Refinement Procedures for Clitorolabiaplasty in Male-to-Female Gender-Affirmation Surgery: More than an Aesthetic Procedure.

Background: Among the various steps of a penile inversion feminizing genitoplasty, reconstruction of the clitoris and labia minora remains the most challenging procedure.

Aim: This study aims to evaluate surgical outcomes of neoclitoroplasty performed before and after the introduction of the labia minora's creation in our surgical technique.

Methods: A retrospective analysis was carried out comparing 2 groups of patients that underwent penile inversion feminizing surgery: group A (64 patients) who had labia minora and clitoral hood creation and group B (103 patients) who did not.

Male-to-Female Genital Reassignment Surgery: A Retrospective Review of Surgical Technique and Complications in 60 Patients.

Background: Patients with male-to-female gender dysphoria (GD) require multidisciplinary assessment and management. Nowadays, more and more patients decide to undergo genital reassignment surgery (GRS) to have aesthetic and functional external female genitalia. Different techniques of this procedure have been described.

Columella reconstruction using a free flap from the first web space of the foot.

Nasal columella defects can result in significant cosmetic and functional deformities. If a local flap transfer cannot be performed, columella reconstruction becomes a significant challenge for the surgeon. The columella of a healthy 30-year-old woman whose nose was scarred and contracted because of cocaine abuse, was successfully reconstructed by transferring a microvascular free flap from the first web space of the foot.

Assessment of a suction-assisted cartilage shaver plus liposuction for the treatment of gynecomastia.

Background: The development of feminized breasts in men may cause significant emotional distress and embarrassment, particularly in young men and adolescents. Numerous techniques have been described for the correction of gynecomastia, many of which include the removal of fat and glandular tissue.

Objective: The authors assess the utility of combining vibroliposuction with the use of a power-assisted arthroscopic-endoscopic cartilage shaver to correct gynecomastia and suggest a treatment algorithm for patients with gynecomastia.

Multislice computed tomography angiography of the fourth dorsal interosseous space in cadavers.

Purpose: To study computed tomography angiography (CTA) findings and compare anatomic correlation of the 4th dorsal metacarpal spaces and to determine the role of this technique for anatomic studies and flap design.

Methods: Hands from 17 cadavers were injected with a radiopaque mixture. The specimens were imaged using 16-detector-row computed tomography.

Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography.

Background: Autologous fat transplantation for soft tissue augmentation is a commonly used technique without a universally accepted approach. The literature includes a variety of reports describing varying degrees of success or failure.

Objective: To evaluate the behavior of facial fat grafts in humans with the use of an objective measuring tool.

Waterproof camera case for intraoperative photographs.

Accurate photographic documentation has become essential in reconstructive and cosmetic surgery for both clinical and scientific purposes. Intraoperative photographs are important not only for record purposes, but also for teaching, publications, and presentations. Communication using images proves to be the superior way to persuade audiences.