Introduction to Corset Trunkplasty

 
 

BEFORE
38 years old
laparoscopic gastric bypass
200-lb weight loss
BMI 37 1/4
AFTER
3 weeks
12 1/2 lbs skin removed
sideways capital “H” incisions

The Corset Body Lift (or corset trunkplasty) is a revolutionary new surgical technique for comprehensive contouring of the abdomen and waistline following significant weight loss. The procedure can be performed on a wide range of patients with various-sized body frames and amounts of excess skin. It is designed to create an aesthetically-pleasing body shape which appears like that provided by a corset, yet it can be modified to highlight the waistline differently for women vs. men. In women, the design provides a very desirable hourglass figure; in men, it provides a nicely tapered torso.

Plastic surgeon, Alexander P. Moya, M.D., developed the approach in 2006 to better address the needs of his patients.

“I was looking for an alternative option to the most commonly performed trunk contouring technique, the belt lipectomy (lower body lift). I discovered that many of my weight loss patients were not good candidates for the procedure (had too many skin rolls or were still too heavy) or the procedure resulted in less-than-ideal overall abdominal and waistline shape.”

BEFORE
AFTER (2 years)

BELT LIPECTOMY

BEFORE
AFTER (10 months)

CORSET TRUNKPLASTY

“A Belt Lipectomy is not designed to address redundant skin along the upper abdomen and lower chest, which can negatively impact the overall waistline contour and leave many women with a shapeless figure. The Corset Body Lift was developed to treat this mid-trunk region and can create a long-lasting feminine hourglass shape (see photos above).”

The Corset Body Lift requires several carefully-placed incisions which interconnect and have the appearance of a sideways capital “H”. These incisions are customized to each patient to ensure the removal of as much redundant skin as possible.

“Performing all of my skin markings while the patient is lying down on the operating table allows me to properly visualize and directly address areas of skin redundancy. Marking in a sequential fashion (each step completed prior to outlining the next area) allows me to individually tailor all incisions for maximal removal of excess trunk skin with a single procedure.”

The Corset Body Lift has the added benefit of providing long-term abdominal contour since it not only addresses the overhanging skin along the lower abdomen, but also the often-neglected loose skin of the upper abdomen. It can also remove excess skin of the lower chest, upper and lower back, and hips as needed.

“The abdomen is the most common area I treat following weight loss; thus it is not surprising that great long-lasting shape of this body area is of utmost importance. Removing as much surrounding flaccid skin as possible has a direct effect on stabilizing the abdominal contouring result. The Corset Body Lift, for the majority of patients, eliminates the need for a future secondary procedure due to relapse of overhanging skin.”

The Corset Body Lift requires a patient to be positioned only once in the operating room, since it does not require a circumferential incision. For most patients the procedure can be completed in 4-6 hours. For those who have extensive skin rolls or larger body frames, the procedure may take slightly longer.

The Corset Body Lift performed to its fullest extent can provide a 360-degree waistline improvement by removing the excess skin extending along the back (upper and/or lower) (see photos below). For many of my patients, this eliminates the desire to complete the belt lipectomy with a posterior body lift as a second-stage surgery. Today (updated 07/2012) only 5% have pursued a posterior body lift (outer thigh/buttock lift), while 35% have undergone other forms of body contouring (arms to thighs).”


BEFORE
31 years old
open gastric bypass
100-lb weight loss
BMI 41 1/4

AFTER
6 weeks
back rolls treated
18 3/4 lbs skin removed
*combined with ventral hernia repair

“Many of my weight loss patients seek the removal of excess skin from several body areas; thus, a carefully-formulated short- or long-term contouring plan is required for achieving the best results. Since The Corset Body Lift does not interfere with future body surgery (breast, chest, or lower trunk), it can provide my patients with a strong foundation for additional stages of contouring success (see photos below).”

FIRST STAGE
CORSET TRUNKPLASTY

stable 360 degree full-length waistline improvement
10 1/2 lbs skin removed
*BEFORE
AFTER (1 year)

*BEFORE
AFTER (1 YEAR)

*BEFORE
AFTER (1 year)

SECOND STAGE
POSTERIOR BODY LIFT
(combined with MEDIAL THIGHPLASTIES)

*BEFORE
**AFTER (5 weeks)

*BEFORE
56 years old
open gastric bypass
160-lb weight loss
BMI 33 1/2

*BEFORE
**AFTER (5 weeks)

**AFTER (5 weeks)
second stage contouring
hip, outer thighs & buttocks treated
completes the lower body lift (back half)
5 1/2 lbs skin removed

The Corset Body Lift is usually performed on an outpatient basis, requiring just one overnight hospital stay for comforting measures. The procedure currently does not require the use of a post-operative drain due to the incorporation of innovative technology for skin removal (Harmonic® Technology) and wound closures (Quill™ Knotless-Closure Device). Most patients experience less overall post-operative pain, due to the lack of a circumferential incision, resulting in a smoother recovery as opposed to the belt lipectomy.

Since June 2006, The Corset Body Lift has provided 140 patients (updated 07/2012) with a slimmer body which now better reflects their weight loss. For many of them, the joy of finally looking and feeling normal overrides any concerns about scars. The procedure not only achieves its contouring goals, but also scores extremely high with overall patient satisfaction.

“Over the past several years, my patients have taught me that even though they may end up with lengthy and potentially visible scars, a normal body shape with a completely flat abdomen and full-length waistline is what makes them happy.”

“It’s not about the outside, it’s about what it does on the inside. The boost in self esteem outweighs any external scar”

43 years old
open gastric bypass
110-lb weight loss
BMI 26 1/2
(11 lbs skin removed)