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SESPRS 2016 ATLANTA BREAST SURGERY SYMPOSIUM

THE INTERCONTINENTAL HOTEL | ATLANTA, GA

“VIDEO SURGICAL PANELS: EXPERIENCE vs TECHNIQUE”

JANUARY 22-24, 2016

32ND ANNUAL

FRIDAY–SUNDAY, JANUARY 22-24, 2016

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THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 3

2016 SCIENTIFIC PROGRAM

SYMPOSIUM CHAIRS

Program Chair Mark A. Codner, MD – Clinical Assistant Professor, Emory UniversityAtlanta, GA

Program Co-Chairs James D. Namnoum, MD – Clinical Assistant Professor, Emory UniversityAtlanta, GA

Albert Losken, MD – William G. Hamm Professor of Plastic Surgery, Emory Plastic Surgery Program DirectorAtlanta, GA

Emeritus ChairsL. Franklyn Elliott, MD – Private PracticeAtlanta, GA

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

SYMPOSIUM FACULTY

Phillip N. Blondeel, MD, PhD Professor of Plastic Surgery University Hospital Gent Gent, Belgium

Mitchell Brown, MD, FRCSC Plastic and Reconstructive Surgeon University of Toronto Toronto, Canada

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 Philadelphia, PA

M. Bradley Calobrace, MD Clinical Faculty in Plastic Surgery University of Louisville and University of Kentucky Louisville & Lexington, KY

Krishna B. Clough, MD L’Institut du Sein-Paris Breast Centre Paris, France

Scot B. Glasberg, MD Private PracticeNew York, NY

Kevin F. Hagan, MD Associate Professor of Plastic Surgery,Vanderbilt University Medical CenterNashville, TN

Dennis C. Hammond, MD Partners in Plastic Surgery Grand Rapids, MI

Steven R. Jacobson, MD Assistant Professor of Plastic Surgery College of Medicine Mayo Clinic Rochester, MN

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

Steve Kronowitz, MD University of Texas M.D. Anderson Cancer Center Houston, TX

Bernard T. Lee, MD Chief, Division of Plastic & Reconstructive SurgeryBeth Israel Deaconess Medical CenterAssociate Professor of SurgeryHarvard Medical SchoolBoston, MA

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

Daniel C. Mills, MD Medical Director, Aesthetic Plastic Surgical InstituteLaguna Beach, CA

Michel Saint-Cyr, MD Professor of Plastic SurgeryChief Division, Baylor Scott & White Temple, TX

Aldona J. Spiegel, MD Associate Professor, Weill Cornell Medical College Director, Center for Breast Restoration Houston, TX

AMERICAN PLASTIC SURGERY SOCIETY UPDATES

ASAPS President ElectDaniel C. Mills, MD Laguna Beach, CA

ASPS PAST PRESIDENT Scot B. Glasberg, MD New York, NY

SESPRS PresidentKevin F. Hagan, MD Nashville, TN

FRIDAY–SUNDAY, JANUARY 22-24, 2016 4

2016 SCIENTIFIC PROGRAM32ND ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

SPONSORED BY:Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS)

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 OBJECTIVESAt the conclusion of this activity, learners will be able to:

y Discuss techniques and best practices for the following surgeries:

1. Oncoplastic surgery for the reconstruction of a breast following partial removal of the breast for breast cancer

2. Removal of older round breast implants and adjustment of the pocket in order to place new shaped breast implants

3. Breast lift or mastopexy

4. Breast reduction surgery

y Discuss breast reconstruction following breast cancer including oncoplastic surgery and breast reconstruction including tissue expanders, direct to implant reconstruction, latissimus flaps, TRAM flaps, microsurgical SIEA and DIEP Flaps, and nipple reconstruction.

y Assess current trends and techniques in 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.

y 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.

SESPRS Gratefully Acknowledges Commercial Support from

MENTOR WORLDWIDE

THE 2016 FOREIGN SCHOLARS' AWARDS The SESPRS provides generous funding to different countries each year to sponsor the travel and registration expenses to the top three (3) Plastic Surgery Chief Residents in that country. This SESPRS honor provides them with a unique international educational outreach. The 2016 Foreign Scholars are invited from Poland.

THE 2016 HONORARY HARTRAMPF LECTURE G. Patrick Maxwell, MD – The Influence of Dr. Carl R. Hartrampf and the Atlanta Plastic Surgery Program: A Personal Journey

FRIDAY–SUNDAY, JANUARY 22-24, 2016 THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 5


6:00 – 8:00 pmWelcome Reception and RegistrationIntercontinental HotelWindsor Ballroom D and Windsor Ballroom Foyer

7:00 – 8:00 amRegistration Continental Breakfast/ Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

8:00 am SESPRS WELCOMEKevin F. Hagan, MD, President SESPRS

8:00 – 12:00 pm LIVE SURGERY TELECAST Moderator – Codner

Room 1

8:00 am

9:30 am

Northside Hospital Observers – Clough, Jacobson, Spear

Oncoplastic Reconstruction – Losken

Breast Reduction – Hammond

Room 2

8:00 am

10:00 am

Northside Hospital Observers – Bucky, Maxwell

Mastopexy – Calobrace

Replacement of Round with Shaped Implants – Brown

Video – Khouri – The Reverse Abdominoplasty and Fat Transfer (RAFT)

Live Surgery Generously Supported by Northside Hospital

FRIDAY, JANUARY 22, 2016

THURSDAY, JANUARY 21, 2016


32ND ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

12:00 pm LunchVenetian Ballroom

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

1:00 – 2:00 pm AUTOLOGOUS BREAST RECONSTRUCTION Moderator – Codner

1:00 – 1:10 pm Spiegel – Refinements in Autologous Breast Reconstruction

1:10 – 1:20 pm Namnoum – Latissimus Flap Breast Reconstruction. Critical Steps to Achieve Lasting Success

1:20 – 1:30 pm Saint-Cyr – Fat Grafted Volume Enhanced Latissimus Dorsi Flap and Recipient Site in Autologous Breast Reconstruction

1:30 – 1:40 pm Lee – Developing a Program in Microsurgical Breast Reconstruction

1:40 – 1:50 pm Mills – Non-Surgical Inframammary Correction

1:50 – 2:00 pm Discussion

2:00 - 2:30 pm

HONORARY HARTRAMPF LECTURE Introduction – CodnerG. Patrick Maxwell, MD – “The Influence of Dr. Carl R. Hartrampf and

the Atlanta Plastic Surgery Program: A Personal Journey”

2:30 – 3:00 pm PANEL – PERFORATOR FLAPSModerator – Namnoum

2:30 – 2:40 pm Blondeel – My Experience with Perforator Flaps – Should I Do It?

2:40 – 2:50 pm Saint-Cyr – My Experience with Perforator Flaps – Should I Do It?

2:50 – 3:00 pm DiscussionpIdentified as applicable to patient safety

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

3:30 - 4:30 pm ADVANCES IN BREAST RECONSTRUCTIONModerator – Losken

3:30 – 3:40 pm Brown – Nipple Sparing Mastectomy and Direct to Implant Reconstruction

3:40 – 3:50 pm Hammond – Technical Pearls in Two Stage Tissue Expander/ADM Breast Reconstruction

3:50 – 4:00 pm Jacobson – Subcutaneous Minimally Invasive Breast Reconstruction

4:00 – 4:10 pm Namnoum – Direct To Implant Breast Reconstruction with Shaped Implants

4:10 – 4:20 pm Spiegel – Nipple Sparing Mastectomy with Composite Breast Reconstruction

4:20 – 4:30 pm Saint-Cyr – Abdominal Based Perforator Free-Flap Breast

Reconstruction: Impact of Drain Free Donor Site and Liposomal Bupivacaine on Patient Outcomes


4:40 – 6:00 pm CHALLENGES FACING BREAST RECONSTRUCTION Moderator – Elliott

4:40 – 4:50 pm Jacobson – Treatment of Animation Tissue in Implant Breast Reconstruction

4:50 – 5:00 pm Khouri – Immediate Breast Reconstruction with AFT: No Flaps, No Implants

5:00 – 5:10 pm Kronowitz – Optimal Management of the Radiated Breast in “ALL” Clinical Settings

5:10 – 5:20 pm Glasberg – Outcomes Related to Secondary Revisions in Implant Breast Reconstruction


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7:00 – 8:00 am Continental Breakfast / Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

8:00 – 8:30 am American Plastic Surgery Society UpdatesModerator – Hagan

ASPS – Scot B. Glasberg, MDASAPS – Daniel C. Mills, MDSESPRS – Kevin F. Hagan, MD

8:30 – 9:30 am PRIMARY BREAST AUGMENTATION Moderator – Namnoum

8:30 – 8:40 amCalobrace – Optimizing Results with the Dual Plane Approach

in Breast Augmentation with Textured Round and Shaped Implants

8:40 – 8:50 am Hammond – Risk Stratification in Breast Augmentation

8:50 – 9:00 am Codner – Textured vs Smooth Round Breast Implants for Augmentation

pIdentified as applicable to patient safety

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5:20 – 5:30 pm Namnoum – Aesthetic Breast Reconstruction: The 5 Innovations I Learned from the Future


7:30 - 9:30 pmGALA DINNER DANCEPolish Spirits Frozen Luge Dinner PartyVenetian Ballroom

SATURDAY, JANUARY 23, 2016





9:00 – 9:10 am Glasberg – How to Incorporate Use of Shaped Implants Into Your Practice

9:10 – 9:20 am Mills – Transaxillary Breast Augmentation – Why the Endoscope is Not Necessary

9:20 – 9:30 am Discussion

9:30 – 10:00 am Coffee Break / Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

10:00 – 11:00 am SECONDARY BREAST AUGMENTATION AND REVISIONSModerator – Losken

10:00 – 10:10 am Brown – Managing Capsular Contracture with Site Change

10:10 - 10:20 am Bucky – Complications of Breast Surgery: Managing the Patient

10:20 – 10:30 am Khouri – A New Minimally Invasive Incisionless and Sutureless Mastopexy

10:30 – 10:40 am Mills – Capsulectomy and Scaffold Use to Decrease Recurrence of Capsules

10:40 – 10:50 am Codner – Correction of Reconstruction and Augmentation Complications


11:00 – 12:00 pm FAT GRAFTING PANELModerator – Elliott

11:00 – 11:10 am Blondeel – How Lipofilling Changed My Approach to Autologous Breast Reconstruction

11:10 – 11:20 am Brown – Fat Grafting with External Expansion – Lessons Learned

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11:20 – 11:30 am Bucky – Use of Large Volume Fat Grafting for Pain

11:30 – 11:40 am Clough – Fat Grafting Prior to Implant Reconstruction

11:40 – 11:50 am Hammond – A Simplified Approach to Fat Grafting


12:00 – 1:00 pm LunchVenetian Ballroom

1:00 – 1:15 pm FOREIGN SCHOLARS’ AWARDSModerator – Codner

Daria Charytonowicz, PhD, MD . . . . . . . . PolandMagdalena Anna Graczyk, PhD, MD . . . PolandPawel Szychta, PhD, MD . . . . . . . . . . . . . Poland

1:15 – 1:30 pm JOHN BOSTWICK RESIDENT PAPER AWARDModerator – LoskenJack Scheuer, MD – Resident, University of Texas Southwestern“A Single Experience Using Bi-pedicled Abdominal Free Flapsfor Unilateral Breast Reconstruction”

1:30 – 2:00 pm 2015 BREAST SYMPOSIUM LIVE SURGERY RESULTSModerator – Namnoum

Endoscopic Transaxillary Breast Augmentation with Shaped Implants

Primary Breast Augmentation with Breast Implants and Fat Grafting

Breast Reconstruction with Shaped Implants, Surgical Scaffolds, and Immediate Fat Grafting

2:00 – 3:00 pm AUGMENTATION AND MASTOPEXYModerator – Namnoum

2:00 – 2:10 pm Blondeel – Composite Breast Augmentation and Augmentation Mastopexy





2:10 – 2:20 pm Calobrace – Simultaneous Augmentation Mastopexy with Textured Implants

2:20 – 2:30 pm Losken – Supramedial Mastopexy – Rotation Advancement Technique

2:30 – 2:40 pm Bucky – Breast Augmentation and Mastopexy Simplified as a One Stage Case

2:40 – 2:50 pm Lee – Mastopexy and Autologous Augmentation with the Intercostal Artery Perforator Flap


3:00 – 3:30 pm Coffee Break / Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

3:30 – 5:00 pm CHALLENGES IN BREAST SURGERYModerator – Losken

3:30 – 3:40 pm Calobrace – Secondary Augmentation Mastopexy: Surgical Approach and Review of 200 Consecutive Cases

3:40 – 3:50 pm Khouri – The Reverse Abdominoplasty and Fat Transfer (RAFT), A Versatile Minimally Invasive Breast Procedure

3:50 – 4:00 pm Kronowitz – Oncological Safety of Fat Grafting the Breast


4:10 – 4:20 pm Lee – Management of Complications in Autologous Breast Reconstruction

4:20 - 4:30 pm Losken – Nipple Reconstruction – Technique Review

4:30 – 4:40 pm

Glasberg – Maximizing Technique to Minimize Complications – An Extensive Review of Perioperative Modalities to Reduce Risk


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SUNDAY, JANUARY 24, 2016

7:00 – 8:00 am Continental Breakfast/ Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

8:00 – 9:00 am ONCOLOGIC CONSIDERATIONS Moderator – Losken

8:00 – 8:10 am Clough – Oncoplastic Surgery for Breast Conservation: Classification of Techniques

8:10 – 8:20 am Clough – Level 2 Oncoplastic Surgery: Techniques and Results

8:20 – 8:30 am Kronowitz – The Kronowitz Immediate Oncoplastic Surgical Technique Algorithm

8:30 – 8:40 am Glasberg – An Update on the Current State of BI-ALCL: What Every Surgeon Should Know

8:40 – 8:50 am Losken – Oncoplastic Breast Surgery State of the Art at Emory and in the US


9:00 – 9:30 am PROBLEM CASES FROM THE AUDIENCEModerator – Elliott

Expert Faculty – Maxwell, Hammond, Bucky, SpiegelPLEASE Bring Your Problem Cases on a Thumb Drive

9:30 – 10:30 am Coffee Break / Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

9:30 – 10:30 am Product Demonstration SessionMentor Worldwide, LLC and RTI Surgical, Inc.



10:30 – 12:30 pmHOT TOPICS IN BREAST SURGERY AND BREAST REDUCTION (8 minutes each) Moderator – Codner

10:30 – 10:38 am Blondeel – Approach to the “Difficult” Breast with the 3 Step Principle

10:38 – 10:46 am Calobrace – Algorithm and Technique for Pocket Control With or Without Soft Tissue Support in Revisional Breast Surgery

10:46 – 10:54 am Jacobson – Revision of the Reconstructed Breast

10:54 – 11:02 am Losken – Auto Augmentation in Oncoplastic Reductions


11:32 – 11:40 am Khouri – Correction of Tuberous Breast Deformities with External Expansion and Autologous Fat Transfer (AFT)

11:40 – 11:48 amSaint Cyr – The Pedicle Descending Branch Muscle Sparing

Latissimus Dorsi Flap in Breast Reconstruction: Harvest Technique, Modifications and Indications

11:48 – 11:56 pm Spiegel – Restoring Sensation; Innervation of DIEP Flaps in Breast Reconstruction

11:56 – 12:30 pm DiscussionMeeting Adjourns


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SUNDAY, JANUARY 24, 2016

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• Designed to assist in the performance of the dissection of the upper abdominal tunnel

• The wide curved working end spreads and holds the tissue of the upper skin fl ap apart

• Facilitates cautery elevation of the skin fl ap from the muscle fascia

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• Designed to assist in the performance of the dissection of the upper abdominal tunnel

• The wide curved working end spreads and holds the tissue of the upper skin fl ap apart


Extremely helpful in elevating the skin fl ap over the narrow tunnel for muscle fascia plication


• Extremely helpful in elevating the skin fl ap over the narrow tunnel for muscle fascia plication

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Designed By:Mark D. Epstein, M.D., F.A.C.S., Stony Brook, NY

EPSTEIN ABDOMINOPLASTY RETRACTOR

17406_EpsteinRet_SESPRS_6.25x4.75.indd 1 11/23/15 2:37 PM

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 educational activity for a MAXIIMUM OF 18.5 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.

Of the 18.5 credits, 3.10 have been identified as applicable to patient safety. p

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.

COMMERCIAL SUPPORT DISCLOSURESESPRS has requested commercial support from more than one company. Commercial supporters acknowledge that the Accredited Provider (SESPRS) will make all decisions regarding the disposition and disbursement of commercial support and that the funding received from each company will in no way affect; the identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content of the CME, selection of educational methods, or evaluation of the activity. Per the ACCME Standards for Commercial Support, the SESPRS will ensure that no commercial support will be used to pay for travel, honoraria, or personal expenses for non-teacher or non-author participants associated with the CME activity. The SESPRS will, as requested, provide documentation detailing the receipt and expenditure of the commercial support. Commercial supporters also agree that no other support of any type, whether financial, travel, speaker’s bureau funding will be provided to a particular faculty member relating to the meeting. The SESPRS will acknowledge all commercial supporters in conference materials in conjunction with the meeting, and in other ways as applicable according to the guidelines of our program.

THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 15

2016 SCIENTIFIC PROGRAM

B I O L O G I C A L L Y D E R I V E D • M O N O F I L A M E N T

R E S O R B A B L E • S U P E R I O R S T R E N G T H

COME VISIT US AT BOOTH GOLD 22

GalaFLEXR E S O R B A B L E S C A F F O L D

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NOTES



NOTES

THE AESTHETIC MEETING 2016

LasVegasApril 2–7, 2016

Mandalay Bay Resort and Casino

WE ARE AESTHETICS.

Experience the Global Gathering of Aesthetic Innovators and Experts

www.surgery.org/meet ing2016THE ANNUAL MEETING OF The American Society for Aesthetic Plastic Surgery, Inc. and Aesthetic Surgery Education and Research Foundation

TAM2016 6x9 SESPRS ad.qxp_Front 11/3/15 8:32 AM Page 1

SAVE THE DATEJune 11–15, 2016

Disney’s Grand Floridian Resort and SpaORLANDO, FLORIDA

Open to Members and Non-Members • Registration Opens SoonVisit www.sesprs.org for Details

T H E 5 9 T H A N N U A L

Scientific Meeting of the Southeastern Society of Plastic And Reconstructive Surgeons

atlanta breast - cdn.ymaws.com...associate professor of plastic surgery, vanderbilt university...

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