34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM€¦ · Nashville, TN W. Thomas McClellan, MD ÑClinical Associate Professor, West Virginia University School of Medicine Morgantown,

FRIDAY–SUNDAY, JANUARY 19-21, 2018 2

34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

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THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 3

2018 SCIENTIFIC PROGRAM

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 FACULTYWilliam Adams, MD—Associate Clinical Professor, University of Texas Southwestern Medical Center Dallas, TX

Amy Alderman, MD—Private Practice Atlanta, GA

William A. Barber, MD—Director of Surgical Education, Piedmont Hospital Atlanta, GA

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

Edward Buchel, MD—Associate Head Dept of Surgery—WRHA, Surgery Site Director—Health Science Centre, Section Head & Regional Leader, University of Manitoba Winnipeg, 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

Grant W. Carlson, MD—Chief of the Division of Plastic Surgery, Emory University Atlanta, GA

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

James C. Grotting, MD—Clinical Professor of Plastic Surgery, University of Alabama Birmingham, AL

Nicholas T. Haddock, MD—Associate Professor Plastic Surgery, University of Texas Southwestern Medical Center Dallas, TX

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

Jeffrey M. Kenkel, MD—Professor and Chairman, University of Texas, Southwestern Medical Center Dallas, TX

Jaume Masia, MD—Professor & Director, Department of Plastic Surgery at Sant Pau Hospital, University of Barcelona Barcelona, Spain

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

W. Thomas McClellan, MD—Clinical Associate Professor, West Virginia University School of Medicine Morgantown, WV

Terrence M. Myckatyn, MD—Professor, Plastic and Reconstructive Surgery, Washington University School of Medicine St. Louis, MO

Salvatore Pacella, MD—Division Head, Plastic and Reconstructive Surgery, Scripps Clinic & Green Hospital San Diego, CA

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

Loren S. Schechter, MD, FACS Director, The Center for Gender Confirmation Surgery, Weiss Memorial Hospital, Visiting Clinical Professor, The University of Illinois at Chicago Chicago, IL

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

Liza Wu, MD—Associate Professor, University of Pennsylvania Philadelphia, PA

AMERICAN PLASTIC SURGERY SOCIETY UPDATESASAPS President Clyde H. Ishii, MD Honolulu, HI

ASPS President Jeffrey E. Janis, MD Columbus, OH

SESPRS President Braun H. Graham, MD Sarasota, FL

Therapy or to request a free product evaluation,



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 techniques in cases like breast reconstruction after mastectomy, breast augmentation with absorbable mesh, male breast reduction, and transgender breast augmentation,

• Improve strategies to avoid complications and improve techniques for pre-pectoral implant reconstruction with or without ADM,

• Assess advantages and disadvantages for fat grafting for breast reconstruction and cosmetic breast procedures including the perspective of a breast surgeon,

• Review up to date management of radiation for breast cancer, as well as the implications for immediate or delayed reconstruction,

• Review of the newest flaps in breast reconstruction as alternatives to conventional autologous tissue,

• Update on ALCL and the importance of prevention, diagnosis, and treatment as well as the association with the use of textured breast implants,

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

• Improve techniques for shaping the breast in order to correct ptosis as well as satisfy unhappy patients,

• Better able to empathize and communicate with patients who wish to undergo transgender surgery and implement new techniques required,

• Maximize safety during breast reduction as well as improving the results of the surgery

THE 2018 HONORARY HARTRAMPF LECTURE: Grant Carlson, MD—“The Surgical Treatment of Breast Cancer in the United States: The Tipping Point”

THE 2018 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 2018 Foreign Scholars are invited from Iran. Mehdi Ahmadi, MD, Behzad Ghaffari, MD, Siyamak Rakeeiesfahani, MD

THE ONLINE 2018 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 three months following the live meeting and may be reviewed during that time if purchased online. CME credit is available for registered on-line attendees who view the meeting LIVE. For more information contact: [email protected]. NEW for 2018, the option to purchase the archived streaming event if you attend the Breast Symposium in person in Atlanta.

FRIDAY–SUNDAY, JANUARY 19-21, 2018 THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 5

2018 SCIENTIFIC PROGRAM34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

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

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

8:00 am SESPRS WELCOMEBraun H. Graham, MD, President SESPRS

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

Room 1

8:00 am

10:00 am

Northside Hospital Observers—Calobrace, Grotting, Shestak

Adams—Mastopexy Augmentation with Mesh

Kenkel—Male Breast Reduction

Room 2

8:00 am

9:30 am

Northside Hospital Observers—Hammond, Maxwell

Buchel—Delayed Breast Reconstruction with DIEP Flap

Brown—Video: Transgender Breast Surgery Male to Female

Live Surgery Generously Supported by Northside Hospital

FRIDAY, JANUARY 19, 2018

THURSDAY, JANUARY 18, 2018



12:00–1:00 pm LunchHope and Trippe Ballrooms

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

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

1:00–1:10 pm Hammond—How to Perform the Latissimus Flap

1:20–1:30 pm Clemens—Robotic Assisted Latissimus Dorsi Reconstruction—Extending a Surgeon’s Abilities

1:30–1:40 pm Buchel—The DIEP Flap: A Career Starter

1:40–1:50 pm Losken—Where Do We Stand with Pedicle TRAMS in 2018?

1:50–2:00 pm Discussion

2:00–2:30 pm

HONORARY HARTRAMPF LECTURE Introduction—LoskenGrant Carlson, MD—The Surgical Treatment of Breast Cancer in the United States: The Tipping Point

2:30–3:00 pm Coffee Break/Visit Exhibits Windsor Ballroom D Windsor Ballroom Foyer

3:00–4:00 pmIMPLANT/EXPANDER/ADM/PREPECTORAL RECONSTRUCTIONModerator—Calobrace

3:00–3:10 pm Losken—Avoiding Complications in Pre-Pectoral Reconstruction

3:10–3:20 pm Masia—Prepectoral Implant Reconstruction with ADM: The European Way

pIdentified as applicable to patient safety

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3:20–3:30 pm McClellan—New Tissue Expander Breast Reconstruction—My Experience and Pearls

3:30–3:40 pm Pacella—Directional Tissue Expansion: Modifying Techniques for Breast Reconstruction

3:40–3:50 pm Wu—Aesthetic Refinements in Autologous Breast Reconstruction


4:00–5:00 pm PANEL—FAT GRAFTING FOR BREAST RECONSTRUCTIONModerator–Losken

4:10–4:20 pm Barber—Patient Centered Fat Grafting Concerns and Problems: The Breast Cancer Surgeons Prospective

4:20–4:30 pm Bucky—Fat Grafting Reconstruction Patients: When is it Enough?

4:30–4:40 pm Namnoum—Pros and Cons of Fat Grafting After Breast Reconstruction

4:40–4:50 pm Losken—How Fat Grafting Has Made Breast Reconstruction More Difficult


5:00–6:00 pm ALTERNATIVE IDEAS IN BREAST RECONSTRUCTIONModerator—Codner

5:00–5:10 pm Pacella—Taking the Bull By the Horns: Embracing Radiation in Breast Reconstruction

5:10–5:20 pm Clemens—Predictors and Timing for Successful Radiated Breast Reconstruction

5:20–5:30 pm Masia—Alternative Perforator Flaps for Breast Reconstruction

5:30–5:40 pm Haddock—Optimizing Aesthetic Reconstruction: When One Flap is Not Enough


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

8:00–8:30 am American Plastic Surgery Society UpdatesModerator—Braun H. Graham, MD

ASPS—Jeffrey E. Janis, MDASAPS—Clyde Ishii, MDSESPRS—Braun H. Graham, MD

8:30–9:30 am PANEL—ALCL AND BREAST IMPLANTSModerator—Losken

8:30–8:40 am Calobrace—Textured Implants: Navigating Through the ALCL Waters

8:40–8:50 am Adams—Micromort Analysis of BIA-ALCL—Lessons Learned for Patient Education

8:50–9:00 am Teitelbaum—Discussing ALCL with Patients During Consultation

9:00–9:10 am Clemens—Breast Implant Associated ALCL: Lessons Learned in 400 Cases


5:40–5:50 pm Buchel—Nipple Sparing Mastectomy + Autologous Tissue Reconstruction


7:30–10:00 pm GALA DINNER DANCEVenetian Ballroom

SATURDAY, JANUARY 20, 2018

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9:10–9:20 am Alderman—To Texture or Not to Texture: Deconstructing What We Know About Implant Surface Characteristics

9:20–9:30 am Discussion

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

10:00–11:00 am BREAST AUGMENTATIONModerator—Namnoum

10:00–10:10 am Adams—Bacteria Bad- More Bacteria Worse: The 14 Point Plan—Capsular Contracture and Beyond

10:10–10:20 am Alderman—Strategies for Setting Appropriate NAC Position with Cosmetic Breast Surgery

10:20–10:30 am Calobrace—Periareolar Augmentation: Pitfalls and Pearls

10:30–10:40 am Grotting—Major Complications in Breast Surgery: How Safe is Safe?

10:40–10:50 am Hammond—Management of the Inframammary Fold in Breast Augmentation


11:00–12:00 pm AUGMENTATION AND MASTOPEXYModerator—Codner

11:00–11:10 am Brown—Managing Ptosis Following Breast Augmentation

11:10–11:20 am Bucky—Augmentation Mastopexy—Making an Unpredictable Operation More Predictable

11:20–11:30 am Myckatyn—Three Dimensional Imaging for Breast Reconstruction

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11:30–11:40 am Pfeifer—You Want to Take Out Your Implants and Not Replace Them? You Will Look Deformed—Not Necessarily

11:40–11:50 am Teitelbaum—Managing the Unhappy Augmentation Patient


12:00–1:00 pm LunchVenetian Ballroom

1:00–1:15 pm INTERNATIONAL SCHOLARS’ AWARDS—IRANModerator – Elliott

Mehdi Ahmadi, MD . . . . . . . . . . . .Tehran, IranBehzad Ghaffari, MD . . . . . . . . . . Shiraz, IranSiyamak Rakeeiesfahani, MD . . . .Tehran, Iran

1:15–1:30 pm JOHN BOSTWICK RESIDENT PAPER AWARDModerator – LoskenFenestration Improves Acellular Dermal Matrix Biointegration: An Investigation of Revascularization with Photoacoustic MicroscopyJonathan B. Olenczak, MD, University of Virginia

1:30–2:00 pm 2017 BREAST SYMPOSIUM LIVE SURGERY RESULTSModerator—Namnoum

Namnoum—Pre-pectoral DTI Breast Reconstruction with ADM WrapAlderman—Breast AugmentationWall—Secondary Breast Augmentation

2:00–3:00 pm TRANSGENDER BREAST SURGERY PANELModerator—Losken

2:00–2:10 pm Brown—Female to Male Breast Surgery

2:10–2:20 pm Schechter—Transgender Breast Augmentation

2:20–2:30 pm Teitelbaum—Improving Shape and Preventing Malposition in Transgender Augmentation


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2:30—2:40 pm Schechter—Top Surgery: Transmasculine Chest Contouring

2:40–2:50 pm Kenkel—Similarities of Transgender Surgery and Male Chest Contouring Following Weight Loss


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

3:30–4:00 pm BREAST REDUCTION AND MASTOPEXYModerator—Elliott

3:30–3:40 pm Codner—Superior Pedicle Breast Reduction

3:40–3:50 pm Kenkel—Female Breast Shaping Following Weight Loss Surgery

3:50–4:00 pm Hammond—Prevention of Bottoming Out in Wise Pattern Breast Reduction

4:00–4:10 pm Grotting—Getting the Vertical Sculpted Pillar Technique to Produce Predictably Excellent Results in Breast Reduction


4:20–4:30 pm Adams—The Tissue Based Triad: Simplifying Augmentation Mastopexy

4:30–4:40 pm Elliott—The Vertical Mastopexy to Treat Breast Asymmetry

4:40–4:50 pm Alderman—VTE and Breast Surgery: Current Recommendations for Chemoprophylaxis

4:50–5:00 pm Grotting—Augmentation Mastopexy—Implant or Mastopexy First?



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SUNDAY, JANUARY 21, 2018

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

8:00–9:00 am HOT TOPICS IN BREAST SURGERYModerator—Namnoum

8:00–8:10 am Wu—Efficiency in Autologous Breast Reconstruction

8:10–8:20 am Teitelbaum—Introduction of New Implants

8:20–8:30 am Pfeifer—Round Smooth Subpectoral Implants—Are They Really the Best Choice for Every Patient?

8:30–8:40 am Namnoum—Long Term Results After Wrapping a Reconstructive Prepectoral Implant

8:40–8:50 am Myckatyn—Enhanced Recovery After Surgery for Autogeneous Breast Reconstruction


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

Expert Faculty—Bucky, Brown, GrottingPLEASE Bring Your Problem Cases on a Thumb Drive

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

10:30–12:30 pm HOT TOPICS IN BREAST SURGERY AND BREAST REDUCTION Moderator—Codner

10:30–10:40 am McClellan—A Simple Technique to Reduce Seroma and Speed Integration in Allograft Breast Reconstruction—Allograft Tabs


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10:40–10:50 am Masia—Risk Reduction Lymphedema Surgery

10:50–11:00 am Bucky—Managing the Breast Complication Patient

11:00–11:10 am Namnoum—Breast Reconstruction: Where Art and Science Meet

11:10–11:20 am Brown—“Reconsthetic” Breast Surgery: One in the Same?


11:30–11:40 am Pfeifer—Converting From Round to Shaped Implants; Using the Neopocket to Make it Relatively Simple

11:40–11:50 am Pacella—Aesthetic Nipple Reconstruction: Flaps and Grafts for Natural Contour

11:50–12:00 pm Losken—Pain Management in Out Patient Breast Surgery: Are We Part of the Problem?

12:00–12:10 pm Buchel—Autologous Tissue Reconstruction Options from a Limited Abdominal Donor Site

12:10–12:20 pm Grotting—Cyberterrorism: What Do I Do If I Get Hacked?

12:20–12:30 pm DiscussionMeeting Adjourns

SUNDAY, JANUARY 22, 2017

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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 a maximum of 18.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the 18.25 AMA PRA Category 1 Credit(s)™, 2.60 have been identified as applicable to patient safety. p

THE SOUTHEASTERN SOCIETY GRATEFULLY ACKNOWLEDGES COMMERCIAL SUPPORT FROM:MENTOR WORLDWIDE

USA 877-444-1122 ! 866-800-7742 faxInternational +1 617-268-1616 ! + 1 617-268-3282 faxintegralife.com/contact

Integra and the Integra logo are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries. Revize and Revize-X are trademarks of Integra LifeSciences Corporation. ©2017 Integra LifeSciences Corporation. All rights reserved. Printed in USA. 0856470-1-EN

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THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 15

2018 SCIENTIFIC PROGRAM

2018 FACULTY DISCLOSURESPlanner/Reviewer*

William Adams, MD . . . . . Nothing to Disclose

Amy Alderman, MD . . . . . Nothing to Disclose

William Barber, MD . . . . . Nothing to Disclose

Mitchell Brown, MD . . . . . Nothing to Disclose

Louis Bucky, MD . . . . . . Nothing to Disclose

Edward Buchel, MD . . . . . Nothing to Disclose

M. Bradley Calobrace, MD . . Nothing to Disclose

Grant Carlson, MD. . . . . . Nothing to Disclose

Mark Clemens, MD . . . . . Nothing to Disclose

Mark Codner, MD* . . . . . CRC Press—Receives Royalties

L. Franklyn Elliott, MD* . . . Nothing to Disclose

Braun Graham, MD* . . . . Speaker for Tepha—Receives Honoraria

James Grotting, MD . . . . . Founder & Shareholder Aesthetic Surgeons Financial Group—Receives distributions; Author with Thieme Publishing—Receives royalties; Shareholder with Ideal Implant & Integrated Healing Technologies

Nicholas Haddock, MD. . . . Allergan—Receives consulting fees

Dennis Hammond, MD. . . . Consultant with Mentor, MTF, Establishment Labs & Nova Plasma LTD—Receives consulting fees; Elsevier—Receives royalties

Daniel Haynes, MD* . . . . Nothing to Disclose

Clyde Ishi, MD . . . . . . . Nothing to Disclose

Jeffrey Janis, MD . . . . . . Nothing to Disclose

Carmen Kavali, MD* . . . . Consultant, speaker & trainer with Allergan—Receives consulting fees

Jeffrey Kenkel, MD . . . . . Consultant with Allergan & Galderma—Receives consulting fees

Albert Losken, MD* . . . . . Speaker for RTI Surgical—Receives speaking fees

Jaume Masia, MD. . . . . . Nothing to Disclose

Bruce Mast, MD* . . . . . . Resident Program Director with Allergan, LifeCell, Mentor & Synthes—Receives educational grants for Resident training; Stockholder with Axogen; Editor for Thieme Medical Publishing—Receives royalties

G. Patrick Maxwell, MD . . . Consultant & Assignor of intellectual property with Allergan & LifeCell

William McClellan, MD. . . . Allox2 Tissue Expander Consultant—Receives royalties

Thomas McFadden, MD* . . Nothing to Disclose

Kurtis Moyer, MD* . . . . . Nothing to Disclose

Terrence Myckatyn, MD . . . Consultant and grant recipient with Allergan, RTI Surgical & Acelity—Receives grant funding

James Namnoum, MD* . . . Nothing to Disclose

Salvatore Pacella, MD . . . . JP Medical Publications—Receives royalties; Mentor Consultant—Receives consulting fees; Researcher and consultant with Tealbio—Receives consulting fees and grant funding

David Plank, MD*. . . . . . Nothing to Disclose

Tracy Pfeifer, MD . . . . . . Nothing to Disclose

Brian Rinker, MD* . . . . . Researcher with Axogen—Receives research support

Susan Russell* . . . . . . . Nothing to Disclose

Erin Schwarz* . . . . . . . Nothing to Disclose

Loren Schechter, MD . . . . Elsevier—Receives royalties

Steven Teitelbaum, MD . . . Advisory board and study participant with Establishment Labs—Receives honoraria and stock options

Cindy Wu, MD*. . . . . . . Nothing to Disclose

Liza Wu, MD . . . . . . . . Nothing to Disclose

THE 61ST ANNUAL SCIENTIF IC MEETING OF THE SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS

Savethe Date

THE BREAKERS, PALM BEACH, FLORIDAOpen to Members and Non-Members | Registration Opens Soon!

June 17-20, 2018

34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM€¦ · Nashville, TN W. Thomas McClellan, MD ÑClinical Associate Professor, West Virginia University School of Medicine Morgantown,

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