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Medicina
Special Issues
New Advances and Challenges in Plastic Surgery
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New Advances and Challenges in Plastic Surgery

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

Deadline for manuscript submissions: 10 April 2026 | Viewed by 373

Special Issue Editors

Dr. Alberto Bolletta

E-Mail Website
Guest Editor
Plastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56121 Pisa, Italy
Interests: reconstructive surgery; lymphedema; lymphatic surgery; lymph node flap; lymphaticovenular anastomosis; free flaps surgery; perforator flaps; breast surgery; oncoplastic surgery
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Emanuele Cigna

E-Mail Website
Guest Editor
Plastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56121 Pisa, Italy
Interests: microsurgery; breast reconstruction; head and neck; lymphatics; sarcoma; lower limb reconstruction; melanoma; autologous breast reconstruction
Special Issues, Collections and Topics in MDPI journals
Dr. Mirco Pozzi

E-Mail Website
Guest Editor Assistant
Plastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56121 Pisa, Italy
Interests: aesthetic surgery; lymphatic surgery; facial surgery; microsurgery

Special Issue Information

Dear Colleagues,

Plastic surgery has undergone remarkable transformations in recent years, driven by continuous innovations in surgical techniques, biomedical technologies, and regenerative medicine. Once primarily focused on reconstructive efforts, the field now embraces a comprehensive approach that blends functional restoration with aesthetic refinement, improving patients' quality of life across a wide spectrum of conditions.

Recent advances span from microsurgical reconstruction and super-microsurgery to the integration of 3D printing, robotic-assisted procedures, and novel tissue engineering strategies. These developments have significantly enhanced surgical precision, minimized patient morbidity, and expanded the range of treatable defects in both reconstructive and aesthetic surgery.

Medicina is pleased to launch a Special Issue titled “New Advances and Challenges in Plastic Surgery”.

This Special Issue aims to provide an up-to-date overview of the most impactful research within the field.

We invite you and your colleagues to submit original articles or reviews focusing on progress in plastic surgery. Topics of interest include technical innovations, clinical outcomes, perioperative management, the integration of digital technologies, and future directions in surgical practice.

Dr. Alberto Bolletta
Prof. Dr. Emanuele Cigna
Guest Editors

Dr. Mirco Pozzi
Guest Editor Assistant

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 2200 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

  • plastic surgery innovations
  • reconstructive techniques
  • aesthetic surgery advances
  • microsurgery and super-microsurgery
  • regenerative and digital technologies

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

13 pages, 2877 KB  
Article
Glandular Transposition Technique for the Correction of Advanced Gynecomastia in Post-Bariatric Patients: A Case Series on a Conservative Strategy for Natural Aesthetic Outcomes
by Feliciano Ciccarelli, Felice Moccia, Maria Giovanna Vastarella, Arturo Amoroso, Claudia Vastarella, Vincenzo Vastarella and Gorizio Pieretti
Medicina 2025, 61(10), 1842; https://doi.org/10.3390/medicina61101842 - 15 Oct 2025
Viewed by 210
Abstract
Background and Objectives: Advanced gynecomastia/pseudogynecomastia (Simon grades IIb–III) in post-bariatric patients presents both esthetic and technical challenges. Conventional excisional methods often result in flattened chest contours, extensive scarring, and loss of nipple–areolar complex (NAC) sensation. There is a growing need for conservative, [...] Read more.
Background and Objectives: Advanced gynecomastia/pseudogynecomastia (Simon grades IIb–III) in post-bariatric patients presents both esthetic and technical challenges. Conventional excisional methods often result in flattened chest contours, extensive scarring, and loss of nipple–areolar complex (NAC) sensation. There is a growing need for conservative, tissue-preserving strategies that respect the unique morphology of massive weight-loss patients. Materials and Methods: This consecutive case series included 15 male patients (median age: 38 years, IQR 36.5–39.5) with advanced gynecomastia/pseudogynecomastia and stable weight loss following bariatric surgery. All underwent a glandular transposition technique, preserving the NAC on a pedicle based on thoracic perforators and avoiding free grafting. Redundant lower-pole skin was excised, a new NAC site was created cranially, and the gland was repositioned beneath a dermo-adipose flap. Outcomes included complication rates, patient satisfaction, and changes in BODY-Q chest appearance scores. Results: No major complications occurred. NAC viability and sensation were preserved in all patients. One patient required secondary revision for residual contour bulging, while three developed minor hematomas that resolved spontaneously. At 3 months, the median Likert satisfaction score improved from 2 (IQR 2–3) preoperatively to 5 (IQR 4–5) postoperatively (p < 0.001, Wilcoxon signed-rank test). BODY-Q chest appearance scores improved significantly from 31 (IQR 28–35) to 78 (IQR 74–82) (p < 0.001). External observers preferred postoperative results in 90% of randomized photo-pair comparisons. Conclusions: Glandular transposition is a safe, reproducible, and esthetically effective technique for advanced gynecomastia/pseudogynecomastia in post-bariatric men. By preserving glandular continuity and avoiding free NAC grafting, this method achieves natural chest projection, maintains nipple sensitivity, and provides high patient satisfaction with minimal complications. It represents a compelling alternative to conventional radical excision strategies. Full article
(This article belongs to the Special Issue New Advances and Challenges in Plastic Surgery)
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