New trends in breast reconstructive surgery: "Florentine Lily" reductive mastoplasty.

Background: To describe a mammoplasty technique that we called "Florentine Lily" because of the shape of the pre-operative drawings similarity with the symbol lily Florentine.

Methods: In a group of 190 women who underwent reductive mammoplasty, 23 women affected by severe enlarged breasts were selected. Main selection requirements were: 18-30 cm rising of the Areola-Nipple Complex (NAC).

Improvement of physical and psychological symptoms after breast reduction.

This study suggests that women who underwent breast reduction showed a significant improvement in both physical and psychological symptoms associated with macromastia and in their overall quality of life, 12 months postoperatively. Comparing pre- with postoperative scores obtained with the Body Dysmorphic Disorder Examination Self-Report (BDDE-SR23), the Short Form-36 Health Survey and the Symptom Inventory Questionnaire, the study objectively proves that breast reduction increases patient's satisfaction with their body image and improves their lives from both a psychological and relational point of view.

Seroma treatment after dermo-lipectomy.

We can consider the seroma as a rather common complication in abdominal dermo-lipectomy surgery. In our case, the possibility has arisen to successfully reduce a remarkable accumulation of liquid using a simple but efficient protocol consisting on cortisone infiltrations.

Bone-anchored implant in cosmetic finger reconstruction.

The majority of the patients, who underwent amputation of one or more fingers or present congenital absence of some phalanges, can be treated by microsurgical reconstruction. Several reconstructive techniques are available, but in some cases the use of osseous-integrated implants to anchor silicon digital prosthesis is a valid alternative. We present one case, a 27 years old male, affected by congenital hypoplasia of the second finger of the right hand who underwent reconstruction by prosthesis and extraoral bone-anchored implant.

The Maltese cross technique: umbilical reconstruction after dermolipectomy.

A simple and easy technique for reconstruction of the umbilicus was devised, with emphasis on forming walls of the umbilicus and a depression in a caudal direction. A quite satisfactory result was obtained. A permanent and sufficient depression for the umbilicus can be expected as a result of three-dimensional formation of walls.

Obese and nonobese patients: complications of abdominoplasty.

We analyzed 80 patients who underwent abdominoplasty at the University of Tor Vergata "Policlinico Casilino", Rome to determine the effect of obesity on the incidence of complications after this surgery. The study patients were divided into 3 groups, obese, overweight, and normal weight, based on the degree to which their preoperative weights varied from their ideal body weight. A history of previous bariatric surgery was also analyzed to determine what impact that might have on subsequent abdominoplasty.

Smokers: risks and complications in abdominal dermolipectomy.

Cigarette smoke has many detrimental effects on health, with consequences such as cardiovascular diseases, respiratory diseases, and tumors. In plastic surgery, these effects appear during the wound healing process. This retrospective study showed wound healing in 57 patients who had undergone abdominal dermolipectomy surgery.