Circumferential superficial fascia lift of the lower trunk: surgical technique and retrospective review of 50 cases.

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.