twenty-ninth annual€¦ · vanderbilt university – nashville, tn maurice nahabedian, md –...

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b a l a n c e w i t h o u t b i a s BREAST SURGERY SYMPOSIUM SESPRS 2013 | TWENTY-NINTH ANNUAL j a n u a r y 1 1 - 1 3 | a t l a n t a , g e o r g i a The Intercontinental Hotel Norman Engel

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Page 1: TWENTY-NINTH ANNUAL€¦ · Vanderbilt University – Nashville, TN Maurice Nahabedian, MD – Professor of Plastic and Reconstructive Surgery Georgetown University – Washington,

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The Intercontinental Hotel

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Symposium Chairs

Program Chairman Mark A. Codner, MD – Clinical Assistant Professor Emory University – Atlanta, GA

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

Board Appointed Co-Director Albert Losken, MD – Professor Emory University – Atlanta, GA

Emeritus Chairmen L. Franklyn Elliott, MD – Private Practice Atlanta, GA

Carl R. Hartrampf, Jr., MD – Retired Atlanta, GA

Symposium Faculty

William (Jay) G. Austen, Jr., MD – Chief Plastic and Reconstructive Surgery The Massachusetts General Hospital – Boston, MA

Mitchell H. Brown, MD – Associate Professor and Program Director, Division of Plastic Surgery University of Toronto – Toronto, Canada

Louis P. Bucky, MD – Clinical Professor of Surgery University of Pennsylvania School of Medicine Philadelphia, 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

Andrew L. Da Lio, MD – Clinical Professor and Chief David Geffen School of Medicine at UCLA – Los Angeles, CA

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

Elizabeth Hall-Findlay, MD – Private Practice Banff – Alberta, Canada

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

Patrick Mallucci, MD, FRCS – Consultant Plastic Surgeon The University College of London – London, England

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

Maurice Nahabedian, MD – Professor of Plastic and Reconstructive Surgery Georgetown University – Washington, DC

Foad Nahai, MD – Adjunct Professor of Plastic Surgery Emory University – Atlanta, GA

Kunihiko Nohira, MD – Director of Soshundo Plastic Surgery, Clinical Professor Hokkaido University – Sapporo Japan

Andrea Pusic, MD – Associate Professor Memorial Sloan-Kettering Cancer Center and Cornell University – New York, NY

Gino Rigotti, MD – ISPRES President Head of Regenerative Surgery Units – Mantova, Italy

J. Peter Rubin, MD – UPMC Endowed Professor of Plastic Surgery, Professor of Bioengineering University of Pittsburgh – Pittsburgh, PA

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

John Tebbetts, MD – Private Practice – Dallas, TX

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

Society Presidents

ASAPS President Leo R. McCafferty, MD – Pittsburgh, PA

ASPS President Elect Robert X. Murphy, MD – Bethlehem, PA

SESPRS President Ann Ford Reilley, MD – Baton Rouge, LA

sponsors

Symposium theme graphic created by Norman Engel

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Program Objectives– To demonstrate through live surgery

techniques of breast reduction and breast augmentation using shaped breast implants newly approved by the FDA.

– To provide comprehensive panels discussing fat grafting to the breast, use of acellular dermal matrix and new synthetic substitutes, and the use of shaped breast implants for breast augmentation.

– To present current trends and techniques in breast reconstruction including tissue expanders, direct to implant reconstruction, latissimus flaps, TRAM flaps, and microsurgical SIEA and DIEP Flaps.

– To evaluate a variety of techniques used in combined augmentation mastopexy.

– To provide input for problem cases from the registrants from a panel of experts

(Please bring your cases on thumbdrive to the AV prior to Sunday morning)

The 2013 Honorary Hartrampf Lecture Foad Nahai, MD –“Be Disruptively Innovative: Hartrampf Was”

The 2013 Foreign Scholars Program The SESPRS provides generous funding to different countries each year to sponsor the travel and registration expenses of the top 3 Chief Residents in Plastic Surgery. This SESPRS Honor offers them early recognition with unique international educational outreach. The 2013 Foreign Scholars are invited from Korea. The Online 2013 Breast Surgery Symposium The Atlanta meeting is offered online for the third year in its entirety including streaming video of the live surgery as well as the lectures from the convenience of your home. You can email questions directly to the Podium and they will be answered live at the meeting and on the internet. You also have three months to view the meeting from the comfort of your home computer. CME credit is also available.

For more information contact: [email protected]

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– 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 Surgeons (ASPS)

– The International Society of Aesthetic Plastic Surgery (ISAPS)

sponsors

Page 4: TWENTY-NINTH ANNUAL€¦ · Vanderbilt University – Nashville, TN Maurice Nahabedian, MD – Professor of Plastic and Reconstructive Surgery Georgetown University – Washington,

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2013 ATLANTA BREAST SURGERY SYMPOSIUM SCIENTIFIC PROGRAM

thursday, january 10

6:00 – 8:00 pm Welcome Reception and Registration Intercontinental HotelWindsor Ballroom Foyer

friday, january 11

7:00 – 8:00 am Registration Continental Breakfast | Visit Exhibits Windsor Ballroom Foyer

8:00 am WelcomeAnn Ford Reilley, MD – President SESPRS

8:00 – 12:00 pmRoom 1 Northside Hospital

LIVE SURGERY TELECAST Moderators – Codner, NamnoumObservers – Spear, Calobrace

8:00 am Brown – Breast Augmentation with Shaped Breast Implants (Provisional Title)

9:30 amRoom 2 Northside Hospital

Hall-Findlay – Superior Medial Breast Reduction Observers – Maxwell, Tebbetts

8:00 am Hammond – Breast Augmentation with Shaped Breast Implants (Provisional Title)

10:00 am Teitelbaum – Breast Augmentation with Shaped Breast Implants (Provisional Title)

Live Surgery Generously Sponsored by Northside Hospital

12:00 – 1:00 pm Lunch Venetian Ballroom

1:00 pm Opening Remarks Mark A. Codner, MD – Chairman

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1:00 – 2:00 pm 10 minute talks

BREAST RECONSTRUCTIONModerator – Namnoun

1:00 – 1:10 pm Da Lio – Current Concepts in Breast Reconstruction

1:10 – 1:20 pm Austen – Breast Reconstruction: The Science of Fat Graft Preservation

1:20 – 1:30 pm Namnoum – Latissimus Flaps and Anatomical Highly Cohesive Implants: Lessons Learned

1:30 – 1:40 pm Elliott – Methods to Make Bilateral Pedicle TRAM’s More Successful

1:40 – 1:50 pm Hijjawi – Breast Reconstruction in Obese Patients

1:50 – 2:00 pm Discussion

2:00- 2:30 pm Honorary Hartrampf Lecture Foad Nahai, MD – “Be Disruptively Innovative: Hartrampf Was”

2:30 – 3:00 pm Coffee Break | Visit Exhibits Windsor Ballroom Foyer

3:00 – 4:00 pm10 minute talks

BREAST RECONSTRUCTIONModerator – Losken

3:00 – 3:10 pm Carlson – The Emory Breast Reconstruction Experience: Tissue Expansion, Flaps, and How to Manage Radiation

3:10– 3:20 pm Pusic – The Memorial Sloan Kettering Breast Reconstruction Experience: Tissue Expansion, Flaps, and How to Manage Radiation

3:20 – 3:30 pm Hijjawi – Optimizing the DIEP Harvest with Intraoperative Imaging

3:30 – 3:40 pm Nahabedian – Building Microvascular Breast Reconstruction: From SIEA to DIEP

3:40 – 4:00 pm Discussion

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4:00 – 5:30 pm 15 minute talks 30 minute round table discussion

PANEL: The Use of Shaped Implants for Primary Breast Augmentation – Shaped vs Round: How I Choose Moderator – Codner

4:00 – 4:15 pm Tebbetts – When are Shaped Implants Necessary for Primary Breast Augmentation and When are They Not? Don’t Underestimate the Power of Marketing

4:15 – 4:30 pm Hammond – The Lower Pole Arc in Breast Augmentation – Matching the Footprint to the Soft Tissue Envelope For a Natural Result

4:30 – 4:45 pm Teitelbaum – Predictors of Revision and Dissatisfaction with Shaped Highly Cohesive Implants: Analysis of 1300 Implants Since 2001

4:45 – 5:00 pm Maxwell – Concepts, Fundamentals, and Techniques in the Use of Shaped Implants in Breast Augmentation: What Does Our Future Hold?

5:00 – 5:30 pm Discussion

7:00 – 10:00 pm Gala Dinner Location TBD

saturday, january 12

7:00 – 8:00 am Continental Breakfast | Visit Exhibits Windsor Ballroom Foyer

8:00 – 8:30 am AMERICAN SOCIETY UPDATESModerator – Reilley

ASPS – Robert X. Murphy, MD ASAPS – Leo R. McCafferty, MD SESPRS – Ann Ford Reilley, MD

8:30 – 9:30 am 10 minute talks

BREAST AUGMENTATIONModerator – Losken

8:30 – 8:40 am Mallucci – Concepts in Aesthetic Breast Dimensions: Analysis of the Ideal Breast

8:40 – 8:50 am Tebbetts – Dual Plane Breast Augmentation – The Details that Matter

8:50 – 9:00 am Maxwell – Global/Domestic Perspectives on Breast Implants For Breast Augmentation

9:00 – 9:10 am Bucky – 3D Imaging: Enhancing the Breast Consultation

9:10 – 9:20 am Nohira – Use of Shaped Implants with Transaxillary Endoscopic Breast Augmentation

9:20 – 9:30 am Discussion

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9:30 – 10:00 am Coffee Break | Visit Exhibits Windsor Ballroom Foyer

10:00 – 11:00 am 10 minute talks

REVISION AUGMENTATIONModerator – Elliott

10:00 – 10:10 am Spear – The Use of Porcine ADM in Revision Augmentation

10:10-10:20 am Calobrace – Avoiding Rippling and Malposition Deformities During Primary Augmentation Thereby Avoiding Revision Surgery

10:20 – 10:30 am Hammond – Management of the Inframammary Fold in Revision Breast Surgery: How to Fix, Lift or Lower the Fold

10:30 – 10:40 am Teitelbaum – When and How to Use the Neosubpectoral Pocket

10:40 – 10:50 am Codner – The Data on Biofilms and Nipple Shields and the Theoretical Risk of Capsular Contracture

10:50 – 11:00 am Discussion

11:00 – 12:00 pm10 minute talks 20 minute discussion

PANEL: State of the Art of Fat Grafting for Aesthetic and Reconstructive UsesModerator – Namnoum

11:00 – 11:10 am Rubin – The Science Behind Fat Grafting

11:10 – 11:20 am Bucky – The Use of Large Volume Fat Grafting for Revision Breast Surgery

11:20 – 11:30 am Spear – Lipoaugmentation of the Breast: Evidence Based Results

11:30 – 11:40 am Rigotti – Advantages and Disadvantages of Preoperative Breast Expansion prior to Fat Grafting: When to Use a Rigottomy

11:40 – 12:00 pm Discussion

12:00 – 1:00 pm Lunch Venetian Ballroom

1:00 – 1:15 pm FOREIGN SCHOLARS’ AWARDS – KOREAModerator – Elliott

Dong Won Lee, MD – Eun Key Kim, MD Sung Yoon Lim, MD

1:30 – 2:00 pm 2012 - LIVE SURGERY RESULTSModerator – Namnoum

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2:00 – 3:00 pm15 minute talks

AUGMENTATION/MASTOPEXYModerator – Codner

2:00 – 2:15 pm Namnoum – Periareolar Mastopexy Augmentation: Beyond the Vertical Scar

2:15 – 2:30 pm Grotting – Ensuring Adequate Implant Coverage During Secondary Augmentation Mastopexy

2:30 – 2:45 pm Tebbetts – Mastopexy Augmentation – The Real Requirements for Optimal Patient Outcomes

2:45 – 3:00 pm Discussion

3:00 – 3:30 pm Coffee Break | Visit Exhibits Windsor Ballroom Foyer

3:30 – 5:00 pm10 minute talks

REDUCTION MAMMOPLASTY Moderator – Losken

3:30 – 3:40 pm Grotting – Vertical Breast Reduction Made Predictable

3:40 – 3:50 pm Hall-Findlay – Superior Medial Breast Reduction

3:50 – 4:00 pm Codner – Superior Pedicle Breast Reduction: Why I No Longer Use the Central Mound or Inferior Pedicle After 15 Years

4:00 – 4:10 pm Discussion

4:10 – 4:20 pm Rubin – Mammoplasty After Massive Weight Loss

4:20 – 4:30 pm Hammond – Treatment of Gynecomastia with Liposuction and the Pullthrough Technique

4:30- 4:40 pm Teitelbaum – A Modern Approach to Gynecomastia

4:40 – 5:00 pm Discussion

sunday, january 13

7:00 – 8:00 am Continental Breakfast | Visit Exhibits Windsor Ballroom Foyer

8:00 – 9:00 am10 minute talks

ONCOPLASTIC SURGERY Moderator – Losken

8:00 – 8:10 am Losken – Oncoplastic Surgery: How to Correct BCT Deformity

8:10 – 8:20 am Carlson – The Future of Mastectomy Techniques and Nipple Preservation

8:20 – 8:30 am Da Lio – Wise-Pattern Skin Excision for Reconstruction of Ptotic Breasts

8:30 – 8:40 am Nahabedian – Oncoplastic Surgery: How to Prevent BCT Deformity

8:40 – 9:00 am Discussion

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9:00 – 9:30am Problem Cases from the Audience Expert Faculty – Bucky, Calobrace, Hall-FindlayPLEASE bring your preop and/or postop cases to AV prior to Sunday on a thumbdrive

9:30 – 10:30 am10 minute talks – 20 minute discussion

PANEL: Advantages and Disadvantages of Acellular Dermal MatrixModerator – Namnoum

9:30 – 9:40 am Austen – Absorbable Mesh in Breast Reconstruction. Do We Always Need ADM?

9:40 – 9:50 am Brown – ADM in Revision Breast Implant Surgery

9:50 – 10:00 am Losken – Use of Human ADM In Breast Reconstruction

10:00 – 10:10 am Elliott – Use of ADM in Aesthetic and Reconstructive Breast Surgery

10:10 – 10:30 am Discussion

10:30 – 11:00 am Break | Visit Exhibits Windsor Ballroom Foyer

11:00 – 12:30 pm8 minutes each

HOT TOPICS IN BREAST SURGERY Moderator – Codner

11:00 – 11:08 am Teitelbaum – Explantation of Cosmetic Breast Implants

11:08 – 11:16 am Losken – Bacterial Contamination of Breast Implants in an Animal Model: Evidence to Support the No-Touch Technique

11:16 – 11:24 am Hall-Findlay – The Double Capsule After Breast Augmentation

11:24 – 11:32 am Mallucci – Use of Asymmetrical Implants for the Correction of Breast Asymmetry

11:32 – 11:42 am Discussion

11:42 – 11:50 am Nahabedian – ALCL – Current Diagnosis and Treatment

11:50 – 11:58 am Nohira – Pearls on Breast Surgery From the Far East – Size, Shape and Scars

11:58 – 12:06 pm Pusic – Use of the Breast – Q: Outcome Data Summary

12:06 – 12:14 pm Codner – Bilateral Latissimus Dorsi Breast Reconstruction with Areolar Preserving Mastectomy

12:14 – 12:30 pm Discussion

Meeting Adjourned

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Accreditation

The 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 educational activity for a maximum of 17.5 category 1 credits toward the AMA Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

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. Presenters are required to disclose all relevant financial relationships with commercial interests, and these disclosures will be announced to the audience verbally and via slides. If a speaker fails to make a disclosure, that speaker is precluded from making a presentation at the meeting. 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 Needs

Any special needs requests such as handicap status or dietary restrictions need to be submitted to the SESPRS office by December 1, 2012.

Registration Fees

Resident rates are complimentary with a letter submitted with their registration form from their plastic surgery program director. Physicians in their first and second year after residency are eligible for the New Physician rates. The registration fee for a spouse includes admittance to meals and social functions. Spouses wishing to attend symposium presentations must register under the “Office Personnel or Nurse” category. Please register early. Full refunds minus a $50 service charge will be considered if written notice of cancellation is received by December 1, 2012; a 50 percent

refund will be given if written notice of cancellation is received by December 12, 2012. No refund will be given after December 12, 2012.

Hotel Reservations

Intercontinental Hotel3315 Peachtree Road, NE Atlanta, GA 30326 404-946-9000

Room rates are $239 per night, single or double occupancy, plus applicable taxes. Reservations must be received by December 17, 2012 for this rate to be honored.

You may make your hotel reservation through our website at www.sesprs.org. Click on the meting and follow the link for hotel reservations.

Alternate Hotel located next door to the Intercontinental

Embassy Suites 3285 Peachtree Road, NE Atlanta, GA 30305 404-261-7733

Room rates are $181 per night, single or double occupancy, plus applicable taxes. Reservations must be received by December 18, 2012 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 the 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 19, 2012, there is no guarantee that rooms will be available at this rate. Visit our Website at www.sesprs.org to make on-line hotel reservations. Click on this meeting on our site for more information: www.sesprs.org

for details visit:

www.sesprs.org

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RegistrationPlease fill out and mail this form to:

SESPRS 12100 Sunset Hills Road | Suite 130Reston, VA 20190-3221

OR FAX to (703) 435-4390A confirmation notice will be sent by mail to each registrant upon receipt of their registration.

NAME

ADDRESS

CITY STATE ZIP CODE:

PHONE FAX

EMAIL

ASPS MEMBER ID NO.

ADDITIONAL NAME FOR BADGE/SPOUSE

JOINT Breast Surgery and Oculoplastic Symposia

Breast Symposium ONLY

PLEASE CHECK THE APPROPRIATE BOX/ES BELOW

BEFORE 12/10 AFTER 12/10 BEFORE 12/10 AFTER 12/10

SESPRS Members $ 1,375 n $ 1,500 n $ 1,100 n $ 1,200 n

ASPS/ASAPS Members $ 1,700 n $ 1,900 n $ 1,350 n $ 1,450 n

Guest Physicians Non SESPRS, ASPS or ASAPS Members

$ 2,200 n $ 2,400 n $ 1,750 n $ 1,850 n

New Physician Less Than 2 Years In Practice

$ 1,000 n $ 1,100 n $ 800 n $ 900 n

Residents/Fellows Complimentary Registration Letter From Plastic Surgery Program Director Required – OR $ 50

Office Personnel or Nurse Must be Accompanied by Physician

$ 700 n $ 800 n $ 600 n $ 700 n

Spouse/Companion Social Functions Only

$ 250 n $ 350 n $ 200 n $ 300 n

Online Event Registration – Available for Breast Symposium Only. (CME Available if Watched Live) Registration MUST be done on-line. Visit our website soon for details. www.sesprs.org $ 799 n $ 799 n

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 (703)234-4067 to inquire or place an order.

n $ 225 ea X __ = $ _____

TOTAL AMOUNT ENCLOSED $

Symposium

Fees

Method of Payment:n CHECK — US Dollars ONLY

(Payable Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS)

n CREDIT CARD* n MasterCard n Visa n AMX

CARD NUMBER EXP DATE

SIGNATURE

* If paying by credit card, please complete this registration form and FAX OR MAIL to the ADDRESS to the left.

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Southeastern Society of Plastic and Reconstructive Surgeons

12100 Sunset Hills Road Suite 130 Reston, Virginia 20190

(703) 234-4067www.sesprs.org

Join us for the SESPRS 56th Annual Meeting

Hyatt Coconut Point Bonita Springs, Florida

June 1 – 5, 2013

january 11-13

atlanta, georgia

The Intercontinental Hotel

for details visit

www.sesprs.org