Autologous fat is a natural component of the body that has been used in medicine, for almost a century, to treat soft tissue defects. Nevertheless, reabsorption of the grafted adipose tissue and the consequent post surgical loss of volume can render the results uncertain.
Over and above the subjective characteristics of the patient and their natural influence on the final results it is well known that fat loss is to a great extent also conditioned by the harvesting method, processing and implantation of the fat.
One of the fundamental determining factors for the success of the fat transplant is the volume of the watery content made up of the tumescent solution and the blood present in the lipoaspirate. Such volume, whose purpose is simply to facilitate flow through the cannula, is rapidly reabsorbed by the body without contributing to the stabilisation of the implanted fat.
Another major determining factor is the presence of free fats released by the adipocytes damaged during the harvesting process; such fats also contribute towards the formation of so called “oil cysts”, which can cause fat nodules and in the final analysis compromise the symmetry of the implant.
In other words: the success or failure of the long term survival of the transplanted fat, to which the final results are closely linked, is conditioned by many variables, among which is the ability to remove unwanted contaminants such as free fats, residual tumescent solution, red blood cells (erythrocytes) and white blood cells (leucocytes).
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Fat processing can be performed using various methods (gravity, centrifugation, washing, enzymes…) used alone or in association with each other. The Puregraft technique utilised in our centre allows us, thanks to the closed and therefore absolutely safe system, to "rid" the adipose tissue of contaminants and obtain highly purified fat using a delicate but efficient double filtering.
Prof. Alessandro Littara was born in Pisa on 15 April 1964. He is an authority in male genital aesthetic surgery thanks to his pioneering work in penoplasty, a technique he has performed since the 90’s and which he has continuously modified, improved and perfected during his personal experience with thousands of cases from all around the world.
Training (1991) at the Centre for Andrology of the University of Pisa (directed by Professor G.F. Menchini Fabris), where he currently works as an external collaborator. He also specialized as an Andrology module operator and in Medical Sexology, at the same centre.
Long collaboration with the Istituto di Chirurgia Generale II - Unità Operativa di Endocrinochirurgia (directed by Prof. P. Miccoli), of the Università degli Studi di Pisa, with respect to surgical practice.
Student of Uro-andrological surgery as taught by Prof. E. Belgrano (director of the Urology clinic of the University of Trieste) and Prof. F. Carmignani (director of the Urology clinic of the University of Genoa) for more than five years, staying up-to-date with Avant-guard Uro-andrological and gynaecological urology surgical techniques.
Adjournment at the Istituto San Raffaele of Milan in the Urology department directed by Prof. Rigatti.
Head of the medical and surgical Andrology-sexology branch at the Casa di Cura "Mercurio-Quisisana" of Montecatini Terme (PT), where he participated in about 1000 andrological surgery, Uro-gyneacological and general surgery operations in the capacity of first operator and also as assistant.
Participation as a student at the "European School of Andrology and Andrological Surgery ", organised by the Italian Andrological Society in European centres of renowned excellence.
Practices as a freelance professional in the field inherent to the medical and surgical diagnosis and therapy of pathologies of Uro-andrological, uro-gyneacological and sexological nature.
Numerous appearances as a speaker at many congresses of Uro-andrological and plastic-cosmetic nature. Strong supporter of computerization, and author of the first Italian website dedicated to andrology (website of the Andrology Centre of Pisa) and since 1996 has been furnishing an information service for the public through his own website (www.androweb.it).
Radio 24 collaborator with regards to medical and surgical andrology and sexology. He collaborates with national newspapers, weeklys and monthlies with wide distribution and also with national and regional television programmes. He conceived and conducted a radio transmission dealing with sexology (SessoOS) at a local Tuscan radio station for two years. He participates as a subject matter expert in the transmission "Istruzioni per l'uso" presented by Emanuela Falcetti on Radio 1 and Radio 3.
Founder and head of the "Centro di Medicina Sessuale" of Milan, where all pathologies of the sexual and reproductive sphere for both males and females are treated. He manages a multi-disciplinary team made up of andrologists, gynaecologists, assisted reproduction specialists, psycho-sexologists, psychiatrists, plastic-cosmetic surgeons and lawyers.
Training and certification to perform procedures of female genital laser surgery at the Laser Vaginal Rejuvenation Centre of Beverly Hills, directed by Dr. David Matlock. Surgeon affiliated with and certified to perform DLV (Designer Laser Vaginoplasty), LVR (Laser Vaginal Rejuvenation) and G-Spot Amplification procedures, by the said centre.
He currently works as a freelance professional and consults in Milan, the main seat, and periodically in Rome. He collaborates with centres specialising in Infertility therapy for couples, and is a contract Professor of Uro-genital Reconstructive surgery at the University of Pisa.
