Browsing by Author "Music, Nikola (57221293955)"

Autologous fat transfer is one of the most frequently done procedures, either as a single procedure or in combination with other procedures, in aesthetic, reconstructive, and regenerative surgery. Fat grafting is shown to be safe through many studies but it can rarely cause severe complications like fat embolism. Newer reports that studied sudden death after gluteal augmentation with fat showed that fat embolism has two forms depending on the amount of fat that enters the bloodstream, as well as the size of fat droplets: Microscopic (MIFE) and macroscopic (MAFE) fat embolism. MIFE has a clinical presentation that matches the characteristics of the traditionally known fat embolism syndrome, whereas MAFE causes a state that mostly resembles a massive pulmonary thromboembolism and has a poor prognosis. Both forms of fat embolization occur as a result of fat particles entering the blood stream, but their clinical presentations, prevention, treatment and prognoses are completely different. A quick diagnosis and start of treatment are key for a positive outcome. Selection of an eligible patient, the selection of a safe region, correct performing of the procedure and excellent knowledge of anatomy are of great importance in prevention of a fat embolism. © Springer Nature Switzerland AG 2022.

Autologous fat transfer is one of the most frequently done procedures, either as a single procedure or in combination with other procedures, in aesthetic, reconstructive, and regenerative surgery. Fat grafting is shown to be safe through many studies but it can rarely cause severe complications like fat embolism. Newer reports that studied sudden death after gluteal augmentation with fat showed that fat embolism has two forms depending on the amount of fat that enters the bloodstream, as well as the size of fat droplets: Microscopic (MIFE) and macroscopic (MAFE) fat embolism. MIFE has a clinical presentation that matches the characteristics of the traditionally known fat embolism syndrome, whereas MAFE causes a state that mostly resembles a massive pulmonary thromboembolism and has a poor prognosis. Both forms of fat embolization occur as a result of fat particles entering the blood stream, but their clinical presentations, prevention, treatment and prognoses are completely different. A quick diagnosis and start of treatment are key for a positive outcome. Selection of an eligible patient, the selection of a safe region, correct performing of the procedure and excellent knowledge of anatomy are of great importance in prevention of a fat embolism. © Springer Nature Switzerland AG 2022.

[No abstract available]

Background: Herniated or pseudoherniated nipple-areolar complex (NAC), also called protuberant or “domed nipple,” is an entity that can be present both in males and females and represents a therapeutic challenge. It can be an isolated deformity, but in most cases is found within another breast deformity, such as tuberous breast or can appear following pregnancy. Its diagnosis and appropriate treatment become important when patients search for correctional breast surgery. Objective: To review some common techniques for the treatment of tuberous breasts that address the nipple-areola problem as well, but also to present our experience with some newer and less invasive surgical techniques that could be useful for isolated treatment of herniated or pseudoherniated nipple. Method: We performed a retrospective study that included all patients operated from December 2013 to December 2018. We reviewed existing techniques which in addition to our personal experience helped us to create an algorithm to assist surgeons in this matter. Results: A total of 125 patients with herniated or pseudoherniated NAC were treated. There were 87 women and 38 men. The average age of the patients was 30, 8 ± 8.1 years (ranging from 20 to 63). We analyzed the results of four following techniques: periareolar mastopexy (52 patients), release of fibrous tissue in combination with lipofilling (19 patients), resection of herniated breast tissue (23 patients) or controlled electrocoagulation of relaxed erectile muscle (31 patients). The minimum follow-up for all cases was 4 months. Conclusion: The achievement of a successful aesthetic result is possible in a single-stage procedure with initial surgery. It depends on careful individual preoperative evaluation of anatomical features and a surgical approach chosen accordingly. Level of Evidence IV: 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 Table of Contents or online Instructions to Authors www.springer.com/00266. © 2021, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.

[No abstract available]