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Luca Andrea Dessy

Luca Andrea Dessy

MD, PhD, DEBOPRAS

About

99
Publications
49,338
Reads
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1,313
Citations
Citations since 2016
17 Research Items
773 Citations
2016201720182019202020212022020406080100120
2016201720182019202020212022020406080100120
2016201720182019202020212022020406080100120
2016201720182019202020212022020406080100120
Introduction
Skills and Expertise

Publications

Publications (99)
Article
Non‐melanoma skin cancers (NMSC) represent the most common skin tumours of the head region. We describe the use of dermal substitute in a 2‐stage surgery protocol for selected fragile patients to remove NMSC of the head region. A review of the literature focusing on dermal substitutes’ safety after skin tumours excision is provided. A total of 45 f...
Chapter
Umbilical reconstruction is a main step during abdominoplasty; surgeon aims are minimal visible scars and natural-looking result. Scar evidence or retraction with umbilical stenosis may occur. A modified technique for umbilicoplasty, with a double-opposing “Y” incision on abdominal flap, is described. Surgical technique: in case of repositioning, u...
Article
Cooperation between plastic surgeons and radiologists is fundamental when breast prosthesis rupture is suspected. We describe our experience managing the case of suspected implant rupture in a patient that underwent CT scan imaging for thoracic pain. Poor clinical information given to radiologists leads to wrong diagnosis: during surgery, both pros...
Article
Tuberous breast deformity is a pathologic condition of the breast consisting of a constricting ring at the breast base, reduction in the volume of the breast parenchyma, and herniation of breast tissue through the nipple-areola complex with areola enlargement. This pathology is generally congenital and has an unknown etiopathogenesis. We report the...
Article
Full-text available
Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease presenting with painful nodules, abscesses, sinus tracts, and scarring primarily affecting apocrine gland-rich intertriginous areas. HS prevalence ranges from 0.05 to 1%. The central pathogenic event in HS is believed to be the occlusion of the upper part of the folliculopilosebac...
Article
Full-text available
Extensive skin defect represents a real problem and major challenge in plastic and reconstructive surgery. On one hand, skin grafts offer a practical method to deal with skin defects despite their unsuitability for several complicated wounds. On the other hand, negative pressure wound therapy (NPWT), applied before skin grafting, promotes granulati...
Article
Full-text available
Objective: The aim of this study was to review one-stage breast reconstruction techniques performed in elderly patients at our institution to identify the criteria of selection of each in terms of outcomes and quality of life. Patients and methods: Patients older than 65 years who underwent one-stage breast reconstruction between January 2004 an...
Article
Background Microsurgery is very challenging, requiring a high degree of dexterity and manual skills that should be fully trained outside of the operating room. Common microsurgery courses usually follow a stepwise training approach beginning practice on nonliving models and proceeding with live rats. However, training on live rats raises certain is...
Article
Conclusions: The nose is often involved by non-melanoma skin cancer (NMSC) and the increase in the incidence of such tumors, the morbidity and treatment-related costs represent a significant burden to healthcare systems. A bioresorbable dermal substitute (Hyalomatrix(®)) has been used for immediate dermal coverage and nose restoration after excisi...
Article
Background: We present our experience in using a disposable wound retractor commonly used in abdominal surgery named Alexis(®) (Applied Medical Resources Corporation, Rancho Santa Margarita, CA, USA), during breast augmentation in order to improve outcomes, particularly final scar length. Methods: Between January 2010 and November 2012, 40 patie...
Article
Objective: The placement of osteosynthetic materials in the leg may be complicated by hardware exposure. Successful soft tissue reconstruction often provides a critical means for limb salvage in patients with hardware exposure in the leg. Free flaps are currently considered the standard surgical procedure for soft tissue coverage of the wounds wit...
Chapter
The orbit and the surrounding tissues constitute the emotional and expressive part of the human face. The visual contact represents a large part of human interactions and, unfortunately, this area is among the first to surrender to the ageing process.
Chapter
Nowadays, there are many nonsurgical treatment modalities for facial and body rejuvenation [1]. If we do not take into account invasive procedures such as chemical peelings, infiltrative therapies (fillers and revitalizing), needling, or dermabrasion, it is possible to identify two main classes of physical treatments: resurfacing procedures (laser,...
Chapter
As the demand for less invasive, highly effective cosmetic procedures grows, new treatment options must be explored and developed. Today, many patients come searching for a fairly rapid solution to rejuvenate photoaging, abnormal pigmentation or vascularity, textural problems, rhytides and skin laxity. With the aging process, structural proteins th...
Article
Lipomas are the most common (2.1 per 1000 people) benign tumors of the mesenchyme; they are composed of mature lipocytes and are usually located subdermally. Benign fatty tumours may arise in any location in which fat is present, the majority occurring in the upper half of the body, particularly the trunk and neck, though they may also develop in o...
Article
The lipoma is the most common tumor of the body and can be found in virtually every tissue or organ. However, a parosteal lipoma is an extremely rare benign neoplasm consisting mainly of mature adipose tissue contiguous to the underlying periosteal bone. The incidence of this tumor is 0.3% of all lipomas. Parosteal lipoma is considered to be one of...
Article
Scalp reconstruction has always been a challenging task, in particular after oncological demolition and this article gives an overview on the state of the art in scalp reconstruction strategies. We elaborated a systematic algorithm for scalp reconstruction based on location and size defects, presence or absence of periosteum, bone involvement, the...
Article
Since the end of the 19th century, autologous fat grafting has been performed often by plastic surgeons. The procedure evolved from work by Coleman, who developed the lipostructure technique.1 With the “Coleman technique,” fat tissue is extracted by nontraumatic liposuction, purified after centrifugation, and injected to fill tissues or to contribu...
Article
Background: Despite the great variety of mammaplasty techniques, outcome assessment remains a challenging issue. Objectives: The authors devised an objective method to evaluate mammary symmetry based on statistical analysis of objective manual breast measurements and validated the method by applying it to results of a randomized controlled trial on...
Article
Autologous flaps can be used in combination with prosthesis in postmastectomy breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is considered the preferred choice among autologous tissue transfer techniques. However, in patients with a peculiar figure (moderately large breasts and large thighs with flat stomach), who cannot...
Article
Various vaginoplasty methods in male-to-female transsexuals have been described, but none is ideal. The use of cultured autologous oral epithelium to cover the neovagina walls is presented. Six patients were operated on. Complications encountered were one case of low-located rectovaginal fistula that was treated conservatively; one case of partial...
Article
The lipoma is the most common tumor of the body and can be found in virtually every tissue or organ. However, a parosteal lipoma is a rare benign fatty neoplasm having an intimate relationship to the periosteum. The incidence of this tumor is 0.3% of all lipomas. Over 150 cases of parosteal lipoma have previously been described in the literature. O...
Article
Abstract Abdominal wall weaknesses present several causative factors, both local and systemic and, as a consequence, abdominal hernias may develop in more than one site. Also, simultaneous hernia repair has been rarely reported in published reports. In the present study, the association of multiple weaknesses of the abdominal wall in patients under...
Article
Vacuum-assisted closure (VAC) therapy is a closed-loop, non invasive active system, characterised by a controlled and localised negative pressure applied on porous polyurethane absorbent foams. It promotes healing of acute and chronic wounds. Therapeutic effects of VAC therapy have been proved and demonstrated; however, this method can have some di...
Article
Aim: The aim of this paper was to report our experience using VarioscopeÒM5 in hypospadia surgical correction. To suggest the use of microsurgical principles that can result in the successful repair of hypospadias with a few complications. Methods: Forty-three patients (age 12-16 months), affected by hypospadia, underwent longitudinal dorsal pre...
Article
The tuberous breast syndrome is a rare anomaly of breast shape, which can be associated to volume breast asymmetry. We report our caseload in the correction of tuberous breasts with small volume asymmetry by using the Muti's technique associated to the implantation of a new adjustable implant. Purpose of the study is to evaluate the efficacy of tre...
Article
The loss of skin envelope is a frequent and costly problem in health care. This article provides an overview on the state of the art in scalp reconstruction with dermal substitutes, as well as our personal experience of ten critical patients with non-melanoma skin cancer of the scalp. These patients were treated in a two-stage procedure by wide tum...
Article
The mental representation of one's physical appearance can be understood through the psychological construct of the body image, which is the construct that may best help us to understand the motivations of cosmetic surgery candidates. The dissatisfaction of such subjects with their body image can result in anxiety, reduced self-esteem and altered i...
Article
Full-text available
Purpose: Factors such as body masses and humour are known to influence human posture. Abdominoplasty, which causes a sudden change in body masses, significantly improves body image and self-esteem. The aim of this study was to assess postural changes after abdominoplasty by studding the position and orientation through space of the body and the ce...
Article
As cosmetic therapy, botulinum toxin type A (BTX-A) received Food and Drug Administration approval for the treatment of glabellar wrinkles in 2002. Besides this approach, many proven off-label indications of BTX-A are described in the literature. Patients who practice intense sport activity may develop body deformities ascribable to muscle hypertro...
Article
Botulinum toxin (BTX) is a powerful neurotoxin produced by the bacterium Clostridium botulinum. Its mechanism of action consists of the induction of a temporary muscle paralysis through the inhibition of the release of acetylcholine into the synaptic cleft. The finding that BTX smoothed facial lines when used therapeutically prompt researchers to s...
Article
Capsular contracture is a distressing complication after breast augmentation for both the patient and surgeon. Although capsular contracture is a multifactorial process, one common denominator in the successful treatment of this complication is believed to be the abatement of inflammation. Leukotriene antagonists have recently emerged as effective...
Article
Full-text available
Background Numerous factors such as the equilibrium of body masses and psychological status influence human posture. Breast reduction, on the one hand, produces a sudden change in this equilibrium, and on the other hand, it can modify the psychological status, significantly improving body image and self-esteem. This study aimed to assess postural c...
Article
Small-volume breast asymmetry is a challenging problem. In 2008, an intra-operative volume-adjustable breast implant, consisting of a round textured implant with an outer chamber filled with cohesive silicone gel and inner chamber filled with varying amounts of saline solution was marketed in Europe. We describe our experience in the correction of...
Article
Full-text available
A number of factors, including body mass and one's mood, may influence posture. Breast augmentation results not only in a significant improvement in body image-related feelings and self-esteem but also in a sudden change in body mass. The aim of this study was to assess postural changes following breast augmentation by studying body position, orien...
Article
Treatment options for muscle spasm complications of the pectoralis major (PM) flap in head and neck reconstruction have hardly been investigated. The authors report their experience using botulinum toxin (BTX-A) injections as a treatment of PM flap myospasm complications in head and neck reconstruction. From January 2005 to May 2009, 83 patients un...
Article
Full-text available
Abdominal surgical procedures, such as ventral hernia repair, may require the removal of the umbilicus, which gives an unnatural appearance to the abdomen. This situation can be corrected by umbilical reconstruction during the same operative time or at a later stage. In previous studies, we reported a versatile technique for umbilicoplasty based on...
Article
Facial rhytides represent a widespread aesthetic concern. In particular, glabellar lines are perceived as a sign of aging and may give an erroneous impression of negative emotions. The onset of glabellar lines is closely related to the movements of the underlying muscles. Botulinum toxins inhibit the release of acetylcholine into the synaptic cleft...
Article
Implant breast augmentation is one of the most frequently performed surgical procedures, and fungal infection still is considered exceptional. This report presents a case of bilateral breast implant infection by multidrug-resistant Candida albicans treated with a targeted antifungal therapy. A young woman presented with breast pain and asymmetry as...
Article
The use of mammary implants may lead to a variety of early and delayed complications. The most common delayed complications are capsular contracture and implant failure. Late seroma has seldom been reported. In a long-term prospective observational study, cases of late seroma were assessed and recorded. Between March 2005 and November 2009, suspect...
Article
Primary incisional hernia repair is rarely successful, with recurrence rates ranging from 18% to 62%. We describe the integration of "components separation" herniorrhaphy with panniculectomy. Twenty-two patients were treated. Standard panniculectomies and component separation were performed. Intravesical pressure was measured preoperatively, intrao...
Article
Gigantomastia is a rare, psychologically and physically disabling condition characterized by excessive breast growth. There is no universal consensus on the definition of gigantomastia, but it is most commonly described as breast enlargement that requires removal ranging from 800 to 2000 g, or even a D cup bra size. It typically occurs in the setti...
Article
Nipple-areola reconstruction represents an important step for final mammary reconstruction. Many techniques have been described. The drawback is the progressive nipple projection loss with time from 50% to over 70% of the initial projection. In this report, we evaluated the effect of injectable poly-lactic acid (PLLA) to improve projection of recon...
Article
Full-text available
Many clinical studies on scar therapy are reported in the literature, but only silicone gel sheeting and corticosteroid injections are supported by accurate prospective controlled studies. This prospective multicenter cross-over phase 2 study tested the effectiveness of a topical cyanoacrylate compared with silicone gel in improving postsurgical sc...
Article
Umbilical repositioning is a main step in performing abdominoplasty. The surgical aims are minimal visible scars and a natural-appearing result. Reported techniques do not completely satisfy the aesthetic targets for all types of patients. A previous study reported a versatile technique for umbilicoplasty based on an elliptical vertical incision of...
Article
patients with body dysmorphic disorder often go to the plastic surgeon to correct what they consider a physical deformity or defect, although their appearance falls within normal aesthetic standards. The aim of our study was to evaluate the real need for aesthetic treatments in such patients. we included patients who practised an intense sport acti...
Article
Full-text available
Incisional hernias can be treated with laparoscopic and laparotomic surgery. Laparoscopic surgery can be made without the use of mesh when performing component separation technique. This technique allows to limit the adverse effects to foreign body and promotes a tension-free closure. We studied intravescical pressure changes during intervention in...
Article
The effectiveness of cyanoacrylates compared to silicone gel in improving healing of hypertrophic scars was evaluated. Patients presenting hypertrophic scars 6 to 24 months old were enrolled. Asymmetrical scars were treated with cyanoacrylates, linear scars were divided in two parts, one treated with cyanoacrylates, the other with silicone gel. For...
Article
The most common early complications associated with mammary implants are seroma and haematoma formation, and acute infection. The aspiration of fluid around the prosthesis can help to diagnose and correctly treat these complications. The use of a needle with a sharp tip can damage the implant. We present our experience in removing periprosthetic fl...
Article
Full-text available
Lipomas in the head and neck region usually occur in the immediate subcutaneous tissue. They are extremely rare under the muscular band of neck. We present a case of a 53-year-old woman with a subfascial lipoma located in the anterior lateral space of neck. The diagnosis of the lesion was reached by clinical examination and confirmed by ultrasonogr...
Article
Free microvascular tissue transfer has become a key procedure for the surgical treatment of large tissue defects that requires specialized practitioners and magnification instruments. The operating microscope traditionally has filled this requirement. A study was performed focusing on the evaluation of a new magnification system, the Varioscope M5...
Article
Skin tumours of the anterior auricular concha are not uncommon. Wider excision and immediate reconstruction are required to reduce the risks of recurrence of the disease, cartilage infection and external ear distortion. Many surgical methods have been described for reconstruction of conchal defects. Post-auricular island flaps, such as the revolvin...
Article
Humanitarian missions aim to bring knowledge and means to developing countries that currently lack these resources. Some doctors take part in these projects occasionally while others do it full time. So far Universities, with their rich potential of human and economic resources, have not joined these missions yet. Lately there has been a growing de...
Article
Full-text available
Endometriosis is the presence of functioning endometrial tissue outside the uterine cavity. Umbilical endometriosis has been reported in more than one hundred cases and the umbilicus represents the location of 0.5-1% of ectopical endometrioses. A correct differential diagnosis can be difficult and the use of epiluminescence and MRI is suggested for...
Article
Full-text available
Skin grafting is a frequent surgical procedure used to reconstruct a soft-tissue deficit. Tie-over bolster dressing is the traditional technique made to fix the graft to the recipient area. This dressing does not always provide satisfactory results in some difficult body areas, with poor skin graft taking as an outcome. Here, we used a soft "polyur...
Article
The goals of the treatment of chronic osteomyelitis are infection eradication with systemic antibiotic therapy and local management with radical excision of the infected tissue and obliteration of the remaining dead space. Adequate debridement and coverage with a well-vascularised tissue are mandatory for successful outcomes. Use of muscle covering...
Article
Many techniques have been described to create an aesthetic and functional neo-phallus after penile amputation or in female-to-male transsexuals. Microsurgical free-flap phalloplasty seems to be the preferred method of penile reconstruction. For many years the radial forearm free flap has been considered the best procedure, but other flaps have been...