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S E S P R S 2 0 1 935 T H A N N UA L AT L A NTA BRE AST SU RG ERY SYM P OS I U M

H O W T O A C H I E V EG O O D R E S U LT SA F T E R C O M M O N C O M P L I C A T I O N S

J A N U A R Y 1 8 – 2 0 , 2 0 1 9T H E I N T E R C O N T I N E N TA L H O T E L | AT L A N TA , G E O R G I A

F R I D A Y – S U N D A Y | J A N U A R Y 1 8 – 2 0 , 2 0 1 92

3 5 T H A N N U A L A T L A N T A B R E A S T S U R G E R Y S Y M P O S I U M

SYMPOSIUM CHAIRSProgram 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

Albert Losken, MD— William G. Hamm Professor of Plastic Surgery, Emory Plastic Surgery Program Director, Emory University Atlanta, GA

Emeritus Chairs L. Franklyn Elliott, MD— Private Practice Atlanta, GA

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

SYMPOSIUM FACULTY Amy Alderman, MD— Private Practice Atlanta, GA

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

Louis P. Bucky, MD— Clinical Professor of Surgery, Division of Plastic Surgery, University of Pennsylvania School of Medicine, Chief of Plastic Surgery, Pennsylvania Hospital Philadelphia, PA

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

Abhishek Chatterjee, MD— Chief of the Division of Plastic Surgery, Division of Surgical Oncology, Tufts Medical Center Boston, MA

Mark Clemens, MD— Associate Professor Plastic Surgery, MD Anderson Cancer Center Houston, TX

Elizabeth Hall-Findlay, MD— Banff Plastic Surgery Alberta, Canada

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

Kent K. Higdon, MD— Associate Professor, Dept of Plastic Surgery, Vanderbilt University Nashville, TN

Ram Kalus, MD— Plastic Surgery of The Carolinas Mount Pleasant, SC

Suhail Kanchwala, MD— Chief of Plastic Surgery, Pennsylvania Hospital Philadelphia, PA

John Kim, MD— Professor, Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine Chicago, IL

Peter Lennox, MD— Head, Division of Plastic Surgery, University of British Columbia Vancouver, Canada

Patrick Mallucci, MD— Private Practice South Kensington, London

Maurice Nahabedian MD— Professor of Plastic Surgery, VCU School of Medicine McLean, VA

Peter Per Heden, MD— Associate Professor in Plastic Surgery Stockholm, Sweden

Tracy M. Pfeifer, MD— Private Practice New York, NY

Troy Pittman, MD— Plastic and Reconstructive Surgeon, PittmanMD—Advanced Plastic Surgery Washington, DC

Kenneth Shestak, MD— Professor, Division of Plastic Surgery, University of Pittsburgh School of Medical Center Pittsburgh, PA

Steven A. Teitelbaum, MD— Associate Clinical Professor of Plastic Surgery, David Geffen School of Medicine UCLA Santa Monica, CA

Jennifer L. Walden, MD— Clinical Assistant Professor, UTSW Department of Plastic Surgery, Private Practice Austin, TX

Simeon Wall, Jr., MD— The Wall Center for Plastic Surgery Shreveport, LA

AMERICAN PLASTIC SURGERY SOCIETY UPDATESASAPS Jennifer Walden, MD Austin, TX

ASPS Andrea Pusic, MD Boston, MA

SESPRS Stephan J. Finical, MD Charlotte, NC

T H E I N T E R C O N T I N E N T A L H O T E L | A T L A N T A , G E O R G I A 3

2 0 1 9 S C I E N T I F I C P R O G R A M

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

“Advancing professional excellence, quality education, and regional collegiality”

ENDORSED BY:

PROGRAM OBJECTIVES

At the completion of this CME activity, registrants will be able to:

• Enhance and expand surgical technique in cases like transgender breast surgery, double bubble following breast augmentation, and autologous breast reconstruction with contralateral reduction,

• Discuss strategies to improve various breast reconstruction techniques,

• Assess advantages and disadvantages to improve techniques related to Implants, expanders, and ADM use in pre-pectoral breast reconstruction,

• Review up to date information on fat grafting to the breast for reconstructive procedures,

• Identify alternative ideas in breast reconstruction,

• Update on ALCL, the role of textured implants, and optimizing outcomes

• Improve the strategies in management of breast augmentation and mastopexy to maximize results and minimize complications,

• Review current perspectives in transgender surgery,

• Discuss strategies to communicate and satisfy the unhappy patient,

• Review safety and management of complications of oncoplastic breast surgery to improve outcomes.

THE 2019 HONORARY HARTRAMPF LECTURE:Elizabeth Hall-Findlay, MD—“Reflections”

THE 2019 INTERNATIONAL SCHOLARS PROGRAM:The Southeastern Society of Plastic and Reconstructive Surgeons provides generous funding to different countries each year to sponsor the travel and registration expenses to the top three (3) Plastic Surgery Chief Residents in that country. This Southeastern honor provides them with a unique international educational outreach. The 2019 Foreign Scholars are invited from The Eastern European Country of Georgia. Nodar Brunjadze, MD; Elene Pateishvili, MD; Mariam Topuria, MD

THE ONLINE 2019 BREAST SURGERY SYMPOSIUM:The symposium is offered in its entirety via on-line streaming video of the live surgery as well as the lectures to be viewed from the convenience of your home or office computer. Live questions can be emailed from around the world to Atlanta for immediate answers from the faculty direct to you over the Internet. The entire event is archived for two months following the live meeting and may be reviewed during that time if purchased on-line. CME credit is available for registered on-line attendees who view the meeting LIVE. For more information contact: [email protected].



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

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

8:00 amSESPRS WELCOMEStephan J. Finical, MD, President SESPRS

8:00–12:00 pmLIVE SURGERY TELECAST Moderator—Codner

Room 1 Northside Hospital Observers—Alderman, Malluci, Per Heden

8:00 am Brown—Transgender Breast Augmentation

10:00 am Calobrace—“Double Bubble” Correction after Prior Breast Augmentation

Room 2 Northside Hospital Observers—Shestak, Lennox, Kim

8:00 amLosken—Breast Reconstruction with Autologous Mastectomy Flaps and Contralateral Breast Reduction

Live Surgery Generously Supported by Northside Hospital

FRIDAY, JANUARY 18, 2019

THURSDAY, JANUARY 17, 2019



12:00–1:00 pmLunchHope and Trippe Ballrooms

1:00 pmOpening Remarks Mark A. Codner, MD—Program Chairman

1:00–2:00 pmAUTOLOGOUS BREAST RECONSTRUCTION Moderator—Elliott

1:00–1:15 pm Elliott—The TRAM Flap in 2019

1:15–1:30 pmHigdon—Team Based Care and Enhanced Recovery Pathways to Improve DIEP Flap Breast Reconstruction

1:30–1:45 pmKanchwala—Surgical Delay and Laparoscopic Harvestof DIEP Flap Perforators

1:45–2:00 pm Nahabedian—Autologous Breast Reconstruction Combined with Implants

2:00–2:15 pm Discussion

2:15–2:45 pmHONORARY HARTRAMPF LECTURE Introduction—LoskenElizabeth Hall-Findlay, MD—“Reflections”

2:45–3:15 pm Coffee Break/Visit Exhibits Windsor Ballroom Foyer

3:15–4:15 pmIMPLANT/EXPANDER/ADM/PREPECTORAL RECONSTRUCTIONModerator—Losken

3:15–3:30 pm Kalus—Optimizing Outcomes in Direct to Implant Reconstruction

3:30–3:45 pmNamnoun—Composite ADM and Mesh in Prepectoral Direct to Implant Reconstruction

pIdentified as applicable to patient safety

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3:45–4:00 pmPittman—The P1 Method: Preventing Rippling and Implant Visibility in Prepectoral Implant Reconstruction

4:00–4:15 pmShestak—An Algorithmic Approach to Implant Reconstruction Following Previous Breast Augmentation


4:30–5:30 pmPANEL—FAT GRAFTING FOR BREAST RECONSTRUCTIONModerator—Namnoun

4:30–4:45 pm Brown—Fat as a Solution to Implant Complications

4:45–5:00 pmBucky—Complications in Large Volume Fat Grafting: Risk Factors and Management

5:00–5:15 pmKim—Safety and Efficacy of Fat Grafting to theReconstructed Breast


5:30–6:30 pmALTERNATIVE IDEAS IN BREAST RECONSTRUCTIONModerator—Losken

5:30–5:45 pmKim—Taking the Bull By the Horns: Embracing Radiation in Breast Reconstruction

5:45–6:00 pm Losken—Safer Options for Large Breast Reconstruction

6:00–6:15 pm Kalus—Managing Difficult Complications in Breast Reconstruction


7:30–10:00 pmGALA DINNER DANCEVenetian Ballroom


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7:00–8:00 amContinental Breakfast/Visit ExhibitsWindsor Ballroom Foyer

8:00–8:30 amAmerican Plastic Surgery Society UpdatesModerator—Stephan J. Finical, MD

ASPS—Angela Pusic, MDASAPS—Jennifer Walden, MDSESPRS—Stephan J. Finical, MD

8:30–9:45 amPANEL—ROLE OF TEXTURED IMPLANTS IN THE ERA OF BIA-ALCL Moderator—Namnoun

8:30–8:45 am Clemons—An Update on ALCL

8:45–9:00 am Lennox—Profile of BIA-ALCL in Canada

9:00–9:15 am Brown—Where Textured Implants Fit Into My Practice

9:15–9:30 am Calobrace—Why I Prefer Textured Implants for Breast Surgery

9:30–9:45 am Discussion

9:45–10:15 amCoffee Break/Visit ExhibitsWindsor Ballroom Foyer

10:15–11:45 amBREAST AUGMENTATION AND MASTOPEXYModerator—Elliott

10:15–10:30 amWall —Long Term Results in Single Stage Short Scar Mastopexy Augmentation

10:30–10:45 amNamnoun—Mastopexy with Augmentation and Fat Grafting—Why I Prefer the Graf Technique

SATURDAY, JANUARY 19, 2019




10:45–11:00 am Calobrace—Mastopexy with Augmentation and Fat Grafting

11:00–11:15 am Per Heden—Mastopexy Augmentation in Secondary Cases

11:15–11:30 am Mallucci—Mastopexy Augmentation: It is All About the Flop

11:30–11:45 am Discussion

11:45–12:45 pmBREAST AUGMENTATIONModerator—Codner

11:45–11:55 am Malluci—Round vs. Anatomic Implants

11:55–12:05 pm Lennox—Optimizing Outcomes with Smooth Implants

12:05–12:15 pmHammond—Prevention and Management of Bottoming Out After Breast Augmentation

12:15–12:25 pmPer Heden—Evolution, Refinements and Indications for theNeo Submuscular Breast Augmentation


12:35–1:30 pmLunchHope and Trippe Ballrooms

1:30–1:45 pmINTERNATIONAL SCHOLARS’ AWARDS—GEORGIAModerator—Codner

Nodar Brunjadze, MD . . . . . . . . . . . . . GeorgiaElene Pateishvili, MD . . . . . . . . . . . . . GeorgiaMariam Topuria, MD . . . . . . . . . . . . . . Georgia

1:45–2:00 pm JOHN BOSTWICK RESIDENT PAPER AWARDModerator – Losken(Resident and Title TBD)



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2:00–2:15 pm 2018 BREAST SYMPOSIUM LIVE SURGERY RESULTSModerator—Namnoum

Adams—Mastopexy Augmentaiton with MeshBuchel—Delayed Breast Reconstruction with DIEP FlapKenkel—Male Breast Reduction

2:15–3:30 pmPANEL—TRANSGENDER BREAST SURGERYModerator—Losken

2:15–2:30 pm Pittman—Unique Considerations in Transgender Breast Augmentation

2:30–2:45 pm Walden—Male to Female Breast Surgery—A Feminine Perspective

2:45–3:00 pmBrown—Breast Surgery in the Transgender Patient: The Toronto Experience


3:15–4:00 pmTHE DIFFICULT BREAST SURGERY PATIENTModerator—Elliott

3:15–3:30 pmTeitelbaum—Converting the Unhappy Patient with Smooth Hard Implants Into an Angry Patient with Rippled Soft Breasts

3:30–3:45 pmBucky—What I’ve Learned About Unhappy Patients After 25 Years of Practice

3:45–4:00 pmAlderman—How to Satisfy the Unhappy Breast Augmentation Patient


4:45–6:15 pmBREAST REDUCTION AND MASTOPEXYModerator—Codner

4:45–5:00 pm Bucky—Peri-areolar Mastopexy—Is it Really as Bad as Reported?



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SUNDAY, JANUARY 20, 2019

5:00–5:15 pm Callobrace—Is There an Indication for Peri-areolar Mastopexy

5:15–5:30 pmHammond—Managing Shape Change after Mastopexy and the Power of the Vertical Technique

5:30–5:45 pmTeitelbaum—How to Make the Wise Pattern Superior to the Vertical Mastopexy and Reduction

5:45–6:00 pm Codner—Superior Pedicle Breast Reduction


7:00–8:00 amContinental Breakfast/Visit Exhibits Windsor Ballroom Foyer

8:00–9:30 amONCOPLASTIC BREAST SURGERYModerator—Losken

8:00–8:15 amChatterjee—Management of Complications Following Oncoplastic Surgery

8:15–8:30 am Nahabedian—The Oncological Safety of Oncoplastic Surgery

8:30–8:45 am Losken—Extreme Oncoplastic Reductions

8:45–9:00 am Chatterjee—Managing Positive Margins after Oncoplastic Surgery

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SUNDAY, JANUARY 20, 20199:00–9:15 am Discussion

9:15–10:15 amPROBLEM CASES FROM THE EXPERTS; LOWERING THE IMF: SITING, STABILIZING, AND SELECTINGModerator—Namnoum

9:15–9:25 am Hammond—Setting the IMF for Long Term Stability

9:25–9:35 amPer Heden—My Analysis for Proper Fold Placement— The Stockholm Method

9:35–9:45 amMalluci—The ICE Principle for the Proper Location of the Fold—The Implant Makes a Difference

9:45–9:55 am Wall—Selecting the Proper Position of the IMF

9:55–10:05 am Alderman—Nipple Position Relative to the IMF


10:15–10:45 amCoffee Break/Visit Exhibits Windsor Ballroom Foyer

10:45–12:30 pmHOT TOPICS IN BREAST SURGERYModerator—Codner

10:45–10:55 am Wall—Expansion Vibration Lipofilling in Aesthetic Breast Surgery

10:55–11:05 am Kanchwaka—BOOM Flaps: Hybrid Autologous Breast Reconstruction

11:05–11:10 am Pfeifer—Minimizing Capsular Contracture—Evidence Approach

11:10–11:20 am Clemens—Achieving High Reliability in DIEP Flap Reconstructions


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SUNDAY, JANUARY 20, 201911:20–11:30 am Discussion

11:30–11:40 am Teitelbaum—Pectoralis 1 and 2 Blocks for Breast Surgery

11:40–11:50 am Walden—Radiofrequency-Assisted Liposuction to Lift the Breast

11:50–12:00 pm Shestak—Options for Correcting Implant Malposition

12:10–12:20 pm Higdon—Patient Safety in Aesthetic Breast Surgery


12:30 pm Meeting Adjourns

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ACCREDITATIONThe Southeastern Society of Plastic and Reconstructive Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

The Southeastern Society of Plastic and Reconstructive Surgeons designates this live activity for MAXIMUM OF 21.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the 21.25 credits, 3.50 have been identified as applicable to patient safety. p

DISCLOSURE POLICYAs a provider accredited by the ACCME, SESPRS must ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. Presenters are required to disclose all relevant financial relationships with commercial interests, and these disclosures will be announced to the audience verbally and via slides. If a speaker fails to make a disclosure, that speaker is precluded from making a presentation at the meeting. Additionally, if any unapproved or off-label use of a product is to be referenced in a CME program presentation, the faculty member/participant is required to disclose that the product is either investigational or it is not labeled for the usage being discussed. SESPRS shall convey any information disclosed by the faculty member/participant to the CME program audience prior to the activity.

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

SPECIAL NEEDSAny special needs or challenged requests should be submitted to the SESPRS office by November 30, 2018.



REGISTRATION FEES AND CANCELLATION POLICYResident registration fees are complimentary with a letter submitted with their registration from their plastic surgery program director. Physicians in their first and second year after residency are eligible for the New Physician rate. Physicians who have more than two years of practice and are not members of SESPRS/ASPS/ASAPS are eligible for Guest Physician rates.

The registration fee for a spouse/companion includes admittance to meals and social functions. Spouses/companions wishing to attend the symposium presentations must register under the “Office Personnel or Nurse” category.

Please register early. Full refunds minus a $50 processing fee will be considered if written notice of cancellation is received by November 1, 2018. No refunds will be given after November 1, 2018.

RESERVATIONSIntercontinental Hotel (located in the heart of Buckhead) 3315 Peachtree Road, NE Atlanta, GA 30326 404-946-9000

Room rates are $275 per night, single or double occupancy. Reservations must be received by December 26, 2018 for this rate to be honored.

Alternate Hotel located within walking Distance to the Intercontinental:

Embassy Suites (located next door) 3285 Peachtree Road, NE Atlanta, GA 30305 404-261-7733

Room rates are $159 per night, single or double occupancy. Reservations must be received by December 28, 2018 for this rate to be honored.

There is NO GUARANTEE that rooms will be available up to the deadline date, and there is no guarantee that rooms will be available at this rate. Rates quoted here are on a space-available basis only. Once our block of rooms is sold out, which may be earlier than December 26, 2018 or December 28, 2018, for each represented hotel, there is no guarantee that rooms will be available at this rate. Visit our Website sesprs.org to make on-line hotel reservations. Click on this meeting on our site for more information: www.sesprs.org.



ONLINE REGISTRATIONOnline registration is available at www.sesprs.org. If you have any questions, please call (435) 901-2544 or visit our website at www.sesprs.org.

View Meeting from the comfort of your Home Online—Available for Breast Symposium Only. $899 for the entire three-day event.

REGISTRATIONPlease fill out and mail this form to SESPRS, 6300 Sagewood Drive, Suite H255, Park City, UT 84098 or fax to (435) 487-2011. Online registration is also available at www.sesprs.org. If you have any questions, please call (435) 901-2544 or visit our website at www.sesprs.org. If you have any questions, please call (435) 901-2544 or visit our website at www.sesprs.org. A confirmation notice will be sent by e-mail to each registrant upon receipt of their registration.

Name:

Address:

City: State: Zip Code:

Phone: Fax:

Email:

Additional Name for Badge/Spouse:

Please check the appropriate response: Before 12/10 After 12/10

SESPRS Member q $1050 q $1150

ASPS/ASAPS Member q $1350 q $1450

Guest Physicians (non SESPRS, ASPS, ASAPS Member) q $1750 q $1850

Guest Physician Less Than 2 Years in Practice q $800 q $900

Resident/FellowsComplimentary Registration—Letter from Plastic Surgery Program Director required in advance or $100 fee applies

Office Personnel or Nurse q $800 q $900

Spouse/Companion (Socials Only) q $200 q $300

OPTION: If you attend the Breast Surgery Symposium in person you have the option to purchase the archived event. Available for 3 months after the meeting. A special link will be provided approximately one week following the meeting for access. Archived Event Price:

q $150

Total Amount Enclosed: $

Method of Payment: q Check (US Funds Only) q MasterCard q Visa q AMEX

Card Number: 3 or 4 digit code

Expiration Date:

Signature:

If paying by credit card, please complete this registration form and fax, e-mail, or mail. If paying by check, please include a check in U.S. funds payable to: Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS).

If paying by mail, please send to: SESPRS 6300 Sagewood Drive, Suite H255, Park City, UT 84098.

Streaming Online Event Registration—Available for Breast Symposium Only—$899. Registration MUST be done on-line. Visit our website soon for details: www.sesprs.org (CME Available Only if Watched LIVE).

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how to achieve good results · 2018. 8. 15. · toronto toronto, canada louis p. bucky,...

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