Summary
Background
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.
Methods
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.
Results
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.
Conclusion
The superficial fascia is an ideal layer for preparation and tissue lifting in circumferential
bodycontouring of the lower trunk.
Keywords
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Article info
Publication history
Published online: November 07, 2011
Accepted:
September 12,
2011
Received:
January 18,
2011
Footnotes
☆Presented at the 48th Annual Meeting of the Austrian Association of Plastic Surgeons, in Graz, Austria, 16 October 2010.
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
ScienceDirect
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- 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.
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