Daniele Pace

Lipoabdominoplasty: Liposuction with Reduced Undermining and Traditional Abdominal Skin Flap Resection

Abdominoplasty surgery has spread universally, as both an aesthetic and a reconstructive procedure, and new techniques are appearing with the goal of minimizing ischemic complications of the flap and bettering body contour. The purpose of this article is to demonstrate that an abdominoplasty technique with limited undermining and preservation of the flap perforator vessels makes it possible to reduce the complication rate attributable to flap necrosis and seroma in abdominoplasty. Doppler flowmetry color study of the abdominal wall was performed before the surgical procedure and on postoperative day 15 after lipoabdominoplasty for a series of 20 patients to evaluate the blood supply of the abdominal wall. This study confirmed the preservation of perforator arteries in the periumbilicus area and right upper quadrant after abdominoplasty with liposuction and reduced undermining.

Reduction mammaplasty and mastopexy using the vertical scar and thoracic wall flap technique

Breast surgery has been greatly modified in the past few years as surgeons sought to shorten scars and improve and maintain of breast shape in the late postoperative period. Working with both the periareolar technique and vertical scar technique, it is possible to reduce scar length, avoiding the area below the inframammary crease by compensating skin excess around the areola. From January 2001 to July 2002, 53 patients underwent reduction mammaplasty and/or mastopexy using the vertical scar technique associated to a thoracic-based flap kept under a bipedicled flap of the pectoralis major muscle. The goal of this combination is to achieve a good aesthetic result: a reduced scar, minimal breast descent, and good upper pole fullness.

Facial rejuvenation with SMASectomy and FAME using vertical vectors.

The quest for better results in the midface after a face lift has led to the repositioning of a structure called the malar fat pad. Finger-assisted malar elevation (FAME) consists of detaching the malar fat pad from the underlying SMAS, which allows for the elevation of this structure. Two hundred five patients (189 females and 16 males) from January 2002 to August 2007 underwent a facial rejuvenation procedure comprising short-scar rhytidoplasty, SMASectomy, and FAME, with or without a simultaneous endobrow, blepharoplasty, and lipofilling. The midface fixation technique consisted of a stitch from the malar fat pad and SMAS flap to the periosteum at the zygomatic arch which was performed in every case. Elevation of the midface and improvement of the nasolabial fold and the mandible contour were obtained in all cases. Facial aging should be evaluated as a global process instead of a segmented one. Aging occurs in every structure of the face in different ways, depending on the vector of descent, thereby treatment must be individualized. We have observed improvement of the midface when using the FAME procedure in a rhytidoplasty with SMASectomy with deep fixation.

Comparison of Sensory Changes Following Superomedial and Inferior Pedicle Breast Reduction

No Level Assigned 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

The Sling Lift: A New Procedure for Lower Eyelid Rejuvenation

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

Mastopexy with Extended Chest Wall-Based Flap After Massive Weight Loss

Nowadays, obesity is epidemic all around the world. Statistics of some studies report the prevalence of obesity in more than 1.7 billion people in the world. In the United States, around 5% of people have morbid obesity. This health problem has a lot of causes that include the sedentary life and the foods habits [1]. An important aspect of body contouring after massive weight loss is the reshape of the breast and the upper body. The treatment requires the correct diagnoses and understanding of the anatomy. There are a lot of different types of breast after the patient lost weight. Usually, the ptosis and the laxity of the skin are extensive and is common the decreased inframammary crease in continues with the upper back roll. Some patients have an adequate quantity of fat and glandular tissue to perform the mastopexy. But in general, despite excess skin, the breast lose majority of fat, and has excess of skin and tissue in the lateral aspect of the breast and the back (the upper back roll).

Subfascial Transaxillary Breast Augmentation

Women are concerned about breast size and breast contour when requesting breast augmentation. Different techniques have been developed to offer a better result concerning scar position and natural contour of the breast. The major advantage of transaxillary breast augmentation is to not place a scar in the breast unit. The disadvantages of submuscular placement include a more invasive procedure, increased postoperative discomfort, and visible flattening or distortion of the breast when the pectoral muscle is contracted. If the muscle is released inadequately medially, the implant may ride too high, or if the muscle is released excessively, the implant may be displaced inferiorly and laterally. The position of an implant in the subglandular space has significant disadvantages if the soft tissue cover is inadequate. In addition to implant palpability and visibility, the rates of fibrous capsular contracture, rippling, and nipple sensation alteration, such as numbness, are higher. The subfascial plane is well recognized and widely used among plastic surgeons to improve the results in breast augmentation.

Forehead and Midface Endoscopic Surgery

Aesthetic improvements of the upper third of the face have been a challenge for nearly a century. Brow ptosis management has undergone evolutionary changes from the classic coronal open brow and anterior hairline techniques to the more recently described less-invasive techniques such as minimal incision lateral brow lift and endoscopic brow lift [2].