Porcine-derived acellular dermal matrix in primary augmentation mammoplasty to minimize implant-related complications and achieve an internal mastopexy: a case series

Some patients who present for augmentation mammoplasty have breast tissue with poor internal support. Some causes include congenital laxity; pregnancy; weight fluctuation and loss; advanced age including diminished estrogens post menopause; and post-surgical anatomical changes. These subgroups may be at increased risk for post-operative complications, including capsular contracture, rippling, palpability, and malposition. Strattice™ Reconstructive Tissue Matrix, (LifeCell Corp., Branchburg, NJ, USA) may enhance soft-tissue support in such patients and reduce implant-related complications. The pre-emptive use of Strattice™ dermal matrix may be beneficial in some patients with poor quality mammary soft-tissue support.

Inferior pedicle reduction technique for larger forms of gynecomastia

Some forms of gynecomastia (male breast enlargement) require skin excision. This paper describes a unique technique that employs lipoplasty to mobilize the tissues and a pedicle to properly position the nipple areolar complex on the male chest wall optimizing aesthetics while concealing the reductive scar.

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

Patients after significant weight loss typically have poor-quality skin and deep supportive tissues. Similarly patients where too much fat was removed during lipoplasty are left with redundant soft tissue. These patients are prone to skin descent, laxity, bulges, and poor scarring after body contouring efforts, even in the hands of experienced surgeons. SERI® is a silk-derived biological scaffold that facilitates the production of one’s own collagen. The use of SERI® during wound closure may help support and stabilize the deep support tissues weakened by obesity and other factors. When employed in body contouring, it may represent a paradigm shift that has the potential to solve at least some issues that plague this patient population.

SERI Surgical Scaffold as an Adjunct to Conventional Brachioplasty

The popularity of longitudinal brachioplasty(scar on inner arm from armpit to elbow) has grown tremendously in recent years. However, dealing with the unpredictable scar remains a challenge for the surgeon and the patient. The scar often heals slowly and widens over time. Scar widening may correlate with weakness of the underlying supportive tissues. Therefore, techniques that support and stabilize the deep tissues are highly desirable for addressing the problematic scar. Dr Kornstein used SERI®, a silk-derived surgical scaffold, as an adjunct to conventional brachioplasty. SERI® is transformed into one’s own collagen over time, approximately one year’s time.  This results in a faster maturation process and a better-quality scar.