Additive mastoplasty using the patients own adipose tissue (Adipofilling®)
Designed personally by Dr. Capurro, Adipofilling® is able to increase breast volume by one or two sizes or to correct volumetric asymmetry. Postoperative echography and mammography have demonstrated the safety of this innovative technique.
Asymmetry of the right breast, corrected by means of adipofilling®; the volume of both breasts has also been increased. Grafts taken from right and left hips (supragluteal).
Adipofilling® in the breast region. The adipose tissue has been taken from the abdominal region and hips
and injected to restore tone and lift the breasts
naturally. Adipofilling® is the safest and most
versatile permanent subcutaneous filler available today.
With this new technique, there is no risk of
calcification of the lobules of fat, as there is with
lipofilling, nor of trauma, as there is with
lipostructure.
Additive mastoplasty using prostheses
Anatomical breast prostheses are inserted into a
subglandular and/or submuscular pouch to increase breast
volume and/or correct asymmetry.) An areolar flap is
lifted, up to the point corresponding to the lower
margin of the areola itself. In this position, a deep
incision is made in order to reach the aponeurosis. The glandular suture is seen to be displaced in relation to
the cutaneous suture, thus avoiding direct communication
of the prosthetic chamber with the outer environment. The resulting scar is not in tension and almost
invisible. This technique is invented by Fabrizio Cecchi MD, a friend and fellow member of our research group (Capurro
Research Group). The procedure is performed under local
anaesthesia. To reduce the risk of bleeding and to
facilitate healing, the biological technique for
bloodless surgery (Capurro S., Cavalchini A.: A simple
technique for bloodless surgery. Plast. Reconstr. Surg. March, 2005) is implemented at the end of the operation,
as it is in other procedures at risk of haemorrhage.
This involves sprinkling the prosthetic pouch with the
patient�s serum obtained by means of high-velocity
centrifugation, supplemented with adrenalin.
Additive mastoplasty. Insertion of bi-planar
anatomical prostheses, the upper half under the pectoral
muscle and the lower half subglandular. The operation is
performed under local anaesthesia.
Mastopexy
Drooping breasts can be raised and repositioned by
means of a procedure that does not involve the glandular
tissue and is performed under local anaesthesia.
Mastopexy. This ambulatory procedure is performed
under local anaesthesia. The patient can return home
immediately. The scar is vertical and around the areola. The quality of the scar is improved by using the
Elasticum� thread, which reduces tension at the edges of
the wound.
Reduction mastoplasty
This involves reducing both the volume and the skin. Volume reduction is achieved by means of liposuction,
surgical excision or both.
Gynecomasty
An excessively large male mammary gland is corrected
by means of liposuction, performed under local
anaesthesia, and removal of the sub-areolar glandular
tissue through a small incision in the areola.
Reducing the areola
Large-diameter mammary areolae can be reduced under
local anaesthesia. This is done by removing a circular
corona within the areola itself; in this way, the scar
will be less evident.
Nipple reduction
A reductive plastic procedure can be used to reduce
excessive nipple length.
Introflexion of the nipple
Nipple introflexion can be corrected by
inserting Elasticum® thread into the nipple through two
minute incisions.
The Elasticum® thread is positioned through two tiny
incisions. With this technique, the lactiferous ducts
remain intact.
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Rectifying tissue deficits in the thigh and buttock
Adipofilling® is used to rectify adipose tissue loss and pits caused by injury, liposuction operations,
suppurated injections or cortisone injections.
Volume enhancement of the gluteal region
To increase the volume of the gluteal region, we use
the innovative Adipofilling® procedure. This is carried
out under local anaesthesia.
Lifting performed on the arms
This is done to reduce flaccidity (excess skin) of
the arms. As the residual scar runs from the apex of the
armpit to the medial condyle of the ulna, this operation
is mainly performed only when strictly necessary. If the
amount of excess skin is not too great, lifting can be
performed by means of adipofilling®, thereby avoiding a long scar.
Treating venous insufficiency
Dilated veins in the legs are not obliterated or
removed; they are "cured" by means of a new method of "sclerotherapy":
three-dimensional regenerative phlebotherapy (T.R.A.P.).
T.R.A.P. utilises a new "regenerative" solution. Curing
the perforating circulation causes all the superficial
vessels and telangiectasias to disappear; the result is
permanent and the treatment does not give rise to any
complications. Phlebotherapy can be regarded as the only
true cure for venous insufficiency. Unlike the
traditional techniques (phlebectomy, obliterative
sclerotherapy and saphenectomy), phlebotherapy treats
the cause of the disorder (insufficiency of the
perforating veins and miopragia) and not merely the
effect
Phlebectatic corona before and after
Eliminating telangiectasias
Capillary telangiectasias disappear once the perforating and superficial circulation has been cured.
Like varicose veins, telangiectasias result from the
insufficiency of the perforating veins. If the
perforating circulation is not treated, the telangiectasias promptly reappear. Obliterating
telangiectasia, rather than exploiting them as gateways through which to treat the underlying vessels,
constitutes a strategic error.
Elimination of telangiectasias by means of three-dimensional regenerative phlebotherapy. Treating the non-visible vessels (by strengthening the walls and reducing the diameter) reduces the hypertension in the superficial vessels, which disappear from view even when we use a weak solution that causes no side-effects. The importance of this new therapy is proportional to the number of patients with varicose veins (hundreds of millions) and to the potential preventive use of the method. I do not, however, expect any acknowledgement or thanks for having invented the technique.
Rejuvenating the hands
Unsightly age-spots can be eliminated from the hands in two sessions of timedsurgical resurfacing (38 W, Coag, EM 15) six months apart. During resurfacing, the epidermis remains in place and protects the area treated. Dilated veins are reduced in diameter in one or two sessions of phlebotherapy. Subcutaneous tissue loss is corrected by means of adipofilling®.
The dilated veins are reduced in diameter by injecting the "regenerative" solution. This treatment is repeated after a month.
Adipofilling® and the elimination of age-spots by means of timedsurgical resurfacing complete the rejuvenation of the hands.
Revisiting large scars caused by burns or injuries
Large scars can be removed and sutured, without blunt dissection of the tissues, by using the Jano needle®. The Jano needle® enables tension to be exerted at a distance from the edges of the wound; as the wound is not sutured under tension, the aesthetic result is good. Avoiding blunt dissection enables blood vessels and nerves to be left intact.
After excision of the scars, the elastic thread is inserted by means of the Jano
needle (atraumatic two-tipped needle) to create a suture, without blunt dissection, at a distance from the edges of the wound. Bottom left: completing the elastic suture; top right: the result.
Liposuction
Liposuction can be performed on any part of the body: chest wall, back, hips, abdomen, thighs, knees, ankles. The procedure is carried out under local anaesthesia or general anaesthesia. If necessary, the adipose tissue removed can be prepared for subsequent use in volume-enhancing procedures in the buttocks or breasts (adipofilling®)
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