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Bridging the Gap: Enhancing Aesthetic Surgery Training through Post-bariatric Procedures in Plastic Surgery Residencies.
Plastic surgery includes both reconstructive and aesthetic procedures, with residency programs designed to provide comprehensive training. However, practical experience in aesthetic surgeries is often limited because these procedures are no…
- Modified McKissock Technique for Secondary Breast Reduction: A Prospective Study on Safety and Surgical and Aesthetic Outcomes.
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Implant-based versus autologous mastopexy after massive weight loss: Complications and patient satisfaction.
[UNLABELLED] Mastopexy surgery is among the procedures most requested by patients after massive weight loss. Many require a florid and voluminous breast, which is achieved thanks to the implantation of a breast prosthesis. However, mastopex…
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Direct-to-implant breast reconstruction: retrospective analysis of 91 consecutive cases.
Implant-based reconstruction is the main post-mastectomy reconstructive method. With the introduction of acellular dermal matrices (ADM), direct-to-implant reconstruction has, in selected patients, replaced dual-stage technique with tissue …
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Microsurgical Reconstruction with Free Tissue Transfer in Skin Cancer Patients: A Systematic Review.
[BACKGROUND/OBJECTIVES] The gold standard of treatment for both melanoma and non-melanoma skin cancers is wide surgical resection to obtain oncological radicality, which occasionally results in functional or aesthetic impairment, potentiall…
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Reverse abdominoplasty: easily solving complicated situations.
[BACKGROUND] Epigastric tissue abundancy after abdominoplasty or liposuction is a complicated scenario that requires a precise and targeted approach. Especially when concurrent mammoplasty is planned or has already been done by the patient,…
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Lower-Limb Salvage Procedure using Anterolateral Thigh Free Flap and Multiple Tendon Grafts in a Road Injury Patient: A Case Report.
[INTRODUCTION] The free anterolateral thigh (ALT) flap is commonly used to repair a large loss of soft tissue following a lower-limb injury. An issue to be managed is the choice of adequate recipient vessels when the tibial arteries result …
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Ovarian Leiomyosarcoma as Incidentaloma during Postbariatric Abdominoplasty Surgical Procedure.
This case report addresses the discovery, surgical management, histology, and postoperative outcomes of an incidentaloma during the preoperative evaluation of a 58-year-old woman planning to undergo abdominoplasty and hernia correction afte…
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Case Report: A new variant of the forehead flap for subtotal nose reconstruction in a single stage: the dragonfly flap.
[BACKGROUND] The forehead flap is probably the most used method for nose reconstruction after cancer resection. During the past century, this technique has been continuously refined to achieve better functional and aesthetic outcomes. Diffe…
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Aesthetic Surgery Tourism: An Opportunity or a Danger?
[BACKGROUND] Medical and surgical tourism is a rapidly growing phenomenon in post-pandemic Europe. The exodus of patients abroad to perform surgery, especially cosmetic treatments, is spreading recently in industrialized countries. In the s…
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The Effect of Adjuvant Radiotherapy on One- and Two-Stage Prosthetic Breast Reconstruction and on Autologous Reconstruction: A Multicenter Italian Study among 18 Senonetwork Breast Centres.
[PURPOSE] In modern breast cancer treatment, a growing role has been observed for breast reconstruction together with an increase in clinical indications for postmastectomy radiotherapy (PMRT). Choosing the optimum type of reconstructive te…
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Dihydrotestosterone, and Not Testosterone, Enhances the LPS-Induced Inflammatory Cytokine Gene Expression in Human Adipocytes.
[BACKGROUND] The development of obesity-related complications lies in the low-grade inflammatory state consequent to adipocyte dysfunction. The direct involvement of sex hormones in adipose tissue inflammation has been previously suggested,…
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Retrospective Analysis of Predictive Factors for Complications in Abdominoplasty in Massive Weight Loss Patients.
[INTRODUCTION] Ex-obese patients present with redundancy of abdominal skin and soft tissue due to massive weight loss (MWL). The plastic surgeon can restore the body shape through body contouring procedures. Hence the need to adequately dir…
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Litigation Cases After Post-Bariatric Surgery: Lesson from the Past.
[BACKGROUND] Due to the high demand of post-bariatric surgeries, the number of litigation cases is rapidly growing. Even if surgical mistakes still represent one of the main causes of medico-legal issues, many disputes depend on what happen…
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Complete Implant Wrapping with Porcine-Derived Acellular Dermal Matrix for the Treatment of Capsular Contracture in Breast Reconstruction: A Case-Control Study.
[BACKGROUND] Capsular contracture (CC) represents one of the most common complications in breast reconstruction surgery, impairing final result and patients' well-being. The role of acellular dermal matrixes (ADM) has been widely described …
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Braxon-assisted prepectoral breast reconstruction: A decade later.
We are sitting on the cusp of the bioengineered breast era, in which implant-based breast reconstruction is seeing a growing trend and biotechnology research progressively empowers clinical practice. As never before, the choice of biomateri…
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A New CT Analysis of Abdominal Wall after DIEP Flap Harvesting.
The abdominal microsurgical flap based on the deep inferior epigastric artery perforator (DIEP) flap has become the most popular option worldwide for autologous breast reconstruction. Several authors have investigated the results of reconst…
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Deep inferior epigastric perforator flap preoperative planning: A comparative analysis between dynamic infrared thermography, computerized tomography angiography, and hand-held Doppler.
[INTRODUCTION] Hand-held Doppler (HHD) sonography and computerized tomography angiography (CTA) are the common assessment tools for deep inferior epigastric perforator (DIEP) flap preoperative planning. CTA is considered the gold standard m…
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Reverse posterior interosseous flap: different approaches over the years - A systematic review.
The posterior interosseous flap (PIOF), as fasciocutaneous flap, represents an interesting option in reconstructive surgery of the upper limb. The PIOF allows coverage of losses of substance of the dorsal side of the hand and, with technica…
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Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy.
Massive weight loss (MWL) is a very common presentation that you may face as a plastic surgeon. Each patient has his own individual criteria, so, you should work according to a well-organized plan, especially when such cases have concerns …
- Invited Discussion on: "Aesthetic Outcome of Gynecomastia Management with Conventional Liposuction and Cross-Chest Liposuction: a Prospective Comparative Study".
- Invited discussion on: ''Safety and Efficacy of Third Generation Ultrasound Assisted Liposuction: A Series of 261 Cases''.
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The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients.
Reduction mammaplasty is one of the most popular plastic surgery procedures requested by patients. The areola holding flap can be sculpted using a variety of methods that have evolved over time dependent on vascularity. Our institution has …
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Combining traditional and microsurgical reconstruction after a complex hand trauma with multiple tissue defects. A case report.
Complex injuries involving bones, tendons and soft tissues of the hand still represent a difficult challenge for reconstructive surgeons. Hereby, we present a case of a man suffering from a complex crush injury of the right hand that led to…
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Current Surgical Therapy of Locally Advanced cSCC: From Patient Selection to Microsurgical Tissue Transplant. Review.
Among the non-melanoma skin cancers (NMSC) the squamous cell carcinoma (SCC) is one of the most challenging for the surgeon. Local aggressiveness and a tendency to metastasize to regional lymph nodes characterize the biologic behavior. The …
- Invited Discussion on: The Nipple-Areolar Complex Over Time After Treatment of Gynecomastia with Ultrasound-Assisted Liposuction Mastectomy Compared to Subcutaneous Mastectomy Alone.
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Brief history in the time of SARS-CoV-2 pandemic in Italy. A close look on a Plastic Surgery Unit and Plastic Surgeons efforts during the COVID-19 outbreak.
[BACKGROUND] SARS-CoV-2 and its related COVID-19 are now affecting people worldwide. The pandemic, started at the end of 2019 and spread in Europe and all over the world at the beginning of the 2020, is the biggest threat to the health and …
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Bowel perforation after liposuction in abdominal contouring surgery: Case report.
[INTRODUCTION] Liposuction is one of the most performed procedures in aesthetic plastic surgery worldwide, and its spectrum of applications covers almost all body areas. Systemic or visceral complications following liposuction are rare, but…
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32 Years of Ultrasonic-Assisted Lipoplasty (U.A.L.): From Aesthetic to Obesity.
In this article, we tried to take stock of the state of the art in ultrasonic-assisted lipoplasty focusing on its most recent technologic advances and in the newest clinical applications, such as overweight, obesity, breast surgery and rege…
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Diagnostic effectiveness of dermoscopy performed by plastic surgery registrars trained in melanoma diagnosis.
[BACKGROUND] Dermoscopy improves sensitivity and specificity and helps in the early detection of melanoma and nonmelanoma skin cancers (NMSC). Because of the multidisciplinary approach to melanoma, plastic surgeons may be required to perfor…