SESPRS TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

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1 SESPRS 2014 ATLANTA

2 SYMPOSIUM CHAIRS Program Chair Mark A. Codner, MD Clinical Assistant Professor, Emory University, Atlanta, GA Program Co-Chairs James D. Namnoum, MD Clinical Assistant Professor, Emory University, Atlanta, GA Roger K. Khouri, MD Miami Breast Center, Key Biscayne, FL John Y.S. Kim, MD Associate Professor of Surgery Northwestern University, Chicago, IL Steven Kronowitz, MD Professor of Plastic Surgery, MD Anderson Cancer Center, Houston, TX SPONSORED BY: Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS) Northside Hospital ENDORSED BY: PROGRAM OBJECTIVES At the conclusion of this activity, the learner will be able to: Describe best practice techniques in unilateral and bilateral cases of breast reconstruction with the TRAM flap, simultaneous removal of breast implants and augmentation with fat grafting, and breast augmentation with mastopexy using acellular dermal matrix and shaped breast implants. Analyze the evidence for the use of fat grafting to the breast, use of acellular dermal matrix and new synthetic substitutes, and the use of shaped breast implants for breast augmentation and reconstruction. Review trends and best-practice techniques in mastectomy, oncoplastic surgery and breast reconstruction including tissue expanders, direct to implant reconstruction, latissimus flaps, TRAM flaps, and microsurgical SIEA and DIEP Flaps, and nipple reconstruction. Evaluate a variety of techniques used in aesthetic breast surgery including breast reduction, mastopexy, augmentation, and prevention and correction of complications including rippling and capsular contracture. Apply this new knowledge to their practice in appropriate patients. Albert Losken, MD Professor of Plastic Surgery, Emory University, Atlanta, GA Emeritus Chairs L. Franklyn Elliott, MD Private Practice, Atlanta, GA Carl R. Hartrampf, Jr., MD Retired, Atlanta, GA SYMPOSIUM FACULTY Louis P. Bucky, MD Clinical Professor of Surgery, University of Pennsylvania, School of Medicine, Chief of Plastic Surgery, Pennsylvania Hospital, Philadelphia, PA M. Bradley Calobrace, MD Clinical Instructor in Plastic Surgery, University of Louisville, Louisville, KY G. Patrick Maxwell, MD Clinical Professor of Plastic Surgery, Vanderbilt University, Nashville, TN Antonio Aldo Mottura, MD Centro de Cirugia Estetica, Cordoba, Argentina Maurizio Bruno Nava, MD Director Plastic Surgery Unit, Fondazione IRCCS, Istituto Nazionale dei Tumori Milano, Milano, Italy Tracy M. Pfeifer, MD Private Practice, New York, NY Kenneth C. Shestak, MD Professor of Plastic Surgery, Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA The American Society for Aesthetic Plastic Surgery, Inc. (ASAPS) The American Society of Plastic Surgery (ASPS) Grant W. Carlson, MD Chief of the Division of Plastic Surgery, Emory University, Atlanta, GA Daniel A. DelVecchio, MD Clinical Instructor in Surgery, Massachusetts General Hospital, Boston, MA Lubos Drazan, MD Faculty Hospital sv. Anny Brno, Czech Republic Louis L. Strock, MD Private Practice, Fort Worth, TX Steven A. Teitelbaum, MD Assistant Clinical Professor of Plastic Surgery, David Geffen School of Medicine UCLA, Santa Monica, CA AMERICAN PLASTIC SURGERY SOCIETY UPDATES The International Society of Aesthetic Plastic Surgery (ISAPS) EDUCATIONAL GRANT SUPPORT BY: Allergan Mentor Worldwide, LLC James C. Grotting, MD Clinical Professor of Plastic Surgery, University of Alabama, Birmingham, AL Dennis C. Hammond, MD Associate Program Director, Grand Rapids Medical Education Partners, Grand Rapids, MI John B. Hijjawi, MD Associate Professor Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI ASAPS President Jack Fisher, MD Nashville, TN ASPS President of PSF Kevin Chung, MD Ann Arbor, MI SESPRS President Harold I. Friedman, MD, PhD Columbia, SC THE 2014 FOREIGN SCHOLARS' AWARDS The SESPRS provides generous funding to different countries each year to sponsor the travel and registration expenses to three outstanding Plastic Surgery Chief Residents from a foreign country. This SESPRS honor provides them with a unique international educational outreach. The 2014 Foreign Scholars are invited from Argentina. THE 2014 HONORARY HARTRAMPF LECTURE L. Franklyn Elliott, MD The Retrospectroscope That Handy Tool of the Pundits, Let's Take a Look Back 2 3

3 2014 ATLANTA SCIENTIFIC PROGRAM 6:00 8:00 pm 7:00 am 8:00 am THURSDAY, JANUARY 30TH Welcome Reception and Registration Intercontinental Hotel FRIDAY, JANUARY 31ST Registration Continental Breakfast/ Visit Exhibits SESPRS WELCOME Harold I. Friedman, MD, PhD SESPRS President SESPRS Gratefully Acknowledges Northside Hospital for Their Generous Donation and In-kind Support of the Live Surgery 8:00 am 12:00 pm Northside Hospital Room 1 8:00 am 9:30 am Room 2 8:00 am 10:00 am LIVE SURGERY TELECAST Moderators Codner, Namnoum Observers Khouri, Hammond, DelVecchio Bucky Simultaneous Implant Removal and Fat Grafting Calobrace Augmentation/Mastopexy with Anatomical Implants Observers Shestak, Drazan Elliott Bilateral TRAM Hartrampf Technique Losken Unilateral TRAM Emory Technique (Video Presentation) LIVE SURGERY GENEROUSLY SUPPORTED BY NORTHSIDE HOSPITAL 12:00 pm 1:00 pm 1:00 2:00 pm Lunch Hope and Trippe Rooms Opening Remarks Mark A. Codner, MD Program Chairman AUTOLOGOUS BREAST RECONSTRUCTION Moderator Namnoum 1:00 pm Codner Overview of Breast Reconstruction 1:10 pm Drazan Autologous Breast Reconstruction 1:20 pm Elliott Differences in Unilateral and Bilateral TRAM Reconstruction 1:30 pm Hammond Latissimus Reconstruction 1:40 pm Khouri Total Autologous Breast Reconstruction with External Expansion and Fat Transfer 1:50 2:00 pm Discussion 2:00 pm 2:30 pm 3:00 3:30 pm 3:30 4:30 pm 3:30 pm HONORARY HARTRAMPF LECTURE L. Franklyn Elliott, MD - The Retrospectoscope That Handy Tool of the Pundits, Let's Take a Look Back Special 30th Anniversary Recognition of Dr. Hartrampf s Fellows Moderators Mark Codner, Frank Elliot, Bert Losken, Jim Namnoum Coffee Break / Visit Exhibits IMPLANT/EXPANDER/ADM BREAST RECONSTRUCTION Moderator Losken Hammond Tissue Expanders, ADM, and Fat Grafting in Breast Reconstruction 3:40 pm Kim Controversies in ADM Breast Reconstruction 4 5

4 3:50 pm 4:00 pm FRIDAY, JANUARY 31ST Kronowitz Delayed Immediate Breast Reconstruction: The MD Anderson Approach Shestak Management of Common and Uncommon Problems Following Prosthetic Breast Reconstruction 4:10 pm Carlson Reconstruction After Failed Breast Conservation 4:20 4:30 pm Discussion 4:30 5:30 pm 4:30 pm 4:40 pm 4:50 pm CHALLENGES FACING BREAST RECONSTRUCTION Moderator Elliott Namnoum Reconstruction of the Radiated Mastectomy, Fat is the Key to Success Drazan From Dr. Hartrampf s TRAM to DIEP to SIEA and Back Hijjawi Fluorescent Angiography in Breast Reconstruction 5:00 pm Losken Management of the TRAM Hernia 5:10 5:30 pm Discussion 7:30 pm ARGENTINIAN TANGO GALA DINNER DANCE Venetian Ballroom Intercontinental Hotel 7:00 am 8:00 am 8:30 9:30 am 8:30 am 8:40 am 8:50 am 9:00 am SATURDAY, FEBRUARY 1ST Continental Breakfast/ Visit Exhibits American Plastic Surgery Society Updates Moderator Friedman ASPS Kevin Chung, MD ASAPS Jack Fisher, MD SESPRS Harold I. Friedman, MD, PhD PRIMARY BREAST AUGMENTATION Moderator Codner Hammond Pre-operative Planning in Breast Augmentation with Cohesive Anatomic Gel Implants Calobrace Demystifying the Dual Plane: Application in Primary Augmentation Mottura Augmentation Using Big Implants and the Submammary or Subpectoral Approach in Small Lower Pole and Tuberous Breast Strock Endoscopic Transaxillary Breast Augmentation: Round vs Shaped Implants 9:10 am Nava Long Lasting Results with Stable Anatomical Implants Decision Making in Implant Selection: A New Algorithm 9:20 9:30 am Discussion 9:30 10:00 am Coffee Break / Visit Exhibits 10:00 11:00 am 10:00 am 10:10 am 10:20 am 10:30 am SECONDARY BREAST AUGMENTATION AND REVISIONS Moderator Elliott Calobrace Revision Breast Surgery: Capsulorrhaphy vs Neosubpectoral Pocket Maxwell Data Based Analysis of the World s Largest Series of ADM Assisted Aesthetic Breast Revisions Pfeifer Shaped Implants in Revision of Breast Augmentation What I Learned From My First 50 Cases Teitelbaum Uses of Shaped Implants in Augmentation: Primary vs Secondary 6 7

5 SATURDAY, FEBRUARY 1ST 10:40 am Grotting Complication Rates in Aesthetic Breast Surgery: Evidence Based Data 10:50 11:00 am Discussion 11:00 am 12:00 pm BREAST AUGMENTATION WITH FAT GRAFTING Moderator Namnoum 11:00 am Maxwell Pre-Clinical and Clinical Data on a Closed Fat Processing System for Fat Grafting Procedures to the Breast 11:10 am DelVecchio Role of Fat in Breast Augmentation 11:20 am Khouri Reverse Abdominoplasty Fat Transfer (RAFT) 11:30 am Losken The Impact Fat Grafting has on Breast Imaging and Surveillance 11:40 am Bucky Fat Grafting for Augmentation and for Treatment of Pain After Augmentation 11:50 12:00 pm Discussion 12:00 1:00 pm Lunch Venetian Ballroom 1:00 pm 1:15 pm 1:30 pm 2:00 3:00 pm FOREIGN SCHOLARS AWARDS ARGENTINA Moderator Codner Melisa A. Galetto, MD Pablo Guillermo Panzeri, MD Pablo Rodrigo Fernandez, MD Rosario, Argentina Buenos Aires, Argentina Cordoba, Argentina JOHN BOSTWICK RESIDENT PAPER AWARD Moderator Losken Comparison of the Histological Characteristics of ADM to Surrounding Breast Capsules in ADM-assisted Breast Reconstruction Deborah Yu, MD Resident at The University of Virginia 2013 BREAST SYMPOSIUM LIVE SURGERY RESULTS Moderator Namnoum AUGMENTATION VS MASTOPEXY VS BOTH Moderator Elliott 2:00 pm 2:10 pm SATURDAY, FEBRUARY 1ST Fisher The Fine Line Between Augmentation and Augmentation Mastopexy Calobrace Surgical Approach to Simultaneous Augmentation Mastopexy 2:20 pm Nava Augmentation Mastopexy 2:30 pm Mottura The Circumvertical Technique for Mastopexy 2:40 pm Bucky Augmentation Mastopexy Using Large Volume Fat Grafting 2:50 3:00 pm Discussion 3:00 3:30 pm Coffee Break / Visit Exhibits 3:30 5:00 pm BREAST REDUCTION AND CHALLENGES IN BREAST SURGERY Moderator Codner 3:30 pm Grotting Vertical Sculpted Pillar Reduction 3:45 pm Mottura The South American Approach to Breast Reduction in the Medium Size Breast 4:00 4:10 pm Discussion 4:10 pm Shestak Nipple Reconstruction Optimizing Results and Avoiding Problems 4:20 pm Teitelbaum Correcting the Unhappy Breast Augmentation Patient 4:30 pm Namnoum The Ideal Breast Defined 4:40 5:00 pm Discussion 8 9

6 7:00 am 8:00 9:00 am SUNDAY, FEBRUARY 2ND Continental Breakfast/ Visit Exhibits ONCOPLASTIC SURGERY Moderator Losken 8:00 am Hijjawi Oncoplastic Surgery: Timing and Techniques 8:10 am Kronowitz Oncoplastic Surgery: A Management Algorithm and Practical Surgical Techniques 8:20 am Nava Alloplastic Mesh in Oncoplastic Breast Surgery 8:30 am Kim Risk Analysis of Breast Reconstruction: Lessons and Limitations Carlson Contralateral Prophylactic Mastectomy: 8:40 am Boon or Boondoggle? 8:50 9:00 am Discussion PROBLEM CASES FROM THE AUDIENCE 9:00 9:30 am Moderator Elliott Expert Faculty Maxwell, Shestak, Hammond PLEASE Bring Your Problem Cases on a Thumb Drive 9:30 10:30 am 9:30 am 10:30 am 12:30 pm Coffee Break / Visit Exhibits / Break Out Session BREAK-OUT SESSION FDA Approved Shaped Breast Implants Hands on Panel: Advantages of Shaped Breast Implants Feel the Differences in Shape, Softness, and Texture Use of Funnel Insertion with Silicone Implants Moderator Codner Expert Faculty Maxwell, Teitelbaum, Hammond, Calobrace, Pfeifer HOT TOPICS IN BREAST SURGERY Moderator Namnoum SUNDAY, FEBRUARY 2ND 10:30 am Bucky Large Volume Fat Grafting for Revision Breast Surgery 10:40 am Hijjawi Fat Grafting to the Breast 10:50 am Strock Revisional Breast Augmentation: Management of the Implant Capsule 11:10 11:30 am Discussion 11:30 am DelVecchio Role of Fat in Breast Reconstruction 11:40 am 11:50 am Grotting Addition Subtraction Concepts in Aesthetic Breast Surgery Pfeifer The Use of Shaped Implants in the Correction of Capsular Contracture 12:00 pm Codner Smooth vs Textured Implants 12:10 12:30 pm Discussion Meeting Adjourned 10:30 am DelVecchio Complications of Large Volume Fat Transplantation 10 11

7 ACCREDITATION The Southeastern Society of Plastic and Reconstructive Surgeons is accredited by the Accreditation Council for Continuing Medical Education in order to provide continuing medical education for physicians. The Southeastern Society of Plastic and Reconstructive Surgeons designates this live activity for a MAXIMUM of 17.5 CME CATEGORY 1 CREDITS toward the AMA Physician s Recognition Award. Physicians should claim only the credit commensurate with the extent of their participation in the live activity. Of the 17.5 credits, 2 have been identified as applicable to patient safety p. SESPRS DISCLOSURE POLICY As a provider accredited by the ACCME, SESPRS must ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. All planners, presenters and faculty members are required to disclose all relevant financial relationships with commercial interests in advance of the activity. All individuals responsible for the content of any SESPRS educational activity must disclose. Anyone who refuses to disclose will be removed. All disclosures are reviewed by the SESPRS ACCME Committee, and conflicts of interest are identified and managed in advance of the activity. COMMERCIAL SUPPORT DISCLOSURE Contributions and grants have been received from more than one company. Commercial contributors acknowledge that the Accredited Provider (SESPRS) will make all decisions regarding the disposition and disbursement of contributions and/or commercial support and that the funding received from each company will in no way affect; the identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content of the CME, selection of educational methods, or evaluation of the activity. Per the ACCME Standards for Commercial Support, the SESPRS will ensure that no contribution or commercial support will be used to pay for travel, honoraria, or personal expenses for non-teacher or non-author participants associated with the CME activity. The SESPRS will, as requested, provide documentation detailing the receipt and expenditure of the commercial support. Commercial contributors also agree that it will provide no other support of any type, whether financial, travel, speaker s bureau funding for a particular faculty member, or in kind support for any speaker at the meeting to which this agreement pertains. We plan to acknowledge fully the contribution from all commercial contributors in conference materials in conjunction with the meeting, and in other ways as applicable according to the guidelines of our program. Management takes place either through recusal, limiting participation, peer review, or divestment of the relationship. All planners, presenters and faculty members disclosures will be provided to the audience in advance of the activity via slides. Additionally, all presenter disclosures will be announced verbally. Additionally, if any unapproved or off-label use of a product is to be referenced in a CME program presentation, the faculty member/participant is required to disclose that the product is either investigational or it is not labeled for the usage being discussed. SESPRS shall convey any information disclosed by the faculty member/participant to the CME program audience prior to the activity

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9 THE 57TH ANNUAL Scientific Meeting of the Southeastern Society of Plastic and Reconstructive Surgeons SAVE THE DATES: JUNE 8-12, 2014 Atlantis Resort, Paradise Island, Bahamas Open to Members and Non-Members *Valid Passport Required Hotel reservations may be made by visiting click on Meetings