Abstract Background Tumescent local anesthesia (TLA) involves the infusion of a saline solution containing lidocaine and epinephrine into tissues to achieve localized vasoconstriction. While use TLA in sub-glandular augmentation mammoplasty has been documented, we present modified approach for primary sub-muscular breast transgender patients based on our experience over past years. Methods Between years 2014 2021, performed 20 under conscious sedation. The tumescent consisted 25 mL 2%...

Background Treatment of advanced lymphedema requires not only restoration physiological lymph drainage, but also excision fibrotic tissue and excess skin. The aim this study is to show how the combination double vascularized node transfers (VLNTs) a modified radical reduction with preservation perforators (RRPP) can accomplish both these treatment goals. Methods Between 2010 2016, 16 patients (15 female one male) extremity underwent combined gastroepiploic VLNTs RRPP. Demographics, outcomes...

Abstract Background Tumescent local anesthesia (TLA) describes the practice of injecting a very dilute solution anesthetic combined with epinephrine and sodium bicarbonate into tissue until it becomes firm tense to obtain vasoconstriction. The use TLA in augmentation intramuscular gluteoplasty has never been described for implants positioning. Advantages technique include reduction blood loss through epinephrine-induced vasoconstriction hydrostatic compression from tumescent effect. We...

Body contouring surgery is increasingly requested by patients, both for aesthetic and post-bariatric purposes. There has also been a rapid increase in demand noninvasive treatments. While brachioplasty burdened numerous complications unsatisfactory scars, conventional liposuction unsuitable all nonsurgical arm remodeling performed with radiofrequency-assisted (RFAL) allows to effectively treat most of regardless the amount fat ptosis skin avoiding surgical excision.

Background: Scalp-associated cutaneous squamous cell carcinoma (cSCC) presents formidable treatment challenges, especially when it leads to full-thickness defects involving bone. Aggressive or recurring cases often demand a multidisciplinary approach. Leveraging our surgical experience and literature review, we introduce therapeutic algorithm guide the selection of reconstruction methods, particularly for locally advanced lesions, furthermore showing synergy between surgery other therapies...

Background This investigation explores the potential impact of Negative Pressure Wound Therapy (NPWT) dressing on mommy makeover surgical wounds. The focus is optimizing healing process and post-surgical care to mitigate complications like wound dehiscence, seroma, hematoma.

Clinical applications of ALT flap have currently extended to extremity (hand and foot) as well oral cavity reconstruction. In these anatomical areas, the traditional harvesting technique presents a few disadvantages such bulkiness recipient site potential donor morbidity including damage deep fascia skin graft adhesions. The purpose present study was compare functional aesthetic outcomes upper lower reconstruction with either suprafascial or subfascial harvested anterolateral (ALT) flaps....

Abstract Background: Composite defects of bone and soft tissues represent a reconstructive challenge. Several techniques have been described in the medical literature; however, extensive composite should be reconstructed with microvascular free tissue transfer. The purpose this report is to present use latissimus dorsi serratus anterior rib flap (LD‐SA/rib) as an alternative procedure patients who cannot undergo more commonly used vascularized bone‐containing reconstruction. Methods: Since...

Background In microvascular transfer of fibular osteocutaneous flap for mandible reconstruction after cancer ablation, good bone union is necessary to allow timely radiation therapy surgery. As the area contact between fibula and original at edge mandibular defect small, a periosteal excess both ends covering junction can be used increase chance union. The purpose this study investigate whether surrounding provide better blood supply and, therefore, ensure wound healing 6 weeks surgery...

Background According to recent studies, peripheral nerve decompression in diabetic patients seems not only improve function, but also increase microcirculation; thus decreasing the incidence of foot wounds and amputations. However, while postoperative improvement function is demonstrated, changes microcirculation have been demonstrated yet. The aim this study assess degree after tarsal tunnel release by using transcutaneous oximetry. Patients methods Twenty male aged between 43 72 years old...

<b>Background</b> Microsurgery is very challenging, requiring a high degree of dexterity and manual skills that should be fully trained outside the operating room. Common microsurgery courses usually follow stepwise training approach beginning practice on nonliving models proceeding with live rats. However, rats raises certain issues, including ethical concerns as well associated costs. As such, there an increasing drive toward alternative models. The current article describes three-step...

Autogenous fat grafting (AFG) is a well-known procedure utilized in addition to breast augmentation (BA) improve appearance. Plastic surgeons usually estimate the ideal AFG volume relying on their personal experience based similar previous cases: inaccurate predictions could result incorrect evaluation of donor sites and even needless transfer. The purpose this paper describe prove validity our surgical technique provide simple easy-to-use mathematical formula assess adequate proportion,...

Direct-to-implant (DTI) immediate breast reconstruction has proven to be an oncologically safe technique and linked better overall results. The introduction of new surgical techniques prompted us develop acellular dermal matrix fixation that reduces the rate complications implant loss.

Immediate implant-based breast reconstruction in patients with large and ptotic breasts may be challenging due to skin redundancy. The use of a reduction mammoplasty pattern for the mastectomy excision has proven reliable option these as it allows better shape, projection, symmetrization. This approach been described literature both one- two-stage either sub- or pre-pectoral an acellular dermal matrix (ADM) non-biological mesh. One-stage immediate reconstructions have positive significant...

In a vessel-depleted neck, distant recipient sites may be the only option for secondary free flap reconstruction. While interposition vein grafts and arteriovenous loops can bridge gap between donor pedicle, they are not without risks. these scenarios, we examinate reliablity of radial forearm (RFFF) as an alternative vascular conduit.A retrospective review cases March 2005 May 2016 was performed. Demographic data, prior surgical history, intraoperative details outcomes were recorded. A...

The profunda artery perforator (PAP) flap has been reported in several types of reconstructions. This report aims to evaluate the usefulness and clinical outcome patients who underwent PAP free for lower limb reconstruction.Between February 2018 2020, nine with injury at third leg, foot dorsum or plant (eight acute injuries one chronic ulcer) were selected. Mean wound size was 12.5 × 6.3 cm (9 5-14.5 6.5). Inclusion criteria consisted patient's request hide donor site scar absence previous...

Autologous flaps can be used in combination with prosthesis postmastectomy breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is considered the preferred choice among autologous tissue transfer techniques. However, patients a peculiar figure (moderately large breasts and thighs flat stomach), who cannot use their abdominal tissue, transverse upper gracilis (TUG) implant investigated as further option for This report presents patient underwent TUG plus A bilateral...