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JUNE 11-15, 2016Disney’s Grand Floridian Resort and Spa

Lake Buena Vista, Florida

Proceedings of the

59th Annual Scientific MeetingSoutheastern Society of Plastic and Reconstructive Surgeons

Disney’s Grand Floridian Resort and Spa4401 Floridian Way, Lake Buena Vista, FL 32830

(407) 824-3000

4 SESPRS 59th Annual Scientific Meeting

SATURDAY, JUNE 11

8:00 am Board Meeting

3:00 pm Early Registration

4:00 pm Hot Topics Session (NO CME)

SOCIAL EVENTS

5:00 pm Toast to Trudie (Women in Plastic Surgery Event)

6:00 pm Welcome Reception

7:00 pm Past Presidents Reception and Dinner. By invitation only.

SUNDAY, JUNE 12

SCIENTIFIC SESSION

6:30 am Registration Open—Continental Breakfast, Visit Exhibits and Poster Viewing

7:30 am Welcome and Society Reports

8:15 am Resident Paper Competition

9:00 am Melanoma Panel

10:15 am Poster Grading Session

10:15 am Break—Visit Exhibits and Poster Viewing

10:45 am Member Papers

11:15 am Keynote Presentation

12:15 pm Resident Jeopardy Bowl

SOCIAL EVENTS

7:30 am Silent Auction

7:30 am Spouse Hospitality Suite

1:30 pm Tennis Tournament

6:00 – 9:30 pm

Theme Dinner at Epcot

MONDAY, JUNE 13

SCIENTIFIC SESSION


6:30 am Faculty Development Roundtable

7:15 am Problems and Pearls

8:00 am Resident Paper Competition

8:45 am ASPS Visiting Professor Lecture

9:30 am Patient Safety Presentation

10:00 am Poster Grading Session


10:30 am Lightning Round Papers

11:00 am Special Guest Lecturer

12:15 pm Special Resident Session

SOCIAL EVENTS



1:30 pm Golf Tournament

5:00 pm PS2 Networking Event

WEEK AT A GLANCE

SILENT AUCTION - NEW THIS YEAR!Please visit and bid on silent auction items in the exhibit area. All registered attendees are welcome to bid.

The silent auction is open for bids Sunday-Tuesday morning in the Grand Floridian Ballroom, Salon 4 & 5.

Auction closes at 10:30 am on Tuesday. Auction winners will be announced Tuesday.

5Disney’s Grand Floridian Resort and Spa Lake Buena Vista, Florida | June 11–15, 2016

WEEK AT A GLANCE

TUESDAY, JUNE 14

SCIENTIFIC SESSION


7:00 am MOC Accredited Course

8:00 am Panel: Just The Facts

9:00 am Special Guest Lecture


10:30 am ASAPS Visiting Professor Lecture

11:15 am Upchurch Lecture

12:15 pm SESPRS Annual Business Meeting

12:30 pm Resident Luncheon

SOCIAL EVENTS

5:45 am Fun Run



7:00 pm Black Tie Reception and Dinner

WEDNESDAY, JUNE 15

SCIENTIFIC SESSION

7:00 am Registration Open—Continental Breakfast, and Visit Exhibits

7:00 am Legislative Advocacy Session

8:00 am Member Papers

8:45 am Research Grant Award & Report

9:00 am ASAPS Visiting Professor Lecture

10:00 am Break—Visit Exhibits

10:30 am Contracting a Young Plastic Surgeon to Join Your Practice

11:00 am Transitioning Your Practice Panel

12:15 pm Closing Remarks: Walter L. Erhardt, MD / Meeting Adjourns

SOCIAL EVENTS

12:30 pm Farewell Lunch

The SESPRS 59th Annual Scientific Meeting is Endorsed by

The American Society of Plastic Surgeons (ASPS)

AMERICAN SOCIETY OFPLASTIC AND RECONSTRUCTIVE

SURGEONS, INC.

Member of


SOCIAL / RECREATIONAL / SPOUSE EVENTS

All registered members and guests may attend the events below. Many events require additional registration fees and/or event tickets. The Black Tie event is restricted to guests 16 years or older. See the SESPRS Registration Desk for additional information.

SATURDAY, JUNE 11

3:00–5:00 pm Early Registration Grand Floridian Ballroom

5:00–6:00 pm Toast to TrudieSpecial session for Women in plastic surgeryRegistration preferred. Hosted by Holly Wall, MD.

Salon 2

6:00–8:00 pm Welcome Reception—Grand Floridian Summer House Patio & Sand Beach

Dinner on your own. Reservations highly recommended.

7:00–10:00 pm Past Presidents Reception and DinnerBy Invitation only. See Registration Desk for details.

California Grille at Contemporary Hotel

SUNDAY, JUNE 12

7:30 am-noon Silent Auction Salon 4 & 5

7:30–9:30 am Spouse Hospitality SuiteRegistered Spouse/family/guests welcome.

Whitehall Room & Patio

12:15–1:15 pm Resident Jeopardy BowlPlease register.

Grand Floridian Ballroom

1:30 pm Annual Tennis TournamentParticipants need to be at the Convention Center Grand Foyer area by 1:10 pm for transportation to Disney’s Wide World of Sports. Registration is required; additional fees apply.

Disney’s Wide World of Sports Complex



SUNDAY, JUNE 12 (CONTINUED)

6:00–9:30 pm Theme Dinner: “An American Evening and Fireworks Spectacular at Epcot”Registered participants of all ages welcome! Red, White and Blue attire encouraged! Transportation to Epcot will depart outside of the Convention Center Grand Foyer promptly at 6:00 pm. Tickets required; visit the Registration Desk for more details.

MONDAY, JUNE 13

7:30 am-noon Silent Auction Salon 4 & 5



1:30 pm Annual Golf TournamentRegistration is required; boxed lunch provided. Registered golfers need to be at the Convention Center Grand Foyer area by 1:00 pm for transportation to the Palm Golf Course. Modified Shotgun start promptly at 1:30 pm. Additional fees apply.

Palm Golf Course

5:00 pm Special Networking Event Sponsored by PS2: “What Plastic Surgeons Should Know about PS2 Practice Management MSO”Presented by Michael Costello, Executive Vice President of the American Society of Plastic Surgeons. See page 8 for more details.


Dinner on your own. Reservations highly recommended.

TUESDAY, JUNE 14

6:00 am Annual Fun RunRegistration preferred but not required. No Charge. Participants should meet in front of the Summer House Patio at 5:45 am.

7:30–10:30 am Silent Auction Salon 4 & 5



TUESDAY, JUNE 14 (CONTINUED)



12:30 pm Resident LuncheonRegistration required.


7:00–11:00 pm Black Tie Reception and DinnerOpen to paid registrants 16 and older. Separate registration required for exhibitors. Registrants MUST RSVP in advance of the meeting. Resident’s of the Glancy Award Competition are complimentary—all other Residents and their spouses require an additional registration charge. See the registration desk for details.

St. Augustine Hall

WEDNESDAY, JUNE 15

12:30–2:30 pm Farewell LuncheonOpen to all paid registrants. Registration required. See the registration desk for details.

Salon 4

Strength and Beauty.Inside and Out.

Biologically DerivedMonofilament

StrongBioresorbable

Visit us at the SESPRS Annual Meeting in Orlando June 11-15

www.galateasurgical.com500022 Rev A


Upon completion of this meeting, participants should be able to:

• Assimilate new knowledge from presented research into his/her practice or research pursuits, as appropriate.

• Utilize new tips and techniques to minimize complications and improve outcomes.

• Better prepare for professional challenges that may arise in his/her practice, including the need for advocacy, the imperative for charitable service, the navigation of ethical questions, and the maintenance of certification.

• Implement best practices in the training and development of Residents, Fellows and young plastic surgeons.

• Enhance his/her knowledge and skills related to patient safety.

PROGRAM OBJECTIVES

SESPRS DISCLOSURE POLICY

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

Management takes place either through recusal, limiting participation, peer review, or divestment of the relationship.

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

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


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 18.75 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 18.75 credits, 4.96 have been identified as applicable to patient safety.

This symbol throughout the program identifies a safety credit.

ACCREDITATION

COMMERCIAL SUPPORT DISCLOSURE

Contributions 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.

SESPRS gratefully acknowledges commercial support fromALLERGAN.

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SCIENTIFIC PROGRAM

SATURDAY, JUNE 11

All general session, exhibits, and poster facilities are located in the Conference Center in the Grand Floridian Ballroom area.

3:00–6:00 pm Early Registration Grand Floridian Foyer

4:00–5:00 pm Hot Topics Session (10 min. each—Non CME)Moderators: Brian Rinker, MD and Holly Wall, MD


#1 “GalaFLEX Transitory Surgical Scaffold for Parenchymal Support During Mastopexy and for Implant Pocket Reinforcement After Capsulorrhaphy” (Page 26)

David Mobley, MD

#2 “Non-Invasive Laser Lipolysis Using Sculpsure” (Page 26) Scott J. Engel, MD

#3 “Maximizing Exposure on RealSelf.com: Web Analytics and Patient Traffic Patterns” (Page 27)

Adam Oppenheimer, MD

#4 “Use of Processed Nerve Allografts to Repair Nerve Injuries Greater than 25 mm in the Hand” (Page 28)

Brian Rinker, MD

#5 “Concordance Between ICG and 99mTc in the Identification of Sentinel Lymph Nodes in Melanoma Patients” (Page 29)

Martin Newman, MD

Advertising support for the Hot Topics Session provided byGalatea.

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SUNDAY, JUNE 12

6:30 am Registration Open Grand Floridian Ballroom

6:30–7:30 am Continental BreakfastVisit Exhibits and Poster Viewing


7:30–7:40 am Welcoming Remarks: Kevin F. Hagan, MD President, Southeastern Society of Plastic and Reconstructive Surgeons


7:40–8:15 am Society UpdatesModerator: Braun Graham, MD

ASPS/PSFPaul Cederna, MD President-Elect, Plastic Surgery Foundation

ASAPSDaniel C. Mills, MD President, The American Society for Aesthetic Plastic Surgery

8:15–9:00 am Resident Paper CompetitionModerator: Peter Haines, MDSecretary: Jorge de la Torre, MD


#1 “Dermal Autograft Using Donor Breast as Alternative to Acellular Dermal Matrices in Tissue Expander Breast Reconstruction: A Comparative Review” (Page 30)

William North, MD —University of Kentucky

#2 “Neoadjuvant Chemotherapy combined with Oncoplastic Reduction for High Stage Breast Cancer Patients” (Page 31)

Alexandra Hart, MD—Emory University

#3 “A Comparison of Four Analgesic Regimens for Acute Postoperative Pain Control in Breast Augmentation Patients” (Page 32)

Pamela Tan, MD—Tulane University

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#4 “Unilateral Versus Bilateral Breast Reconstruction: Is Less Really More?” (Page 34)

Lauren Kuykendall, MD—University of South Florida

#5 “Implant versus Autologous Breast Reconstruction in the Elderly: One Institution’s Experience” (Page 36)

Tahira Prendergast, MD—Medical University of South Carolina

#6 “Plasticity of Auricular Cartilage in Response to Hormone Therapy” (Page 37)

Matthew McLeod, MD—University of Virginia

9:00–10:15 am Melanoma PanelModerator: Wayne Cruse, MDPanel Members: Michael Harrington, MD, Jonathan Zager, MD, Vernon Sondak, MD


10:15–10:45 am Break—Visit Exhibits and Poster Judging Grand Floridian Ballroom

10:45–11:15 am Member Papers (5 Minutes each)Moderator: Galen Perdikis, MDSecretary: Tom Zaydon, MD


#1 “Early Results in Preventing Lymphedema: A Potential Paradigm Shift in Lymphatic Surgery” (Page 39)

Dhruv Singhal, MD

#2 “Clinical, Biomechanical and Anatomic Investigation of Colles Fascia and Pubic Ramus Periosteum for Use During Medial Thighplasty” (Page 41)

Martin Carney, MD

#3 “Evaluation of a Novel Nerve Fusion Technique with Polyethylene Glycol in a Delayed Setting After Nerve Injury” (Page 43)

Ravinder Bamba, MD

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#4 “Engineered Porcine Derived Urinary Bladder Matrix Conduits for Peripheral Nerve Regeneration” (Page 45)

Lyly Nguyen, MD

#5 “Review of Tumor Margins and Re-excision Rates in Previously Augmented versus Non-augmented Patients Undergoing Lumpectomy for Breast Cancer” (Page 46)

Sangeetha Prabhakaran, MD

11:15–12:15 pm Keynote Presentation“New Parts for Old: Transplantation and Plastic Surgery?”Richard J. Howard, MD, PhD, University of Florida Department of Surgery


12:15–1:00 pm Resident Jeopardy BowlModerator: Bert Losken, MDPlease register


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MONDAY, JUNE 13




6:30–7:15 am Faculty Development RoundtableModerator: WP Andrew Lee, MD

Salon 1

7:15–8:00 am Problems and PearlsModerator: Brian Rinker, MD


8:00–8:45 am Resident Paper CompetitionModerator: Stephan Finical, MDSecretary: Carmen Kavali, MD


#7 “The Utility of Acellular Composite Flexor Tendon Allograft Subunits for Digital Pulley System Reconstruction” (Page 47)

Brent DeGeorge, MD—University of Virginia

#8 “Early Complications and Recurrence in Implant-sparing Oncologic Breast Surgery” (Page 49)

Joshua Elston, MD—University of South Florida

#9 “Extended Periarterial Sympathectomy: An Update of Long-Term Outcomes” (Page 51)

Collier Pace, MD—Virginia Commonwealth University Medical Center

#10 “Enhanced Recovery After Surgery (ERAS) Implementation in Abdominal Based Free Flap Reconstruction” (Page 52)

Rachel Anolik, MD—Duke University

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#11 “A Novel NonContact Optical Method for Assessing Blood Flow in Mastectomy Skin Flaps: A Prospective Study in Patients Undergoing Prosthetic Based Reconstruction” (Page 54)

Nneamaka Agochukwu, MD—University of Kentucky

#12 “Incidence and Risk Factors for Major Surgical Site Infections In Aesthetic Surgery: Analysis of 129,007 Patients” (Page 57)

Christodoulos Kaoutzanis, MD—Vanderbilt University

8:45–9:30 am ASPS Visiting Professor Lecture“The Six Million Dollar Man: It’s Not Too Far Away”Paul Cederna, MD


9:30–10:00 am Maximizing Patient Safety in Outpatient SurgeryBruce A. Mast, MD, University of Florida


10:00–10:30 am Break–Visit Exhibits and Poster Judging Grand Floridian Ballroom

10:30–11:00 am Lightning Round Papers (3 minutes each)Moderator: Walter Erhardt, MDSecretary: Lynn Damitz, MD


#1 “Try it You’ll like it: An Approach to Postoperative Antibiotics” (Page 58)

Matthew Applebaum, MD

#2 “Retrospective Study of Levator Aponeurosis Advancements” (Page 59)

Sherry Collawn, MD

#3 “Combining DIEP Flap With Implant: A Safe and Reliable Technique For Adding Abdominal Donor Site Versatility In The Abdominally Insufficient Patient” (Page 61)

Christopher Trahan, MD

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#4 “Patient Care and Quality Improvement: Identifying Factors Leading to Unanticipated Postoperative Readmission” (Page 63)

Peter Felice, MD

#5 “Patient Care and Quality Improvement: Utilization of a Novel Risk Calculator to Predict Unanticipated Postoperative Readmission” (Page 64)

Peter Felice, MD

#6 “Microcystic Adnexal Carcinoma: A Comprehensive Analysis of Recurrence Rates for Mohs Micrographic Surgery and Surgical Excision” (Page 66)

Scott Hirsch, BS

11:00–12:15 pm Special Guest Lecturer“Safe and Predictable Techniques for Soft Tissue Facial Reconstruction Following Cutaneous Malignancy Resection”Anthony Tufaro, MD—Johns Hopkins University


12:15–1:00 pm Special Resident Session“The Business of Launching Your Practice” (Non CME)Mark A. Codner, MD


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TUESDAY, JUNE 14




7:00–8:00 am MOC Accredited CourseMOC-PS™“Surgery for Cutaneous Malignancies—How to Remain Current in the Age of MOC”Anthony Tufaro, MD—Johns Hopkins University


8:00–9:00 am Just the Facts PanelModerator: Bruce A. Mast, MD


Panel Members:

Ben McIntyre, MD—“Nipple Shields and Insertion Funnels/Devices: Do They Really Matter in Breast Implant Surgery?”

Dhruv Singhal, MD—“When Should Microscopically Positive Margins in Basal Cell Carcinoma be Re-excised? Always, Sometimes, Never?”

Angela Cheng, MD—“Is Dermal Matrix Really Needed/Advantageous in Breast Reconstruction?”

Michael Harrington, MD—“Textured vs Smooth Implants: Is There an Advantage in Regard to Capsular Contracture and Aesthetic Stability/Implant Migration?”

9:00–10:00 am Special Guest Lecture“Allograft Transplant”WP Andrew Lee, MD—Johns Hopkins University


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10:00–10:30 am Break—Visit Exhibits and Poster Viewing Grand Floridian Ballroom

10:30–11:15 am ASAPS Visiting Professor Lecture“Systematic Approach to Treatment of the Ptotic Breast”Frank Lista, MD


11:15–12:15 pm Upchurch Lecture“Surgery on Sunday”Andrew Moore, MD


12:30 pm SESPRS Annual Business MeetingPlease Register—Lunch will be served


12:30–2:30 pm Resident Luncheon

Special Guest Lectures


“Signing an Employment Contract”Christopher L. Nuland, P.A.

“Lemon Juice and Optimism Bias: How Surgeons Make Mistakes”Frank Lista, MD


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WEDNESDAY, JUNE 15


7:00–8:00 am Continental BreakfastVisit Exhibits


7:00–8:00 am “How to Create Effective Patient Advocacy Initiatives”Enrique Fernandez, MD & Christopher L. Nuland, P.A.


8:00–8:45 am Member Papers (5 minutes each)Moderator: John Lindsey, MDSecretary: Timothy Wilson, MD


#6 “Protecting the Legitimacy of Board Certification—the Louisiana Experience” (Page 67)

Michael Hanemann, MD

#7 “What Do Our Patients Truly Want? Conjoint Analysis of an Aesthetic Plastic Surgery Practice Using Internet Crowdsourcing: A Pilot Study” (Page 68)

Cindy Wu, MD

#8 “Oncoplastic Breast Reduction Technique and Outcomes: An Evolution Over 20 Years” (Page 70)

Albert Losken, MD

#9 “Muscle Sparing Autologous Free Tissue Reconstruction In Patients With BMI > 30: A 6 Year Review of 839 Perforator Flaps In 523 Patients” (Page 71)

Christopher Trahan, MD

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#10 “Muscle Sparing Latissimus Dorsi (MSLD) Myocutaneous Flaps for Breast Reconstruction: Risks versus Rewards of Muscle Sparing” (Page 74)

Yoav Barnavon, MD

#11 “The Nipple-to-IMF Distance in Macromastia: Poor Correlation with Sternum-to-Nipple Distance but Predictive of Nipple-Areolar Complex Necrosis” (Page 76)

Thomas Steele, MD

#12 “A Formula for Planning and Predicting Post-Operative Mammoplasty Results” (Page 78)

Mary Smithson

8:45–9:00 am Research Grant Report & Award2015 Research Grant Report—Scott Hollenbeck, MD2016 Award Presentation—Brian Rinker, MD


9:00–10:00 am ASAPS Visiting Professor Lecture“Vertical Scar Breast Reduction”Frank Lista, MD


10:00–10:30 am Break—Visit Exhibits Grand Floridian Ballroom

10:30–11:00 am “Contracting a Young Plastic Surgeon to Join Your Practice”Chris Nuland, PA


11:00–12:00 pm Transitioning Your Practice PanelModerator: Braun H. Graham, MDPanel Members: James Moore, MD, William Mullis, MD, Enrique Fernandez, MD


12:00 pm Closing RemarksWalter L. Erhardt, Jr., MDMeeting Adjourns

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