[Body contouring surgery after massive weight loss].

Estimates purport, that the vast majority of patients who have undergone massive weight loss (MWL) desire body contouring surgery. In Denmark, public healthcare-financed MWL plastic surgery is to be granted, if the sequelae apply to criteria stated in the national specialist guidelines. Surgery is confined to MWL changes of moderate to high severity, if there is additional functional and psychosocial impairment, or if the changes are severe or abnormal compared to age. This review summarizes these indication criteria and highlights the basic concepts in commonly performed MWL body contouring surgery.

Dermal nipple-areola complex flap method in female to male gender affirming surgery.

Subcutaneous mastectomy plays a major role in female to male (FtM) gender affirming surgery, and obtaining a flattering chest contour remains a challenge to the surgeon. We present an operative method using a dermal nipple-areola complex (NAC) flap, with the aim to create a naturally masculine appearance, while reducing the risk of NAC complications by maintaining sufficient neurovascularisation. This case report describes how the novel approach may potentially be applied as an alternative to the traditionally performed free nipple graft technique in FtM gender confirming surgery. The technique is simple, provides an aesthetically appealing outcome and presumably poses a low risk of NAC complications. Intraoperatively, it allows for good exposure and a uniform removal of breast tissue, as well as repositioning and/or resizing of the NAC where required.

Latissimus dorsi free flap reconstruction of major abdominal defect in treatment of giant Marjolin's ulcer: a short report focused on preoperative imaging.

We present a case of a 56-year-old man with a giant carcinoma in the abdominal wall. Based on positron emission tomography/computed tomography (PET/CT) scan there were FDG-avid lymph nodes in the ipsilateral axillary and groin, suspicious for metastases. At contrast-enhanced CT the parietal peritoneum seemed free of tumor invasion, which was essential to radical surgery planning. The tumor was completely removed with clear margins of resection and no metastasis in the resected lymph nodes. The PET/CT scan was repeated after 4 months, showing no signs of recurrence.