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arr3 Dott. Valerio Pagliuca

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Augmentation Mammoplasty

Augmentation Mammoplasty is a surgical procedure aimed at enlarging and/or
improving the form of the breasts.
One of the main reasons that a patient may decide to undergo this kind of procedure
is to increase the volume breasts and/or realign uneven breasts. Breast implants are
pouches made of silicone containing a filler gel, which can be more or less fluid based
on the substance selected. The most common breast implant devices are made of
polyurethane or textured implants. The incision is usually made at the inframammary
fold, around the areola (upper and lower peri-areolar incision) or in the armpit
(transaxillary incision). The most natural incision is under the breasts at the
inframammary fold because it doesn’t touch the gland. Through the incision, the
breast tissues are raised to create a pocket located behind the gland or under the
pectoral muscles. The sub-muscular implantation reduces potential risks of rupture,
but gives you less control in the event of dislocation of the prosthesis. The peri-
areolar route gives the surgeon additional visibility when operating and leaves a less
visible scar compared to the inframammary fold route. In the area around the incision
there may be some hypersensitivity, hyposensitivity or numbness, however these
symptoms usually disappear over time. There is no scientific evidence to demonstrate
the existence of a cause-and-effect relationship between breast implants and breast
cancer, however, mammogram procedures need to be improved. After surgery the
patient must wear a special bra, day and night, for one month, to keep the prosthesis
in the pocket where it was implanted. The stitches are removed after 10 days;
swelling disappears after 4-6 weeks. It’s recommended that the patient does not
exercise for 15 day and intensive exercise may be resumed only after 6 weeks.


Dr. Valerio Pagliuca’s Curriculum Vitae
Dr. Valerio Pagliuca, born in Terni (TR) on 19/03/1973,graduated from the scientific high valeri paglicasm tSa 169X237
school “Renato Donatelli” in Terni in 1991. He was admitted to the Faculty of Medicine and
Surgery at the University of Perugia in 1991. During his third year he was a student intern at
the Institute of General Pathologies directed by Professor Maria Pia Viola Magni; he did his
three-year residency at the Surgical Clinic directed by Professor Giuliano Daddi at the S. Maria
Hospital in Terni. He graduated in Medicine and Surgery at the University of Perugia on
October 24th 1997 with a thesis on “Surgical Treatment of Thyroid Cancer”. In May 1998 he
was admitted to practice as a surgeon, passing the State Examination at the University of
Perugia. In1998 he decided to focus his talent on Plastic and Reconstructive Surgery. Not long
after that he was admitted to the School of Specialization in Plastic and Reconstructive
Surgery at the University of Perugia directed by Professor Christian Dominaci. He began his
specialization in 1998 and earned his Postgraduate Degree in Plastic and Reconstructive
Surgery on September 22, 2003. He has participated in numerous scientific conferences, as
both a speaker and a member of the scientific committee. His research, which mainly focuses
on Laser Surgery, has been taken up by National Conferences. He is also a member of the
Italian Society of Plastic, Reconstructive and Aesthetic Surgery.

List of Publications:
• Surgery in Graves’ Disease: Our Experience. Giorn It Chir XLIX – 1995. Avenia N. – Puma
F. – Galeotti M. – Santoprete S. – Urbani M. – Casadei S. – Ricci F. – Daddi N. – Pagliuca V.
– Ottavi P.;
• Cervico-Mediastinal Goiters: Clinical and Therapeutic Considerations on 100 Operated
Cases. Giorn It Chir XLIX – 1995. Avenia N. – Puma F. – Cerroni M. – Galeotti M. – Urbani
M. – Santoprete S. – Casadei S. – Daddi N. – Pagliuca V. – Ottavi P.;
• Microsurgical Treatment of Recurrent Varicocele. Giorn It Chir Vol. 52 – 1998. Pacifici A. –
Contine A. – Sarno U. – Trapassi S. – Servili S. – Pagliuca V. – Dominici C.

List of training and conferences:
• Thyroid pathologies of surgical interest regarding short-term hospitalizations. The 2nd
Training Conference by Young Italian Surgeon’s Society of Poly-specialists (S.P.I.G.C) –
Chieti 17-18/05/1996. Avenia N. – Alberti D. – Ragusa M. – Ricci F. – Fonsi G.B. – Daddi N.
– Pagliuca V. – Ottavi P. – Calzolari F.;
• Use of the diode laser in cutaneous vascular diseases, IV National Conference of Video-
Plastic Surgery – Ferrara 8-9-10 /06/2000; Pacifici A. – Coccaro A. – Calabrese A. – Becchetti
A. – Pagliuca Vlr.;
• Our current experience in penis construction in transgender operations; The different
meanings of gender identity; Bologna 24/06 1/07/2000; Pacifici A. – Dominici C. – Cordellini
M. – Mazzeo C.- Pagliuca V.
• Use of the erbium laser: our experience. The 50th National Conference of the Italian Society
of Plastic, Reconstructive and Aesthetic Surgery (S.I.C.P.R.E.), Roma 14-16/09/2001;Pacifici
A. – Pagliuca Vlr. – Sarno U. – Coccaro A. – Dominici C.;
• Hair removal through intense pulsed light: our experience. V National Conference of
Aesthetic Medicine, Milan 10-11-12/10/2003; Pacifici A. – Pagliuca V.; Dominici M. M. –
Dominici C.;

List of presentations at medical conferences:
• Laser resurfacing: indications, techniques and results. 48th National Congress of the Italian
Society of Plastic, Reconstructive and Aesthetic Surgery (S.I.C.P.R.E.), Gubbio (PG), 25-
30/09/1999; Pagliuca Vlr. – Pagliuca Vnt. – Sarno U. – Barile A. – Petricig P.;
• Considerations and results in the use of erbium lasers; 3rd National Congress of Aesthetic
Medicine, Milan 12-13-14/10/2001; Pagliuca V.; Pacifici A. – Sarno U. – Coccaro A.;
• Use of pulsed light in the treatment of hypertrichosis, full immersion course: laser and
pulsed light in cosmetic surgery - Perugia, 11-12/06/2004; Pagliuca V.;
• Laser and biomedical technologies in the vascular lesions; Spoleto (PG), 3-4/10/2008;
Pagliuca V.
• Member of the Scientific Congress: Botulinum Toxin; Perugia 23-24/04/2003;
• Laser and Pulsed Light in Cosmetic Surgery: the situation in Italy; Perugia 11-12/06/2004;
• Laser and Biomedical Technology in Plastic Surgery; Spoleto (PG) 3-4/10/2008.

From 05/02/2008 to 31/03/2010 Dr. Pagliuca was Medical Director of the Polyclinic - Laser
Center site in Terni - Via Montegrappa 51 / d, authorized by the Region of Umbria under
number 494 of 05/02/2008.
Since 21/03/2011 Dr. Pagliuca has been the Medical Director of the Polyclinic – Libero
Fisiomed site in Terni - Via del Centenario 23, approved by the Region of Umbria under
number 757 of 11/02/2011.
Since May 2009 Dr. Pagliuca has served as a Technical Consultant for the Court of Terni
(official number 888).

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