ipras journal 11th issue

ISSN: 2241-1275

11th Issue January 2013

www.ipras.org/ipras-journals

105 National - Regional Societies

Sant iago, Ch i le . . .where the heart of Plastic Surgery

will beat in February 2013

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© Mentor Worldwide LLC 2012 1209002

1 Data on File at Mentor Worldwide LLC / 2 Council Directive 93/42/EEC of 14 June 1993 concerning medical devices, updated 2007 / 3 FDA Approval for MENTOR® MemoryGel™ Round Profile Cohesive I™ Breast Implants and MENTOR® Saline-Filled Breast Implants / 4 ISO 10993:1 “Biological Evaluation of Medical Devices” - International Organization for Standardization, Geneva, Switzerland. / 5 Ibid - ISO 14607 “Non-active surgical implants – Mammary Implants – Particular requirements” / 6 Ibid - “Medical devices – Quality management systems – Requirements for regulatory purposes”

MENTOR® & PERTHESE™ Breast Implants50 years of combined breast aesthetics excellence.1

Issue 11 www.ipras.org IPRAS Journal 3

C O N T E N T S

PAGE85

PAGE13IPRAS Management office Report

Historical Account of FILACP

PAGE7210th IQUAM congress

• President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . .5

• General Secretary’s Message . . . . . . . . . . . . . . . . . .7

• Editor-in-Chief’s Message . . . . . . . . . . . . . . . . . . . . .9

• IPRAS Management office Report . . . . . . . . . . . 11

• Obituaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

• European Commission Letter . . . . . . . . . . . . . . . 25

• Senior Ambassador . . . . . . . . . . . . . . . . . . . . . . . . 27

• Pioneers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

• Rising Star . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

• Humanitarian Works . . . . . . . . . . . . . . . . . . . . . . . 35

• 17th IPRAS world congress . . . . . . . . . . . . . . . . . 39

• Surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

• National Associations’ & Plastic surgery

organizations’ News . . . . . . . . . . . . . . . . . . . . . . . . 56

• Historical Accounts . . . . . . . . . . . . . . . . . . . . . . . . 81

• Future Congresses . . . . . . . . . . . . . . . . . . . . . . . . 89

• National & co-opted societies future events . . . 102

• ISPRES Section . . . . . . . . . . . . . . . . . . . . . . . . . . 103

• Hyperguide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

• Industry news . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

• IPRAS past General Secretaries . . . . . . . . . . . . 106

• IPRAS Benefits for National Associations

& individual members . . . . . . . . . . . . . . . . . . . . . 107

PAGE59American Society of Plastic Surgeons


As the world leading manufacturer of high-quality breast implants, our experience results in products that you can rely on and that are made under strict standards of design and testing.

Our breast implants comply with applicable standards and regulations:��

��

��

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Quality is a necessity, not a luxury.

®

© Mentor Worldwide LLC 2012 1209002

1 Data on File at Mentor Worldwide LLC / 2 Council Directive 93/42/EEC of 14 June 1993 concerning medical devices, updated 2007 / 3 FDA Approval for MENTOR® MemoryGel™ Round Profile Cohesive I™ Breast Implants and MENTOR® Saline-Filled Breast Implants / 4 ISO 10993:1 “Biological Evaluation of Medical Devices” - International Organization for Standardization, Geneva, Switzerland. / 5 Ibid - ISO 14607 “Non-active surgical implants – Mammary Implants – Particular requirements” / 6 Ibid - “Medical devices – Quality management systems – Requirements for regulatory purposes”

MENTOR® & PERTHESE™ Breast Implants50 years of combined breast aesthetics excellence.1

4 IPRAS Journal www.ipras.org Issue 11

• To promote the art and science of plastic surgery

• To further plastic surgery education and research

• To protect the safety of the patient and the profession of Plastic, Reconstructive and Aesthetic Surgery

• To relieve as far as it is possible the world from human violence or natural calamities through its humanitarian bodies

• To encourage friendship among plastic surgeons and physicians of all countries

A I M S A N D S C O P E


Cordially yours

Marita Eisenmann-KleinIPRAS President

P R E S I D E N T ’ S M E S S A G E

Board of Directors

PresidentMarita Eisenmann-Klein - Germany

General SecretaryNelson Piccolo - Brazil

TreasurerBruce Cunningham - USA

Deputy General SecretaryYi Lin Cao - China

Deputy General SecretaryBrian Kinney - USA

Deputy General SecretaryAhmed Noureldin - Egypt

Deputy General SecretaryAndreas Yiacoumettis - Greece

ParliamentarianNorbert Pallua - Germany

Executive DirectorZacharias Kaplanidis - Greece

Dear colleagues,Let me start with my cordial personal wishes for a year of peace,well-being, happiness, joy and blessings for all your endeavours.2013 will hold a lot of challenges and a lot of opportunities, too:With the congress in Chile, starting only 6 weeks from now, we enter a new era in plastic surgery: In the 58 year history of IPRAS, all our congresses were limited to those plastic surgeons in the world who were able to communicate in English.In 2013, for the first time in an IPRAS world congress, there will be simultaneous translations from English into Spanish and Portuguese to enable all plastic surgeons, who live within the Ibero-Latin American Section, to participate actively with questions and other contributions.This has never happened before! The credit for this achievement goes to our Congress Organizer Zita Congress. They not only protected IPRAS by taking on the financial risks but also guaranteed an income from the congress. With this income we are able to sponsor our continuously growing humanitarian tasks and the development of our beloved specialty.In 2011 we founded ISPRES, the International Society of Plastic Regenerative Surgery. Its first congress in Rome in 2012 was a huge success and we look forward to its second congress in June 2013 in Berlin.In 2012 we founded the IPRAS Academy for Lasers, the IPRAS Academy for Aesthetic Surgery Training and the IPRAS Trainees Association.During its launch in Athens we were presented outstanding scientific papers, had many discussions and found great enthusiasm for worldwide partnerships, exchange of training and continuing evaluation of training conditions.The future of plastic surgery is in good hands with these young people!With great enthusiasm we anticipate for 2013 the founding of another new daughter society: the International Society of Pediatric Plastic Surgery.In many countries of the world plastic surgical procedures in children are performed by pediatric surgeons and maxillofacial surgeons without training in plastic surgery. This new interdisciplinary society will unite all competent specialists in this field and hopefully build interest among our members and our trainees for this rewarding field of plastic surgery.This society will also strengthen and underline the role of plastic surgeons in craniofacial surgery.The year 2012 was a year of painful l losses: Joseph Murray, the first and only Nobel Prize winner in plastic surgery passed away. Almost at the same time we lost Daniel Marchac and Fernando Ortiz Monasterio, - three heroes and role models, unique plastic surgeons, charismatic and warmhearted individuals. Those of us who had the privilege to know them will continue to feel their impact in their performance of plastic surgery forever and they will pass on what they have learnt from them.During this period of grieving we understand how blessed we are with our great teachers: teachers who generously and selflessly pass on their skills, their expertise, their psychological experience and their humanity.Santiago 2013 is another chance to meet them, to honor them and show them our gratitude. Please join us!

Prof. Marita Eisemann-KleinPresident of IPRAS


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G E N E R A L S E C R E T A R Y ’ S M E S S A G E

Dr. Nelson PiccoloIPRAS General Secretary

Societies members. As IPRAS created the IPRAS TA, where younger colleagues in training will be able to receive advice and training from giants in all fields ofPlastic Surgery, the Confederation is actually giving credit to all Co-Opted Societies and members to come forward and to contribute directly to the education and on the formation of world class specialists who eventually will become our peers and consequently, continue the legacy.Our strength also is our everyday practice in humanitarian issues and actions. Besides what most of us already do at home, IPRAS has pioneered several projects in this field. IPRAS has taken part inumerous times in theseevents, with local missions, education and organisation / guidance and planning of future missions – from the principles to actual practice!Our strength is also our ability to communicate. We do so freely, in all senses! IPRAS is also always there to help – everyday, through our central Office in Athens,every three months on the IPRAS Journal, and at every meeting and congress IPRAS endorses or supports, and now, most importantly, at the 17th World Congress of Plastic Surgery, to occur in Santiago during the last week of February 2013 when it will be my pleasure to greet you, to shake your hand and to give you a most warm welcome to the most important event ever in our specialty!

See you soon, in Santiago.

I am so glad we have finally arrived in 2013! This NewYear brings lots of most exciting promises with it, being that right at the start (barely two months from now... ) we will be having our first World Congress truly run andorganised by IPRAS – scientifically and organisationally– when IPRAS members and IPRAS Office staff workvery closely together to create the largest convention ever in our specialty ! As I have mentioned before,in recent months as we have had various opportunities in different areas of the world meeting colleagues of different nationalities and origins at different congresses, I have been most pleasantly surprised to find very similar people with very similargoals: to provide the best available techniques and technologies to their patients, while always being eager to share their experiences and to support ethical and standardized training principles.In my opinion, this similarity that binds us together is the true strength of our specialty – Plastic Surgery. With its most ample spectrum of interests, Plastic Surgery is strong and doing well! During this next convention we will be able to witness this phenomenon first hand. Themost recognised and accomplished specialists of the world will be there representing the body and soul of Plastic Surgery in all aspects of the specialty, continuously for a whole week.Our strengh also is in our members and our Co-Opted


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IPRAS-Journal_Jan2013.indd 1 17.12.2012 16:40:13


The game of American football is well known to people in the United States and not so much so outside its borders, but to use it as an analogy, I will tell you that the purpose of the game is to advance the ball down the field and across the opponents’ goal line.There are two ways to advance the ball: one is to carry it by hand and run through all of the defenses. The other is called the forward pass: the quarterback (“the passer”) throws the ball (which serves in our analogy as the “message” ) down the field, and it is caughtby the “pass receiver”. It's imperative that the passer have exquisite skills to be able to accurately throw the ball into the place where the receiver will be and who will be running at full speed, but it's equally as important that the receiver have special skills to get into the clear and evade several speedy and highly skilled defenders (often considered the best athletes on the team) so he’ll be able to catch the pass without interference from the defense.

You may ask, “what’s he getting to”?

I’m getting to the fact that we often feel the speaker in a presentation is the primary point man in a presentation (as is the passer) but, in truth, the pass receiver in football is equally important. So it is with the “ listener” in a presentation.

In a recent editorial I discussed ways a speaker could improve his effectiveness. But, if the pass receiver in football is as important as the passer, then so is the listener as important as the speaker.

So….how does a person become a better listener?

I P R A S J O U R N A LE D I T O R - I N - C H I E F ’ S M E S S A G E

Scientific Presentation: Getting More Out Of It

Dr. Thomas M. Biggs, M.D.Editor-In-Chief

That’s an important question. I’ve gone into hundreds (thousands?) of meeting rooms for a presentation and have sat back and basically said, “Okay…entertain me with your wit and wisdom”. That’s NOT the right way.

The right way is to study the program beforehand and collect your own thoughts about the subject, then organize your thinking as to what you know and what you’d like to know. If the speaker has prepared an abstract for the program, be sure to read it and use it as a scaffold upon which you can develop more fully the concept being presented and how the

EDIT

ORIA

L

Passer (speaker)..requires highly trained skills to throw ball 10-40 meters to a moving target


thoughts of the presenter are related to your anticipated benefits to be realized through the presentation. Begin toimagine what the speaker will emphasize and how he’s going about it. When he begins speaking, YOU begin trying to figure what point he’s making and how he’sgoing about it.

As you are listening, begin making very brief notes so you can remember what points the speaker made. Allow yourself to extrapolate as to where he’s going and see if he is taking that route. Make a note to yourself as to the fact that he did or did not follow your personal prescription and note if his selection was satisfactory. Note whether the presentation is fulfilling your anticipations andexpectations.

Thomas M. Biggs, M.D.Editor-In-Chief

At the earliest practical time, peruse your notes and create for yourself a presentation you would make given the information you have just heard. You may find that,as a listener (or pass receiver), you had not put yourself in the proper position to fulfill your half of the play…or you might feel that ,despite your excellent preparation, the speaker failed to provide more cogent information (or to throw the pass improperly).

Perhaps you might say,“that’s too much work. I just want to hear what he has to say”. If that’s the case and you were a pass receiver on a football team, you should pack

Football (message)..because of shape difficult to catch

your bags because someone else is certainly there to hone his skills sufficiently to be a better pass receiver than youare. To be a skilled listener, you must exercise as much effort as the speaker.

In our analogy, the football is the message, the passer is the presenter, and the receiver is the listener…..and it takes two, working in harmony, to complete a forward pass….or to establish what we call “a good presentation”.

In a book by Mortimer Adler, How To Speak And How To Listen, he points out that, in a study by Sperry, it was revealed that humans spend 46% of their time listening, 30% speaking, 15% reading, and 9% writing. However, in our educational system, writing is emphasized the most, reading next, speaking rarely, and listening not at all.

This is a fault of our Western educational system, and it can only be corrected if we recognize it.

Pass Receiver (listener) also requires well trained skills to be evade defenders and catch ball while running


I P R A S M A N A G E M E N T O F F I C E R E P O R T

October 2012 – December 2012

I P R A S M A N A G E M E N T O F F I C E R E P O R T

Mr. Zacharias Kaplanidis IPRAS Executive Director

2012 already belongs to the past. It was a year where all citizens of the world and the International economy experienced rather harsh moments with low growth rates and recession, civil wars, and a constantly increasing number of unemployed, especially among our youth. 2013 has arrived and not many essential changes have occurred regarding these negative aspects of the previous year. However, our opinion is that some optimistic signs are slowly emerging and allow us to believe that this New Year will be much better than 2012 in many respects. In the USA, following a tough deal between President Obama and the Republican Party, the fiscalissue seems to have been tackled successfully, sending the message of stable development worldwide for 2013. China also, following the financial deceleration of 2012,has adopted more aggressive policies for 2013 and the same seems to apply for other major economies, such as Brazil, Russia and India. Moreover, Japan, after a long stagnancy period, has decided in 2013 to expand its fiscal policies with a budget that exceeds 1,2 trilliondollars for the promotion and the development of major projects. Furthermore, the International Monetary Fund (IMF) and the European Union now realize that the strict fiscal policies that were adopted for 2012 in the Southof Europe were a mistake and lead countries such as Spain, Italy, Greece and Portugal to incredible levels of unemployment and financial recession. Possibly,this means that in 2013 the European Union and the IMF will take better care of the development and the employment levels of their countries/members and will be less focused on their rigorous adjustment to their fiscaldeficit. In addition, many economists believe that despitethe political and social commotion of countries in North Africa, Middle East and the Arabian Peninsula, who face problems of civil war amongst others, will manage to stabilize their economies and reinforce their development. Along with Brazil, the whole of South America, which has been affected by the continuously rising demand for raw materials by countries of Asia, America and Europe, is anticipated to increase its

growth rates even more. These anticipations are not just wishes but are based on specific political and financialfacts. However, there is always the possibility of the “Unforeseen Accident”. Our wish for 2013 is to express our optimism that this Unforeseen Accident will never occur and that our political, economic and social well-being worldwide will enter a safer environment. For IPRAS, 2013 begins with a huge event, the 17th IPRAS World Congress, in the beautiful and financiallystable, continuously growing country of Chile. Its capital, Santiago, will become the center and the heart of Plastic Surgery for one week, since thousands of scientists and hundreds of professionals from the industry field will meet in order to exchange experiences and opinions, to discuss business opportunities, strategies for the promotion and the development of the science of Plastic Surgery and furthermore, to have a good time under the Chilean shinny and summer sun.Everything is almost set, some final essentialadjustments need to be made to the scientificprogramme, new participants are registering from all over the world on a daily basis and with a constantly increasing rhythm and rate and moreover, the congress venue, the hotels, the airports and the Chilean Society of Plastic Surgery are fully prepared to offer unforgettable moments of hospitality to thousands of visitors. The official IPRAS bodies, suchas the Board of Directors, the Executive Committee and the National Delegate Committee are intensively preparing their agendas with all the important issues that concern Plastic Surgery worldwide, which will be discussed from February 24th to March 1st. All that is left for us is to wish you all “so long”, until we meet at the most important scientific congress in the history ofIPRAS. But let us now outline the most important activities of our Confederation and the Management Officein the last quarter of 2012. The first very importantevent which IPRAS participated in during this period was the annual congress of the American Society of


Plastic Surgeons (ASPS) in New Orleans, on October 26th to 30th. Just like every year, this congress was a tremendous success, and attracted a very impressive number of participants and exhibitors. IPRAS’s presence there was impressive and was represented, apart from our exhibition booth, most importantly by our President, Dr. Marita Eisenmann-Klein, the General Secretary, Dr. Nelson Piccolo, the Treasurer, Dr. Bruce Cunningham, the Deputy General Secretary, Dr. Brian Kinney, the Assistant Executive Director, Mrs. Maria Petsa and the Commercial Director, responsible for Sponsoring Issues, Mr. Gerasimos Kouloumpis. We would like to congratulate ASPS for another successful scientificcongress, to congratulate the past president, Dr. Malcolm Roth, and to wish with all our heart the best success to the new President of the Society, Dr. Gregory Evans. Our gratitude also goes to the Staff Vice President & Chief Membership Officer, Mrs. Carol Lazier, for her warm hospitality. Right after New Orleans, IPRAS flew to the beautiful cityof Antalya in Turkey, where the 34th Annual Congress of the Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons took place, from October 31st to November 4th. Here, just as every year, the congress

attracted a large number of participants (over 400), and included high level scientific presentations. We mustunderline here that the Turkish Society is constantly growing annually and their number of Plastic Surgeons is increasing rapidly, and it is now one of the largest societies/members of IPRAS. Our Confederation was present with its booth in a prominent position, and was represented by the IPRAS Executive Director, Mr. Zacharias Kaplanidis, his assistant, Mr. Nicholas Yiacoumettis, and Mrs. Labrini Nikolopoulou, ZITA Congress’s Director of Association Management. We would like to congratulate the Turkish Society’s Board of Directors for the organization and the new board members for their election during the congress, especially the new President, Dr. Ismail Kuran and IPRAS National Delegate for Turkey, Dr. Reha Yavuzer. We wish them every success in their duties and also thank everybody who offered their help and hospitality to the IPRAS mission. Here we would like to

Prof. Bruce Cunningham, IPRAS Tresurer, Prof. Marita Eisenamnn-Klein, IPRAS President, Dr. Deborah Reilly, ASPS Delegate and Mrs. Ashley Stoddard, WFW Pendants Artist. Ceremony during ASPS meeting in New Orleans that honored IPRAS President for her Humanitarian Work

Mr. Zacharias Kaplanidis, IPRAS executive Director at the Opening Ceremony

54:Dr. Nelson Piccolo, IPRAS General Secretary, Dr. Brian Kinney,IPRAS Deputy General Secretary, Prof. Marita Eisenmann-Klein, IPRAS President, MENTOR representative and Dr. Albert de Mey, Belgium Delegate at the MENTOR booth during the ASPS meeting in New Orleans.

Dr. Huseyin Borman,Dr. Ismail Kuran,Dr. Mustafa Yilmaz, Dr. Ramazan Kahveci,Dr. Reha Yavuzer


also point out that Turkey, along with Egypt, Portugal and Colombia are the countries who are bidding for the organization of the 20th IPRAS World Congress in 2019. We wish them all success. Before our mission in Turkey was even over, the IPRAS Management Officeparticipated invariousways in the10th IPRAS/IQUAM Congress and Consensus Conference in Athens, from November 1st to November 4th, a

procedures, made this congress an enormous success. The only negative element was the recent loss of two true giants of Plastic Surgery, the late Daniel Marchac and Fernando Ortiz Monasterio. The presence of Dr. Marchac’s wife, Mrs. Nina Mitz and his son, Dr. Alexander Marchac, during the special ceremony as a minimum homage to the President of our Confederations Scientific Committee, was a very emotional momentof the congress. Daniel Marchac and Fernando Monasterio are definitely two of the greatest personalitiesin contemporary plastic surgery and will be respected as such for many years by their thousands of colleagues who had the honour to meet and to listen to them in person. Their loss is, for IPRAS as well, immeasurable. We want to believe and hope that from heaven, where they definitely enjoy each other’s company, they watch overand bless the activities and the progress of the science that their life was devoted to. IPRAS, despite being emotionally affected by the organization of IQUAM for the aforementioned reasons, travelled immediately to Porto Allegre in order to attend the major scientific event of the 49th Annual Congress

congress of high importance, since besides the scientificannouncements that are made, moreover, the quality of technologies, devices and procedures in the art and science of Plastic Surgery are discussed with utmost attention, and formulated in its “Position Statement”. In Athens, the most highly-attended congress in the 20-year history of the IQUAM institution took place. Its innovation, compared to all other congresses, was the simultaneous organization of the 1st IPRAS International Trainees Meeting. The participation of distinguished scientists from approximately 40 countries, the large number of participants and the significant ConsensusStatement on the Quality of Technologies, devices and

A group of speakers at Exhibition Hall

Dr. Gregory Evans, President of the ASPS, Prof. Ivo Pitanguy, IPRAS Trustee, Mrs. Maria Petsa, IPRAS Assistant Executive Director, Dr. Carlos Uebel, ISAPS President, Dr. Nelson Piccolo, IPRAS General Secretary

Fernando Ortiz MonasterioDaniel Marchac


President, Dr. José Horácio Aboudib, Mrs. Lucianne De Dominicis, Secretary of the Brazilian Society, and other numerous members, such as the President of ISAPS, Dr. Carlos Uebel, Dr. Pericles Filho and many others. IPRAS is looking forward to meeting hundreds of members of the Brazilian Society in the upcoming 17th World Congress, in their neighboring country, Chile. Finally, last November, following successful efforts by the Management Office and the Second Vice-President of ISAPS Dr. Miodrag Colic, the Executive Director Mr. Zacharias Kaplanidis visited Albania and the city of Tirana, for an official meeting with the Albanian Plastic Surgeons. The objective was to assist in the foundation of a National Society and its inclusion as an officialmember of IPRAS. The hospitality and welcome by the Albanian plastic surgeons and by the official government,through Dr. Tritan Shehu, from the Parliament of Albania, was exceptionally warm. The result of this visit will become apparent in Santiago, where Albania, along with Bangladesh and Montenegro will officiallybecome accepted as new IPRAS members. I would like to wish them a very warm welcome. Moreover, I would like to thank Dr. Gjergji Belba, Dr. Miodrag Colic and Dr. Ioannis Lyras for their contribution to this success and to our mission. With this fine news, which portrays the additionalgrowth of IPRAS with 3 new associations, we would like to conclude this report of activities by the IPRAS Management Office. We heartfully wish you all health, personal happiness and every success in your professional goals for 2013. Let’s all make 2013, with our efforts, our lucky number!

of the Brazilian Society of Plastic Surgery, from November 14th to November 18th. IPRAS’s booth was present here again, as was the IPRAS General Secretary, Dr. Nelson Piccolo, the IPRAS Treasurer, Dr. Bruce Cunningham, the Commercial Director, responsible for Sponsoring Issues, Mr. Gerasimos Kouloumpis, and the Assistant Executive Director, Mrs. Maria Petsa. This was another major successful event, which attracted a large number of Brazilian Plastic Surgeons, as well as a large number of exhibitors and included a very interesting scientific programme. The hospitality ofthe Brazilian people was more than warm and especially by the Board of Directors. We would like to thank the

Dr José Horácio Aboudib is presenting a trophy to Prof Ronaldo Pontes, from Niteroi, Rio de Janeiro

Dr. Gjergji Belba, Dr. Miodrag Colic, Dr. Ioannis Lyras, Dr. Tritan Shehu, Mr. Zacharias Kaplanidis and 4 members of the newly founded Albanian Society


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YOUR SAFETY, OUR PRIORITY

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Fouad Tarabah

“PIP Scandal: Last Update about European Regulatory

and Clinical Aspects related to Breast Implants”

“Escándalo PIP: Última actualización europea

sobre aspectos regulatorios y clínicos relacionados

con los implantes mamarios”

Monday February 25th 2013 17.00 - 18.10 Hall 4

Session “BREAST IMPLANTS”

Lecture SATELLITE - SEBBIN 18.10 - 18.30

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On Nov. 26th, Joseph Murray died in Boston at the age of 93.

Joseph Murray achieved the impossible: he was awarded with the Nobel prize in 1990 for the first organ transplantation in the history of medicine, which he, the plastic surgeon, performed in 1954. The recipient was a 23 year old man who received a kidney from his twin brother.

Impossible to imagine, how many lives have been saved by organ transplantation since then!

Among my closest friends there is one recipient of a heart transplant, another one lives with a liver transplant and another one with the kidney of an unknown donor.

Not only that Joseph Murray saved the lives of my friends, he also had an enormous impact on my life as a plastic surgeon. How much he enriched and brightened my life with his unforgettable speech at the opening ceremony of the 11th IPRAS World Congress in 1995 in Yokohama, Japan!

In a fascinating presentation, charismatic and yet modest, he revealed the story of his life. It was so obvious how tight the bonds between him and his patients and even their children and grandchildren were and how much he enjoyed to keep in touch with the happy individuals that would not have had a chance to live without his ingenious invention.

His closing statement was: “If I ever would have had to choose between science and patients care, I would not have hesitated a second to decide for patient care”.

I never was happier to be a member of the IPRAS family than on this very special day in April of 1995, which also happened to be the day when I was elected to become a member of the IPRAS EXCO.

Joseph Murray’s contributions to science are unparalleled.But just as unparalleled were his characteristics as a physician: caring, empathic, generous, kind and warm-hearted, just like God must have meant the ideal physician to be.

Good-bye Joe!We are blessed that you were one of us!

Marita Eisenmann-KleinPresident IPRAS

Joseph Murray

O B I T U A R I E S


Fernando Ortiz-Monasterio

The world of plastic surgery has lost one of its greatest visionaries: Fernando Ortiz-Monasterio passed away last week.

Although we knew that he was ill, it was impossible to imagine that this charismatic man, full of abundant and never ending energy, could ever lose this battle.

Only 2 years ago in Panama, he was 87 years old at that time, he told me how much he still loves to work and teach. His eyes were sparkling with joy and passion. He considered himself to be blessed that he still could fulfill what he considered to be the most noble task for a physician. And unanimously all his trainees, colleagues and friends praise him as a most generous and altruistic person, who never kept anything for himself.

His unique accomplishments in cranio-facial plastic surgery have elevated our field to a much higher level and have contributed to an image change of our specialty. His companions in this journey, world famous plastic surgeons like him, came to visit him last summer. Daniel Marchac, who himself was critically ill at this time, told me how happy and moved Fernando was to meet them. And he was very conscious about how unique the bonds are that unite us with those, who shared our doubts, our fears, sometimes our desperation, our hopes, our joy, our overwhelming satisfaction, - and, in their case, the crossing of the bounds of feasibility.

Fernando has crossed the bounds of feasibility many times.

We were looking forward to celebrate Fernando as our Hinderer Lecturer in our next World Congress in Chile. The Hinderer Lecture is the highest award of our confederation. We also anticipated to benefit from his wisdom in his role as a member of our distinguished Board of Trustees.

Fernando was THE role model for two generations of plastic surgeons, he was our giant, he was our hero. He will never be forgotten.



The life of Fernando Ortiz Monasterio - a friend’s viewOn the 31st day of the month of October 2012, Fernando Ortiz Monasterio passed away and with him an era in Plastic Surgery. He was the author of more than 300 articles and 4 books, several with hundreds of citations, few of them considered as classic in the international scientific literature, Professor of the specialty over 50 uninterrupted years, he trained more that 500 residents and fellows in his program , and the great majority of them now have an outstanding practice in several countries all over the world.To write about him is an almost impossible task in just a few lines. He possessed so many different qualities and enriched so many lives, he was a man of science, an artist in Plastic Surgery, the prototype teacher, he had a profound knowledge of History, Art and Literature, a true leader, a very generous human being and a good sportsman. He was an authentic renaissance man in the 20th century context. He was born on the 23rd of July 1923, in Mexico City, his parents Fernando Ortiz Monasterio and Carmen Garay, he was the oldest brother of a family of 10, being the only physician, and the rest were also very successful in their own careers. He attended the LaSalle School for his basic studies , with a great effort due to economical penury. He graduated from the Faculty of Medicine of the Universidad Nacional Autonoma de Mexico on the 6th of July of 1946. He married his lovely wife Leonor, better known as “Pollito”, who was his faithful companion and loyal support with whom he fathered six sons and two daughters . He undertook his postgraduate training in General Surgery at the Hospital General de Mexico from 1946 till 1951, during this period of time had the chance to meet Alfonso Serrano a young Plastic Surgeon who captivated the attention of Fernando. He obtained an scholarship, and with 165 USD went to USA where he did the residency in Plastic Surgery with Dr Truman Blocker at the University of Texas in Galveston 1952-54. Afterwards, he completed a fellowship in Hand Surgery at North Western University and in Head and Neck Surgery at Washington University in Saint Louis Missouri .When he came back to Mexico he joined the Plastic Surgery Department and together with Dr Alfonso Serrano Conformed the Program of the Residency in Plastic Surgery at the Hospital General de México affiliated to the Universidad Nacional Autonoma de Mexico, with 3 years of duration. In his early years, his main scientific contributions were in the field of burn care and cleft lip and palate, and his article on facial development in the non-operated patient became a point of reference. In 1959 he created the first multidisciplinary Clinic in Mexico for the Cleft Palate care. In 1970 he spent some time with Paul Tessier in Paris and that marked the outcome of his career in craniofacial surgery becoming also in one of the pioneers in this field. I was a Medical student in 1970 when I first listened to a lecture of Fernando about the application of the PERT System a revolutionary administrative method at that time, to the surgical planning of a patient with Crouzon Syndrome, (the first craniofacial operation in Latin America) something that really impressed me for life. The block facial advancement and the correction of the hyper teleorbitism changed the way to correct deformities as the Apert and Crouzon syndromes. Other important contributions were

in the field of facial fissures and on the rhinoplasty of the cleft lip nose, his latest research was mainly on the distraction of the craniofacial skeleton. His book on aesthetic surgery of the nose is a world reference publication. He also did some research on fetal surgery performing the first intra-uterus closure of a cleft lip . All these achievements made him to obtain several awards and distinctions, like the “Paul Tessier” and “Dieffenback” Medals, the Doctor Honoris Causa by the University of Toulouse, by the Universidad Nacional Autonoma de Mexico and from other two universities, He received the “Eduardo Liceaga” Medal the greatest Medical recognition in Mexico. He was President of the Mexican Association of Plastic Surgeons in 1969 and of the Mexican Council of the Specialty in 1974. He was elected as President of The American Association of Plastic Surgeons in 1988 (the only non American or Canadian at that time) and also of the International Society of Craniofacial Surgery, In Mexico he also was President of the National Academy of Medicine, He achieved the titled of Professor Emeritus by the Universidad Nacional Autonoma de Mexico. He was honorary member of more than 20 scientific societies. He was appointed to give the important Lecturers like the “Tord Skoog” in 1978, “Jack W Maliniac” in 1983, “Hamilton Russel” 1984, “Kazanjian Lecture” 1989 Thanks to his great generosity as a person and as a surgeon he created the national program of attention to the fissured patients in 1968, operating thousands of children and adults affected with clefts, in Mexican rural areas , benefitting people in extreme poverty. This model has been applied by the Mexican Health Ministry and in several countries in Latin America nowadays . In 1977 he was appointed as Director of the Hospital General “Dr. Manuel Gea Gonzalez” after he finished his term in 1984 he continued his academic labor in this institution until his last days. I personally had the privilege to work with him in this hospital for 20 years. He attended his private practice first at the Clinica Londres Hospital until 1985 that he moved to Hospital Angeles del Pedregal.He retired from this activity in 2002. Fernando’s continuous pursuit of knowledge made him create the most fantastic medical library I have ever seen, in fact the main living room of his personal residency was built to contain all his books on a beautiful architectural work designed by his brother Jaime, an outstanding architect in México. Another great collection was his slide compilation of thousands preop and post op patients of a more that 50 years of work in the public and private practice.His great passion for sports took him to compete in sailing at the Tokyo Olympic games in 1964, he organized several tennis tournaments in his home with great parties after the games, he took part in the organization of the famous Alpine Workshops in Europe and South America a perfect combination of ski and science.We could continue with this biography and spend a long time on the achievements of Fernando Ortiz Monasterio, this just has been a short summary of the life of one of the greatest Plastic Surgeons of the World, a fantastic friend that has fulfilled the great adventure of an intense way of life, working for the benefit of others .

Manuel Garcia-Velasco MD FRCS


I grew up in a family of ten children during the period following the Mexican revolution and when raising and educating a large family was difficult. Television did not exist. Reading was considered a very important activity. Hard work, responsibility and love of culture associated with a sense of humor was the atmosphere at home.The decision to study medicine resulted from my early interest in biology and the image projected by the medical profession in general and by the family physician in our home.I graduated from the Medical School of the Universidad Nacional Autónoma de Mexico in 1946 and was admitted at the Hospital General of Mexico City for training in General Surgery where I continued my education until 1962, planning to stay in a career as a General Surgeon. My professor at that time was Dr. Mario Vergara, an excellent surgeon and superb clinician who had a great influence on my career and eventually promoted my position as a member of the Staff of the Department of Surgery.The available bibliography in Plastic Surgery presented a very attractive perspective of a specialisation in which imagination and creativity had an important role in surgical procedures. The specialisation had not been greatly developed in Mexico and there were no training programs, so I applied and was accepted for further training in the Plastic Surgery Unit at the University of Texas, Medical Branch in Galveston. I had the privilege to work for the following 2 years in the Plastic Surgery Unit directed by Truman Blocker who was very interested in the care of burns, in hand surgery, and maxillofacial surgery. Dr. Blocker had a great influence on my professional life. By the time I left Galveston I was determined to pursue a career in academic medicine. As a matter of fact, he promoted my participation in scientific meetings like the First International Congress on Research in Burns held in Bethesda where I presented with great enthusiasm my research on the use of antibiotics in extensive 3rd degree burns in front of famous figures in the field like Francis Moore and others.After leaving Galveston I spent another year visiting the famous Plastic Surgery Centers in the United States like Barnes Hospital in St. Louis, directed by James Barrett Brown and Lou Byars, and the Department of Surgery of the Hand at Parsavent Hospital to see the outstanding work of Doctors Koch, Frank, and Harvey Allen. In New York I had the privilege of following Dr. Gustave Aufricht in his tight daily schedule operating aesthetic surgery cases in various hospitals.Upon my return to Mexico to the Hospital General, I was faced with the most magnificent opportunity a young Plastic Surgeon could have; it was a very large Institution receiving patients from all over the country with an incredible width of clinical material. With the help of my former teachers and friends in the different Services I became involved in treatment of Plastic Surgery related to General Surgery, Ophthalmology, Otorhinolaryngology, Dermatology, Head and Neck Cancer, etc. I was busy at the Trauma Unit treating burns and hand injuries.

Fernando Ortiz Monasterio his personal biography

To give an idea of the amount of work I had, I performed in my first year 10 procedures of transposition of the index to replace the thumb, a sophisticated technique recently published by Bill Littler. Numerous patients with unhealed congenital malformations of all ages were admitted to the Pediatric and Surgical wards requiring multidisciplinary work and offering an opportunity for research. My first paper presented at the American Society of Plastic Surgery was “Cephalometric Measurements on Non Operated Cleft Lip and Palate in Adult Patients at a time when it was accepted that growth problems were inherent to the malformation. That paper, later published in “P.R.S.” demonstrated that unoperated patients with clefts had a normal growth potential so we all had to reconsider our surgical techniques according to the new data.Simultaneously we had to deal with sequelae of trauma, burns, cancer surgery so I had an opportunity, which would be impossible at this time, to develop experience in the vast field of Plastic Surgery.I have already mentioned the influence of my mentors in General Surgery, Mario Vergara and in Plastic Surgery, Truman Blocker had in my career. The third person and certainly the most influential was Leonor, my wife of many years and the mother of our 8 children. She supported and inspired me to pursue an academic career. At a time when I was leaving home before 6 a.m. and returning around 11 at night she held fort at home. She generously invented for the children an ideal image of me which produced a wonderful relationship with them. Throughout the years she joined me and participated in all my academic activities at home and abroad as well as in sport activities like sailing in the Tokyo Olympic Games and skiing with the whole family in Colorado and in Europe.I should also mention the influence of Paul Tessier, in my opinion, the most outstanding Plastic Surgeon of the second half of the 20th century. We were acquainted by our common interest in ophthalmic surgery but his early presentation in Rome in 1968 opened the field of craniofacial surgery by breaking the barriers of maxillofacial surgery on the face, and neurosurgery through the “terra incognita” of the orbits.Being an experienced maxillofacial surgeon by that time, I became instantly excited by the new field and started timidly to gain experience.I remember that Paul would telephone me on Monday to inform me that he was doing a …

Editors note: The routine that has been followed in the past has been an interview type program. Because of Dr. Ortiz Monasterio’s ill health I asked him to simply send me his CV and write a brief essay on his life. His secretary sent it to me and I noted that it ended with an incomplete sentence. I spoke with her later and she told me that the essay that he had written to me was the last thing he wrote before he died and she sent it to me just as it was written I have chosen to print it for you just as I received it. The above are the last words he wrote. He certainly ranks as one of the truly great surgeons of the twentieth century


Daniel was my hero from the first days of my residency and ever since and I passed my admiration for him on to the next generation, - my team members and my sons.

He represented, unparalleled, the ideal of plastic surgery, - perfection in reconstruction and perfection in aesthetic surgery as well, combined with empathy, creativity and passion for his work.

As a teacher he had a generous, friendly, modest, self-critical and kind-hearted attitude. He did not have to mention the rules, - the desire to be like him was enough impetus.

It was heart-warming to see Daniel with his charismatic wife Nina and his wonderful children, - an atmosphere of pure harmony.

As a friend he gave abundant support, care and love. In our last conversation – to me, it seems only days ago –he reassured me that he would always come when we need him, regardless of how weakened he was. We made plans for the time after his recovery. We both were sure that he would be back to full health by the time we meet in Chile.

Although he was sure that he would overcome the disease, he had decided to turn over his practice to his son Alexandre for good. Full of pride and happiness he described how much confidence his patients had in Alexandre.

It comforts me that Daniel was able to experience how perfectly his children and trainees mastered their private and professional life. And he felt blessed with a son who turned out to be his perfect successor.

In this period of grief and mourning we listen to our hearts and realize how much Daniel has enriched the lives of so many of us.


Daniel Marchac


DANIEL MARCHAC my hero and mentor

and his role in my development as a surgeon, as a father and as a caring individual

The sad news of Daniel’s death arrived while I was in Nara, Japan’s ancient capital and a favorite to both Daniel and Nina. It was a trip that we had planned to take together over a year ago and as recently as two weeks ago Daniel thought he would still be able to make. This spiritual place allowed me time to reflect on the profound impact Daniel has had on me and my life.

Little did I realize that when I arrived in Paris in 1983 that my fellowship with Daniel was to forever change me. Heroes inspire us by example while Mentors are there to encourage us along the way. Mentors, in other words, are those heroes who impact us in our own life. Daniel became my trusted teacher, confidant, and perhaps most importantly he became my Mentor for the next 30 years. He cared about me personally and who I might become, he cared about what I did and how well I did it. Daniel reminded me about what is possible and he brought out the best in me through his own example; he conveyed to me the humane significance of inquiry, integrity, empathy and self-discipline.

Daniel was the brother I never had.

He expanded my vision and elevated my aspirations. Daniel gave me an insatiable appetite for travel and travel we did; from Moscow to Marrakech, Shanghai to Strasbourg, Rio de Janiero to Rome, the Grand Canyon to the Sahara desert and all places in between. Most importantly, though, Daniel was my friend. He was a great friend. His joy for life represented to me everything in life that is good. I am who I am and I do what I do in large part because this man instilled in me a bit of himself. I have become a better father, better surgeon and learned to enjoy life to its fullest by knowing Daniel. For the past 30 years he was selfless in sharing with me some of the fire that burned in his heart and through his generosity Daniel invited me to be open to the possibility that what he was to me, I might be to others.

My heart aches at his passing but I am comforted in knowing that he will be with me always. I will miss him dearly.

Bryant A.TothSan Francisco, California

October 19, 2012


A Biography of Dr Daniel MARCHACDaniel Marchac, a pioneer among plastic surgeons, died on October 20th 2012, at age 75. He was born on December 3rd

1936, in Paris, France and had decided to become a surgeon at age fifteen upon reading a book about the miracles of modern medicine, which related the story of a surgeon who could change the shape of the face and orbits by adding bone grafts. His uncle Victor, a surgeon himself, tried to discourage him from entering Medicine. He told

him that incomes were gradually decreasing for doctors in France, and, because Daniel had no personal wealth, he should rather go into nuclear physics or business. Fortunately, he had no interest in physics and knew early on that he had no talent for business. He discarded his uncle’s advice and enrolled in medical school, where he quickly excelled and passed the examination for residency in Paris. He was trained in General Surgery and later in Plastic Surgery in the mid-sixties, with Daniel Morel-Fatio, Roger Mouly and Claude Dufourmentel, who provided him with a sound understanding of plastic surgery principles. But early on in his residency, he had the chance to discover an unknown surgeon at Hôpital Foch, who could move the orbits in and out. Chance had brought him to the doorstep of the very surgeon depicted in the book that had triggered his vocation. Paul Tessier had not yet published his work and had no residents appointed to his staff, so Daniel would run to Hôpital Foch anytime he could and watch Tessier operate, most often alone, inventing craniofacial surgery.At the end of his residency, he decided to travel to the United States, to broaden his horizon. He had arranged to spend the year of 1968 in New York with John Marquis Converse and in Texas with Thomas Cronin. But when visiting Ralph Millard in Florida, he was asked to stay for six months and became the first Millard fellow. Daniel had found a master, who taught him more than surgical skills: to think past and beyond surgery, and a way of practicing that he would follow his entire career, combining excellence in reconstructive surgery with a busy private aesthetic practice, and offering an international fellowship to young and curious minds. In 1969, back in Paris, Daniel was appointed Chef de Clinique at Hôpital Saint Louis, the mecca of French plastic surgery at that time, for two years, where he described, in 1970, a modification of the Rieger flap for nasal defects, incorporating an axial pedicle in the design of the flap.1 He published later a book on the treatment of basal cell carcinoma.2At age 35, he was very disappointed when he understood that he would not get a full time academic position at Hôpital Saint Louis, but he was later glad because it gave him the freedom to

docraniofacial surgery. Indeed, despite the fact that Paul Tessier was now internationally famous and operating in the same city, he partnered in 1971 with a young neurosurgeon, Jean Cophignon, at Hôpital Lariboisière, where he found his first cases of hypertelorism and adult craniosynostosis. In 1976, having heard of his work, the chief of pediatric neurosurgery at Hôpital Necker-Enfants Malades recruited him, and together with a young pediatric neurosurgeon, Dominique Renier, they started to apply craniofacial surgery to infants, something that Tessier could not do at Hôpital Foch. In 1977, Daniel decided to go and meet his colleagues in the new craniofacial centers of Canada, United States and Mexico. This led to a meeting in 1978 in Mexico, attended by Fernando Ortiz-Monasterio, Ian Monroe, Ian Jackson, Ken Salyer, Linton Whitaker and Daniel Marchac, where the concept of an international society of craniofacial surgery emerged. By 1982, Dominique Renier and Daniel Marchac had done 156 cases of cranial vault remodeling in children under 2 years of age, and published a book describing their technics and experience.3.

Daniel Marchac in his Paris office The axial fronto-nasal flap(Marchac flap), a modification of the random Rieger flap, where the dog ear created by the rotation of the flap can be safe-ly excised in the same procedure, be-cause of the existence of an axial pedi-cule vascularizing the skin of the nasal dorsum. This flap is indicated in large defects of the nasal tip and supratip. Long-term results with this flap are ex-cellent and Daniel Marchac kept using it for decades. 1

Daniel Marchac and Dominique Renier described many designs in craniofacial surgery, such as the transposition of bone flaps and remodeling of the orbital bandeau in plagiocephaly.3

In 1982, he also published a landmark paper in PRS describing a mammaplasty with a short horizontal scar.4 Following Millard’s example, he had indeed started to build on the side


a private aesthetic practice, which he enjoyed very much and soon became very busy. He offered a six-month fellowship to young international surgeons, where he would teach them about craniofacial surgery and aesthetic surgery, but also about life, French food and wines, and the importance of balancing your life between work, family, and leisure.He loved to travel and exchange ideas and, in 1974, along with Hans Anderl form Innsbruck and Wolfgang Mülhbauer from Munich, the three created the Alpine Workshop in Plastic Surgery, a friendly annual meeting in the Alps, where a group of crack surgeons could ski and exchange ideas in a very dynamic pattern. Next year will see its forty-year anniversary. From this group stems the European Society of Plastic Surgery (EURAPS), which Daniel Marchac created in 1989. The idea was to gather the very best of European plastic surgeons for a short and dynamic meeting, similar to AAPS in its spirit. He served as its Secretary General from 1989 to 1995, and as its president from 1998 to 1999. After such a successful career, he received many distinctions and awards. In 1991, he became Professeur au Collège de Médecine des Hôpitaux de Paris, in recognition of his outstanding scientific achievements, a title bestowed to doctors in private practice who contribute significantly to academic medicine. From 1993 to 1995, he served as President of the International Society of Craniofacial Surgery, and from 1997 to 1998, as President of the Société Française de Chirurgie Plastique Reconstructrice et Esthétique (SOFCPRE). In 2001, he was decorated Knight of the Legion of Honor (Chevalier de la Légiond’Honneur), the highest civilian decoration in France. Daniel Marchac was an Honorary Member of the British Association of Plastic Surgeons, and a Distinguished Fellow of the American Association of Plastic Surgeons, as well as a member of the American Society of Plastic Surgery. In 2002, he gave the 25th anniversary Maliniac Lecture and published a landmark paper in facial rejuvenation, describing a face lift with hidden scars, using a vertical U incision.5 In 2006, he was appointed ISAPS Travelling Professor. He received in 2007 the Special Achievement Award of the American Society of Plastic Surgery and in 2010, was

appointed Chairman of the Scientific Advisory Board of the International Plastic Reconstructive and Aesthetic Society (IPRAS) and of the International Committee for Quality Assurance Medical Technologies & Devices (IQUAM). He published five books, 23 book chapters and over 160 papers. He enjoyed writing, and he seemed to be doing so with ease, on an airplane, on the train to his summerhouse in Ile de Ré, whenever he had some spare time. He was a very skilled surgeon, with golden hands, precise and meticulous, with an innate sense for balance and beauty. He never stopped being curious and innovative, and his team would dread his returns from international meetings, because it usually meant that he would try something new and daring. He didn’t want to retire, because he loved to operate and the purpose that it gave to his life.In October 2011, at age 74, he was diagnosed with a rare and severe form of lymphoma, and he battled his disease for a year, with courage and good spirit, never losing hope. He behaved until the end like he always had, believing in himself and his ability to overcome challenges.His wife, Nina, and his four children, Valentine, Grégoire, Nathalie and myself, Alexandre, as well as all his friends around the globe, will sorely miss him.

Dr Alexandre MARCHACPlastic and Reconstructive Surgery

130 rue de la Pompe, 75116 Paris, France +33 1 47 27 44 31

[email protected]

References:1. Marchac D, Toth B. The axial frontonasalflaprevisited.

Plast ReconstrSurg 1985;2. Marchac D. Surgery of basal cellcarcinoma of the face.

Springer; 1988. 3. Marchac D, Renier D. Craniofacialsurgery for

craniosynostosis. Little Brown & Co; 1982. 4. Marchac D, De Olarte G. Reduction mammaplasty and

correction of ptosis with a short inframammaryscar. Plast ReconstrSurg 1982;

5. Marchac DD, Brady JAJ, Chiou PP. Face lifts withhiddenscars: the vertical U incision. Plast ReconstrSurg 2002;109(7):2539–2534.

Mammaplasty with a short horizontal scar. In 1982, this publication was received as a rupture with the classic long inframammary incisions, opening the way to the vertical mammaplasty. 4

Face lift with hidden scars: the vertical U incision. Daniel Marchac had a busy facelift practice and was famous for his natural looking results and hidden scars. The posterior branch of the vertical U allows redraping of the cervical skin without a visible horizontal incision, minimizing the risk for skin necrosis.5


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S E N I O R A M B A S S A D O R

Whenever we think of lip reconstruction, we cannot but consider the Karapandzic flap as almost the first and oftenthe only choice. And in general, we used to think that those great names who created important techniques in plastic surgery have for a long time been part of the history. Yes, they are historic personalities, but on the other hand they are also part of the living history. Some of them are very much alive and in very good physical condition, like Prof. Karapandzic, thanks to the hard operating work up until the later years, and constant research to improve surgical skills and techniques.

Dr. Colić: Professor Karapandžić, tell us something about your education with the special emphasis on your later work and your original operative technique

I finished the Faculty of Dental Medicine in 1957 andthen also the Faculty of Medicine University of Belgrade in 1966 when, at the same time, I became a specialist in maxillofacial surgery. At that time, even as today, if you wanted to dedicate and work at the maxillofacial surgery you were obliged to finish two Faculties, Medicine andDentistry. My university career began in those years with the habilitation thesis on orbital fractures, followed by a PhD and doctoral dissertation named Anatomical and Physiological Adaptation of the Arterial Flaps in Reconstruction of the Lip Defects. After publishing a now well-known paper, RECONSTRUCTION OF LIP DEFECTS BY LOCAL ARTERIAL FLAPS in British

Journal of Plastic Surgery 1974;27(1):93-98 this operative method became widely accepted as the Karapandzic technique. It was also published in many high reputation textbooks in plastic surgery like:1. McCarthy’s “Plastic Surgery”: Karapandzic

technique, for lower lip reconstruction, p. 2021-2023, W.B. Saunders Company, 1990.

2. Miodrag R. Karapandžić: Innervated Musculocutaneous Lip and Cheek Flaps.

In: Berish Strauch, M.D., Luis O. Vasconez, M.D., Elizabeth J. Hall- Findlay, M.D. (EDS). Grabb’s Encyclopedia of Flaps; Head and Neck Book 1; Little

Prof. Dr. Miodrag Karapandžić

Ian McGregor and Miodrag Karapandžić


Brown and Company; Boston, Toronto, London; 1990. Ch 161. p. 691-701. I also contributed to other textbooks like Otorhinolaryngology with Maxillofacial Pathology (Chapters Congenital Anomalies and Salivary Glands), Belgrade 1987, Fundamentals of Surgery (Chapter Principles of Plastic Surgery), Belgrade 1994, Emergency Medicine (Chapter Burns), Belgrade 1995. I was the author of two scientific films: “Noma” shown at the First European Congress of Plastic Surgery 15-19 June 1969 in Brighton, England, and “Reconstruction of the Head Burns Caused by Electricity” shown at the First International Symposium of Maxillo-Facial Surgery, 1-6 October 1971 in Istanbul, both used for postgraduate studies. I published more than 180 scientific papers inboth Serbian and international journals and had over 600 citations of my technique.

Dr. Colić: When was your technique born and how?

The idea first came to me in 1966 when I noticed thedisadvantages of the Dufoumentel technique. Just by observing the movements of spreading and shrinking of the healthy orbicularis, laughing, holding the air and food in the mouth, I thought simply that this muscle must be used for the reconstruction and not those less functional muscles. It will distend and cover the defect, I thought, and even if a small microstoma is created, the patient will eat with the feeling and the food will not pour around. Then instead of cutting the artery as I did before, I preserved it for nutrition of the flap. Then I thought Ialso won’t cut the branches of the mental nerve which will follow the movements of the flap, and I also decidedto spare the small branches of the facial and orbicular nerve. That is how the idea of complete functional unit was born; why not use all these elements and put them together? At that time there were much more tumors of the lips. I remember a strange case of a peasant who let his tumor grow and didn’t want anybody close to him,

until the relatives discovered that the tumor affected the whole lower lip and took him to the hospital. So during the operation I decided to make the flaps longer alongthe arteries, until almost the mandibular rim, rotated them and sutured to each other in the midline. This result was published in Grabb’s Encyclopedia and it was my inspiration for the total lower lip reconstruction. Another patient had an extensive carcinoma of the phyltrum, so instead of pulling the flaps downwards, I did it in theupward direction and therefore developed the method of upper lip reconstruction. Finally another patient spread the malignant cells of the kissing ulcer to both lips so I designed the flaps like two horshoes, mobilized them andsutured in the midline and that’s how the flaps for bothlips were born. At the beginning of 1970s I was heavily criticized at many conventions and meetings and many authorities of the time wanted neither to understand nor to accept it. I performed around 1500 such surgeries.

Dr. Colić: Professor, could you tell us more about the period you spent in England during residency, what was it like and whom did you meet there?

I went there at the beginning of the 1970s to specialize in plastic surgery, although I was already a specialist in maxillofacial surgery. I went to Mount Vernon Hospital where I met Brian Morgan, Roy Sanders and Douglas Harrison who were the leading plastic surgeons at that time, but initially I was met by Dr. Dawson and Dr. Paul Toller. I also visited Salisbury and Glasgow where I was met by Graham Lister at the railway station and spent some time with great names such as Ian McGregor, Magdy Saad, and Mustardé, who had just retired, and many others. In Salisbury I met John Barron who helped to set up the first 120-bed hospital for reconstructivesurgery in Belgrade, Yugoslavia, after the Second World War, where he returned virtually every year to lecture and to visit surgeons that he had trained. Many years after that,

With Prof. Vinko Arneri, founder of the Yugoslav plastic surgery

With Prof. Miodrag Colić in his office


British Journal of Plastic Surgery Vol. 1, No. 1, 1948 with dedication of Sir Harold Gillis to Prof. Arneri

I was the Head of this same Hospital, as were you, Prof. Colić, after me. John Barron and Magdy Saad were the authors of one of the first and the most complete Britishtextbooks in operative plastic and reconstructive surgery, in which each chapter was accompanied by a relevant Leonardo da Vinci drawing.

Dr. Colić: You have been invited as a Visiting Professor to many places to give lectures to your American and British colleagues

As a Visiting Professor of the American Academy for Plastic Surgery in May 1979 I carried a postgraduate course in reconstructive surgery in New Orleans, USA. Invited by the Scientific Committee of the MedicalAcademy for Plastic and Reconstructive Surgery I had six lectures as a Visiting Professor in South Lake Tahoe, USA, in March 1980. As a Visiting Professor of the University of California in April 1980 I had eight lectures for postgraduate studies in various fields of reconstructivesurgery. Invited by the British Medical Federation for Postgraduate Studies of the London University, I carried a Course in lip reconstruction at Cambridge’s School of Pythagoras in September 1982.

Dr. Colić: You have held various positions in maxillofacial and plastic surgery institutions in Belgrade, trained generations of students, residents and postgraduates. I wasone of them, among many others; what are your memories of those days?

Yes, as a Professor in Maxillofacial and later in Plastic Surgery I was a mentor in the numerous PhD and MSc thesis and completed many reviews of scientific papersfor different medical publications, both as a reviewer and Editorial Board member. Since 1957 I have been a member of the Serbian Medical Association and later a member of its Medical Academy, Court of Honor, Section of Plastic Surgery, as well as a member of the Yugoslav and later Serbian Societies for Plastic and Maxillofacial Surgery, Head of the Clinic for Maxillofacial Surgery of the Faculty for Dental Medicine and Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center in Belgrade. I have been awarded many times, by the Serbian Medical Association, by the Assembly of Belgrade, received recognition plaques by the Universities of Belgrade and Niš and was awarded the Order of the Golden Wreath.


P I O N E E R S

Marita Eisenmann-Klein: Katharina, tell me about your childhood. How early in your life did you know that you want to become a doctor?

Katharina Russe-Wilflingseder: I grew up with medicine: my mother was an optician, her two brothers were doctors. My father was a plastic surgeon. Very soon during my childhood I knew I wanted to be a doctor. My father and my mother were skeptical but supportive. They wanted me to understand that it wouldn’t be easy to have family and children and a professional life as a doctor at the same time. Finally, when they realized how passionate I was about it, they supported my decision.

Marita Eisenmann-Klein: And when did you decide to become a plastic surgeon?

Katharina Russe-Wilflingseder: I finished medicalschool in Innsbruck in 1975. As a medical student I assisted in research, for example in venous pletysmography for dupuytren’s disease. I had a chance to volunteer with Prof. Christian Barnard in general surgery in Cape Town South Africa, Prof. Buck-Gramko in hand surgery in Hamburg and I was able to attend congresses.

After my graduation I started a residency in anesthesia but soon I realized that this was not what I should go for. So I changed into general surgery and became a Board Certified general surgeon. During my residency Igot married to an orthopedic surgeon and gave birth to three children: Barbara in 1979, Lisa in 1980 and Markus in 1981. Lisa inherited my passion for plastic surgery. She passed the European Board examination in Plastic Reconstructive and Aesthetic Surgery a year ago.

After finishing my training in general surgery, it wasquite obvious that plastic surgery attracted me more than anything else: therefore I started a three years fellowship in plastic surgery.

Marita Eisenmann-Klein: Which names come to your mind when you remember your teachers?

Katharina Russe-Wilflingseder: My surgical teachers were Prof. Baumgartner and Prof. Bodner.

In plastic surgery there was my father Paul Wilflingseder,his successor Hans Anderl and his co-workers Michael Bauer and Heribert Hussl.

Marita Eisenmann-Klein: You are one of the few plastic surgeons who are familiar with Laser therapy. When did you get involved with Laser treatments?

Katharina Russe-Wilflingseder: I had started my private practice in 1986 as the first plastic surgeon in privatepractice in Austria at that time. The first few years werequite difficult: my husband passed away in a car accidentin 1989. During the following years the well-being of my three children was more important than anything else. In 1995 I started to attend workshops and courses in Laser treatment. And soon I became thrilled with the options that different types of Lasers had to offer.

Marita Eisenmann-Klein: Who became your role models in Laser therapy?

Katharina Russe-Wilflingseder: I went to volunteer with the most famous people in Laser therapy: Richard Gregory in Orlando, Tom Roberts in Spartanburg, Rox Anderson at Harvard, Chris Zachary at the University of

Katharina Russe-Wilflingseder


Irvine, US and Hans Peter Berlien in Berlin and Michael Landthaler in Regensburg, Germany

A few years later Javier de Benito, Barcelona, Spain introduced me to Gabriel Buendia, the founder of the Laser Platform in Teknon in Barcelona. He made me a consultant at the Laser Platform. We developed the idea for an interdisciplinary congress together.

Marita Eisenmann-Klein: In 2012 you organized Laser Innsbruck for the third time. It turned out to be extremely successful.

Katharina Russe-Wilflingseder: We had the firstinterdisciplinary congress in Barcelona, LaserBarcelona in 2006, and in 2008 we went to Innsbruck. The group of famous Laser specialists from all around the world like Rox Anderson, Chris Zachary Emil Tanghetti, Suzanne Kilmer, Albert Nemeth, Christine Dierickx, Merete Haedersdal liked the format and suggested that we continue having this congress every two years.

In 2012 we had 230 participants from 34 nations and 5 continents

Marita Eisenmann-Klein: What does the future hold for Lasers in plastic surgery? Do you recommend that all plastic surgeons should get started to offer Laser therapies?

Katharina Russe-Wilflingseder: There is a dynamic development of new technologies in Lasers now. Plastic surgeons need to catch up with new concepts in regenerative surgery, new technics and devices but also in the treatment options that Lasers can offer. With the IPRAS Academy of Lasers we want an interdisciplinary approach to update plastic surgeons and trainees in plastic surgery so that they can judge better in which cases an ancillary procedure with Laser is indicated ,for example in vascular malformations, in scars, in tissue tightening a Laser treatment should precede the surgical treatments.

Marita Eisenmann-Klein: You just mentioned vascular malformations: do you think we need an International Society for Pediatric Plastic Surgery by IPRAS?

Katharina Russe-Wilflingseder: What a great idea! You can count on my active co-operation.

Marita Eisenmann-Klein: Your interdisciplinary network is unparalleled. You play a key role in the expansion of IPRAS interdisciplinary co-operations. Do you still have enough time for hobbies?

Katharina Russe-Wilflingseder: Yes, I enjoy any outdoor activity in our beautiful Tyrolean Alps and most recently my two grandchildren!

Marita Eisenmann-Klein: Thank you, Katharina, we are happy and proud to have you on with us.


R I S I N G S T A R

Dr. Biggs: Welcome, Dr. Freitas, to this issue’s Rising Star. Let’s begin by your telling us a bit about your backgroundDr Freitas: I am 44 years of age and was born in a small town, with 9 brothers and sisters, six of whom are doctors. I graduated in Medicine in 1990 at Federal University of Paraná at age 22. Early on my decision was to be an oncologic surgeon, and I applied and was accepted as a resident in general surgery at Sao Paulo University, which I felt was the best institution in my country. After two years in general surgery I transferred to plastic surgery in the same University, under coordination of Prof. Dr. Marcus Castro Ferreira. During this training I discovered my major interest was in craniofacial surgery, especially cleft patients. My mentors at that time were Doctors Silvio Sterman and Diógenes Laércio Rocha. USP was known by our old Head , Dr.Victor Spina, who studied and published his experiences in cleft surgery. Diógenes Rocha often took me to Bauru to watch surgery and learn more.Dr. Biggs: What was your subsequent course in craniofacial surgery?DR.Freitas: In the last year of my residency (1995), under my new Mentor Nivaldo Alonso, I began my career in craniofacial, bone distraction and facial cleft repairs. Dr. Nivaldo also stimulated me to publish papers. An the end of that year I decided to spend one more year in craniofacial fellowship during which time I pursued my master’s degree, and which I received in 1997. During this time, I was living between my city Curitiba and Sao Paulo, 400Km of a dangerous road. I spent Monday, Tuesday and Thursday in Sao Paulo, and Wednesday and Friday in Curitiba. Dr. Biggs: What caused you to become involved in Curitiba?Dr. Freitas: Toward the end of my training I was invited to start a project in Assistance Center for Cleft Lip and Palate (CAIF) in Curitiba. Today CAIF is the second largest cleft center in Brazil with 500 new cases a year, 1200 surgeries a year, and 8500 patients in treatment. I now have a clinic with cleft and craniofacial patients, performing 7-8 cases a week.

Renato da Silva Freitas

Dr. Biggs: Tell us more about your progress academically.Dr. Freitas: In 1998, after a short period of volunteer work in the plastic surgery unit of Federal University of Paraná, I was appointed Assistant Professor. Under Coordination of Prof Gilvani Cruz, we created a residency of plastic surgery in our hospital in 1999. After 14 years, we have graduated 20 new plastic surgeons. In the past 5 years our residents have twice received the Best Resident Award and twice second place , and twice the second positioning in the annual exam given residents by the Brazilian Society of Plastic Surgery. In 2002 I received my PhD from São Paulo University, and was appointed Adjunt Professor. Dr. Biggs; I’ve seen your C-V and know there’s more. Please tell us.Dr. Freitas: 2004 was a great year because I met Dr. Joseph Shin and, soon after, Dr. John Persing, from Yale University. After my visit to New Haven, I decided to spend one year there in a Post-Doctorate position which began on 1 September, 2007. My intention was to improve my CV, publish some papers, and learn more about craniosynostosis. During that winter, I worked hard, and after 6 months I had 30 papers accepted in several journals. My family went back to Brazil in February and one month later I followed To finish my way at USP, and in 2010 I got the title of Free Docence in that university, with a Thesis of Facial Clefts.At this time I am Head of Plastic Surgery of Federal University of Paraná, Craniofacial surgeon at CAIF, and a volunteer for Operation Smile. I have already gone to more than 30 missions around the world, to help children with clefts.Dr. Biggs; Thank you Dr. Freitas. You failed to mention, but I saw on your C-V, that you have authored or co-authored 114 papers which have been published. You’ve done exceptional work and it will be a joy to me and our 37,000 readers to follow your career….and watch the rising star light up the plastic surgery world…and make many lives better.


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Preparation for humanitarian campDr Chanjiv Singh

Chairperson Humanitarian Sub-Committee IPRASIndia, Amritsar

[email protected]

The first step in planning any humanitarian mission is to recognisethe requirements of those in need. For this we need input from the field. An NGO planning humanitarian action should have awebsite via which those in need may be able to contact them. This helps in planning an elective mission. In case of emergency missions planning has to be carried out accordingly. Not all NGOs can undertake emergency missions due to the reaction time needed to prepare volunteers and supplies. Missions need to be characterised as absolute, supplementary or training missions.• There are areas with minimal facilities which need a wide range

of different kinds of assistance. These would be an absolute priority and any request from such an area must be considered a priority. It is a good idea to repeat such missions annually and involve local partners so that after a few missions the work can be handed over to a local team.

• A supplementary mission is required where some sort of basic health care is available but many specialities are missing, especially the surgical ones.

• Training missions would take place in locations where health care services are available but local specialists and staff need training to be able to better perform their activities.

Once a site is selected, it is a good idea to liaise with local government or a local NGO for arrangements on the ground. Many countries require visiting specialists to register with a local medical council or licensing authority. The team might also need to obtain permissions from local authorities. These processes can take time time so applications must be dealt with at least 3 months in advance.To conduct a worthwhile mission, it is necessary to liaise with a local hospital and doctor for set-up, screening and follow-up. The local NGO or doctor on whose request or information the mission is planned would slip most likely take on this very important role.Then, the actual minute to minute planning starts. The travel, accommodation, weather, food and medical concerns for volunteers and security are all important issues to be considered. For the mission to be successful the volunteers must be comfortable and there should be a manageable security risk.All activities must obtain proper financial backing. Most NGOsundertake fund raising for this purpose. Planning a tentative budget on the basis of a tentative expense account. I always try to keep a 25% overdraft as things always run over during missions, and I try to plan for contingencies and emergencies. Funding for the project may have to be found quite early. Observe the taxation formalities at home where the fund raising takes place.Many NGOs also arrange for supplies through donations. Many

pharmaceutical and medical equipment companies have budgets for charitable work. Supplies can also be arranged locally at competitive rates. Some supplies are donated at home and have to be transported with the mission. For these, Customs permissions need to be obtained. If your supplies are held up in customs or you have to pay a heavy customs duty, then the mission may be jeopardised. Obtaining prior permissions from local authorities helps at this critical stage. Supplies should also take into account the instruments to be taken as well as what is available locally.Consents to be obtained in local language as per local instructions.Each country has its own system of consent. This is a very important step in the process (Appended is a note on legal aspects).All missions must have impeccable record keeping. Keep a separate external HDD for each mission. Leave soft and hard copies for local record. Photographs of the patients (pre-op and immediate post-op) should also be part of the record.Missions can never be fly-by-night operations. There has tobe some future planning for a mission to be worthwhile. Try to establish permanent partners. This helps in planning and follow-up. The local population always flows in.A Central record office should be established for the NGO wherea record of missions will be maintained. Keeping all previous records floating or on the website is not feasible. Each missionNGO and/or plastic surgeon will register with the central office. Aproper format is suggested as follows:1) surname/year of reg with IPRAS humanitarian committee/

unique no. The humanitarian committee (HC) will maintain a database which will be of use to other service providers if and when they plan a mission in the same area. The person in charge of the committee will monitor and advise.

2) Mission dates, location, case record, follow-up, and any other details. Legal aspects should also be noted.These should be part of the data sent to the HC. Other NGOs can ask for advice based on previous missions. The humanitarian committee will play a more active role in advising and assisting in planning missions based on data available and also help in getting visas (which are always a problem)and liaise with local government and volunteers.

Prof. Eisenmann-Klein comment: The national plastic surgery society should always be informed and approve the mission. If there is no national society there yet, it is advisable to contact the national health authorities or NGOs which cooperate with IPRAS.We are open to suggestions to add to these guidelines which should help us plastic surgeons in performing humanitarian work.

H U M A N I T A R I A N W O R K S


Dr van der Walt, volunteer surgeon, Ms Moira Gerszt Chief Operating Officer of the Smile Foundation and Dr George Psaras Medical Director and co-founder of the Smile Foundation.

The Smile Foundation

It’s the year 1999. Thando and her mother Thabile are writing monthly letters to Nelson Mandela, South Africa’s president, to appeal for assistance to help Thando get medical treatment. Thando was born with Moebius Syndrome. A condition involving amongst other cranial nerves the facial nerve, the single nerve that gives movement to the entire face. Thando is unable to express any emotions through her face. She goes through life as if wearing a mask!Fate intervened one day and Thabile’s letter found its way into Madiba’s personal pile of letters. He was immediately touched by her plight and sought to help this little girl.

Making the dream a reality was the task of the Lubner family; Mandela’s close friends and associates. Instead of sending a single child to Canada to receive treatment by Dr Zuker, one of the leading authorities in the field of facial reanimation, Marc Lubner approached the writer to set-up the operation at the Johannesburg Hospital in Johannesburg, South Africa. The vision of both men was to transform this single event into a learning opportunity for local surgeons. The aim was to transfer skills and thus facilitate the treatment of hundreds other children in the years to follow. Dr Zuker arrived in South Africa and the treatment was a success! The first step in the skills transfer was a fact.

Professor Georgios PsarasMedical Director

and Co-Founder Smile Foundation


The Star Newspaper joined forces and the Star Smile Fund was formed, later to be renamed The Smile Foundation. The Smile Foundation is currently a non-profit organization that brings people together for the purpose of providing Plastic and Reconstructive Surgery for children living with debilitating facial conditions. We are currently based in seven academic hospitals in South Africa. Two to three times a year we organize what is called a “Smile Week” in each of these hospitals. A “Smile Week” is a major event requiring intense preparation and precise execution. To this end we rely entirely on the permanent staff members of our team. The logistics behind such an endeavour are enormous. Patient transport, diverse parents and children’s needs, appropriate accommodation for everyone, medical staff coordination are just a few. We are indeed blessed to have a wonderful team of people, headed by Moira Gerszt and Hedley Lewis, who are not only impeccably efficient in what they do but they are also compassionate and loving towards our patients. During each smile week an average of 25-40 children with facial deformities are operated by our volunteer physicians who are experienced consultants in their respective fields, (anaesthetists and plastic surgeons) in full or part-time academic appointments. We help children in need of surgery for treatable facial ailments and abnormalities such as cleft lip and palate, nose and ear deformities, craniofacial conditions, burn deformities and facial paralysis. Our patients come from as far as Mauritius, Botswana, Angola and Mozambique but the vast majority comes from the South African region.

A small “army” of keen young volunteers is always available to help and assist during each Smile week in non-medical assignments. It’s astonishing to see the enthusiasm and energy these young people exhibit “giving” to their less fortunate fellow human beings. A celebration of human compassion and kindness. Our involvement does not end once surgery is completed. Under the expert guidance of our clinical psychologists, Marilyn Shulman, Sarah Barnes and Katrin Woodhead our young patients and their parents find comfort and professional advice well into their recovery period. We continually support our teams of qualified and benevolent medical staff by investing in further skills development programs, as well as the purchasing of much needed medical equipment for the departments specializing in plastic and reconstructive surgery within these hospitals. In that way we ensure that the precious work performed by these skilled individuals continues uninterrupted in the interim between Smile weeks. To further enhance skills development and transfer we organize special workshops intended for medical and paramedical staff. The response is always overwhelming. Nurses are sent to “Basic Life Support Skills” workshops and scholarships are offered for further training. The same applies to medical staff with special focus on trainee surgeons. The Facial Reanimation Workshop that has been organized twice in the last few years is already bearing fruit. Two additional teams in the country are now performing facial reanimation surgery for patients with facial paralysis.Attached to the academic units and to the Smile Foundation are ancillary professionals that complement the holistic service we provide. For example the speech therapists, the physiotherapists and the occupational therapists just to mention a few. Without their input our work would be incomplete since we at the Smile Foundation insist on follow-up and appropriate further intervention whenever needed. Since 2008 a similar programme on a smaller scale has been in progress in Cyprus. The aim is to address the needs of children in the Eastern Mediterranean region. We hope and aspire that both programmes will grow stronger with your support.You give but little when you give of your possessions. It is when you give of yourself that you truly give. “Kahlil Gibran, The Prophet”

(For further information contact [email protected] or visit www.smilefoundationsa.org)

Young boy with cleft lip and palate before his surgery

Same young boy after surgery during a smile week


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The biggest andmost promising ever

event in Plastic Surgery

will YOU be there?

Chile is one of South America's most stable and

prosperous nations, a recognized middle power and an

emerging economy. It ranks high regionally in

sustainability of the state, and democratic development.

Chile is a founding member of both United Nations and

theUnionof SouthAmericanNations (Unasur) and is also

now in the OECD, the group of the "most developed"

countries by current international standards, becoming

the first country in SouthAmericawith thathonor.

Chile narrowly stretches along the southern half of the

west coast of South America, between the Andes and the

Pacific Ocean. Southern Chile is rich in forests and

grazing lands, and features a string of volcanoes and

lakes. The southern coast is a labyrinth of fjords, inlets,

canals, twistingpeninsulas, and islands.

Chil

e

IPRASWORLD CONGRESS

2013www.ipraschile.cl 24 FEBRUARY - 1 MARCH 2013

th st

IPRAS Chile 2013:

Santiago is a fast growing city lying in one of

the most spectacular settings in the world, in

the central valley of Chile between the Andes

mountain range to the east and the

Cordillera of the Coast to the west, at an

elevation of 520 m (1,706.04 ft) above mean

sea level. Its central location in the country

makes it a great base for visiting other areas,

and it is possible to ski in the nearby Andes

and later be on the beach, all in the same day.

Santiago is a modern, industrialized city

which flourishes and continues to grow

rapidly into Latin America's most modern

metropolitan area, with extensive

San

tiag

o

suburban development, dozens of shopping centers, and

impressive high-rise architecture. Santiago is the

financial, cultural and political center of Chile and home

of several regional headquarters to many multinational

corporations. A glance through the downtown blocks

reveals a mighty circle of mountains - the snowcapped

Andean peaks to the east, and a smaller coastal range to

the west - that frames the Chilean capital.

Climate : Santiago has a somewhat cool Mediterranean

climate: relatively hot dry summers (November to March) with

temperatures reaching up to 35 °C (95.0 °F) on the hottest days;

winters (June to August) are more humid with cold mornings;

typical maximum daily temperatures of 13 °C (55.4 °F), and

minimums of a few degrees above freezing.

Espacio Riesco Convention Center is a highly innovative

exhibition venue in Santiago and spans over more than

130,000 m of land.

The Espacio Riesco Convention Center is fit to meet all

the international requirements of global exhibitors. This

notable convention forum strives towards creating an

"out of the world" experience with the latest technology

and excellent service for the enablement of highly

effective and successful trade shows, events and

conferences.

Espacio Riesco is the place that denotes confidence and

promotes creative development.

2

All Ways Challenging

VenueChile is one of South America's most stable and

prosperous nations, a recognized middle power and an

emerging economy. It ranks high regionally in

sustainability of the state, and democratic development.

Chile is a founding member of both United Nations and

theUnionof SouthAmericanNations (Unasur) and is also

now in the OECD, the group of the "most developed"

countries by current international standards, becoming

the first country in SouthAmericawith thathonor.

Chile narrowly stretches along the southern half of the

west coast of South America, between the Andes and the

Pacific Ocean. Southern Chile is rich in forests and

grazing lands, and features a string of volcanoes and

lakes. The southern coast is a labyrinth of fjords, inlets,

canals, twistingpeninsulas, and islands.

Chil

e

IPRASWORLD CONGRESS

2013www.ipraschile.cl 24 FEBRUARY - 1 MARCH 2013

th st

IPRAS Chile 2013:

IPRASWORLD CONGRESS

201324 FEBRUARY - 1 MARCH 2013

th st

Registration fees for Accompanying include:

Participation in the Opening Ceremony andthe Welcome Reception

Access to the exhibition area

Wine day tour

REGISTRATION

Attendance to all scientific sessions


Conference Bag

Coffee and tea breaks

Light lunches

Participation in the Opening Ceremonyand the Welcome Reception

Registration fees include:

HOTELS

DAILY SHUTTLE SERVICE:

12 € per day/person- 5days package(Round-trip transportation betweenthe Conference venue & your hotel)

Prices are quoted on

bed and breakfast basis

5 nights minimum stay

HOTEL

SANTIAGOMARRIOTT HOTEL 5*

INTERCONTINENTAL SANTIAGO 5*

SHERATON SANTIAGO HOTEL 5*

CROWNE PLAZA HOTEL SANTIAGO 5*

APARTS HOTEL NERUDA 3*

HOTEL NERUDA EXPRESS 3*

CEASAR BUSINESS 4*

HOTEL FUNDADOR 4*

EUROTEL PROVIDENCIA 4*

HOTEL NERUDA 4*

EUROTEL EL BOSQUE 4*

Single room

per night

190 € + 30 € VAT

190 € + 30 € VAT

190 € + 30 € VAT

160 € + 25 € VAT

85 € + 13 € VAT

85 € + 13 € VAT

99 € + 13 € VAT

105 € + 16 € VAT

110 € + 16 € VAT

115 € + 18 € VAT

110 € + 16 € VAT

125 € + 18 € VATPLAZA EL BOSQUE SUITES 4*

Double Room

per night

205 € + 30 € VAT

200 € + 30 € VAT

200 € + 30 € VAT

170 € + 25 € VAT

95 € + 15 € VAT

95 € + 15 € VAT

115 € + 16 € VAT

110 € + 16 € VAT

120 € + 18 € VAT

125 € + 21 € VAT

120 € + 18 € VAT

135 € + 18 € VAT

w w w. i p r a s c h i l e . c l

For registration andaccommodation bookings please visitthe official congress website:

ON-LINE

Topics - Hotels - Registration

FEES

Participants

Residents

Students/Nurses

Accompanying

LATEUNTIL

10/01/2013

750€

350€

300€

150€

ON SITEFROM

11/01/2013

900€

400€

350€

150€

MASTERCLASSES€/each

50€

30€

-

-

SHERATON is the Main Congress HotelSANTIAGO HOTEL

AESTHETIC

BARIATRIC SURGERY

BODY CONTOURING

BREAST RECONSTRUCTION

BURNS

CLEFT LIP AND PALATE

CRANIOFACIAL SURGERY

AESTHETIC BREAST SURGERY

ANCILLARY AESTHETIC PROCEDURES

FACIAL PALSY SCARS AND KELOIDS

FAT GRAFTING

FILLERS AND BOTULIN TOXIN

HAND

LASER

MAXILLOFACIAL

MICROSURGERY

NEW TECHNOLOGIES

OCULOPLASTIC SURGERY

SURGERY

PEDIATRIC SURGERY

REGENERATIVE SURGERY

RESEARCH

TRANSPLANTATION

RECONSTRUTION AFTER TRAUMA

RECONSTRUCTION IN TUMORSURGERY

SEX REASSIGNMENT SURGERY

TOPICS

to v iew Internat iona l Facu l ty, Committees and Program please v i s i t www. iprasch i le . c l

We carefully selected the most exclusiveand unforgettable tours for you!

VINA DEL MAR & VALPARAISO

(full day excursion-8 hours)

CONCHA Y TORO WINERY

(half day tour - 4 hours)

Route toward the Pacific coast

along local color beaches.

Travel to the south of the city and

approach mountain range area

towards Maipo Valley.

CITY TOUR SANTIAGO DE CHILE- (half

day tour - 4 hours)

Sightseeing tour to historic,

commercial and residential areas of

the city.

Optional Tours

Official CongressDinner

Excellent networking opportu

nities

Thursday 28 Februar

y 2013

Expocenter Espacio Riesco,

Join themost spectacularnight full of surprises

Enjoy a cocktail before the Congress Dinner at the lobby and

socializewith colleagues in the speciallydesigned loungearea

The night will include unique spectacular events with the greatest

talented singers, musicians and dancers, live folklore music

and, lastbutnot least, extraordinarygastronomy!

AwardCeremonies

For more information contact Mr. Nikos Antonopoulos at [email protected]

IPRASWORLD CONGRESS

201324 FEBRUARY - 1 MARCH 2013

th st

Registration fees for Accompanying include:

Participation in the Opening Ceremony andthe Welcome Reception


Wine day tour

REGISTRATION

Attendance to all scientific sessions


Conference Bag

Coffee and tea breaks

Light lunches

Participation in the Opening Ceremonyand the Welcome Reception

Registration fees include:

HOTELS

DAILY SHUTTLE SERVICE:

12 € per day/person- 5days package(Round-trip transportation betweenthe Conference venue & your hotel)

Prices are quoted on

bed and breakfast basis

5 nights minimum stay

HOTEL

SANTIAGOMARRIOTT HOTEL 5*

INTERCONTINENTAL SANTIAGO 5*

SHERATON SANTIAGO HOTEL 5*

CROWNE PLAZA HOTEL SANTIAGO 5*

APARTS HOTEL NERUDA 3*

HOTEL NERUDA EXPRESS 3*

CEASAR BUSINESS 4*

HOTEL FUNDADOR 4*

EUROTEL PROVIDENCIA 4*

HOTEL NERUDA 4*

EUROTEL EL BOSQUE 4*

Single room

per night

190 € + 30 € VAT

190 € + 30 € VAT

190 € + 30 € VAT

160 € + 25 € VAT

85 € + 13 € VAT

85 € + 13 € VAT

99 € + 13 € VAT

105 € + 16 € VAT

110 € + 16 € VAT

115 € + 18 € VAT

110 € + 16 € VAT

125 € + 18 € VATPLAZA EL BOSQUE SUITES 4*

Double Room

per night

205 € + 30 € VAT

200 € + 30 € VAT

200 € + 30 € VAT

170 € + 25 € VAT

95 € + 15 € VAT

95 € + 15 € VAT

115 € + 16 € VAT

110 € + 16 € VAT

120 € + 18 € VAT

125 € + 21 € VAT

120 € + 18 € VAT

135 € + 18 € VAT

w w w. i p r a s c h i l e . c l

For registration andaccommodation bookings please visitthe official congress website:

ON-LINE

Topics - Hotels - Registration

FEES

Participants

Residents

Students/Nurses

Accompanying

LATEUNTIL

10/01/2013

750€

350€

300€

150€

ON SITEFROM

11/01/2013

900€

400€

350€

150€

MASTERCLASSES€/each

50€

30€

-

-

SHERATON is the Main Congress HotelSANTIAGO HOTEL

AESTHETIC

BARIATRIC SURGERY

BODY CONTOURING

BREAST RECONSTRUCTION

BURNS

CLEFT LIP AND PALATE

CRANIOFACIAL SURGERY

AESTHETIC BREAST SURGERY

ANCILLARY AESTHETIC PROCEDURES

FACIAL PALSY SCARS AND KELOIDS

FAT GRAFTING

FILLERS AND BOTULIN TOXIN

HAND

LASER

MAXILLOFACIAL

MICROSURGERY

NEW TECHNOLOGIES

OCULOPLASTIC SURGERY

SURGERY

PEDIATRIC SURGERY

REGENERATIVE SURGERY

RESEARCH

TRANSPLANTATION

RECONSTRUTION AFTER TRAUMA

RECONSTRUCTION IN TUMORSURGERY

SEX REASSIGNMENT SURGERY

TOPICS

to v iew Internat iona l Facu l ty, Committees and Program please v i s i t www. iprasch i le . c l

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Federación IberoLatinoamericanade Cirugía Plástica

(FILACP)

InternationalSocietyof Plastic

RegenerativeSurgery(ISPRES)

InternationalCommittee

for Quality Assurance,Medical Technologies

and Devices inPlastic Surgery(IQUAM)

AMERICAN SOCIETY OFPLASTIC SURGEONS

R

American Societyof Plastic Surgery

(ASPS)

Sociedade Brasileirade Cirurgia Plástica

Brazilian Societyof Plastic Surgery

(SBCP)

European Society ofPlastic Reconstructive& Aesthetic Surgery

(ESPRAS)

EUROP

EAN

SO

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OF

PLA

STIC

RECONSTRUC

TIV

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AESTH

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SU

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E.S.P.R.A.S

PanafricanAssociationfor Plastic &

ReconstructiveSurgeons(PAPRS)

Sociedad deCirugía Plástica,Reparadora yEstética

del Uruguay(SCPREU)

AsociacionMexicanade CirugíaPlástica

yReconstructivaEstética

(AMCPER)

SociedadVenezolanaCirugíaPlástica y

Reconstructiva(SVCPR)

SociedadArgentinade Cirugía

Plástica, Estética yReparadora(SACPER)

IPR

AS

SPO

NSO

R

SociedadColombianade CirugíaPlástica

yReconstructivaEstética

(Miembro de la ACSC,FILACP, IPRAS)

Sociedad Paraguaya de CirugíaPlástica, Reparadora y Estetica

(SPACPRE )

EUROPEAN SOCIETY OF PREVENTIVE,

REGENERATIVE AND ANTI-AGING MEDICINE

European SocietyPreventive Regenerative& Anti-Aging Medicine

(ESAAM)

of

INTERNATIONALP

L

AS

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International Confederation for Plastic,Reconstructive & Aesthetic Surgery

C O N G R E S S

ZITA

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Registration /Accommodation Bookings:

Air Ticket Reservations:Social Program / Optional Tours:Marketing/ Media Office:

Mr. Gerasimos Kouloumpis, Tel. 00302111001780, fax 00302106645176, e-mail: [email protected],fax 00302106645176, e-mail: [email protected]. 1) Mrs. Irene Katti,

Tel. 00302111001783, e-mail: [email protected] 2) Mr. Nikos Antonopoulos, Tel. 00302111001782, fax 00302106642116,e-mail: [email protected]. Mrs. Orsa Dritsa, Tel. 00302111001797, e-mail: [email protected],fax: 00302111001779. Mr. Nikos Antonopoulos, Tel. 00302111001782, fax 00302106642116, e-mail:[email protected]. Mrs. Maria Sevastaki, Tel. 00302111001773, fax: 00302106645176, e-mail: [email protected]

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PRODUCTS

MEDICAL

MAKERS OF THE KELLER FUNNEL

Keller Medical, Inc.

PROMOITALIAW E L L N E S S R E S E A R C H

CER

EP

LA

S

Scar Management & Post Operative Care

TM

MQ

Quality MedicalPublishing, Inc.

MARINAMEDICALThe New Wave In Surgical Instruments

GlobalClinic

IPRASWORLD CONGRESS

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I N S T R U M E N T O S C I R U R G I C O S


The well documented class action suit against a large United States breast implant manufacturer (Dow Corning) in the 1990s sounded an alarm around the globe. There were reports, mainly anecdotal, erroneously linking silicone gel based breast implants with conditions such as autoimmune disease and cancer. This was followed by a re-evaluation of the way device performance is assessed prior to their release.(1)

After a series of epidemiologic studies demonstrated that implants were not a cause of these conditions, approval was given in 2006 to again release them to the public.

In 2010, fuelled by a media frenzy, the withdrawal from the market of a French brand of implant, Poly Implant Prosthese (PIP), ignited another sense of panic for consumers. Existing registry data could not answer the most basic questions about implant performance nor was it possible to even enact reliable recall. Furthermore, there were erroneous reports of a link between the PIP implants and a rare malignancy, Anaplastic Large Cell Lymphoma (ALCL). An FDA investigation in January 2011 identified 60 cases of this tumour world-wide andconcluded there is a possible association between breast implants and the development of ALCL.(3)

It seems the adage is true, “those who fail to learn from history are doomed to repeat it”.

What have we learned this time round?

The answer is simple. Without effective device registries, regulators cannot adequately respond to health scares, because they are unable to answer fundamental questions

such as 'how often is this problem occurring' or 'which group of recipients is most at risk'.

On a national level, device registries are prudent and necessary. Well designed registries have proven to be sensitive ‘early warning’ systems and in the long term are cost-effective. Globally, lifetime exposure to breast implants (often in young women) and limitations faced by pre-market evaluation, underpin the need for reliable, comparable, international data.

Breast Implant Registries have been tried in the past but despite best intentions have not been sustainable. In large part the failure was due to overly comprehensive datasets that clinical enthusiasts wished to capture.(4) Busy, time-poor plastic surgeons could not embrace the often unwieldy data forms that covered several pages and took many minutes to fill out. Ironically, even when some datawas successfully captured, international data comparison was not.

In 2012, we now know that registries require complete capture of whole populations and this can be achieved with only a minimum dataset.

In Australia, over the last eighteen months, we have made enormous progress towards the implementation of a National Breast Device Registry. Developed by the Australasian Foundation for Plastic Surgery and Monash University, the new registry has government and industry endorsement, has been successfully piloted, and is ready for roll-out in 2013.

The Australian breast device registry uses opt-out consent,

Unifying Global Implant Dialogue The Key to Effective International Collaboration

Rodney D. Cooter1 MBBS, MD (Adel), FRACS (Plast), President, Australian Society of Plastic Surgeons

Renee L. Best2, 3 BSc, Project Coordinator: Breast Device RegistrySue M. Evans2, 3 PhD, Associate Director

John J. McNeil2 AM MBBS, PhD, FRACP FAFPHM Professor and Head School of Public Health and Preventive Medicine

1. Australasian Foundation for Plastic Surgery 2. Department of Epidemiology and Preventive Medicine, School of Public Health

and Preventive Medicine, Monash University, VIC.3. NHMRC Centre of Research Excellence in Patient Safety,

Monash University, Melbourne, VIC.

S U R V E Y S


a minimum single page 'epidemiologically -sound' data-set, and rigorous quality control. It is based on the successful model employed by a range of other major Australian registries which follow national guidelines for registry development by the Australian Commission on Safety and Quality of Healthcare. It will provide an essential method for safe-guarding the future Australian recipients of these devices.

The data are collected via a ‘tick and stick’ model paper form which takes less than one minute to complete, usually being filled out by operating room staff. Eachdata element of the registry has been defined in a datadictionary which will ensure consistent and uniform datasets.

But national registries are only part of the solution to effective data capture sufficient to better inform the nextimplant crisis. The key to success is a minimum data set that allows international comparison. This conclusion is the essence of an essential global dialogue.

In 2013, we must finally learn the lessons of the 1990sand 2010. It is now a priority to share and coordinate a minimum dataset, data field definitions, and methodsof reporting and analysis. If interested parties align with the minimum dataset prior to their registry development, international comparison should be uncomplicated.

In various forums across the globe we have presented our concept of a formal International Collaboration of Breast Registry Activities (I-COBRA). This global conversation now has significant momentum and there is tractionaround an international agreement for a minimum dataset

to capture comparable data on breast implants, breast tissue expanders and other implantable breast products such as acellular dermal matrices.

From Australia, we are keen to collaborate with all other national societies. In so doing, we will continue our global dialogue by sharing all of our registry design experience in assisting other countries to set up registries with comparable minimum datasets and agreed upon methods of statistical analysis.

For more information please contact Associate Professor Rod Cooter [email protected]

1. Bernstein DE. The Breast Implant Fiasco. California Law Review. 1999;87(2):Article 4.

2. Australia CMOo. Poly Implant Prothèse (PIP) Breast Implants: Report of the Chief Medical Officer, April2012. Australian Governement.

3. Center for Devices and Radiological Health. Anaplastic Large Cell Lymphoma (ALCL) In Women with Breast Implants: Preliminary FDA Findings and Analyses. U.S. Food and Drug Administration, 2011.

4. Jeeves AE, Cooter RD. Transforming Australia’s Breast Implant Registry. Medical Journal Australia. 2012;196(4):232-4.

5. Community Affairs References Committee. The role of the Therapeutic Goods Administration regarding medical devices, particularly Poly Implant Prothese (PIP) breast implants. 2011.


BREAST DEVICE REGISTRY

PATIENT HISTORY

/ /

OPERATION DATE (Day/Month/Year)

PLEASE COMPLETE OVER PAGEVersion_2.3_12th November 2012

AFFIX RIGHT DEVICE STICKER[COMPLETE IF NO DEVICE STICKER]

Implant Tissue Expander

Manufacturer:

Distributor:

Cat / Ref no:

LotNo:

Shell:

Fill:

Shape:

AFFIX LEFT DEVICE STICKER[COMPLETE IF NO DEVICE STICKER]

Implant Tissue Expander

Manufacturer:

Distributor:

Cat / Ref no:

LotNo:

Shell:

Fill:

Shape:

Textured Smooth Polyurethane

Silicone Saline Other

Round Shaped / Anatomical

Textured Smooth Polyurethane

Silicone Saline Other

Round Shaped / Anatomical

DEVICE STICKER INSERTED DURING THIS OPERATION

Site Name:

Suburb: State:

Surgeon name: ______________________________

Surgeon BDR code (if known): __________________

SITE DETAILS

AFFIX PATIENT STICKER or complete details below

Patient UR # : Address :

Medicare # : P/code : State:

Surname: Telephone : -

First name: Middle Initial: Mobile :

Birth Date: / / (dd/mm/yyyy) Email :

Reason for operationCosmetic augmentation Reconstruction post cancer

Reconstruction Benign Congenital deformity

RIGHT BREAST LEFT BREAST Tick if Same Bilateral

Reason for operationCosmetic augmentation Reconstruction post cancer

Reconstruction Benign Congenital deformity

Previous Radiotherapy Yes No Not known

Device operation First implant insertion Tissue expander insertion

Implant revision or replacement Tissue expander removal & implant insertion

Other

Previous Radiotherapy Yes No Not known

Device operation First implant insertion Tissue expander insertion

Implant revision or replacement Tissue expander removal & implant insertion

Other


IF TISSUE EXPANDER, ��: mlsIF TISSUE EXPANDER, ��: mls

RETURN FORM:MAIL: Breast Device Registry, DEPM, Alfred Hosptial, Comercial Road, Melbourne 3004

scan email: [email protected] fax: (03) 9903 0277contact BDR phone: (03) 9903 0205

ELEMENTS OF OPERATION

Antiseptic Rinse Antibiotic solution Prophylactic Antibiotics Drains usedSleeve/funnel (Keller funnel) Nipple guards Glove change for insertion Not known

OPERATION TECHNIQUE

RIGHT BREAST

IF REVISION SURGERY, COMPLETE PINK SECTION BELOWLEFT BREAST Tick if Same Bilateral

Reason for revision Due to complication Asymptomatic revision

CapsulectomyFull Capsulectomy Partial Capsulectomy No capsulectomy

Operation type Replacement Explant only Capsulectomy Only Other

Incision site Infra-mammary Mastectomy scar

Axillary Areolar Other

Plane Subglandular Sub pectoral Sub fascial

Mastopexy Yes No Not known

Flap cover Yes No Not known

Mesh/Dermal sheet Yes No Not known

Fat grafting Yes No Not known

Incision site Infra-mammary Mastectomy scar

Axillary Areolar Other

Plane Subglandular Sub pectoral Sub fascial

Mastopexy Yes No Not known

Flap cover Yes No Not known

Mesh/Dermal sheet Yes No Not known

Fat grafting Yes No Not known

RIGHT BREAST LEFT BREAST Tick if Same Bilateral

`

RIGHT BREAST LEFT Same Bilateral

Yes, reason for revision

Yes, found incidentally No Not

knownYes, reason for revision

Yes, found incidentally No Not

known

Device rupture ��Capsular contracture

Silicone Extravasation if yes:

Intracapsular

Extracapsular

Distant

Breast cancer

Anaplastic LargeCell Lymphoma

Device malposition

Skin scarring problems

Deep wound infection

Seroma/Haematoma

Reason for revision Due to complication Asymptomatic revision

Operation type Replacement Explant only Capsulectomy Only Other

Is the operation removing a PIP implant: Yes No Is the operation removing a PIP implant: Yes No

IF TISSUE EXPANDER, ��: mls IF TISSUE EXPANDER, ��: mls

CapsulectomyFull Capsulectomy Partial Capsulectomy No capsulectomy

Is the operation removing an implant inserted overseas: Yes No

Is the operation removing an implant inserted overseas: Yes No


IPRAS_Ad.indd 1 12/21/12 1:10 PM


Specialists Best Paper - ExperimentalDoes Partial Expander Deflation Exacerbate

the Adverse Effects of Radiotherapy in two stage Breast Reconstruction?

Burcu Celet Ozden1, Erdem Guven1, Isik Aslay2, Gonul Kemikler3, Vakur Olgac4, Merva Soluk Tekkesin4, Bengul Serarslan2, Burcak Tumerdem Ulug5, Aylin Bilgin Karabulut1, Atilla Arinci1 and Ufuk Emekli1

1. Istanbul University Istanbul Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, İstanbul, TURKEY2. Istanbul University, Istanbul Faculty of Medicine, Oncology Institute, Department of Radiation Oncology, Istanbul,

3. Istanbul University, Istanbul Faculty of Medicine, Oncology Institute, Department of Medical Radiophysics, Istanbul, 4. Istanbul University, Istanbul Faculty of Medicine, Oncology Institute, Department of Tumour Pathology, Istanbul,

5. Maltepe University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, TURKEY

Abstract:The optimum protocol for expander volume adjustment with respect to the timing and application of radiotherapy remains controversial.

Methods:Eighteen New Zealand rabbits were divided into three groups. Metallic port integrated anatomic breast expanders of 250 cc were implanted on the back of each animal and controlled expansion was performed. Group I underwent radiotherapy with full expanders while in Group II, expanders were partially deflated immediatelyprior to radiotherapy. Control group did not receive radiotherapy.The changes in blood flow at different volume adjustmentswere investigated in Group II by laser Doppler flowmetry. Variations in the histopathologic propertiesof the irradiated tissues including the skin, capsule and the pocket floor, were compared in the biopsy specimenstaken from different locations in each group.

Results:A significant increase in skin blood flow was detected

Group II-Partially DeflatedGroup I-Fully Inflated

in Group II with partial expander deflation. Overall,histopathologic exam revealed aggravated findings of

Expander status at the time of radiotherapy. Definition of sites that have been investigated. 1a- Above, Expanders were fully inflated in Group I.1b- Below, Expanders were partially deflated in Group II. Site 1: The superior portion of the expander, i.e the tissues that lay over the metallic port; including epidermis, dermis and capsule. Site 2: The lower/most prominent portion of expander; including epidermis, dermis and capsule. Site 3: The floor of the expander pocket, including capsule and connective tissue. Site 4: Neighbouring tissues in the non-expanded area adjacent to the expander pocket.


Reconstruction of Skin Defects after Traumas

chronic radiodermatitis (epidermal atrophy, dermal inflammation and fibrosis, neovascularisation andvascular changes as well as increased capsule thickness) especially around the lower expander pole, in Group II.

Conclusions:Expander deflation immediately prior to radiotherapymay augment the adverse effects, especially in the lower expander pole, possibly via enhanced radiosensitization

Treatment planning and isodose lines in the experimental groups I (2a, Left) and II (2b, Right).

due to a relative increase in the blood flow and tissueoxygenation.

Keywords:Two-stage breast reconstruction, Radiotherapy, Tissue expansion

This article has been published in World Journal of Surgical Oncology 20 February 2012,DOI: 10.1186/1477-7819-10-4422348433

Berisha A1, Zogaj A3.1. Department of Plastic and Reconstructive Surgery,

UCCK, Prishtina. Kosova. 2. Clinic of Infectious Diseases, UCCK, Prishtina. Kosova.

Resume:Posttraumatic reconstruction of skin defects can be performed through understanding the mechanism of the wound or defect creation and by careful planning for a better functional and aesthetic outcome. To achieve these outcomes we need to have a connection between the well trained and equipped professional (surgeon) and the health condition of the patient and his motivation to cooperate, as well as institutional support accompanied by quality medical equipment. We mention these because we have had poor institutional support and lack of medical equipment.In our work we analyzed 941 patients with skin defects and also extensive burned patients in period of 1999 till 2007. All of them were treated in the Ward of Plastic and Reconstructive Surgery, University Clinical Centre of Kosova.The interventions were with: Autologous and homologous skin grafts, local and distant flaps.The main words: defect, graft, flap, reconstruction.

Address of Author: Agim Berisha, M.D.Department of Plastic and Reconstructive Surgery,University Clinical Centre of Kosova, Prishtina. Kosova.E-mail: [email protected]


Plastic surgical training – Online surveyMore participants needed

With more than 100 member countries within IPRAS, training in every single one of them seems heterogeneous. In order to depict and evaluate the different standards of training programs worldwide IPRAS-TA together with IPRAS is currently conducting an online survey.

The survey has been online continuously since May 2012, will be online for one year and can be accessed online at http://www.ipras.org/residents-trainees

It should take approximately 15-20 minutes to complete. Participation in this survey is entirely anonymous and voluntary, and it will thus in no way affect a residents training.

So far, replies from 33 member countries have been obtained. A preliminary evaluation confirms a broad variety of training structures and standards inthese countries.

To get an understanding of the adequacy of plastic surgery training and the existing differences between member countries, we require as many responses as possible. Therefore, we need all trainees to participate in this survey. We kindly ask the national societies, program directors and colleagues that employ residents to invite your trainees to take part in this survey, such as by forwarding the link.

Participation in this survey will help IPRAS to facilitate further developments in plastic surgery training around the world.

Sarah Lorenz Shady A.Rehim


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Plastic Surgery The Meeting in New Orleans, La., offered all of the elements essential to a successful gathering of the world’s premier plastic surgeons. Attendees enjoyed top-tier education, five-star cuisine and a stellar benefitperformance by Jewel with proceeds going to The PSF to support breast reconstruction research and awareness. A packed Exhibit Hall featured the latest innovations from vendors as well as social breaks with live music, food and drinks. In all, more than 6,200 plastic surgeons, allied medical personnel, staff and guests traveled to The Crescent City for the annual meeting. The combination of innovative education, unprecedented entertainment and international camaraderie made the 2012 edition of Plastic Surgery The Meeting an unforgettable experience.“Plastic surgeons strive for the perfect outcome, and we couldn’t be more pleased with the outcome of Plastic Surgery The Meeting,” says 2012 ASPS President Malcolm Z. Roth, MD. “We’ve been getting positive reactions across the board to this annual meeting – the

depth and breadth of the educational courses and panels that were presented in fun and innovative ways, the ‘follow-up’ forums, learning through competitive games, even the comfort of the Morial Convention Center – all aspects have received high marks from the Society members with whom I’ve spoken.”One of 50 nations represented at the annual meeting – and 321 international physicians in attendance – Brazil was honored as the inaugural Guest Nation. Dr. Roth personally extended the Society’s hand of friendship to 91 Brazilian plastic surgeons in attendance, and Brazilian Society President José Horácio Aboudib, MD, and International Chancellor Osvaldo Saldanha, MD, accepted the Guest Nation honor during Opening Ceremonies. “The focus on our Brazilian partners through the Guest Nation Program, including the translation of Session A events into Brazilian Portuguese, was widely embraced by attendees of all nations,” Dr. Roth notes. “We’re grateful for the instruction from, and the example set

American Society of Plastic Surgeons

NOLA lets the good times roll with world-class education, entertainment

Jim Leonardo Originally published in Plastic Surgery News

(Dec. 2012) psnextra.org

Global Summit

NATIONAL ASSOCIATIONS’ & PLASTIC SURGERY ORGANIZATIONS’ NEWS


by, our colleagues in the Brazilian Society of Plastic Surgeons. Their participation was another key to our successful annual meeting.”Michael Neumeister, MD, 2012 PSF President, says Plastic Surgery The Meeting met the goal of providing a comprehensive, full slate of educational opportunities for all plastic surgeons in attendance.“This was a meeting deep in education that ran the gamut from basic science to cutting-edge techniques, research and technology,” says Dr. Neumeister. “We’re proud of the sheer comprehension and depth of the courses, panels and scientific paper presentations, and our new follow-upsessions seemed to be very popular. It’s fair to say that no matter what any particular plastic surgeon needed from this meeting, it could be found in the annual meeting program.” The meeting also provided an opportunity to showcase research funded by The PSF. “We’re getting the word out, and we’re pleased with the level of interest in contributing funds to The PSF. Hopefully, our members see the real value in giving back to their specialty for research,” he says.

Opening Ceremonies2012 ASPS President, Dr. Malcolm Roth, 2012 PSF President, Dr. Michael Neumeister and 2012 ASMS President Robert Havlik, MD, greeted all members and guests to the Opening Ceremonies. Following a moment of silence in observation of the passing of renowned French plastic surgeon and ASPS Honorary Member Daniel Marchac, MD, Dr. Roth asked past presidents of ASPS, The PSF, ASMS and other leaders to stand for recognition. He then asked International Members to stand, and he then called Drs. Aboudib and Saldanha to the stage to recognize the Brazilian Society and to present the ASPS Guest Nation Award.

ASPS Honorary Citation AwardSeveral plastic surgeons were recognized for outstanding achievements over their long and illustrious careers, including James Wells, MD, who received the 2012 ASPS

Honorary Citation Award. Dr. Wells, a past president of ASPS who currently sits on the American Board of Plastic Surgery (ABPS), helped develop the Stramski Children’s Developmental Center in Long Beach, Calif., for children with congenital/developmental conditions.

ASPS President’s AwardThe 2012 ASPS President’s Award was presented to Lester Silver, MD, MS, and Dicran Goulian, MD. Dr. Silver is chief of plastic surgery and professor of surgery/plastic at the Mount Sinai School of Medicine and Medical Center in New York. He’s also director of the Cleft/Craniofacial Program at Mount Sinai, and he has participated in surgical missions abroad for 40 years. Dr. Goulian has held several faculty positions at Cornell University Medical College, New York, including plastic surgery division director and professor of surgery, as well as professor of surgery at Weill-Cornell Medical College. Dr. Goulian currently serves as physician advisor at the Medical Review Institute of America and at United Health Care.

ASPS Special Achievement AwardBrian Kinney, MD, a past president of The PSF, presented the 2012 ASPS Special Achievement Award to ABPS Executive Director R. Barrett Noone, MD. The award is given in recognition of outstanding contributions to the specialty of plastic surgery.

International Humanitarian AwardDr. Neumeister introduced 2012 ASPS International Humanitarian of Plastic Surgery Award winner Ti-sheng Chang, MD, Shanghai, China. Via video, Dr. Chang expressed his thanks and appreciation for this award, which he said gives him “great pride.” Among many noteworthy accomplishments, he is known for performing the first comprehensive, surgical correctionof hyperterolism and cleft sternum in China, and for inventing a heating/bandaging treatment for lymphedema. Opening Ceremony


“I thank Dr. Neumeister and ASPS for this award, which honors not only me, but also honors the dedicated work of the professionals I have trained over the years. It’s my hope together we can continue the legacy of sharing.”

Patients of Courage The Patients of Courage: Triumph Over Adversity program honors reconstructive plastic surgery patients whose lives were restored through reconstructive plastic surgery and whose charitable actions influence the lives around them.This award is supported by Ethicon and Mentor. ASPS members nominate patients who carry an optimistic outlook on life and positively affect people around them, despite the difficulties of their reconstructive procedures.This year, five inspiring breast reconstruction patients were recognized, each of whom has used her experience to help others.

his family’s growth and geographic movements over several generations, mixing as he went along some images of personal interest with scenes from popular motion pictures and quotes from historical figures. Henoted several advances in science and medicine achieved by Israeli researchers and physicians, while illustrating the fortitude and resilience of his ancestors.

Spotlight on educationPlastic Surgery The Meeting provided wide-ranging and comprehensive educational offerings that included instructional courses and panels that embraced all surgical aspects of the specialty, as well as practice management and patient safety. Among the most popular offerings ranked by registration numbers included “Facelift Planning and Technique,” “The ‘Lift and Fill’ Face/Necklift: Obtaining Natural Results in Facelifts Using Facial Fat Augmentation,” “Fat Grafting to the Breast,” “Gynecomastia” and “Pedicled Perforator Flaps: Getting Started, Staying Safe and Planning Your Lifeboat.”Other features introduced at the annual meeting included opportunities for plastic surgeons to drill-down into topics and subjects once the major sessions and panels were complete – in forums titled “Continue the Panel,” “Ask the Expert” and “Roundtables” – which allowed attendees to seek answers and solutions to very specificissues in smaller, informal group sessions.“Fat Tuesday: Clinical Applications of Fat Grafting,” the Lunch & Learn Closing Session, attracted intense interest, as more than 300 attendees received instruction through three panels over the course of two-and-a-half hours. Session Chairs James Grotting, MD; Karol Gutowski, MD; and J. Peter Rubin, MD, presided over, respectively, “How I Make Fat Grafting Work: Harvesting, Processing and Injecting,” “Review of Current Trends in Fat Grafting to the Breast and Unanswered Questions,” and “Beyond the Breast: Fat Grafting for Reconstructive Surgery.”

Keynote SpeakersThe ASMS Converse Lecture was delivered Oct. 28 by University of Pennsylvania School of Medicine professor of plastic surgery Linton Whitaker, MD, founder of the craniofacial program at The Children’s Hospital of Philadelphia, and founder and director of the Center for Human Appearance at Penn. Dr. Whitaker provided a look at his life in plastic surgery, weaving photographs on a screen behind him with stories that told of the people and places of his past and present. In his lecture, titled “Terroir and the Cultivation of Excellence,” he paid particular homage to his wife, Renata, through photos of her taken over the course of 50 years.The PSF Maliniac Lecture was delivered Oct. 29 by Michael Scheflan, MD, former chief physician at theRokach Medical Center in Tel Aviv, Israel; former assistant professor of plastic surgery at the Virginia Medical College, Richmond; and past president of the Israel Society for Plastic Surgeons. Dr. Scheflan traced Dr. Malcolm Roth and Dr. Neumeister with their spouses

Iron Surgeon, Dr. Oswaldo Saldanha


A special ‘Evening’The highly anticipated pre-concert dinner, “An Evening with Jewel,” was a rousing success. The dinner featured several courses by renowned New Orleans chefs and an intimate performance at the center of the room by Jewel, who performed her song “Flower”. She wrote the song as a tribute to breast cancer survivors and is donating the proceeds from the sale of the song to live during “An Evening with Jewel” prior to her benefit concerton Oct. 29.

Installation of new PresidentsDr. Gregory R.D. Evans assumed the presidency of the American Society of Plastic Surgeons; Dr. Charles

Verheyden was elected to President of The Plastic Surgery Foundation; and Dr. Henry Vasconez was installed as President of the American Society of Maxillofacial Surgeons.

Looking Ahead: 2013 Annual MeetingReaction to Plastic Surgery The Meeting in New Orleans was overwhelmingly positive. The meeting’s most popular programs and instructional courses - as well as new offerings, products and features - will be return next year when the annual meeting comes to San Diego from Oct. 11-15. The abstract deadline for the meeting is March 4, 2013. http://www.plasticsurgery.org/For-Medical-Professionals/Resources-and-Education/Meetings/Plastic-Surgery-The-Meeting-.html

From International Reception, from the left: Dr. Niveo Steffen, Dr. Jose Horacio Aboudib, Dr. Nelson Piccolo, Doctor member of the Brazilian Society of Plastic Surgery, Dr. Luis Victor

MA_2013_IPRAS_combined_Ad.pdf 1 12/20/2012 6:01:30 PM


● The Foundation’s first Research Grant, awarded to Dr Alex Cameron for his PhD research on “The Role of Flightless (Flii) in Human Scarring”;

● A series of successfully piloted Cadaver, Microsurgery and Suturing Workshops. The Workshops provide education and training to a wide range of healthcare practitioners, including surgical trainees and registrars, non-surgical medical professionals and allied health workers;

● The successful organisation of the Plastic Surgery Symposium as part of the 2012 Sydney International Breast Cancer Congress (SIBCC). The Symposium showcased the latest advances in breast reconstruction research, surgical techniques and technology, highlighting the significant contributions made by Specialist Plastic Surgeons to the field of breast reconstruction. We were proud to present a distinguished faculty of national and international speakers;

● The exploration of strategic partnerships to advance the Foundation’s rural and remote Outreach Program. The Program is designed to build capacity of local practitioners in key skills areas of wound management and suturing. Simultaneously, the Foundation is exploring opportunities to collaborate with international aid agencies to provide outreach overseas.

Looking ahead, there will be opportunities through the Foundation to form collaborative partnerships in education and research with our international plastic surgery colleagues, and especially with our neighbours in South East Asia.In 2013, the Foundation is proud to be a collaborator of the Plastic Surgery Congress (PSC). In addition, the Foundation will host a Research Day to showcase the significant advances of plastic surgery research both locally and internationally. The Plastic Surgery Congress 2013 will take place from 24-27 April at the Melbourne Convention and Exhibition Centre in Melbourne Australia. The Congress presents the largest line-up of distinguished international and domestic talent. The comprehensive academic program is complimented by high quality intensive learning symposia, exclusive cadaver workshops and forums. Registration for the PSC 2013 is now open. Visit the Congress website at www.plasticsurgerycongress.org.au for more information.In the coming year, the Australasian Foundation for Plastic Surgery will continue to build its programs by working closely with government, industry, specialty societies and sub-specialty groups. To find out more about the Foundation visit www.plasticsurgeryfoundation.org.au.

In 2012, the National Plastic Surgery Societies of Australia and New Zealand joined forces to establish an Australasian Foundation for Plastic Surgery.“Our vision is to increase quality health outcomes for all consumers of plastic surgery and to support excellence in education and research for healthcare practitioners engaged in plastic surgery, said Dr Richard Barnett MBBS FRACS FACS, Chairman of the Board of Directors of the new Foundation.The current President (or delegate) of the Australian Society of Plastic Surgeons (ASPS) and the New Zealand Association of Plastic Surgery (NZAPS) are Directors of the Governing Board of the Australasian Foundation for Plastic Surgery. These directorships are currently held by Associate Professor Rod Cooter and Dr Howard Klein representing ASPS and NZAPS, respectively.“The work of the Australasian Foundation for Plastic Surgery is fundamentally different from that of the membership organisations for plastic surgeons in Australia and New Zealand”, Dr Barnett said.“ASPS and NZAPS are peak bodies whose main objective is to represent the medico-legal interests of their member plastic surgeons. The Foundation’s mission is to act as a catalyst for new ideas and to forge partnerships and programs that promote excellence, safety and integrity in plastic surgery”, he said.The Australasian Foundation for Plastic Surgery collaborates with partners to develop programs to support its goals. Programs must be targeted, innovative and sustainable. While not a service provider or a funding body the Foundation’s governing Board may elect to provide modest seed funds for new initiatives and to increase the body of medical knowledge through research and training.In 2012, the fledgling Foundation established several benchmark activities across its programs for Innovation, Research, Skills for Excellence and Outreach. Program highlights include:● The development of a best practice Breast Device Registry

(BDR), designed as both a contact registry and, most importantly, a comprehensive data collection tool for outcome tracking and quality assurance. In partnership with Monash University’s Department of Epidemiology and Preventive Medicine (Melbourne), the Foundation has developed a minimum dataset, agreed by global colleagues, to ensure internationally comparable data and analysis;

Associate Professor Rodney D. Cooter MBBS, MD (Adel), FRACS (Plast), Director, Australasian Foundation for Plastic Surgery Limited and President,

Australian Society of Plastic Surgeons

Australasian Foundation for Plastic Surgery


The 50th year symposium of the Austrian Association of Plastic, Aesthetic and Reconstructive Surgery (ÖGPÄRC) took place at Bruckner Haus Linz between October 18th and October 20th 2012. This anniversary has provided us with an opportunity to reminisce about the

past of our association as well as glance into its future and numerous contributors and guests have followed our invitation to Linz. One of the most renowned plastic surgeons worldwide, Prof. Dr. Foad Nahai, addressed the development of Plastic Surgery during the past 50 years in his well- received lecture. He did not fail to point out future prospects of this field, and accentuated that, especially when it comes toaesthetic surgery, it is not only the maximisation of profitthat has to be taken into consideration, but primarily the well-being of the patients. Prof. Hanno Milesi, a founding member of ÖGPÄRC, gave an account of the development of plastic surgery in the German-speaking area, and looked back on the foundation of ÖGPÄRC in 1963. Univ.-Prof. Dr. Markus Hengstschläger provided a current account as well as a forecast of the development of genetics and stem cell research and pointed out that plastic surgery is to play a considerable role in this area. In a highly interesting panel discussion, the area of aesthetic surgery on the eyelid was thoroughly reviewed. Several treatment concepts were presented, which made clear that different methods of treatment can lead to very good results if used in connection with appropriate experience. (Dirk Richter in Discussion with Foad Nahai) In the future, the specialisation of medicine is certainly going to demand more and more interdisciplinary cooperation. In one of the main topics "The functions of plastic surgery in tumor treatment", many of these interdisciplinary treatment approaches were presented

Austrian Association of Plastic, Aesthetic and Reconstructive Surgery (ÖGPÄRC)

by means of tangible examples. This interdisciplinarity, according to my point of view, will certainly strengthen the significance of plastic surgery, especially when itcomes to the reconstructive area, and should also be taken into account when planning the capacities of the public health sector.

In numerous excellent lectures, many of the more established and several new techniques were evaluated and new flaps were introduced.In addition to the scientific part of the symposium, there wasalso a spotlight on social aspects. Within the framework of a well received celebration evening, three awards were given to journalists who have proved to provide a particularly informative and reliable coverage of the topic. These journalists are : Dr. Sonja Reichel from Universimed- Verlag; Mag. Andrea Kager-Schwar from Radio Steiermark and Mrs. Zara Auferbauer from "vielgesundheit.at".

Prim. Dr. Thomas Hintringer President of ÖGPÄRC

Prof. Dr. Foad Nahai

Prof. Hanno Milesi

Journalists Dr. Sonja Reichel from Universimed- Verlag; Mag. Andrea Kager-Schwar from Radio Steiermark and Mrs. Zara Auferbauer

from “vielgesundheit.at” with Prim. Dr. Thomas Hintringer

Dr. Dirk Richter in Discussion with Dr. Foad Nahai


Report Royal Belgian Society for Plastic Surgery

This year 2012 was very fortunate for the Royal Belgian Society for Plastic Surgery. Here are few key events.On January 7, we were informed of the first facetransplant ever made in Belgium. This procedure was performed at the end of 2011, by the transplant team at University Hospital in Ghent, led by Phillip Blondeel. This was the nineteenth face transplant in the world. Belgium was the third country in Europe, after France and Spain, where this surgery had been performed. It seems that this was the first composite face transplantcontaining such an amount of bone tissue for a centrofacial reconstruction.On April 18 was held the Spring Meeting of the RBSPS in Bokrijk, organized by P. Guelinckx. The invited guest speakers were B. Berenguer (Madrid) and F. Santanelli (Roma). The topic of this meeting was - “The impact of research on daily clinical practice”. The idea was to stimulate the younger generation to conduct quality experimental research that is directly applicable in practice.On October 17, was held for the first time in Belgium, theBRA-day (Breast Reconstruction Awareness). The media broadcast the information to the general public and it was a promising success for next time. During this open day, several breast surgery centres presented lectures to interested persons.On November 10, we had our second national meeting at the Dolce, near Brussels, organised by Moustapha Hamdi. The main topic was devoted to “surgical and medical treatment of lymphedema”. A session was also dedicated to fillers, their complications and management.Our guest speakers were J. Masia (Barcelona) and G. De Santis (Modena). It was also an opportunity to hear Willy Boeckx, sharing his experience in the context of the

“Master Series of Plastic Surgery”. He was among the world pioneers of microsurgery, Who in 1973, conducted the first microsurgical free flap in Belgium with Albert deConinck.On December 13, we took a major legal step after a long process of work with our professional defense union, the Belgian Professional Association of Plastic Surgeons, which is now linked with the RBSPS. The law proposal regulating qualifications to performacts of non-surgical aesthetic medicine and cosmetic surgery was unanimously voted in the Senate. Just as in France, GPs will no longer be allowed to accomplish invasive surgical procedures, and they will have to have specific training for recognitionas “nonsurgical aesthetic doctors”. Other specialists will now have to limit their aesthetic surgery to their specificanatomical area.Our next semestrial congress will be held in Liège on Saturday April 27th by our outgoing President, Jean-Luc Nizet. This is a joined meeting, planned with the Royal Belgian Society for ENT, Head and Neck Surgery. The firsttopic is “head and neck reconstruction” with international guests P. Cordeiro (N.Y.) and F. Kolb (Paris). The second one is “rhinoplasty”, with the presence of W. Gubisch (Stuttgart). Of course, foreign participants are welcome - information can be found on our website www.rbsps.org, under “Agenda”.

Dr Gaëtan WillemartCommunication Responsable for the RBSPS

Dr. Willy Boeckx


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The success of the two previous world congresses for Plastic Surgeons of Chinese Descent in Beijing and Taipei has resulted in another meeting, the Third World Congress for Plastic Surgeons of Chinese Descent, which was held in Xi’an, China, October 12 through 14, 2012. The Congress was hosted by the Department of Plastic Surgery of the Xijing Hospital at the Fourth Military Medical University under the chairmanship of Professor Shuzhong Guo, the Chairman of the Department of Plastic Surgery at Xijing Hospital. The scientific programwas organized by Professor Lee L. Q. Pu of University of California Davis, Sacramento, California and co-chaired by Dr. Wei Xia at Xijing Hospital in Xi’an. Professor Yilin Cao from Beijing, Professor David T. W. Chiu from New York City, and Professor Fu-Chan Wei from Taipei served as honorary chairmen of the Congress. Professor Yu-Ray Chen from Taipei and Professor Zuoliang Qi from Shanghai served as co-chairmen of the Congress. The Congress itself consisted of a three full day scientificprogram, which was preceded by a one day, pre-Congress social program for all invited speakers from overseas. The pre-Congress social program was specially organized by our local host on October 11, 2012. The day started quite early and almost all invited speakers from overseas, along with their family members, took the day tour to Huangdi Mausoleum, the most important ancient grave site in China for the memorial mausoleum of the legendary Huangdi. It is the symbol of Chinese civilization and the roots of the Chinese nation. For thousands years, Chinese people from all over the world have come here to hold memorial ceremonies for Huangdi. This time, a special ceremony was arranged by our local host for the plastic surgeons of Chinese descent from all over the world. The entire group was gathered together in front of Huangdi mausoleum and the formal memorial ceremony was led by Professor Lee L. Q. Pu and Professors Yilin Cao, David T. W. Chiu, and Fu-Chan Wei. Such a ceremony has showed our greatest respect to our ancestors represented by the Yellow Emperor and our ongoing efforts to advance the science and art of plastic surgery by plastic surgeons of Chinese descent. After the ceremony and a delicious lunch, we went back to Xi’an and visited the Terra Cotta Warriors Museum. The

astonishing Terra Cotta Warriors, built more than 2,000 years ago, represent Chinese civilization and indeed are a true world heritage in China.The Congress began with an opening ceremony on the morning of October 12, 2012. After the welcome remarks by the conference chairman, Professor Shuzhong Guo and the scientific program chairman, Professor Lee L. Q.Pu, Dr. William C. Lineaweaver, Editor of the Annals of Plastic Surgery, delivered a keynote lecture on how to publish an article in a scientific journal. Professor Ray C-J Chiu, the Emeritus Chairman of Cardiothoracic Surgery at McGill University in Montreal, Canada presented his keynote lecture on how to become a surgeon and scientist. This was followed by five special lectures delivered byProfessors Lee L. Q. Pu for introduction of two previous world congresses, Professor David T. W. Chiu for summary of missions of World Association for Plastic Surgeons of Chinese Descent, and Professor Shuzhong Guo for introduction of the past, present and future of plastic surgery in China, and Professor Fu-Chen Wei for introduction of microsurgery at Chang Gung Memorial Hospital and Professor Yu-Ray Chen for introduction of craniomaxillofacial surgery at the same hospital. All

The Third World Congress for Plastic Surgeons of Chinese Descent and the Newly Founded World

Association for Plastic Surgeons of Chinese Descent Lee L.Q. Pu, MD, PhD, FACS1

Miodrag M. Colic, MD, PhD2

1. Division of Plastic Surgery, University of California Davis, Sacramento, California, USA.

E-Mail: [email protected]. The Colic Hospital, Belgrado, Serbia

The formal ceremony for memorial mausoleum of legendary Huangdi was led by Professor Lee L. Q. Pu. From the left: Professor Lee L. Q. Pu, Professors Yilin Cao, David T. W. Chiu and Fu-Chan

Wei in front of Huangdi mausoleum temple.


keynote and special lectures brought the proper spirit to start this three day world congress in Xi’an.The scientific program was comprehensive and in depth.There were a total of 37 panels representing the entire spectrum of plastic surgery. There were more than 120 invited panel speakers from Mainland China, Taiwan, the United States, Hong Kong, Singapore, Canada, Australia, and France. Each panel was composed of two oversea invited speakers and two invited speakers from mainland China. Such a composition has facilitated discussion and scientific exchange in each panel. Our local host providedsimultaneously translations from English to Chinese. The advanced knowledge of plastic surgery, presented in each panel, has demonstrated that it is a true international conference in our specialty. It is worthwhile to mention that several panels in this congress were quite unique, such as the panels on reconstructive microsurgery, scar management, facial paralysis surgery, ear reconstruction, pelvic and peroneal reconstruction, head and neck reconstruction, fat grafting and stem cell research, vascular malformation, genital cosmetic surgery, burn reconstruction, and topics on Asian cosmetic surgery for the face, nose, and eyelid. Many advanced techniques presented by the invited panel speakers have shown the

level of expertise and innovation of plastic surgeons of Chinese descent.On the last day of the meeting, there were panels on challenging reconstructive cases and cosmetic surgery troubleshooting. These two panels drew attention to many meeting participants and some of the unique experiences presented by the invited speakers were shared widely with the audience. About 150 selected abstracts were presented on the second day of the congress in various sessions. These abstracts were grouped based on their content; reconstructive, research, breast, pediatric and craniofacial, cosmetic, and general plastic surgery. Many young plastic surgeons from all over the world presented their remarkable clinical experience or plastic surgery research in many areas of plastic surgery during the abstract sessions. Thus, the Congress was also a forum for these young plastic surgery colleagues of Chinese descent. The Congress itself had more than 600 participants from 15 and so countries or regions. On the first night of the Congress, the official welcomebanquet was held in one of the performing theaters in the city. All congress participants and their family members were treated with delicious local Chinese cuisine while watching the Tang Dynasty performance.

A group photograph for the third World Congress for Plastic Surgeons of Chinese Decent in Xian, China.

A group photograph of invited speakers and their family members from overseas and Mainland China in front of Huangdi Mausoleum temple after the ceremony


Table 1. The Officers of WAPSCDTriumvirate Presidium Yilin Cao (Beijing) Fu-Chan Wei (Taipei) Lee L.Q. Pu (Sacramento, California)Secretary James J. Chao (San Diego, California)Assistant Secretary David S.Y. Wong (Hong Kong)Treasurer Yu-Ray Chen (Taipei)Assistant Treasurer Kenneth C.W. Hui (Hong Kong)Chairs of Standing CommitteesBylaw Committee Zuoliang Qi (Shanghai)Finance Committee June K. Wu (New York City)Membership Committee Christine Rohde (New York City)Education Committee James Chang (Stanford, California)Program Committee Shuzhong Guo (Xian)Publication Committee Colin Song (Singapore City)Research Committee Wei Liu (Shanghai)Conference Committee David C.C. Chuang (Taipei)

Almost everyone enjoyed the spirit and atmosphere of the show, the delicious local Chinese food, as well as friendships and companionship. Prior to the formal performance and dinner, the inauguration of the World Association for Plastic Surgeons of Chinese Descent (WAPSCD) was officially announced by Professor LeeL. Q. Pu and Professor David T. W. Chiu. During this formal ceremony, all of the appointed officers, foundingboard members, and committee chairs stood on the stage and expressed their gratefulness to serve to this wonderful international plastic surgery society. The newly appointed three Presidents, Professor Yilin Cao, Professor Fu-Chan Wei, and Professor Lee L.Q. Pu, and the Chairman of the Board, Professor David T.W. Chiu, gave a brief speech to congratulate the inauguration of this official international society, World Associationfor Plastic Surgeons of Chinese Descent.(Table 1) The establishment of such an international society is a true landmark for all plastic surgeons of Chinese descent worldwide. This new organization will definitely play arole in advancing the art and science of plastic surgery on a global scale.

The pre-Congress board meeting was held on the night of October 10, 2012, organized by our local host, Professor Shuzhong Guo. During this first board meeting, the by-laws of WAPSCD and the appointment of the first threepresidents of the association, founding board members, other officers of the society, were passed. Several otherimportant issues were also discussed during this firstofficial board meeting. On the last day of the Congress,the second board meeting was held to address a number of additional important issues, such as the identificationof the founding members of the society. A number of new committee chairs were appointed and each committee is set to start functioning soon after the Congress. Other future activities of WAPSCD were also discussed during this board meeting. At the end of the meeting, the local organization committee members for the Fourth World Congress for Plastic Surgeons of Chinese Descent introduced the preparation of the Fourth World Congress that will be held in Hong Kong for 2014. All meeting participants and invited speakers have enjoyed this wonderful world Congress in Xi’an, an ancient city in China. The scientificprogramrepresentsmanyremarkablecontributions to plastic surgery made by plastic surgeons of Chinese descent from all over the world. The social activities prior to and during the Congress are memorable and once in a lifetime experience. We look forward to the Fourth World Congress for Plastic Surgeons of Chinese Descent in Hong Kong in 2014 and invite plastic surgeons of all races from all over the world to attend this great international meeting in plastic surgery. It will be another gathering for the plastic surgeons of Chinese descent to celebrate the rich heritage of the Chinese culture and to promote the scientific exchange of plastic surgery amongthe plastic surgeons of Chinese descent and others. The newly founded international plastic surgery society, WAPSCD, has its distinguished missions and will likely play an increasingly important role in the international plastic surgery community in the years to come.

The inaugural board members of WAPSCD attended the first formalboard meeting on the night of October 10, 2012 in the conference

hotel before the congress.

The Klentze Medical Faculty (previously called Klentze Institut) was founded in the 90’s in Munich and is now based in Phuket, Thailand. The Klentze brand name is internationally recognized and stands for high quality, leading edge science in education and patient care. Based on the experience of his own institute in Munich, Prof. Michael Klentze developed Professional Medical Instruction sets, which are being continuously adapted with the latest scientific findings.Klentze Medical Faculty is helping doctors all over the world to become not only the most educated Anti Aging and Regenerative Medicine doctors, but also supplying them with all the necessary tools to achieve this goal through on site education, e-learning, Internet case conferences and workshops. During their education doctors can be affiliated to KMF and after 2-5 years training will be awarded with a fellowship of ECARE (European Center of Aging Research and Education). To facilitate their daily work, affiliated doctors will receive over 90 patient handouts, in order to guide their patients to improve their health performance and vitality. KMF trained doctors accompany their patients through their life, guiding them on the path of well-being, anti-aging, prevention, regeneration and healing. The main concept of this medical field is the use of high scientific based personalized and individualized medicine. It’s KMFs mission to ensure that affiliates always offer the most up-to date scientific and evidence-based benefits of preventive medicine to their patients.The education is based on medical protocols, called Professional Medical Instructions. Professor Dr. Michael Klentze has created 27 of these PMIs. These PMI cover all medical specialties in prevention and regeneration, giving special attention to the aging process and the possibilities to avoid or delay age related diseases. The content consists of PMI papers, PMI PowerPoint lectures, laboratory and pharmacological instructions. KMI connects affiliated doctors with world class laboratories and pharmacies, which provide molecular test, genetic tests and functional tests, covering all areas of medicine. It is these laboratories and pharmacies that allow physicians to fully utilize the PMI’s.The PMI are the key part of our support. Considerable energy is expended by keeping the PMI´s up to date and at the leading edge. The written PMI´s are far more then lectures and written Instructions but also necessary to be operational and start the treatment of patients in the field of personalized medicine; both preventive and regenerative. The ultimate goal of Klentze Medical Faculty is to ensure that all graduating physicians are true specialists in the field of Preventive, regenerative and Anti-Aging medicine, and that their patients can benefit fully from the advances in medical science which will allow them to lead healthy and long lives.

Klentze Medical Faculty now in Phuket (Thailand)

AddressKlentze Medical Faculty120/1 moo 7, Thepkasattri Rd, ThepkasattriThalang, Phuket. 83110. Thailand

http://klentze.com/en/Tel.: +66 878 928 032Email: [email protected]

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At the beginning of October in Zagreb, under the auspices of the Croatian President Prof. Ivo Jospiović, the 9th Croatian Congress of Plastic, Reconstructive and Aesthetic Surgery took place. Since the Croatian Society of Plastic, Reconstructive and Aesthetic Surgery (CSPRAS) is a smaller Society with a small number of members in the European context, regular conferences are held every two years. The quality scientificprogram on previous congresses and position and tradition of Zagreb as the host has aroused the interest of surrounding societies of plastic surgery as well as individuals who have responded with great interest to our gathering. This year's

correction of certain areas of the body under the guidance of experienced professionals from the same field.Last, but not least, because of the rich social program all participants were able to socialize and exchange additional information in a less formal and relaxed atmosphere at various locations in the city of Zagreb.The 9th Croatian Congress of Plastic, Reconstructive and Aesthetic Surgery marked the conclusion of a very successful 4 year period of CSPRAS lead by its President Ass. Prof. Marko Margaritoni from the Department of Plastic Reconstructive and Aesthetic Surgery, County Hospital Dubrovnik. During this period, new sections for wound, burn and hand surgery were established as well as a section for plastic surgeons in private practice. During the Congress the General Assembly of CSPRAS was also held in which the new president was elected. The new president is Prof. Rado Zic from the Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Dubrava who is also the General Secretary of ESPRAS. The vice president is Ass. Prof. Davor Mijatovic from Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Centre Zagreb, the secretary is Zlatko Vlajcic, the treasurer is Kresimir Martic and the members of the board are Prof. Zdenko Stanec, Ass. Prof. Marko Margaritoni, Mario Zambelli, Ass. Prof. Srecko Budi, Zdravko Roje, Miroslav Kincl, and Darko Jurisic.

Report from 9th Croatian Congress of Plastic, Reconstructive and Aesthetic Surgery

Prof. Rado Zic

Vice president Ass. Prof. Davor Mijatovic

meeting was also interesting because it had the largest number of invited speakers so far. All of them are famous names in plastic surgery from around the world and were very kind to share with us their experiences in the branches they are the best at. (Milomir Ninković, Dirk Richter and Guenter Germann from Germany, Patrick Malluchi and Mark Pickford from Great Britain, Uroš Ahčan from Slovenia and many others). The main topics were: mastopexy and breast augmentation, facial aesthetic surgery and revision rhinoplasty, postbarriatric aesthetic surgery, breast reconstruction, lower limb reconstruction, pediatric hand surgery, chronic wounds, burns and free topics. After each lecture and short presentations of clinical cases of participants, an interesting discussion about the complications and problems as well as tips and tricks took place under the chairmanship of invited speakers.With the exchange of ideas and through discussions one could find out the latest trends and possible directionsof development in specified branches of our complexprofession. In addition to the lectures there were numerous exhibitors present in the Congress, who supported the entire event and stood at the disposal for any information.There were also successful workshops which evoked interest in other professions dealing in cosmetic surgery. In them the participants could practice different methods of approach to

We hope to continue with the activities that we have started and plan to expand them in many areas, like supporting our new trainee section, developing educational programs and continuing the joint activities with other Societies like the Fellows in Science Congress we are co-organizing next year in Ljubljana (http://www.fellows-in-science.com/home/). We are open for communication and you can reach us through our website at http://hdprek.hlz.hr/

Prof. Rado Žic MD PhDPresident of CSPRAS


The National MeetingThe National Society meeting was held on Nov 22 in Helsinki with joint lectures for Breast Surgeons & Plastic Surgeons on the topic “Oncoplastic Surgery, where do we stand?” Another session was dedicated to the face: “Face from cradle to granddad”. Among the free papers, three presentations really stood out and were rewarded. The winner was Tiina Viitanen, presenting work from Anne Saarikkos’ group on: ”Lymphatic recipient and donor sites after microvascular lymph node transfer”. Thorough pre- and post-operative lymphoscintigraphies and a decent follow-up time allowed the group to conclude that lymph node transfer is a promising technique for treating postmastectomy lymphedema. Over half of the patients have been able to reduce or stop using compression garments. Increased level of VEGF-C may play part in enhanced lymphagiogenesis in these patients. However, the results of the first donor site lymphoscintigraphiesshow that it is important to reduce the surgical trauma during the elevation of the flap. It is remarkable how hardthis group is working to understand the basic science behind this surgery and to try to perform it in a safe and patient friendly manner. Runner – up this year was Hilkka Peltoniemi with her abstract: “Does Stem Cell Enrichment

enhance fat uptake in Jet-Assisted Fat Transfer for Breast Augmentation?” A unique, prospective, well-performed study seeking the truth on this controversial subject. How does it sound to have one breast with stem cell enriched fat and the contralateral one serving as a control with just ordinary fat? The bronze medal went to Hilve Turunen who presented a fascinating report:” Reconstruction of above-knee stump using the salvaged lower limb osteomyocutaneous fillet flap in pediatric patient withchronic osteomyelitis of femur”. The young boy was operated by herself and professor Tukiainen earlier this year in Kenya, presenting a typical, prejudice free, “think outside the box” kind of case. Altogether, a lot of inventive research and clinical work comes from the small Finnish Society. Please enjoy the top three abstracts from this year´s crop on page xxx in this journal.

Our Dear Scandinavian NeighboursHelsinki, under the presidency of Sinikka Suominen hosted the 34th Congress of the Scandinavian Association of Plastic Surgeons and the 6th Nordic Congress of Nurses in Plastic Surgery. About 250 people came together to share their knowledge and to learn more. It is interesting to see how many treatment modalities differ from one country to the other, although they are

Greetings from the Finnish Society

What the Year 2012 has brought along

Plastic Surgeons together at the members night at the National meeting. From the left: Mikael Relander, Pia Vuola, Veijo Ritsilä, Aarne Rintala (described and published the Rintala-flap) and Hannu Salo.


International contacts are extremely important to remote & small countries. Fu Chang Wei in Helsinki meeting up with Dr Heli Kavola in the summer of 2011. Heli has now finished a demanding ,yet very rewarding microsurgery fellowship in Taiwan with professor Wei.Also in

the picture Leena Setälä, Professors Erkki Tukiainen and Sirpa Asko –Seljavaara.

geographically and culturally close. We had the privilege to host a world famous faculty: Professor Eric Arnaud gave the Tord Skoog lecture on Cranio-facial surgery; Professor Isao Koshima shared his pioneering work of supramicrosurgery and lymphatics. Professor Scott Spear, a world authority on immediate breast reconstruction and professor Jaume Masia, a pioneer of perforator imaging and lymphatic surgery.

Breast Reconstruction Awareness BRA-Day FinlandBRA –day was launched and celebrated in Finland on Oct 17th, together with many other countries in the world.

Lectures for the public in three different cities were a promising start, and we will be back with even larger events next year. Thank You Canada and Toronto for the initiative and support.

Are all Plastic Surgeons in Finland Female?When going to meetings abroad a question frequently asked is that” Are all Finnish plastic surgeons female?” By all means no! Our Society has until to date 101 full members. Out them 54 are male (14 retired) and 47 female (3 retired), which makes the figures rather even.Male and female doctors have different strengths and qualities. To cite my former chief and very pragmatic mentor Honorary Professor Sirpa Asko Seljavaara; The Society should present a balanced blend of age and gender as well as different personalities. That is the key to innovation, development and an ever increasing respect for our profession. Seasonal Greetings to you all from the Finnish Association of Plastic, Reconstructive and Aesthetic Surgery

Susanna Kauhanen, President

[email protected]

Johanna Palve, Secretary

[email protected] IPRAS delegate Leena Setälä together with best National

Paper bronzemedalist Hilve Turunen


It was an eventful Congress at times happy and at other times sad. It was a meeting to celebrate the 20th anniversary of the IPRAS/IQUAM founding, first as EQUAM in 1992, becoming IQUAM a few years later, but the loss of two dear colleagues shadowed our hearts. Daniel Marchac died a few days prior to the Congress and the news of Fernando Ortiz Monasterio’s passing reached us during the Congress. It was a good meeting with a new initiative to organize the “1st IPRAS TRAINEES’ MEETING”, which proved to be a big success. About 200 trainees from 25 countries attended the highly interesting program, which included information about the training programs in various countries, presentations for safety practice and how to become safe plastic surgeons. For the first time the audience attended lectures from Training Professors of the IPRAS ACADEMY for AESTHETIC SURGERY and finally a competition resulted in the “Best Free Paper Award” won by a the German trainee Dr Hadjipanayi E.In the afternoon, we witnessed the formal inauguration of the “IPRAS Trainee Association” and the election of the temporary ExCo. Our president Prof Marita Eisenmann-Klein stressed the importance of this new idea and chaired the first General Assembly together with Prof. Andreas Yiacoumettis. It is expected and hoped that this endeavor will improve international communication on training issues and closer cooperation.In the opening ceremony of the IQUAM Congress the diploma of Trustee was awarded to Prof Michel Costagliola. Prof Gursu Guler was appointed to the Chair

of the Board of Trustless. Celebrating the 20th anniversary of IQUAM the candles of the birthday cake were blown out by the members present at the founding meeting of this Committee in Madrid, to an enthusiastic applause from all. These members were

10th IQUAM congress and consensus conference1st IPRAS Trainees Meeting

Jean Philippe Nicolai, Marita Eisenmann-Klein, Guler Gursu, Josef Fedeles and Andreas Yiacoumettis. It was a good congress, because a faculty of distinguished experts in our specialty presented papers of high scientific value adding new knowledge on several matters of concern. The PIP scandal, which has haunted us lately, the ALCL development after augmentation mammaplasty, safety issues in our practice, fat grafting which gradually is coming out of adolescence but still requires more

Front line from left to right A Yiacoumettis, E Demiri, M Eisenmann-Klein, G Gursu, O Papadopoulos, M Cohen and Z Kaplanidis

Behind: Dr. J Poell, Dr. C le Louarn, Mr. R Hawk

The IPRAS ExCo members who attended the meeting in Athens.

Andreas YiacoumettisIPRAS Deputy General Secretary

Chair of the Organizing Committee


research and so many other topics . All of this was interesting and up to date and kept the participants on their toes with their eyes and ears open to absorb every detail. Ten Key Note lectures were given by well-known colleagues in our specialty and more than two hundred papers were presented. The Keynote lecturers were G Magalon (France), N Pallua (Germany), C Khoo (UK), G Body (USA), K Russe-Wilflingseder (Austria), H Becker (USA), N Piccolo (Brazil), G Rigotti (Italy), B Kinney (USA) and D Kletsas (Greece). On Saturday a solemn ceremony in memory of Daniel

Marchac took place in the main hall in the presence of his widow Mrs Nina Marchac and his son Alexander who presented his father’s distinguished career. All the speakers referred to Daniel’s outstanding contribution to Plastic Surgery and his achievements. It was also stressed that he tirelessly participated in IPRAS and other international plastic surgery organizations. Daniel was the chair of the IPRAS Scientific Board, the Secretary of IQUAM and the Chair of the Scientific Committee of

this congress, these being the latest of his commitments. On the evening of Friday Nov. 1st, 2012 the IPRAS ExCo meeting took place in the hotel venue. It was attended by many of the members and the representatives of the co opted societies, including the President elect of ISAPS Dr Susumu Takayanagi. During this meeting important issues were discussed among which were the founding of the Trainees Association and the IPRAS Academies for training in Aesthetic Surgery and LASER. The new revision of the IPRAS bylaws was presented by the Dep. General Secretary Prof Andreas Yiacoumettis. The budget for next year, presented by our treasurer Prof Bruce Cunningham and our Executive Director Mr Zacharias Kaplanides, was accepted with generous applause. The Montenegrin Society of Plastic, Reconstructive and Aesthetic Surgery was unanimously accepted as an observer member society with a warm welcome by the president. The “IQUAM Consensus Conference” and General Assembly, chaired by the President Dr Constance Neuhann-Lorenz, took place at the end of the Congress. This meeting in which the National Delegates participated, resulted in the drafting of the 2013-2015 “Position Statement”, which will be sent to all Health Ministries, National Societies and other professional organizations worldwide. The new Secretary of IQUAM Dr Marco Klinger was elected for the next two years and the site of the next congress was voted. This will be in Paris and it will be organized by Claude de Louarn assisted by Alexander Marchac. Finally we came to the Gala dinner on Saturday which took place at the Yacht Club in Pireas, situated in a unique spot with a splendid view of the sea. In a festive atmosphere a professional group of dancers performed Greek dances and an outstanding video show on the “Greek Spirit” astounded the participants. It was indeed a good and successful meeting.

Dr Alexander Marchac and Mrs Nina Marchac attending the ceremony in memory of Daniel Marchac

Founding members of IQUAM blowing the candles of the birthday cake for the 20th anniversary. From left to right J Fedeles, G Gursu,

M Eisenmann-Klein, A Yiacoumettis and JP Nicolai

From the opening ceremony, from right to left: M Cohen, M Klinger, G Rigotti, B Cunningham, Ms Klinger, B Kinney, M Eisenmann-Klein, M Costagliola, K Russe, L Yiacoumettis, C Neuhann-Lorenz,

A Yiacoumettis, M Garcia-Velasco and E Korka.


IPRAS 1st International Trainees Association (IPRAS-TA)

We proudly announce the official foundation of theIPRAS Trainees Association, IPRAS-TA. IPRAS-TA aims to be the leading society for plastic surgery trainees worldwide. Similar to the structure of IPRAS itself, we aim to incorporate all IPRAS member countries within the Trainees Association. This is a very exciting time and a great milestone. Not only will it give trainees worldwide the opportunity to meet & network with colleagues and distinguished faculty members from various training programs, but IPRAS-TA will also enable trainees to experience exceptional, cutting edge educational techniques that will enrich their training experience.At IPRAS-TA, we are dedicated to deliver high standards of collaborative international work. Our aim is to equip and support plastic surgery trainees as they progress through their careers. For this, IPRAS-TA has set short-term and long-term goals to achieve over the next couple of years. Following the great success of the first IPRASTrainees Meeting in November 2012 in Athens, IPRAS-TA meetings will be held once every two years alongside IQUAM congress. The 2nd IPRAS-TA meeting will be held in Paris at 2014 and we are hopeful that the association will be a more established, dynamic group. We encourage

Members of the temporary elected IPRAS-TA ExCo. (Left to right: Ondrej Mestak, Giorgio Giatsidis, Hans Marius Solli-Nilson, Ziyad Alharbi, Sarah Lorenz, Antonis Kritharis, Angelos Karatzias, Nandita Melati Putri, Željka Roje. Two members Shady Abdel Rehim

and Ben Khoda missing in this picture)

all trainees to engage with IPRAS-TA and together we can enhance the quality of training worldwide.Please join the IPRAS-TA Group on facebook: http://www.facebook.com/groups/359872790755106/?fref=ts. This is a lively forum that contains recent news & updates, so please spread the word and feel free to share your posts. Countries that are not represented by a National Delegate are kindly asked to appoint one through their national society or trainees association.An IPRAS-TA webpage is currently under construction and will go online soon. Additionally we would like to share a valuable online learning resource, The Plastic Surgery Hyperguides, which is endorsed by IPRAS and is available with CME points at www.plasticsurgery.hyperguides.com.If you have any queries please feel free to contact any of the members of the IPRAS-TA executive committee and we will be very pleased to answer all of your questions.

Yours Sincerely,Sarah Lorenz (Chair)

Antonis Kritharis (Vice-Chair)Shady Adel Rehim (General Secretary)


Kosovo`s Society of Plastic, Reconstructive and Aesthetic Surgeons (KSPRAS) was formed in October 2006 as an non-governmental, professional, scientific and non-profitable association.

At this moment the society has 12 members. The functioning and the majority of activities are seated at the University Clinical Centre of Kosovo, Department of Plastic and Reconstructive Surgery, in Prishtina City (the capital of the Republic of Kosovo). This department has a capacity of 20 patients (beds) and deals with all types of burns and its complications, hand surgery, soft tissue tumors, reconstructive elective and trauma patients, congenital abnormalities and some aesthetic procedures as well. Our department is the only one of its kind in the Republic of Kosovo (Kosovo has over 2 million inhabitants).

Before its formation, the majority of its members were an active part of a joint association together with maxillofacial surgeons of Kosovo. The development of plastic surgery in Kosovo into a higher level created the circumstances and resulted to the formation of a new and independent society of plastic surgeons.

The society has its governing structures and it is based on the highest ethical and professional aims despite the limitations of equipment and of financial support.

On the 7th of November 2007 our society successfully held the “Workshop on Burns” in cooperation with Dr. Anthony Roberts as the leading lecturer. In this workshop two operations were performed live via telemedicine.

On the 8-10 of November 2007 our society organized its first Symposium with internationalparticipation. The international participants and lecturers were; Anthony Roberts (UK), Henrik Menke and Safet Beqiri (GER), Gjergji Belba (ALB), Lennart Krunder and Erkki Terpila (SWE), Zlatko Vlajcic (CRO), Smilja Gjorgova (FYROM), Ali Barutcu, Namik Baran and Ibrahim Yildrim (TUR) and many other doctors from the region.

Our members despite the financial difficulties are actively present with their scientific presentationsin many international symposiums and congresses held in Europe and Internationally.

KSPRAS would like to thank IPRAS for all the help: it is a pleasure to be its MEMBERS.

Agim Berisha,MD. KSPRAS

KSPRAS: Kosovo’s Society of Plastic, Reconstructive and Aesthetic Surgeons


The members of our society attended The 10th National Congress of the Northern Cyprus Turkish Society of Plastic Reconstructive and Aesthetic Surgeons in Girne/TRNC on 12-16 September, 2012. The scientific level ofthe lectures was very high and the social activities were memorable. We still remember the unique moments from our meetings.

Northern Cyprus Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons

With My Best Regards, Huseyin Borman, M.D., Professor

President of [email protected]

Our New Executive Committee Members are as follows:President: Huseyin Borman (IPRAS National Delegate)Vice President: Orgun DerenSecretary General: Bugra SadikogluVice Secretary General: Umit BoratacTreasurer: Kenan ArifogluScientific Members: Emirali Hamiloglu, Ali Sakinsel

We are planning to organize our 11th National Congress at the beginning of September in 2013 and we are looking forward to seeing plastic surgeons from different countries this time. We would like to share our knowledge and show them the natural beauty of our coasts. We will be very happy if our international colleagues present their experiences in our congress. We will let you know about the details of the upcoming meeting soon. We have recently organized a General Assembly Meeting and our Executive Committee has been defined. Wewould like to thank to Ali Nihat Ulgen, M.D., Professor, who was our former president, for his dedication and outstanding service. He made a remarkable contribution to our community.


34th Annual Congress of the Turkish Society of Plastic Reconstructive and Aesthetic Surgeons in Antalya

Main congress hall

Antalya, the Turkish Riviera, is the most stunning part of Turkey's Mediterranean coast. The 34th National Congress of the Turkish Society of Plastic Reconstructive and Aesthetic Surgeons took place at the Rixos-Sun Gate Hotel, Antalya on October 31st - November 4th, 2012, under the auspices of Turkish Society of Plastic Reconstructive and Aesthetic Surgeons (TSPRAS). Many invaluable local and international speakers were hosted during Congress. The Congress provided a mutual discussion platform among speakers with a vast experience and knowledge on both the practices in plastic, reconstructive and aesthetic surgery, and teaching and research activities with a view to updated and diverse approaches and ideas. We had 456 specialist and residents, 53 nurses, 103 company representatives and accompanying people registered to the Congress. The total number of participants including the faculty members was more than 600. The International Faculty included Dr. Michael Carstens, Dr. Kamran Khoobehi and Dr. Samir Mardini from USA, Dr. Patrick Tonnard from Belgium, Dr. Jacques van der Meulen from the Netherlands, and Dr. Domenico Scopelliti from Italy. We also hosted IPRAS Executive Director Mr. Zacharias Kaplanidis from Greece.

Organizing Committees

Congress Chair: Ramazan Kahveci, M.D.Vice-Chair: İsmail Kuran, M.D.Congress Secretary: Derya Özçelik, M.D.Local Congress Secretary: Koray Coşkunfırat, M.D.Scientific Committee Chair: Sühan Ayhan, M.D.Treasurer: Hüseyin Borman, M.D.Sponsors: Reha Yavuzer, M.D.Member relations and registration: Eksal Kargı, M.D.Social Events: Murat Topalan, M.D.Congress Web Page and Local Relations: Mustafa Yılmaz, M.D.The organizational service was provided by: Ms. Nur Bilen, Ms. Deniz Yıldırım and Ms. Eda Bektöre from Figur Congress Agency.

Scientific Program During the Congress; 20 instructional courses, 7 conferences, 7 panels, 15 free paper sessions, 1 Specialists Best Paper session, 1 Residents Best Presentation sessions were held. 71 papers were presented in 6-minute of oral presentation session, 102 papers were presented in 4-minute of oral presentation session and 404 papers were presented as poster presentation. Composite tissue allotransplantation and fat graft applications to the breast were the prominent topics discussed at two different panels. Additionally, 7th National Congress of Plastic Surgery Nurses was also held simultaneously, with the participation of more than 50 nurses. This congress also included 4 panels and 5 conferences.


From the left: Specialists best paper prizes were given to Dr. Fatih Zor, Dr. Özlenen Özkan, Dr. Önder Tan and Burcu Çelet Özden (absent here)

Specialists Best Paper - Experimental1. Does partial expander deflation exacerbate theadverse effects of radiotherapy in two stage breast reconstruction?

Dr Burcu ÇELET ÖZDEN, Dr Erdem Güven, Dr Işık Aslay, Dr Gönül Kemikler, Dr Vakur Olgaç, Dr Merva Soluk Tekkesin, Dr Bengül Serarslan, Dr Burçak Tümerdem Uluğ, Dr Aylin Bilgin Karabulut, Dr Atilla Arıncı, Dr Ufuk EmekliIstanbul University, Istanbul Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, İstanbul

2. Reflectance confocal microscopy may reduce the needfor skin biopsy in composite tissue allotransplantation follow-ups

Dr Fatih ZOR, Dr Hüseyin Karagöz, Dr Aslı Turgut Erdemir, Dr Yıldırım Karslıoğlu, Dr Cengiz Han Açıkel, Dr Rezarta Kapaj, Dr Serbülent Güzey, Dr Mehmet Salih Gürel, Dr Selçuk Işık Gülhane Military Academy of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara

Specialists Best Paper - Clinical1. Repair of the unilateral cleft lips with TAN (Triangular with Ala Nasi) II technique

Dr Önder TANAtatürk University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Erzurum

2. True functional reconstruction of total or subtotal glossectomy defects using a chimeric anterolateral thigh flap with both sensorial and motor innervation

Dr Özlenen ÖZKAN, Dr Ömer Özkan, Dr Alper Tunga Derin, Dr Ahmet DuymazAkdeniz University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Antalya


New Board Members of Turkish Society of Plastic, Reconstructiive and Aesthetic Surgeons. From the left: Prof. Dr. Ramazan KAHVECİ Former President; Prof. Dr. İsmail KURAN President; Prof. Dr. Mustafa YILMAZ Member for Internet/E-bulletin/E-journal; Prof. Dr. Murat TOPALAN President-Elect; Prof. Dr. Derya ÖZÇELİK Member for Foreign Affairs; Prof. Dr. Sühan AYHAN Secretary General; Dr. Özay ÖZKAYA Historian and Member for TMA and Member Relations; Prof. Dr. Hüseyin BORMAN Treasurer; Prof. Dr. Eksal KARGI Member for Media Relations; (Prof.

Dr. Reha YAVUZER is absent due to attendance of IQUAM meeting, Member for Scientific Tasks and Plastic Surgery School for Trainees)

From the left: Residents best presentation prizes were given to Dr. Murat Görkem Ataman, Dr. Serbülent Güzey, Dr. Mustafa Hancı and Dr. Mert Çalış

Residents Best Presentation - Experimental1. Improved viability of transverse rectus abdominis musculocutaneous flap by transplantation of adiposederived stem cells

Dr. Murat Görkem ATAMAN, Dr. Nilgün Markal Ertaş, Dr. Erhan Coşkun, Dr. Çağrı Ahmet Uysal, Dr.Hüseyin Borman Başkent University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara

2. The effects of cerium nitrate treatment on Tgf-beta levels in full thickness rat burn model

Dr. Serbülent GÜZEY1, Dr. Doğan Alhan1, Dr. Muhitdin Eski1, Dr. Deniz Torun2, Dr. Yasemin Gülcan Kurt3, Dr. Selçuk Işık1. 1. Gülhane Military Academy of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara2. Gülhane Military Academy of Medicine, Department of Medical Genetics, Ankara 3. Gülhane Military Academy of Medicine, Department of Medical Biochemistry, Ankara


Board of Directors

President: İsmail Kuran

President-Elect: Murat Topalan

Secretary General: Sühan Ayhan

Treasurer: Hüseyin Borman

Member for Scientific Tasks and Plastic Surgery School for Trainees: Reha Yavuzer

Member for Foreign Affairs: Derya Özçelik

Member for Internet/ E-bulletin/E-journal: Mustafa Yılmaz

Member for Media Relations: Eksal Kargı

Historian and Member for TMA and Member Relations: Özay Özkaya

Social Program At the convention, not only did we have an outstanding scientific program, but also friendship. During socialevents, we met a lot of old friends and made new ones…

ConclusionWe believe that every effort made within the field of plasticsurgery goes to reintegrating the patients as functioning members of society with a positive self-image and makes lives better ….

Residents Best Presentation - Clinical1. Objective speech assessment of cleft palate patients underwent palatal rapair by using vomer flap: benefitanalysis of vomer mucoperiosteal flap on speech

Dr. Mert ÇALIŞ1, Dr. Ömer Ekin1, Dr. Maviş Kayıkçı2, Dr. Mehtap İçen2, Dr. Nilda Süslü3, Dr. Figen Özgür . 1. Hacettepe University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara2. Hacettepe University, Faculty of Medicine, Department of ENT/ Audiology- Unit of Speech Disorders, Ankara2. Hacettepe University, Faculty of Medicine, Department of ENT, Ankara

2. Intraarticular platelet rich plasma injection for the treatment of temporomandibular disorders and comparison of its results with arthrosynthesis

Dr. Mustafa HANCI1, Dr. Mehtap Karamese2, Dr. Murat Aktan3, Dr. Selçuk Duman3, Dr. Zekeriya Tosun2, Dr. Nedim Savacı1 1. Necmettin Erbakan University, Meram Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, Konya 2. Selçuk University, Selçuklu Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, Konya 3. Necmettin Erbakan University, Meram Medical School, Department of Histology, Konya

More information regarding “34th Annual Congress of TSPRAS” can be found here:http://www.plastikcerrahikurultayi.org/2012/

If you look forward to joining the next meeting “35th ANNUAL CONGRESS OF TSPRAS” please visit our website:

http://www.plastikcerrahikurultayi.org/

On behalf of TSPRASDerya Özçelik, MD

General Secretary of the Congress

General Assembly-New Board MembersThe General Assembly of the Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons was also held during 34th Congress, on November 1st, 2012. New board of directors were chosen as follows:


H I S T O R I C A L A C C O U N T S

The Chilean Plastic Surgery Society was founded in 1941, and it was the first Latin American Plastic Surgery Society. One founding member was famous plastic surgeon Harold Gillies, of Great Britain, who signed the act of foundation during a visit to Chile. He had been invited there by Dr. Emilio Aldunate Philips, M.D. after Dr. Aldunate had visited a convention of Plastic Surgeons in Buenos Aires. It was he who pioneered the society and was elected President. The Sociedad Chileña de Cirugía Plastica has achieved many things over its lifespan; It holds a national convention every two years, has hosted the South Cone Plastic Surgery Congress twice, in 1989 and 1999, in Santiago. They have also hosted the Ibero-Latin American Plastic Surgery Congress twice, in 1994 in Santiago, and ten years later in Viña del Mar.Today the Society has sixty-five members, as well as forty-four associated members, and ten honorary members. It hosts an annual course for residents in Plastic Surgery, and also aids the Fundación Chileña de Cirugía Plastica, which was created to assist people in need of plastic and aesthetic surgery who cannot afford it.

Chilean Plastic Surgery Society Brief History

Dra. Teresa de la CerdaPresident of the Chilean Society

of Plastic Surgery


Egyptian Society for Plastic and Reconstructive Surgeons (ESPRS) celebrated its 50th anniversary in the year 2012, having been founded in 1962 by 9 pioneers in the newly evolving field of plastic surgery. The group was headed by the godfather of plastic surgery in Egypt, the late professor Gamal Eldin Elbehairy (1916-1999),

the list included prof Farid Mostafa, late professors Nader Swaylam, Hussein Talaat, Samir Talaat, Michail

Surgeons started to organise an annual meeting on the second Wednesday of February every year In 1970. This year we will be having our 43rd annual meeting in Porto Elsokhna resort by the Red sea from 13 - 15 february 2013 (www.esprs2013.com). Starting in 1974 another annual gathering for the society in the summer was established, in 2013 the 39th summer meeting will take place in Porto Marina resort by the Mediterranean sea from 3 - 5 october, it will be in conjunction with the 6th congress of the pan-African section of the IPRAS. In addition to these two big events the society organises another five local symposia and workshops every year in different locations in the country to share and spread knowledge and experience all over the nation among its members. The soci-ety now has more than 250 members.In the year 1989 the ESPRS organised an instructional course with the ISAPS in Cairo, the annual meeting of that year was held in Cairo in conjunction with that of the French Society for Plastic Surgeons. Again the French Society annual meeting was conjoined with that of the ESPRS in Sharm Elsheikh in the year 2004. The sec-ond Pan Arab Association for Plastic Surgeons was held together with the ESPRS an-nual meeting in 1995. Another instructional course of the ISAPS was organised with the 41st annual meeting of the ESPRS in Sharm Elsheikh in 2011.

Egyptian Society for Plastic and Reconstructive Surgeons (ESPRS)

Fahmi, Abdulwahab Mabrook, Hosni Hegazi and Talaat Elmansori.Egyptian plastic surgeons participated positively starting with the early IPRS (the old name of the IPRAS) congresses, prof Behairy presented a film in the first congress in Stockholm 1955 on male genital plastic surgery, as well as another film about his technique in the treatment of impotence in Rio, 1959. Moreover, his presentations on penile enlargement in Rome 1963 were a milestone in the field by that time. So in all the congresses of the IPRAS since the very beginning you cannot miss the atten-dance and positive contributions of plastic surgeons from Egypt.The Egyptian Society for Plastic and Reconstructive

Gamal EldinElbehairy

Ahmed Adel Noreldeen, MDIPRAS Deputy General Secretary


Most of the members of the ESPRS share in local humanitarian missions when there is fire disasters or share in charity convoys in poor rural and deserted areas. Through collaboration with the East Mediterranean Disaster and Fire Society, the IPRAS hu-manitarian organisations and Smile Train mission,the ESPRS gives its members a real chance to share and sympathise with others when they are in need. Many Egyptian plastic surgeons contributed in a positive and honourable way to build and push the IPRAS forwards, in 1987 in India prof Behairy was elected as representative for Af-rica and Middle-East until 1995. In Japan in 1995 prof Alaa Gheita was elected for the same position until 2003 when he was appointed Chief of the pan African section of the IPRAS till 2007.In Sydney prof Sobhi Zaki was appointed as the representative for Africa and Middl-East in 2003 until 2011 when was appointed the president of the national repre-sentatives committee and instituted as a member of the board of trustees. Prof Ahmed Adel Noreldin was elected in 2008 and is the incumbent president of the Pan African Section of the IPRAS. In the year 2011 in Vancouver Prof Ahmed

Noreldin was elected as a member of the board of directors of the IPRAS and as-signed as one of the four deputy secretary general of the IPRAS. Last but not the least prof Mohamed Kadri has been the representative of Africa and Middle-east since 2011. Such a strong relation between the IPRAS and ESPRS reflects the influencial and pioneering rule that Egyptian plastic surgeons play both regionally and interna-tionally.

The current board of directors of the ESPRS is as follows

President Prof Sobhi Hewidi

President Elect Prof Ahmed Adel Noreldin

Secretary General Prof Fawzi Hamza

Assistant Sec Gen Prof Amr Magdi

Treasurer Prof Atef Emam

Honorary Presid Prof Farid Mostafa

Hon Vice Presid Prof Hassan Baddran Prof Sobhi Zaki Prof Mohamed Kadri

Members Prof Ahmed Elsharkawi Prof Ahmed Khashaba Prof Ayman Abolmakarem Prof Ekram Seif Prof Hussein Saber Prof Mohamed Elhadidi Prof Youssef Saleh

Contact information for the ESPRS

[email protected]

[email protected]


The Ibero-American Federation of Plastic Surgery (FILACP, Spanish acronym), was established on the 19th of January, 1974 during the celebration in Caracas, Venezuela, of the 13th Latin American Congress of Plastic Surgery. It was formed by the countries of the Iberian Peninsula (Spain and Portugal) and the old Latin American Society of Plastic Surgery which include Spanish and Portuguese speaking nations, being a total of 23 countries plus the group of Spanish-speaking plastic surgeons who work and live in the United States.

Amongst the founding members are:From Mexico: Sergio Zenteno Alanis, Francisco Xavier Ojeda, Mario Gonzalez Ulloa.From Spain: Benito Vilar Sancho, Vicente Mirabet, Ulrich T. Hinderer, Alejandro Bermudez, G. Lanatta, Jose Maria Cabrera, Jaime Planas Quetglas Guasch and John Moll.From Portugal: Antoni M. Fernández and Antonio Baptista Gentil MartinsFrom Argentina: Oscar Ivanissevich, Lelio Zeno, Hector Ernesto Marino and Malbec.From Uruguay: Antonio Prudente, Rebello and Linneu

Silveira Neto of Brazil, Pedro Enrique Apollo and Pedemonte.From Peru: Jose Velez Diez Canseco.From Chile: Emilio Aldunate Phillips and Rafael Urzua Casas-Cordero.

Relevant notes regarding its creation:The creation of the FILACP came about for various reasons, but certainly the most significant goal wasto establish a federation comprised of Spanish and Portuguese speaking countries, which are found in various places throughout the world. We will look at a little of the FILACP history to illustrate the reason for its creation.A small but select group of plastic surgeons undertook the task of organizing the Latin American Society of Plastic Surgery: Oscar Ivanissevich, Lelio Zeno, Hector Ernesto Marino and Malbec, from Argentina; Antonio Prudente, Rebello and Linneu Silveira Neto of Brazil; Enrique Apollo and Pedro Pedemonte, of Uruguay; Jose Velez Diez Canseco of Peru, and Emilio Phillips and Rafael Urzua Aldunate Casas-Cordero, of Chile. The Company was constituted in Sao Paulo, Brazil in July, 1940.

History of the Ibero-Latin American Federation of Plastic Surgery

FILACP Council 2008-2010


From the 6th to the 12th of July, 1941, the first LatinAmerican Congress of Plastic Surgery was celebrated in the cities of Rio de Janeiro and Sao Paulo (Brazil), under the chairmanship of Dr. Antonio Prudente. Official speeches were on “Wound treatment” by Prof.Lelio Zeno and Dr. Antonio Prudente, and “Inclusions in Plastic Surgery” by Drs. Malbec and Rebello Ernesto Neto.In 1965, the Argentinian Society invited Spanish and Portuguese Plastic Surgery Societies to the first IberoAmerican Congress, chaired by Ernesto Malbec, Norberto Spera and Hector Ruffa. Benito Vilar - Sancho and Ulrich Hinderer representing Spain. Hinderer then proposed that the Spanish society held a second Ibero-American Congress in Spain in 1971, which took place in Córdoba (Spain). During this event, the 2nd Ibero American Congress of Plastic Surgery, organized by Dr. Jose Maria Cabrera Montero and Dr. Vicente Mirabet as president of the Spanish Society of Plastic and Reconstructive Surgery, the need to create a confederation of Ibero-Latin American Societies of Plastic Surgery was discussed, in order to gather together all the specialists from different countries that had the common traits of a medical practice and a common language.Years later, on the 19th of January, 1974 during the celebration in Caracas (Venezuela) of the 13th Latin American Congress of Plastic Surgery, they agreed the constitution of an Ibero-Latinoamerican Federation of Plastic Surgery (FILACP), which brought together the Societies of the Iberian Peninsula and Hispano -

American nations comprising Spanish and Portuguese speaking nations.

Important Events:Scientific Achievements. - Regarding scientificachievements, it is important to name plastic surgeons such as Drs.: Ivo Pitangui Jose Guerrerosantos Monasteries Fernando Ortiz, Ricardo Baroudi, Liacyr Ribeiro, Arie, Serson Neto González Ulloa, Ernesto Malbec, Fortunato Benaim, Miguel Orticochea, Coiffman Felipe Luis Vásconez, amongst many others, to recognise their great scientific contribution in the field of plastic andreconstructive surgery.

Number of Members:The number of unionized members of FILACP is around 8.800, and is distributed in 23 National Societies in Latin America, and the Iberian Peninsula of Spanish and Portuguese speaking nations.

Educational Programs:The FILACP educational programs are developed under three main themes:

Academic:Residents. The Ibero-Latin American Federation of Plastic Surgery “FILACP” serving one of its fundamental objectives, has created resident contest training in Plastic Surgery, in order to reward excellence in graduate education, developed for physicians who are developing

FILACP Office in Panama


Sincerely,President of FILACP

Dr. Reinaldo Kube León

their activities in Official Plastic and ReconstructiveSurgery Services, recognized by their National Society. Also, the Federation has initiated encounters between FILACP resident surgeons. Both activities are developed by the Federation through its Teaching Foundation.

Investigative:Free Topics. - FILACP has created a free work contest investigation for affiliated members or residents toFILACP; or residents recognized by their National Society to encourage research and development of new methods or scientific procedures in the field of PlasticSurgery.

Assistance and Innovation:Scholarships. - The scholarship competition for rotation of resident surgeons is a program that was developed by the FILACP several years ago. Resident surgeons only can participate by presenting an unpublished research draft, in order to contribute to the scientific communitywith new research projects in the field of Plastic, Cosmeticand Reconstructive Surgery.

Humanitarian Activities: The plastic surgeons of the FILACP continually encourage humanitarian activities, especially regarding aid in the diagnosis and treatment of congenital malformations, within the field of plastic surgery.

Upcoming Events:The Ibero-La�n American Federa�on of Plas�c Surgeryorganizes, co-organizes, promotes, and sponsors interna�onal events, collabora�ng with their Na�onalSocie�es in the broadcast and adver�sing of theirevents in different media that FILACP has.

The agenda for the next conventions:• 49th Brazilian Congress of Plastic Surgery, Porto

Alegre, RS - Brazil, 14th to 18th of November 2012.• 17th IPRAS Congress, Santiago de Chile, 24th of February to the 1st of March, 2013.• 43rd Argentinean Congress of Plastic Surgery, Cordoba - Argentina, 10th to 13th of April, 2013.• 8th Bolivian Regional Congress of Plastic Surgery, Santa Martha - Colombia, 17 to 20 April 2013.• Southern Cone Congress, Asunción - Paraguay, 12th to 14th September 2013.• 44th Argentinean Congress of Plastic Surgery, Buenos Aires - Argentina, 9th to 12th April 2014.• 20th FILACP Congress, Cancun - Mexico, 23rd to 26th September 2014.

FILACP CouncilThe Ibero-Latin American Federation of Plastic Surgery is organized as follows:Board. It includes the FILACP President, and the Presidents of the 23 National Societies.Executive Council. It includes the FILACP President, President Elect, President of the Advisory Council, Treasurer, Board of International Relations, Director of International Events.Advisory Council. It is comprised of administrative Ex - Presidents.Fiscal Council. It includes the President of the Advisory Council, FILACP Ex president, and a board member.Academic Council. The Teaching Foundation and Journal.

Committees and Chapters.Committees: Ethics, Scientific Events, Information andDissemination, New Technologies, Implant Registry, and International Relations.Chapters: Anti Ageing, Biomaterials, Craniofacial Surgery, Breast Surgery, Hand Surgery, Cosmetic Surgery, Plastic Surgery, Oncology, Microsurgery, non-surgical cosmetic procedures and burns.


The year the association was created. On May 15, 1966, some 30 doctors from various fields of medicine, including general surgery, orthopedic surgery, ENT, and ophthalmology, who had an interest in plastic surgery, established the Korean Society of Plastic Reconstructive Surgeons.

Who were the founding Members? The initial members included Kwanshik Min, Jaeduck Yoo, Euiyoung Lee, Gilyong Park , Chunshik Ju, Juneun Jung, Buhee Park , Moonshik Han, Kwangyoon Suh, Kwangwhae Kim, Inhee Jung, Kihong Choi, Giryong Kim, Changnak Choi , Uk Choi, Sewhan Kim, Sungchae Jung, and Daehong Min.

Was there any special event that triggered its creation? In August 1961, Dr. Jaeduck Yoo, who had specialized in plastic surgery in the US , founded the plastic surgery department at Yonsei University Severance Hospital, thereby initiating plastic surgery as a special field of medicine and training specialists in the field for the first time in Korea . Starting in 1964, lectures were given to students on plastic surgery in the college of medicine at Yonsei University and training was given to plastic surgery specialists. However, such training remained within the scope of general surgery. Thus, doctors realized that academic activities based on an academic society should lead plastic surgery as an academic field that could affect the medical world as a whole. Over time, plastic surgery finally became accepted as a special field of medicine.

Important milestone events in its long or short historyIn 1986, on the 20th anniversary of its establishment, KSRPS increased the number of annual conferences from one to two by opening the spring conference to further advance academic activities of its members. With the invitation of 1-2 famous scholars from around the world to the conference each year, KSRPS promoted academic exchange and focused on skill acquisition, paving the road toward international advancement. Each training organization also focused on developing specific areas of specialty through international exchanges. In November 1996, on the 30th anniversary of its establishment, KSRPS, for its 41st conference, hosted an integrated conference in concert with the 18th conference of the Korean Society for Surgery of the Hand and the 14th conference of the Korean Society of Aesthetic Plastic Surgery. Recently the 14th international course on perforator flap was held in Seoul, from 14~17, 2011. KSPRS has been held

international conference annually in Seoul.KSPRS has 1850 regular members, 399 associate members and 1 honorable member in 2012

Humanitarian Activities KSPRS supports free plastic surgery in low-income families for congenital craniofacial anomaly, post-traumatic deformity, burn scar, hand anomaly, vascular malformation etc.

Innovations and New techniquesPlastic surgery in Korea has had great advances in cosmetic surgery such as facial bone contouring surgery, eyelid surgery, rhinoplasty. Also we have developed a microsurgery; a lot of microscopic reconstructive surgeries and hand surgeries are being performed in Korea.

Upcoming events20, Apr 2013 Korean Cleft Palate-Craniofacial Association

Annual meeting, Gwangju27-28, Apr 2013 2013 International Meeting of The Korean

Society for Aesthetic Surgery(KSAPS)/ The Korean Association of Plastic Surgeons, Coex, Seoul

9-10, May 2013 R&R (Research and Reconstructive) Forum, Keimyung University, Daegu

11, May 2013 Annual Meeting of Korean Society For Microsurgery / Korean Society For Surgery of The Hand , Jeju

25, Oct 2013 Korean Society For Microsurgery symposium, Seoul

1-3, Nov 2013 2013 International Meeting of KSPRS, The-K Seoul hotel, Seoul

1~3, Nov 2013 KSPRS/ Korean Cleft Palate-Craniofacial Association Annual meeting, Seoul

23, Nov 2013 Korean Society For Surgery of The Hand Symposium, Seoul

6, Dec 2013 Korean Burn Society Symposium, Seoul

The Current Board of DirectorsKoh Kyung Suck, Seoul Asan Hospital, Ulsan University

History of the Korean Society for Plastic, Reconstructive and Aesthetic Surgery

Contact information for the Association(webpage, address, email, phones, faxes etc…)

http://www.plasticsurgery.or.krAddress: #1814 Seocho World Officetel, 19 Seoun-ro, Seocho-gu, Seoul 137-070, KoreaEmail: [email protected]: 82-2-3472-4252, 82-2-3472-4253Fax: 82-2-3472-4254


In the year 1947, the Medical Faculty “St. Cyril and Methodius”-Skopje was established. The same year a Clinic was also formed, for Surgical Diseases with Department for Plastic and Reconstructive surgery. Names of chiefs and Directors of Department were: Prof. dr. J. Panovski, 1966 Prim. dr. A. Miskovski, 1995, Prof. dr. D. Mircevska, Prim. dr. Lj. Damevska, Prof. dr. Gj. Dzokik and from 2006, acting Prof. dr. Smilja Tudzarova Gjorgova. In April 1967 the FYROM Society for Plastic and Reconstructive Surgery was combined with the Society of Maxillofacial Surgery. In 1995 the FYROM Society for Plastic and Reconstructive surgery was formed as an independent society with its own statute. Presidents were: Prim.dr. A. Miskovski, Prof. dr .D. Mircevska, and Prim. dr. K. Mitanovski. In February of 2009, Prim. dr. G. Marcikik became President, and from February 2012 Prof.dr. Smilja Tudzarova Gjorgova has continued the role. Upcoming Agenda: 09/03/2013 MAPRAS-meeting -Strumica04/05/2013 MAPRAS-meeting-Skopje 01/06/2013 MAPRAS-meeting- Ohrid30/11/2013 MAPRAS-meeting-Mavrovo20/12/2013 MAPRAS-meeting-Skopje

Short history of the FYROM Plastic Surgery and Society -MAPRAS

National delegates (2010-2016):IPRAS-Prof.dr. Smilja Tudzarova-GjorgovaEBOPRAS-dr.MostrovIlijaBURNS-Prim.Dr.Andonovska DobrilaIQUAM-dr.Ognen DaskalovBAPRAS-dr.StojkovskiPast activity MAPRAS-VI-BAPRAS Congress Ohrid, 4-7/06/2009 (300 participants from 33 countries and ISAPS-symposium)


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7-9 June 2013 SteigenbergerH o t e l

INTERNATIONAL SOCIETY OF PLASTIC REGENERATIVE SURGERY

Plastic Surgery scientists from all over the worldshare the most recent innovations and research on

the rapidly expanding knowledge of fat graftingand the components of adipose tissue

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Surgery

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www.ispresberlin2013.com

Berlin Germany

C O N G R E S S

ZITA

ISO 9001

ISO 14001

Plastic Surgery scientists from all over the worldshare the most recent innovations and research on

the rapidly expanding knowledge of fat graftingand the components of adipose tissue

ORGANIZATIONALSUPPORT:


ABSTRACT SUBMISSION on line or at [email protected]

w w w. i s p r e s b e r l i n 2 0 1 3 . c o m

TOPICS

ISPRES BERLIN 2013nd2 ISPRES2013

Congress

PRESIDENT of the Congress:Sydney Coleman,ISPRES General Secretary, USA

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Introduction and Historic PerspectivesThe Biology of Fat, StromalVascular Fractions,AdiposeDerived Stem Cells and Growth FactorsMaximizing and Understanding Results of Clinical FatGraftingStromalVascular Fractions: Processing and UseStorage of Harvested Fat and SVFAcute, subacute & chronic conditions treated with fatgraftingSafety issues with SVF, Fat Grafting and Growth FactorsFat Grafting to the BreastCorporal Fat GraftingFacial Fat GraftingRegional Considerations of fat grafting in the Face &NeckCraniofacial/Maxillofacial Applications of Fat GraftingRegulations & Ethics concerning Fat Transplants, SVF,ADSC & Growth FactorsSpecial Course:“Cliff notes” on Cell Biology forCliniciansSpecial Course: Understanding and interpreting specificscientific studies on fat grafting, SVF,ADSC & GFsTerminology consensus

SCIENTIFIC COMMITTEEFahd Benslimane, MaroccoLuigi C. Clauser, ItalyBrian Kinney, USAQing-Feng Li, ChinaSin-Daw Lin,TaiwanJohn William Little, USAGuy Magalon, FranceNorbert Pallua, GermanyDavid Daehwan Park, ΚoreaNelson Piccolo, BrazilLee L. Q. Pu, USAPeter Rubin, USAKotaroYoshimura, Japan

Jean-Christophe Bichet, FranceSpencer Brown, USAMarita Eisenmann-Klein, GermanyRoger Khouri, USA

INTERNATIONALORGANIZING COMMITTEE

CONFIRMED FACULTY

Qing-Feng Li, ChinaSin-Daw Lin, TaiwanGuy Magalon, FranceAllesandra Marchi, ItalyAli Mojallal, FranceNorbert Pallua, USADavid Daehwan Park, ΚoreaNelson Piccolo, BrazilLee Pu, USAGino Rigotti, ItalyPeter Rubin, USA

Aris Sterodimas, GreeceRicardo Tieghi, ItalyCarlo Tremolada, ItalyPeterVogt, GermanyJorg Wiltfang, GermanyKotaroYoshimura, Japan

Sandeep Sharma, India

..

LOCAL ORGANIZING COMMITTEE

Valerio Cervelli, ItalyAbel Chajchir,ArgentinaRiccardo Mazzola, ItalyAhmed Adel Noreldeen, EgyptSergey Nudelman, RussiaZsolt Revesz, HungaryEva Siolo, South AfricaPeterVogt, Germany

Norbert Pallua, USADennisVon Heimburg, Germany


NOTIFICATION OF ABSTRACT ACCEPTANCE 10/3/2013ABSTRACT SUBMISSION DEADLINE 20/2/2013

VENUE & ACCOMMODATION:

REGISTRATION:

Doctors

M E M B E R S F E E S

Residents

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Students

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LATE FROM March 21st 2013

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ISPRES BERLIN 2013nd2 ISPRES2013

Congress

nd2 ISPRES2013Congress

EARLY REGISTRATION DEADLINE 20/3/2013

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Steigenberger Hotel Berlin

145 €87,5 €/per person

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ARMENIA 5: 1 1/9/13 11:07 AM 1


TOPICSSurgery of the Skin and Cutaneous MalignanciesFat GraftingFacial RejuvinationBreastBody ContouringTissue Engineering

Flap ReconstructionPresent State of Research in Peripheral Nerve RegenerationNew Trends in Fillers and ToxinsEnergy Based DevicesSet – up Successful Plastic Surgery PracticeNew Frontiers in Plastic Surgery Practice

INVITED FACULTYStephan Ariyan ( USA)Mimis Cohen ( USA)Sydney Coleman (USA)Horacio Costa (Portugal)Bruce Cunningham (USA)Dan DelVecchio (USA)Marita Eisenmann Klein (Germany)Greg Evans (USA)Outi Kaarela (Finland)Chris Khoo (UK)

Roger Khouri (USA)Brian Kinney (USA)Ramon Llull (Spain)Guy Magalon (France)Nicolay Milanov (Russia)Constance Neuhann-Lorenz (Germany)Ahmed Noreldin (Egypt)Norbert Pallua (Germany)Othon Papadopoulos (Greece)

Nelson Piccolo (Brazil)George Psaras (Cyprus)Κirill Pshenisnov (Russia)Igor Reshetov (Russia)Ricardo Rodríguez (USA)Katharina Russe-Wilflingseder (Austria)Dirk J. Schaefer (Switzerland)Io Sofianou (Greece)Aris Sterodimas (Greece)

COMMITTEES

REGISTRATION

Congress President: Gagik Stamboltsyan, AAPRAS Founding Member, Armenia

Scientific CommitteeChairman: Armen Hovhaanissyan, AAPRAS President, ArmeniaCo-Chairpersons: Marita Eisenmann Klein, IPRAS President, Germany

Andreas Yiacoumettis, IPRAS Deputy General Secretary, Greece

Armenia Members: Garegin BabloyanKaren DanielyanArtavazd SahakyanLeon TorosyanGevorg Yaghjyan

Russia Members: Ruben AdamyanNikolay MilanovIgor Reshetov

Georgia Members: Marlen Sulamanidze

Organizing CommitteeChairman: Set KazaryanCo-chairman: Zacharias Kaplanidis, IPRAS Executive Director

Members: Hrachya ArshakyanArthur ArutunianTatevik Babayan

Aram BoroyanIva KuzanovLilit Nerssisyan

Aram SahakyanHovhanness StamboltsyanAnna Vanesyan

IMPORTANT DATES

Abstract Submission June 1st 2013Early Registration July 1st 2013

UNTIL 1/7/2013 FROM 2/7/2013Participants 200 2 250 2

Residents 100 2 150 2

ACCOMMODATION

GOLDEN TULIP HOTELSINGLE ROOM 115 2

DOUBLE ROOM per person: 70 2

Online registration & accommodation booking available at: www.aapras-tips2013.com

Golden Tulip is acentral 5* hotel withhistorical and richcultural heritage

To book your flights at special rates please contact Mrs. Orsa Dritsa at: [email protected]

ARMENIA 5: 1 1/9/13 11:07 AM 2

NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS

24 - 01 Mar 2013 17th World Congress of IPRAS

Location: Santiago, Chile - Venue: Espacio Riesco Contact: Mrs. Maria Petsa - Telephone: +302111001787 - Fax: +302106642116

E-mail: [email protected] - URL: http://www.ipraschile.cl

07 - 09 Jun 2013 2nd ISPRES Congress 2013

Location: Berlin, Germany - Venue: Steigenberger Hotel Contact: Mrs. Irene Katti - Telephone: +30 2111001783 - Fax: +30 2106642116

E-mail: [email protected] - URL: http://www.ispresberlin2013.com/

05 - 07 Sep 2013 8th Congress of the Balkan Association of Plastic, Reconstructive and Aesthetic Surgery (BAPRAS)

Location: Budva, Montenegro - Venue: Avala Resort and Villas Contact: Mrs. Mina Ploumpi - Telephone: +30 2111001781 - Fax: +30 2106642116

E-mail: [email protected] - URL: http://www.baprascongress2013.com/

10 - 14 Sep 2013 44th Congress of the German Society of Plastic,

Reconstructive and Aesthetic Surgeons (DGPRÄC) & 18th Congress of the Association

of German Aesthetic-Plastic Surgeons (VDÄPC) Location: Münster/Westfalen, Germany

12 - 14 Sep 2013 Congreso de Cirugía Plástica del Cono Sur Paraguay 2013

Location: Paraguay - E-mail: [email protected]

03 - 05 Oct 2013 2nd International Pan African Congress of Plastic and Reconstructive Surgery

Location: El Alamein, Egypt - Venue: Porto Marina Hotel Contact: Mr. Nikos Antonopoulos - Telephone: +30 2111001782 - Fax: +30 2106642116

E-mail: [email protected] - URL: http://www.panafricanps2013.com/

11 - 15 Oct 2013 Plastic Surgery The Meeting 2013

Location: San Diego, CA, USA - Venue: San Diego Convention Center http://www.plasticsurgery.org/For-Medical-Professionals/

Resources-and-Education/Meetings/Plastic-Surgery-The-Meeting-.html

24 - 26 Oct 2013 Technology Innovations In Plastic Surgery /

4th International Congress of the Armenian Association of Plastic, Reconstructive and Aesthetic Surgeons (AAPRAS)

Location: Yerevan, Armenia - Venue: Matenadaran Contact: Mrs. Irene Katti - Telephone: +30 2111001783 - Fax: +30 2106642116

E-mail: [email protected] - URL: http://www.aapras-tips2013.com/


International Society of Plastic Regenerative Surgery (ISPRES)

Application For Membership

Family Name:

…………………………………………………

Name: …………………………………………………

IPRAS national society/association or regional association Country member:

…………………………………………………

Board Certification in:

…………………………………………………

Membership(s):………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Hospital/Private Practice …………………………………………………

City ………………………………………………….

Address ………………………………………………….

Telephone ………………………………………………….

Fax ………………………………………………….

E-mail ………………………………………………….

My involvement / experience with fat research /application or other regenerative factors: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Please send the application at [email protected] or fax it at 0030 210 664 5176 I attach a recent Curriculum Vita (one page)

I Hereby Declare that the abovementioned details are true and correct

Full Name and Signature:

www.ispres-ipras.org


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I P R A S P A S T G E N E R A L S E C R E T A R I E S

Tord Skoog (Sweden)

1955 - 1959

David N. Matthews (U.K.)

1959 - 1963

Thomas Ray Broadbent (USA)

1963 - 1967

William M. Manchester (N. Zealand) 1967 - 1971

John Watson (U.K.)

1971 - 1975

Roger Mouly (France)

1975 - 1983

Jean-Paul Bossé"(Canada)

1983 - 1992

Ulrich T. Hinderer (Spain)

1992 - 1999

James G. Hoehn (USA)

1999 - 2006

Marita Eisemann-Klein (Germany)

2006 - present


IPRAS BENEFITS FOR INDIVIDUAL MEMBERS AND NATIONAL ASSOCIATIONS

• Immediate information about safety warnings on devices, drugs and procedures

• Information regarding the proper use of all materials, substances and techniques related to Plastic, Reconstructive and Aesthetic Surgery through IQUAM (the International Committee of Quality Assurance and Medical Devices in Plastic Surgery) General Consensus statement, with an update every 2 years

• Free electronic receipt of the IPRAS JOURNAL

• Information regarding harmonization of training

• Information regarding accreditation of Plastic Surgery Units

• Promotion of Patient Safety and Quality Management (in cooperation with WHO)

• Protection of the Specialty and Promotion of its image world-wide

• Promotion of Individual Members of National Associations by uploading their scientific profile on the IPRAS website

• Exchange of ideas, views, thoughts and proposals through the IPRAS website and its FORUM section

• Certificate for Individual Members to display their IPRAS Membership

• Right to participate in all events organized by National Societies and IPRAS

• Strengthening ties of professional cooperation and friendship with colleagues beyond national borders all over the world

• Information regarding the developments of plastic surgery worldwide

• Association support for educational and research purposes

• Association legal & ethical advice according to international law and practices and assistance with crisis management

• Promotion of local or regional news and Historical Accounts of IPRAS National Associations through the Journal

• Information, promotion and reports of local or regional events, organized by other National Societies and IPRAS, through the official IPRAS management office

International Confederation for Plastic Reconstuctive and Aesthetic Surgery

IPRAS Management OfficeZITA CONGRESS SA

1st km Peanias Markopoulou AveP.O BOX 155, 190 02 Peania Attica, Greece

Tel: (+30) 211 100 1770-1, Fax: (+30) 210 664 2216URL: www.ipras.org • E-mail: [email protected]

Executive Director: Zacharias Kaplanidis E-mail: [email protected]

Assistant Executive Director: Maria Petsa E-mail: [email protected]

Accounting Director: George Panagiotou E-mail: [email protected]

Association Management Director: Labrini Nikolopoulou E-mail : [email protected]

IPRAS Media Office: Maria Sevastaki E-mail: [email protected]

Commercial Director: Gerasimos Kouloumpis E-mail: [email protected]

Next issue: April 2013

DISCLAIMER:IPRAS journal is published by IPRAS. IPRAS and IPRAS Management Office, its staff, editors authors and contributors do not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this journal. The information provided on the IPRAS JOURNAL is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on this journal is for general information purposes only. IPRAS, IPRAS Management Office and its staff, editors, contributors and authors ARE NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS JOURNAL. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS JOURNAL.

While every effort has been made to ensure accuracy, neither the publisher, IPRAS, IPRAS Management Office and its staff, editors, authors and or contributors shall have any liability for errors and/or omissions. Readers should always consult with their doctors before any course of treatment.

©Copywright 2010 by the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. All rights reserved. Contents may not be reproduced in whole or in part without written permission of IPRAS.

Not for sale. Distributed for free.

IPRAS Journal Management Editor: IPRAS Editor-in-Chief: Thomas Biggs, MD Editorial Board: Marita Eisenmann - Klein, MD Andreas Yiacoumettis, MD Christian Echinard, MD Constance Neuhann-Lorenz, MD Zacharias Kaplanidis, Economist Page Layout: Diastasi E-mail: [email protected] Post Editing: William Greenall Photographer: Julian Klein

11th Issue January 2013

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ipras journal

mentor saline

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th ipras world congress