reconstr Surg. 2006; 117: 414
- Belt lipectomy for circumferential truncal excess: The University of Iowa experience.Plast Reconstr Surg. 2003; 111: 398
Published online: November 07, 2011
Accepted: September 12, 2011
Received: January 18, 2011
☆Presented at the 48th Annual Meeting of the Austrian Association of Plastic Surgeons, in Graz, Austria, 16 October 2010.
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
ScienceDirectAccess this article on ScienceDirect
- Invited commentaryJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 4
- Previewwith great interest we have read the case series “Circumferential Superficial- Fascia- Lift of the Lower Trunk: Surgical technique and retrospective review of 50 cases.” by Koller and Hintringer.1 The authors describe their experience in 50 cases with a circumferential superficial-fascia-lift of the lower trunk and report a very low rate of complications in general, especially seroma formation and hematoma and bleeding. They attribute their rate to a superficial fat plane dissection, which they assume to be beneficial due to lower lymphatic vessel harvest compared to deep plane preparation, as well as to the use of an ultrasonically activated scalpel.