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Medicina
Special Issues
Hot Topics and Innovations in Reconstructive and Cosmetic Surgery/Aesthetic Medicine
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Hot Topics and Innovations in Reconstructive and Cosmetic Surgery/Aesthetic Medicine

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 15 September 2024 | Viewed by 1521

Special Issue Editor

Dr. Luigi Losco

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Guest Editor
Plastic Surgery Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Via Salvador Allende, 43, Baronissi, 84081 Salerno, Italy
Interests: reconstructive surgery; lymphedema; lymphatic surgery; lymph node transfer; free flaps surgery; perforator flaps; breast reconstruction; massive weight loss; post-bariatric surgery; facial reconstruction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In this Special Issue, authors are welcome to submit manuscripts that deal with recent trends within various fields of plastic surgery and any research that aims to improve the understanding or techniques in this practice. Our body of knowledge is constantly updating in this area, and common trends shift between perspectives.

In aesthetic surgery and medicine, one primary trend is the increasing use of minimally invasive techniques both within the surgical field itself, favoring less conspicuous scars, and in the cosmetic field, where non-invasive medical procedures such as fillers and Botox have advantages over surgery. An improved understanding of anatomy and technological advancements has equipped plastic and reconstructive surgeons with a diverse toolbox. An example is lymphedema diagnosis and treatment: growing interest has fostered intense research toward improved outcomes. In reconstructive surgery, regenerative medicine techniques are taking center stage, employing stem cells and growth factors to enhance healing and outcomes; however, microsurgery still has a unique and outstanding problem-solving appeal.

Moreover, this Special Issue aims to resolve the critical need for a global platform to articulate novel techniques, cutting-edge research, and contemporary focuses related to the multi-disciplinarity field of plastic surgery. Alternative new and innovative topics related to other fields but connected to the reconstructive or aesthetic scenario from the bench to the bedside are likewise strongly encouraged.

Dr. Luigi Losco
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • microsurgery
  • lymphedema
  • body contouring
  • breast reconstruction
  • facial reconstruction
  • hand surgery
  • multi-disciplinarity
  • dermatology
  • aesthetic rehabilitation
  • forensic medicine

Published Papers (3 papers)

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Research

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12 pages, 718 KiB  
Article
Postoperative Complications of Flap Procedures in Chest Wall Defect Reconstruction: A Two-Center Experience
by David Breidung, Sarina Delavari, Sebastian Grimme, Götz Habild, Moritz Billner, Dietmar Kraus, Bert Reichert and Ioannis-Fivos Megas
Medicina 2024, 60(5), 834; https://doi.org/10.3390/medicina60050834 (registering DOI) - 19 May 2024
Viewed by 93
Abstract
Background and Objectives: Chest wall defect reconstruction is a complex procedure aimed at restoring thoracic structural integrity after trauma, tumor removal, or congenital issues. In this study, postoperative complications were investigated to improve the care of patients with these critical conditions. Materials [...] Read more.
Background and Objectives: Chest wall defect reconstruction is a complex procedure aimed at restoring thoracic structural integrity after trauma, tumor removal, or congenital issues. In this study, postoperative complications were investigated to improve the care of patients with these critical conditions. Materials and Methods: A retrospective study of chest wall reconstructions from 2004 to 2023 was conducted at Klinikum Nürnberg and Evangelisches Waldkrankenhaus Spandau—Berlin. Data included patient demographics, comorbidities, defect etiology, surgery details, and complications using the Clavien–Dindo classification. Results: Among the 30 patients included in the study, a total of 35 complications occurred in 35 thoracic wall defect reconstructions. These complications were classified into 22 major and 13 minor cases. Major complications were more common in patients with cancer-related defects, and considerable variations were observed between free flap and pedicled flap surgeries. Notably, the use of the anterolateral thigh (ALT) flap with vastus lateralis muscle demonstrated promise, exhibiting fewer complications in select cases. The reconstruction of chest wall defects is associated with substantial complications regardless of the etiology of the defect and the particular surgical procedure used. Interestingly, there was a lower complication rate with free flap surgery than with pedicled flaps. Conclusions: The ALT flap with vastus lateralis muscle deserves further research in this field of reconstruction. Multidisciplinary approaches and informed patient discussions are crucial in this complex surgical field, emphasizing the need for ongoing research and technique refinement. Full article
(This article belongs to the Special Issue Hot Topics and Innovations in Reconstructive and Cosmetic Surgery/Aesthetic Medicine)
12 pages, 5318 KiB  
Article
Clinical and Ultrasound Efficacy of Topical Hypertonic Cream (Jovita Osmocell®) in the Treatment of Cellulite: A Prospective, Monocentric, Double-Blind, Placebo-Controlled Study
by Antonio Di Guardo, Carmen Solito, Vito Cantisani, Federica Rega, Luca Gargano, Giovanni Rossi, Noah Musolff, Giulia Azzella, Giovanni Paolino, Luigi Losco, Antonia Rivieccio, Elena Campione, Luca Bianchi, Steven Paul Nisticò, Giovanni Pellacani and Carmen Cantisani
Medicina 2024, 60(5), 781; https://doi.org/10.3390/medicina60050781 - 8 May 2024
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Abstract
Background and Objectives: Cellulite, or edemato-fibro-sclerotic panniculopathy (EFP), is characterized by dermal and hypodermal changes leading to adipose tissue accumulation and compromised venous circulation. This study investigates the efficacy of a hypertonic cream containing concentrated sodium chloride (Jovita Osmocell®) in addressing [...] Read more.
Background and Objectives: Cellulite, or edemato-fibro-sclerotic panniculopathy (EFP), is characterized by dermal and hypodermal changes leading to adipose tissue accumulation and compromised venous circulation. This study investigates the efficacy of a hypertonic cream containing concentrated sodium chloride (Jovita Osmocell®) in addressing water retention and structural alterations in adipose tissue, aiming to interrupt the cellulite formation process. Materials and Methods: A 12-week, prospective, monocentric, double-blind, placebo-controlled study enrolled 30 female subjects with grade II or III cellulite. Patients were randomized to receive hypertonic cream or a placebo. Thigh circumference, ultrasound evaluations, and standardized photographs were collected at baseline, intermediate, and endpoint visits. Adverse events were monitored. Results: After 84 days, the hypertonic cream group exhibited a significant reduction in thigh circumference compared to the placebo group (p = 0.0037). B-mode ultrasound examinations revealed significant changes in the parameters studied, such as the thickness of the subcutaneous tissue. No statistically significant changes were noticed in the placebo group. Volunteers reported the investigational product’s pleasantness and good anti-cellulite activity, with no reported adverse events. Conclusions: The hypertonic cream demonstrated efficacy in reducing thigh circumference, addressing water retention and structural alterations in adipose tissue. The proposed mechanism involves osmosis, releasing accumulated fluids between fat cells, supporting drainage, and reducing inflammation. This study supports the efficacy and safety of hypertonic sodium chloride emulsions in cellulite treatment and confirms safety and user satisfaction. Full article
(This article belongs to the Special Issue Hot Topics and Innovations in Reconstructive and Cosmetic Surgery/Aesthetic Medicine)
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Review

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22 pages, 1105 KiB  
Review
Aesthetic Rehabilitation Medicine: Enhancing Wellbeing beyond Functional Recovery
by Lorenzo Lippi, Martina Ferrillo, Luigi Losco, Arianna Folli, Marco Marcasciano, Claudio Curci, Stefano Moalli, Antonio Ammendolia, Alessandro de Sire and Marco Invernizzi
Medicina 2024, 60(4), 603; https://doi.org/10.3390/medicina60040603 - 5 Apr 2024
Viewed by 617
Abstract
Although rehabilitation medicine emphasizes a holistic health approach, there is still a large gap of knowledge about potential interventions aimed at improving overall wellbeing through cosmetic interventions. Therefore, this narrative review investigates the role of different rehabilitative techniques in enhancing aesthetics, quality of [...] Read more.
Although rehabilitation medicine emphasizes a holistic health approach, there is still a large gap of knowledge about potential interventions aimed at improving overall wellbeing through cosmetic interventions. Therefore, this narrative review investigates the role of different rehabilitative techniques in enhancing aesthetics, quality of life, and psychosocial wellbeing for patients with disabilities. The study follows the SANRA framework quality criteria for a narrative review. Literature searches across PubMed/Medline, Web of Science, and Scopus identified articles focusing on rehabilitation strategies within the aesthetic rehabilitation domain. The review identified evidence supporting injection procedures, such as Botulinum Toxin, Platelet-Rich Plasma, Hyaluronic Acid, Ozone, and Carboxytherapy, and assessing their applications in several disabling disorders. Additionally, physical therapies like Extracorporeal Shock Wave Therapy, Laser Therapy, Microcurrent Therapy, Tecar Therapy, and physical exercises were explored for their impact on cutaneous microcirculation, cellulite treatment, wound healing, and scar appearance improvement. Lastly, the manuscript underlines the role of manual therapy techniques in addressing both physical discomfort and aesthetic concerns, discussing their effectiveness in adipose tissue therapy, scar tissue mobilization, and regional fat thickness reduction. Taken together, this review emphasizes the role of a multidisciplinary approach, aiming to provide valuable insights into potential benefits for both functional and aesthetic outcomes. Full article
(This article belongs to the Special Issue Hot Topics and Innovations in Reconstructive and Cosmetic Surgery/Aesthetic Medicine)
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