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

by

Andrew Kornstein, MD, FACS

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 silkderived
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. (Plast Reconstr Surg Glob Open 2014;XXX:00-00; doi: 10.1097/
GOX.0000000000000214; Published online Day Month 2014.)
Article by
New York Plastic Surgeon