The Extended Corset with Bra Strap: Refinements in the Corset Trunkplasty Technique.

The corset trunkplasty was introduced by Moya et al. in 2009 (Moya and Sharma in JPRAS 62:56-64, 2009). It is a modified abdominoplasty technique that combines vertical and high lateral incisions to achieve an hourglass shape in post-massive weight loss patients. Like the traditional fleur-de-lis abdominoplasty (Dellon in Aesth Plast Surg 9:27-32, 1985) it results in a midline scar, as well as additional transverse breast fold scars, however the lack of tissue undermining reduces the risk of skin necrosis and wound-healing problems. Since its original description, it has been promoted as a practical, cost- and time-efficient procedure in the massive weight loss patient population (Loh et al. in J Plast Reconstr Aesthet Surg 74:2303-2310, 2021). The senior author (PM), has performed 43 extended corset trunkplasties since 2018. Drawbacks of the original technique include migration of the midline scar over time, stretch and enlargement of the umbilicus giving an unnatural appearance, high, unsightly lateral scars, upper back skin redundancy relative to the anterior skin tightening, and persistence of tissue excess in the flanks and lower back. Over time, the senior author has refined his technique to overcome these post-operative complications and thus improve overall aesthetic appearance and patient satisfaction.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .