Dr. Brambilla tells his story
I’ve been fortunate enough to work for 25 years in the maternal and child department of a large public hospital (the Mangiagalli Clinic in Milan), specializing in the reconstruction and regeneration of genital tissues.
About 20 years ago, I was introduced to the first cases of lichen, complex cases that did not respond to standard topical treatments. At the time, I was unfamiliar with the condition. Intrigued, I consulted with the histologists at our hospital who showed me some slides. I was immediately struck by the resemblance to tissues affected by the aftermath of radiotherapy and those affected by scleroderma. Even back then, I successfully treated these conditions with adipose tissue grafting. And thus began the story of tissue regeneration in lichen.
Over the years, I have refined the methodology of the technique. I have come to understand that one adipose preparation is different from another, and that it is important to determine which and how much regenerative preparation to inject, where to inject it, and when to inject it. Understanding the stage of the disease is crucial in deciding whether to proceed with regenerative treatments.
The careful selection of a preparation is the key to a successful treatment. It is essential to understand which tissues are involved because the implant methodology, the quantity (dose/effect just like when administering a drug), and the quality of the preparation will be different in each case. Thanks to my experience in treating hundreds of cases, I have realized that preoperative preparation, as well as careful postoperative management and rehabilitation, play fundamental roles in achieving excellent results.