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Gai Mattiolo is an Italian fashion designer who got his start at age 19, when his father provided him with the financial backing to open a boutique in Rome. Gai Mattiolo had no formal training as a fashion designer, but his pieces distinguished themselves with their attention to fine detail. In particular, the buttons of his garments, which are crafted of fine materials and often take the form of small sculptures, are a signature element of Mattiolo's style. He carefully researches button design for each new collection.

Mattiolo has dressed celebrities from Cher to Diana Ross to Pink. Mattiolo had the high honor of creating four copes (ecclesiastical robes) for Pope John Paul II in 1996. In 2000, Mattiolo coined a neologism to describe his new designs: prêt-à-couture, which is the synthesis between the luxury of high fashion and the handicraft industry.

Fragrances have been part of the Gai Mattiolo offering since 1997, when his signature scent for women was launched. Gai Mattiolo fragrances are currently produced in conjunction with ITF Cosmetics.