Breast surgery dr. maurizio nava

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In the XXI century breast cancer surgery did not represent a dichotomous choice anymore. A higher percentage of women well informed about the equivalence in terms of survival between breast conserving treatments BCT and mastectomy starts to prefer undergoing a mastectomy followed by immediate reconstruction. Conservative mastectomies provide removal of the entire breast parenchyma, saving the outer covering of the mammary gland [subcutaneous fat, skin and nipple if oncologically safe ] with the possibility of performing an immediate 1- or 2-stage implant-based reconstruction or an immediate autologous tissue reconstruction, preserving women body image.

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Aulus Cornelius Celsus ca 25 BC—ca 50who lived in the first century AD, described plastic surgery of the face, using skin from other parts of the body. He greatly improved the treatment and rehabilitation of badly burned aircrew. Topic: 1 Symmetrization for mastectomy and reconstruction 2 Bilateral multiple hematomes in hypertrophic breasts.

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The intent of this edition is to provide the readership with up-to-date information on prosthetic and autologous breast reconstruction with the goal of improving surgical and aesthetic outcomes. There have been significant advancements in the areas of prosthetic devices, fat grafting, use of acellular dermal matrices, perforator flaps, preoperative and intraoperative imaging as well as oncoplastic surgery that have provided surgeons and patients with more options to achieve ideal aesthetics. Other relevant subjects include the importance of preoperative evaluation as well as radiation therapy and the effects it can have on the final outcome.

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Breast shape is defined utilizing mainly qualitative assessment full, flat, ptotic or estimates, such as volume or distances between reference points, that cannot describe it reliably. The authors quantitatively described breast shape with two parameters derived from a statistical methodology denominated by principal component analysis PCA. The authors created a heterogeneous dataset of breast shapes acquired with a commercial infrared 3-dimensional scanner on which PCA was performed.

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Application form needs to be submitted by Registration of speakers is required. All reports are reviewed by the Committee of the conference and in the case of adoption the author will be notified by e-mail.

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B ackground : Although interest in objective and quantitative breast surgical outcome assessment is rapidly increasing, published reports have yet to make a real impact on everyday clinical practice. O bjective : The authors offer a preliminary report on an innovative methodology customized for breast shape evaluation that, in our opinion, could overcome most of the technical and conceptual limitations of previous studies. Two additional motion analyzer cameras were used for handheld device tracking and the acquisition of patient motion. R esults : Seven female volunteers, including both subjects who had undergone cosmetic or reconstructive breast surgery and those with no such history, underwent a dynamic breast shape survey.

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Being a teenager I was diagnosed with a melanoma on my arm and underwent surgery. This experience oriented me towards oncologic and reconstructive surgery and after my residence at the University of Buenos Aires, on general and oncologic surgery I made a fellowship programme of the UICC on melanoma and breast surgery at the Istituto Tumori, Milan, Italy under the direction of Dr. The possibility of working in surgical oncology and reconstructive surgery opened my mind to the possibility of giving to oncology patients the best possible treatment whilst paying attention to function and aesthetics as well.

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I was very impressed by the very high level of the presentations delivered demonstrating very top surgical skills and scientific knowledge. Sometimes, especially if you have a solid oncological background you may feel a little bit biased when attending meetings organized by companies working in the cosmetic and plastic surgery field. I believe we all acknowledge that evidence based medicine has never figured a way to punch through in this field. It is amazing to notice that the most important journals in plastic surgery expose a funny colored pyramid to indicate the level of evidence of the studies presented and most of these are showing level 5 evidence.

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