SESPRS 30th Annual Atlanta Breast Surgery Symposium

"Evidence is the Best Medicine"January 31 – February 2, 2014 | The Intercontinental Hotel, Atlanta, GA

SESPRS 2014 30TH AnnuAl AtlAntA BREASt SuRgERy SymPoSium

BR E A S T SURGERY S YMP O S IUM BR E A S T SURGERY S YMP O S IUM

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SymPoSium CHAiRS Program Chair Mark A. Codner, MD – Clinical Assistant Professor, Emory University, Atlanta, GA

Program Co-Chairs James D. namnoum, MD – Clinical Assistant Professor, Emory University, Atlanta, GA

Albert losken, MD – William G. Hamm Professor of Plastic Surgery, Emory Plastic Surgery Program Director, Emory University, Atlanta, GA

Emeritus Chairsl. Franklyn Elliott, MD – Private Practice, Atlanta, GACarl R. Hartrampf, Jr., MD – Retired, Atlanta, GA

SymPoSium FACulty

louis P. Bucky, MD – Clinical Professor of Surgery, Division of Plastic and Reconstructive Surgery, University of Pennsylvania, School of Medicine, Chief of Plastic Surgery, Pennsylvania Hospital, Ardmore, PA

M. Bradley Calobrace, MD – Clinical Instructor in Plastic Surgery, University of Louisville, Louisville, KY

Grant W. Carlson, MD – Chief of the Division of Plastic Surgery, Emory University, Atlanta, GA

Daniel A. DelVecchio, MD – Clinical Instructor in Surgery, Massachusetts General Hospital, Boston, MA

lubos Drazan, MD – Faculty Hospital sv. Anny Brno, Czech Republic

James C. Grotting, MD – Clinical Professor of Plastic Surgery, University of Alabama, Birmingham, AL

Dennis C. Hammond, MD – Associate Program Director, Grand Rapids Medical Education Partners, Grand Rapids, MI

John B. Hijjawi, MD – Associate Professor Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI

Roger K. Khouri, MD – Miami Breast Center, Key Biscayne, FL

John Y.S. Kim, MD – Associate Professor of Surgery Northwestern University, Chicago, IL

Steven Kronowitz, MD – Professor of Plastic Surgery, MD Anderson Cancer Center, Houston, TX

G. Patrick Maxwell, MD – Clinical Professor of Plastic Surgery, Vanderbilt University, Nashville, TN

Antonio Aldo Mottura, MD – Centro de Cirugia Estetica, Cordoba, Argentina

Maurizio Bruno nava, MD – Director Plastic Surgery Unit, Fondazione IRCCS, Istituto Nazionale dei Tumori Milano, Milano, Italy

Tracy M. Pfeifer, MD – Private Practice, New York, NY

Kenneth C. Shestak, MD – Professor of Plastic Surgery, Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA

Scott l. Spear, MD – Chief of Plastic Surgery, Georgetown University, Washington, DC

louis l. Strock, MD – Private Practice, Fort Worth, TX

Steven A. Teitelbaum, MD – Assistant Clinical Professor of Plastic Surgery, David Geffen School of Medicine UCLA, Santa Monica, CA

AmERiCAn PlAStiC SuRgERy SoCiEty uPDAtES

ASAPS PresidentJack Fisher, MD – Nashville, TN ASPS President of PSF Kevin Chung, MD – Ann Arbor, MI SESPRS PresidentHarold I. Friedman, MD – Columbia, SC

SPonSoRED By:Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS)

northside Hospital

EnDoRSED By:

The American Society for Aesthetic Plastic Surgery, Inc. (ASAPS)

The American Society of Plastic Surgery (ASPS)

The International Society of Aesthetic Plastic Surgery (ISAPS)

PRogRAm oBjECtivES At the conclusion of this activity, the learner will be able to:

• Describe best practice techniques in unilateral and bilateral cases of breast reconstruction with the TRAM flap, simultaneous removal of breast implants and augmentation with fat grafting, and breast augmentation with mastopexy using acellular dermal matrix and shaped breast implants.

• Analyze the evidence for the use of fat grafting to the breast, use of acellular dermal matrix and new synthetic substitutes, and the use of shaped breast implants for breast augmentation and reconstruction.

• Review trends and best-practice techniques in mastectomy, oncoplastic surgery and breast reconstruction including tissue expanders, direct to implant reconstruction, latissimus flaps, TRAM flaps, and microsurgical SIEA and DIEP Flaps, and nipple reconstruction.

• Evaluate a variety of techniques used in aesthetic breast surgery including breast reduction, mastopexy, augmentation, and prevention and correction of complications including rippling and capsular contracture.

• Apply this new knowledge to their practice in appropriate patients.

: tHE onlinE 2014 BREASt SuRgERy SymPoSium:

The symposium is offered in its entirety via on-line streaming video of the live surgery as well as the lectures which can be viewed from the convenience of your home or office computer. Live questions can be emailed from around the world to Atlanta for immediate answers from the faculty direct to you over the Internet. The entire event is archived for two months following the live meeting and may be reviewed during that time if purchased on-line. CME credit is available for registered on-line attendees who view the meeting live.

For more information contact: [email protected]

tHE 2014 FoREign SCHolARS' AWARDS The SESPRS provides generous funding to different countries each year to sponsor the travel and registration expenses to three outstanding Plastic Surgery Chief Residents from a foreign country. This SESPRS honor provides them with a unique international educational outreach. The 2014 Foreign Scholars are invited from Argentina.

tHE 2014 HonoRARy HARtRAmPF lECtuRE L. Franklyn Elliott, MD – “Retrospectoscope”



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2014 AtlAntA BreAst surgery symposium scientific progrAm

tHuRSDAy, jAnuARy 30tH

6:00 – 8:00 pmWelcome Reception and Registration Intercontinental HotelWindsor Ballroom D and Foyer

FRiDAy, jAnuARy 31St

7:00 amRegistration Continental Breakfast/ Visit Exhibits Windsor Ballroom D and Foyer

8:00 amSESPRS WElcomEHarold I. Friedman, mD – President SESPRS

8:00 am – 12:00 pmnorthside Hospital

lIvE SuRgERy TElEcaST moderators – Codner, namnoum

Room 1

8:00 am

9:30 am

Observers – Khouri, Hammond

Bucky – Simultaneous implant Removal and Fat grafting

Calobrace – Augmentation/mastopexy with Anatomical implants and ADm

Room 2

8:00 am

10:00 am

Observers – Shestak, Drazan

Elliott – Bilateral tRAm – Hartrampf technique

losken – unilateral tRAm – Emory technique (video Presentation)

livE SuRgERy gEnERouSly SuPPoRtED By noRtHSiDE HoSPitAl

12:00 pmlunchVenetian Ballroom

1:00 pmopening Remarks Mark A. Codner, MD – Program Chairman

1:00 – 2:00 pmauTologouS BREaST REconSTRucTIon Moderator – namnoum

1:00 pm Codner – overview of Breast Reconstruction

1:10 pm Drazan – Autologous Breast Reconstruction

1:20 pmElliott – Differences in unilateral and Bilateral tRAm Reconstruction

1:30 pm Hammond – latissimus Reconstruction

1:40 pmKhouri – total Autologous Breast Reconstruction with External Expansion and Fat transfer

1:50 – 2:00 pm Discussion

2:00 pmHonoRaRy HaRTRamPF lEcTuRE l. Franklyn Elliott, mD - “Retrospectoscope”

2:30 pm Special 30th Anniversary Recognition of Dr. Hartrampf’s Fellows

3:00 – 3:30 pmCoffee Break / visit Exhibits Windsor Ballroom D and Foyer

3:30 – 4:30 pmImPlanT/ExPanDER/aDm BREaST REconSTRucTIon Moderator – losken

3:30 pmHammond – tissue Expanders, ADm, and Fat grafting in Breast Reconstruction

3:40 pmKim – Controversies in ADm Breast Reconstruction thoughts on Direct to implant Reconstruction




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FRiDAy, jAnuARy 31St

3:50 pmKronowitz – Delayed – immediate Breast Reconstruction: the mD Anderson Approach

4:00 pmShestak – management of Common and uncommon Problems Following Prosthetic Breast Reconstruction

4:10 pm Carlson – Reconstruction After Failed Breast Conservation

4:20 pm Spear – Experience with ADm in Revision Breast Reconstruction

4:30 – 5:30 pmcHallEngES FacIng BREaST REconSTRucTIon Moderator – Elliott

4:30 pmnamnoum – Reconstruction of the Radiated mastectomy, Fat is the Key to Success

4:40 pm Drazan – From Dr. Hartrampf’s tRAm to DiEP to SiEA and Back

4:50 pm Hijjawi – Fluorescent Angiography in Breast Reconstruction

5:00 pm losken – management of the tRAm Hernia


7:30 pmaRgEnTInIan Tango gala DInnER DancE (location TBD)

SAtuRDAy, FEBRuARy 1St

7:00 amContinental Breakfast/ Visit Exhibits Windsor Ballroom D and Foyer

8:00 amamerican Plastic Surgery Society updates Moderator – Friedman

ASPS – Kevin Chung, mD ASAPS – jack Fisher, mD SESPRS – Harold i. Friedman, mD

8:30 – 9:30 amPRImaRy BREaST augmEnTaTIonModerator – Codner

8:30 amHammond – Pre-operative Planning in Breast Augmentation with Cohesive Anatomic gel implants

8:40 amCalobrace – Demystifying the Dual Plane: Application in Primary Augmentation

8:50 ammottura – Augmentation using Big implants and the Submammary or Subpectoral Approach in Small lower Pole and tuberous Breast

9:00 amStrock – Endoscopic transaxillary Breast Augmentation: Round vs Shaped implants

9:10 amnava – long lasting Results with Stable Anatomical implants – Decision making in implant Selection: A new Algorithm

9:20 – 9:30 am Discussion

9:30 – 10:00 amCoffee Break / visit ExhibitsWindsor Ballroom D and Foyer

10:00 – 11:00 amSEconDaRy BREaST augmEnTaTIon anD REvISIonSmoderator – Elliott

10:00 amCalobrace – Revision Breast Surgery: Capsulorrhaphy vs neosubpectoral Pocket

10:10 ammaxwell – Data Based Analysis of the World’s largest Series of ADm Assisted Aesthetic Breast Revisions

10:20 amPfeifer – Shaped implants in Revision of Breast Augmentation – What i learned From my First 50 Cases

10:30 amteitelbaum – uses of Shaped implants in Augmentation: Primary vs Secondary




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10:40 amgrotting – Complication Rates in Aesthetic Breast Surgery: Evidence Based Data


11:00 am – 12:00 pmBREaST augmEnTaTIon WITH FaT gRaFTIngmoderator – namnoum

11:00 ammaxwell – Pre-Clinical and Clinical Data on a Closed Fat Processing System for Fat grafting Procedures to the Breast

11:10 am Delvecchio – Role of Fat in Breast Augmentation

11:20 am Khouri – Reverse Abdominoplasty Fat transfer (RAFt)

11:30 amlosken – the impact Fat grafting has on Breast imaging and Surveillance

11:40 amBucky – Fat grafting for Augmentation and for treatment of Pain After Augmentation


12:00 – 1:00 pmlunch Venetian Ballroom

1:00 pmFoREIgn ScHolaRS’ aWaRDS – aRgEnTInaModerator – Codner

melisa A. galetto, mD Rosario, ArgentinaPablo guillermo Panzeri, mD Buenos Aires, ArgentinaPablo Rodrigo Fernandez, mD Cordoba, Argentina

1:15 pmJoHn BoSTWIck RESIDEnT PaPER aWaRD(Resident and Title TBD) Moderator – losken

1:30 pm2013 BREaST SymPoSIum lIvE SuRgERy RESulTSModerator – namnoum

2:00 – 3:00 pmaugmEnTaTIon vS maSToPExy vS BoTHModerator – Elliott

2:00 pmCodner – Smooth vs textured implants – the Risk of Future mastopexy


2:10 pmCalobrace – Surgical Approach to Simultaneous Augmentation mastopexy

2:20 pm nava – Augmentation mastopexy

2:30 pm mottura – the Circumvertical technique for mastopexy

2:40 pmBucky – Augmentation mastopexy using large volume Fat grafting


3:00 – 3:30 pmCoffee Break / Visit Exhibits Windsor Ballroom D and Foyer

3:30 – 5:00 pmBREaST REDucTIon anD cHallEngES In BREaST SuRgERyModerator – Codner

3:30 pm grotting – vertical Sculpted Pillar Reduction

3:40 pmmottura – the South American Approach to Breast Reduction in the medium Size Breast

3:50 pmSpear – Experience with Reduction in the Previously Radiated Breast


4:10 pmShestak – nipple Reconstruction- optimizing Results and Avoiding Problems

4:20 pmteitelbaum – Correcting the unhappy Breast Augmentation Patient

4:30 pm namnoum – the ideal Breast Defined




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SunDAy, FEBRuARy 2nD

7:00 amContinental Breakfast/ Visit Exhibits Windsor Ballroom D and Foyer

8:00 – 9:00 amoncoPlaSTIc SuRgERy Moderator – losken

8:00 am Hijjawi – oncoplastic Surgery: timing and techniques

8:10 amKronowitz – oncoplastic Surgery: A management Algorithm and Practical Surgical techniques

8:20 am nava – Alloplastic mesh in oncoplastic Breast Surgery

8:30 amKim – Risk Analysis of Breast Reconstruction: lessons and limitations

8:40 am Carlson – Contralateral Prophylactic mastectomy: Boon or Boondoggle?


9:00 – 9:30 amPRoBlEm caSES FRom THE auDIEncEModerator – Elliott

Expert Faculty – maxwell, Spear, HammondPLEASE Bring Your Problem Cases on a Thumb Drive

9:30 – 10:30 amCoffee Break / Visit Exhibits / Break Out Session Windsor Ballroom D and Foyer

9:30 am

BREak-ouT SESSIon – FDA Approved Shaped Breast implants Hands on Panel: Advantages of Shaped Breast implants Feel the Differences in Shape, Softness, and texture use of Funnel insertion with Shaped implantsModerator – Codner Expert Faculty – maxwell, teitelbaum, Hammond

10:30 am – 12:30 pmHoT ToPIcS In BREaST SuRgERyModerator – namnoum

10:30 am Delvecchio – Complications of large volume Fat transplantation

SunDAy, FEBRuARy 2nD

10:30 am Bucky – large volume Fat grafting for Revision Breast Surgery

10:40 am Hijjawi – Fat grafting to the Breast

10:50 amStrock – Revisional Breast Augmentation: management of the implant Capsule


11:30 am Delvecchio – Role of Fat in Breast Reconstruction

11:40 amgrotting – Addition Subtraction Concepts in Aesthetic Breast Surgery

11:50 amPfeifer – the use of Shaped implants in the Correction of Capsular Contracture

12:00 pm Spear – outcomes After Failed implant Reconstruction


meeting Adjourned




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ACCREDitAtionThe Southeastern Society of Plastic and Reconstructive Surgeons is accredited by the Accreditation Council for Continuing Medical Education in order to provide continuing medical education for physicians.

The Southeastern Society of Plastic and Reconstructive Surgeons designates this live activity for a MAXIMuM of 17.5 CME CATEGORY 1 CREDITS toward the AMA Physician’s Recognition Award. Physicians should claim only the credit commensurate with the extent of their participation in the live activity.

SESPRS DiSCloSuRE PoliCy As a provider accredited by the ACCME, SESPRS must ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. All planners, presenters and faculty members are required to disclose all relevant financial relationships with commercial interests in advance of the activity. All individuals responsible for the content of any SESPRS educational activity must disclose. Anyone who refuses to disclose will be removed. All disclosures are reviewed by the SESPRS ACCME Committee, and conflicts of interest are identified and managed in advance of the activity. Management takes place either through recusal, limiting participation, peer review, or divestment of the relationship.

All planners, presenters and faculty members’ disclosures will be provided to the audience in advance of the activity via slides. Additionally, all presenter disclosures will be announced verbally.

Additionally, if any unapproved or off-label use of a product is to be referenced in a CME program presentation, the faculty member/participant is required to disclose that the product is either investigational or it is not labeled for the usage being discussed. SESPRS shall convey any information disclosed by the faculty member/participant to the CME program audience prior to the activity.

SPECiAl nEEDSAny special needs requests should be submitted in writing to the SESPRS office by December 1, 2013.

REgiStRAtion FEESResident registration fees are complimentary with a letter submitted with their registration from their plastic surgery program director. Physicians in their first and second year after residency are eligible for the New Physician rate. Physicians who have more than two years of practice and are not members of SESPRS/ASPS/ASAPS/ISAPS are eligible for Guest Physician rates.

The registration fee for a spouse/companion includes admittance to meals and social functions. Spouses/companions wishing to attend the symposium presentations must register under the “Office Personnel or Nurse” category.

Please register early. Full refunds minus a $50 processing fee will be considered if written notice of cancellation is received by December 1, 2013; a 50 percent refund will be given if written notice of cancellation is received by December 12, 2013. No refund will be given after December 12, 2013.

RESERvAtionSIntercontinental Hotel (located in the heart of Buckhead) 3315 Peachtree Road, NE Atlanta, GA 30326 404-946-9000 www.intercontinentalatlanta.com

Room rates are $249 per night, single or double occupancy. Reservations must be received by December 16, 2013 for this rate to be honored.

Alternate Hotel located within walking Distance to the Intercontinental

Embassy Suites (located next door) 3285 Peachtree Road, NE Atlanta, GA 30305 404-261-7733

Room rates are $139 per night, single or double occupancy. Reservations must be received by January 8, 2014 for this rate to be honored.

There is NO GUARANTEE that rooms will be available up to the deadline date, and there is no guarantee that rooms will be available at this rate. Rates quoted here are on a space-available basis only. Once our block of rooms is sold out, which may be earlier than December 16, 2013 or January 8, 2014 for each represented hotel, there is no guarantee that rooms will be available at this rate. Visit our website www.sesprs.org to make on-line hotel reservations. Click on this meeting on our site for more information: www.sesprs.org.

onlinE REgiStRAtionOnline registration is available at www.sesprs.org. If you have any questions,

please call (435) 901-2544 or visit our website at www.sesprs.org.

view meeting from the comfort of your Home online – Available for Breast Symposium only



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REgiStRAtionPlease fill out and mail this form to SESPRS, 6300 Sagewood Drive, Suite H255, Park City, UT 84098 or fax to (435) 487-2011. Online registration is also available at www.sesprs.org. Questions? Call (435) 901-2544 or visit us online at www.sesprs.org. A confirmation notice will be sent by e-mail to each registrant upon receipt of their registration.

Name: Spouse/Companion Name:

Address:

City: State: Zip Code:

Phone: Fax:

Email:

ASPS Member ID No.:

Additional Name for Badge/ Spouse:

Breast and oculoplastic Symposia

Breast Symposium only

Please check the appropriate response: Before 12/10

After 12/10

Before 12/10

After 12/10

SESPRS Member q $1375 q $1500 q $1100 q $1200

ASPS/ASAPS/ISAPS Member q $1700 q $1900 q $1350 q $1450

Guest Physicians (non SESPRS, ASPS, ASAPS, ISAPS Member) q $2200 q $2400 q $1750 q $1850

Guest Physician Less Than 2 Years in Practice q $1000 q $1100 q $800 q $900

Resident/Fellows q Complimentary Registration – Letter From Plastic Surgery Program Director required in advance

Office Personnel or Nurse (Must be Accompanied by Physician) q $900 q $1000 q $800 q $900

Spouse/Companion (Social Functions Only) q $250 q $350 q $200 q $300

totAl Amount EnCloSED: $

online viewing Event Registration —Available for Breast Symposium Only—Registration MUST be done on-line.

Visit our website soon for details. www.sesprs.org / $799 for on-line viewing. (CME available if watched LIVE)

DvD’s of Past Symposia from 2005 —2012 are available for purchase at $225 each, please visit our website www.sesprs.org or call directly (435) 901-2544 to inquire or place an order.

Total Amount Enclosed: $

method of Payment: q Check (US Funds Only) q MasterCard q Visa q AMX

Card Number:

3 or 4 digit code: Expiration Date: / Signature:

If paying by credit card, please complete this registration form and fax or mail. If paying by check, please include a check in U.S. funds payable to: Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS).

if paying by mail, please send to: SESPRS 6300 Sagewood Drive, Suite H255, Park City, ut 84098

"Evidence is the Best Medicine"January 31 – February 2, 2014

The Intercontinental Hotel, Atlanta, GA

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SESPRS 30th Annual Atlanta Breast Surgery Symposium

Health & Medicine

Transcript of SESPRS 30th Annual Atlanta Breast Surgery Symposium