IPRAS JOURNAL 10th ISSUE

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10th Issue October 2012

ISSN: 2241-1275


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CONTENTS • President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . 5 • General Secretary’s Message . . . . . . . . . . . . . . . . . . 7 • Editor-in-Chief’s Message. . . . . . . . . . . . . . . . . . . . . 9 • IPRAS Management office Report . . . . . . . . . . .

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• Austrian government new regulation in aesthetic surgery . . . . . . . . . . . . . . . . . . . . . . . .

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• AAPS International Traveling Fellowship . . . . .

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• Pioneers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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• The miracle man of the western front . . . . . . . . .

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

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• Surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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• National Associations’ & Plastic surgery organizations’ News . . . . . . . . . . . . . . . . . . . . . . . .

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

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• Hyperguide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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• IPRAS website . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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• Certificate of Membership . . . . . . . . . . . . . . . . . .

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

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• IPRAS Benefits for National Associations & individual members . . . . . . . . . . . . . . . . . . . . . .

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IPRAS BOOTH during ISAPS congress in Geneva

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WFW team

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ROAPS 2012 Congress

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French Historical Account

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AIMS AND SCOPE

• 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

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PRESIDENT’S MESSAGE

Board of Directors President Marita Eisenmann-Klein - Germany General Secretary Nelson Piccolo - Brazil Treasurer Bruce Cunningham - USA Deputy General Secretary Yi Lin Cao - China Deputy General Secretary Brian Kinney - USA Deputy General Secretary Ahmed Noureldin - Egypt Deputy General Secretary Andreas Yiacoumettis - Greece Parliamentarian Norbert Pallua - Germany Executive Director Zacharias Kaplanidis - Greece

Dear Colleagues, 2012 was the most successful year in the history of IPRAS: we created more membership values than ever before, - without raising the dues. Never before in our history did we have to close the registration of a congress as we had to in the 1. Congress of the International Society of Regenerative Plastic Surgery, our new daughter society, in Rome: 2 months prior to the opening we could not take any more participants! The first IPRAS course about Fat Grafting, held along with the congress of the Romanian and Hungarian Societies of Plastic Prof. Marita Eisemann-Klein President of IPRAS Surgery, also turned out to be a big success. Regenerative Medicine with the enormous potential of adipose tissue derived stem cells creates a brilliant future for us plastic surgeons, - thanks to our pioneers in research and clinical work such as José Guerrerosantos, Abel Chajchir, Sydney Coleman, Roger Khouri, Gino Rigotti, Peter Rubin, Norbert Pallua, just to name a few. The founding of the IPRAS Academy of Regenerative Medicine, the IPRAS Academy for Laser Treatment, the IPRAS Academy for Aesthetic Surgery Training and the IPRAS Trainees Association will take place along with the 10th anniversary of the IQUAM (former EQUAM) Consensus Conference in Athens, November 1st – 4th. This event, which you should not miss, is a strong commitment to quality optimization, critical scientific evaluation of techniques and devices AND to interdisciplinary cooperation. All academy members contribute not only their expertise and time, - they accept not to be reimbursed for their expenses. We thank all of them as well as our Board of Directors and EXCO members for their unique support enabling us to strengthen IPRAS everywhere in the world. And the group of contributors keeps growing: IPRAS meanwhile is governed by 170 excellent plastic surgeons from all over the world, - in our Board of Directors, in our Executive Committee, in our Board of Trustees, in our Subcommittees and in the decision making body – the Council of National Delegates. Our strength and power is based upon a fundamental training in all fields of plastic surgery, - burns, reconstruction and aesthetic as well as hands in some parts of the world. And even if some of us end up performing aesthetic surgery only – the memories of sleepless nights taking care of patients with life threatening injuries will always make us feel close to those who shared this experience with us. We shall remain plastic surgeons, - always. We should never give up on our plastic surgery roots - they keep us together, they are our identity, our history and our future! Cordially yours

Marita Eisenmann-Klein IPRAS President

President of Germany honors IPRAS for IPRAS WomenforWomen Trust On September 4th, 2012 the President of the Republic of Germany invited the initiators of new foundations to his residence Bellevue Castle in Berlin. In a personal conversation with IPRAS President Marita Eisenmann-Klein and IPRAS Deputy General Secretary Andreas Yiacoumettis President Joachim Gauck expressed his gratitude and enthusiasm for the IPRAS humanitarian project and asked them to provide him with more information. In an empathic speech, in which he expressed his pride to represent a country where citizens commit themselves to humanitarian work and idealistic projects, he again referred to the work of IPRAS WomenforWomen. Joachim Gauck is a former Lutheran priest, who became famous for his regime criticism in former East Germany. He was elected to be the President of Germany in 2012.

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GENERAL SECRETARY’S MESSAGE

Dr. Nelson Piccolo IPRAS General Secretary

Although there may be several differences with relation to our practices, our patients and our everyday lives in the local areas of the world where we live and practice, we are all united through Plastic Surgery. These ideals which bond us, illuminate our paths so we can provide the best available technique, technology and surgical performance to our patients. As I said more than once before, I am always amazed by the easiness of communication with which, we can all share all this in the IPRAS world. This Journal itself is one of the major tools of this communication ability in the Plastic Surgical world – thousands of people receiving practically simultaneously all the “news that are fit to print” on our Specialty , where members of our National Societies share their opinion and thoughts on most varied subjects. IPRAS executive office staff is continuously and actively communicating with members in all corners of this planet, sending the latest news as demanded by National and other related Societies of Plastic Surgery. With state of the art equipment, the office at IPRAS can send any size of media or news to all our 37,000 members in a couple of hours, and as we are all reading this, the latest news on our forthcoming Chile Congress are also out. This Congress will be the epitome of communication in Plastic Surgery – over 1,500 presenters will be sharing their experiences and ideas with people from over 100 countries. As we have been promoting the Chilean

Congress on several meetings around all continents for the past several months, we have been happier and happier as more and more plastic surgeons share with us their intention in coming to IPRAS 2013. We have also become amazed at these different meetings, how the industry members are also very much looking forward to be there. We are certain that presence will be of ubiquitous as well as of generalistic and specific origins, as we will have practically all topics of our everyday practice depicted, with local and global aspects considered by a most varied group of confirmed presenters, including members of our Co-Opted Societies. Another aspect of communication to be seriously considered is networking – the ability to construct connections – which will be at its pinnacle in Chile. One will be able to communicate and make permanent connections with people (plastic surgeons and industry representatives) from all continents, from practically everywhere, and all will be able to do so speaking one single language: Plastic Surgery!!! If you have not yet made your mind about coming, I urge you to act promptly and to register. Bring your family – make also a vacation out of this trip! As next February comes, you will see upon arriving to Santiago that you have taken the right decision and you and your family will be most happy that you have come. Upon leaving, your luggage will be full of new experiences, all worthwhile to have lived them!!! See you there,

Dr. Nelson Piccolo IPRAS General Secretary

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S HJ IOEUFR’ SN A E D I T O RI -PIRNA- C MLE S S A G E

EDITORIAL

“WE MAKE LIVES BETTER”

A few days ago I was sitting at my desk in my home office and I glanced at a painting hanging close by me on a wall. It was a still life, and a photograph of the artist was hanging next to it. The artist was my grandmother and the date on the photograph was 1887. She and my grandfather lived in a rural area three hours east of Houston (now forty-five minutes by freeway) and he was what we called a “country doctor’, which is now known as one in Family Practice. Many fond memories flooded my head as I glanced both at the painting and photograph and at the photograph of their home, which I’ve attached. I vividly remember her capturing a chicken for dinner and twirling it by the neck before plucking. I remember helping her milk the cow, and I remember putting wood into the oven for the roasting of the denuded bird. She pursued excellence in homemaking and art. My grandfather’s medical office was across the road. He had returned to Texas from medical school at what is now the University of Tennessee in 1898 and began practicing on the Texas Gulf Coast primarily because of a yellow fever epidemic. I never saw any of the yellow fever patients but I regularly saw someone come and rap on the door during one of our family dinners...without fail..at every dinner at least one person would come with a problem. He either left immediately or arranged a visit at a later time. They came because they trusted him to, in some way, make their lives better through his knowledge and constant pursuit of excellence. It was at that time..somewhere between seven and eight years of age ..that I knew I must be a doctor

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

because of the great reward..making lives better. After that long introduction please fast forward in time to the preceding June of this year. It was a busy time for me, beginning with a meeting in Amelia Island, Florida, of the Southeastern Society of Plastic Surgery where I had been honored by the invitation to give the Upchurch Lecture. Following Florida I traveled to Stockholm where I gave the Keynote Address at the Beauty Through Science meeting headed by Per Heden; then to Ekaterinburg, Russia, where I assisted Sergey Nudelman with his excellent semi-annual meeting of aesthetic surgery: and then to Moscow for a meeting put on by Natalia Manturova. Following Russia came Paris, by invitation of Eric Auclair ,and several presentations although my memory is not totally clear because of increasing hip pain. The hip pain was resolved on 3 July with a total hip joint replacement, and within a few days I was walking without assistance and playing golf by 22 August....and in September traveling to Geneva for ISAPS , Romania (thanks to Dana Jianu) for their national society meeting, and then to Spain for the aesthetic surgery meeting of Jose Luis Martin Del Yerro. So what’s the purpose of all this reporting? Well, it passed my mind that all those meetings and all those speakers, and all those attendees...were there for the purpose of pursuing excellence. I don’t remember a single word in any of the many sessions I attended that had anything to do with making money...it was nothing but how to do better work. How to do better work...why do better work”? The answer takes me back to my grandparents. Excellence is its own reward whether it be cooking a de licious chicken dinner...or treating a wound or illness. In the latter case...my grandfather was seeking the same thing I was seeking, and all the attendees at the many meetings I attended the past few months were seeking as well....to make lives better. To make lives better...my inspiration for over seventy years...and, Dear Reader, I’m certain it’s yours as well. It’s the bond that unites us..and it’s bigger than any border or language that divides us. We make lives better. Thomas M. Biggs, M.D. Editor-In-Chief

Grandfather’s House

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II P PR RA AS S M MA AN NA AG GE EM ME EN NT T O OF FF F II C CE E R RE EP PO OR RT T

JULY 2012 – SEPTEMBER 2012

Mr. Zacharias Kaplanidis IPRAS Executive Director

Introduction In my professional career, I had the opportunity to participate in the Board of Directors Committee of several Associations, Federations, Chambers of Commerce, Sports Clubs, such as the Hellenic Association of Professional Congress Organizers (HAPCO President), the Hellenic Association of Travel & Tourist Agencies (HATTA member), the European Federation of Professional Congress Organizers (EFAPCO President), the GreekRussian Chamber of Commerce (Treasurer) and several other smaller (less important)sports clubs and institutes. From all my experiences that I have acquired throughout more than 20 years of such activities, I have come to know how difficult it is to keep political intentions and personal interests away from everyday management practices. This is why, at this period of my career, I really feel proud of being a member of the IPRAS Board of Directors. The reason is that IPRAS is from the very few large organizations whose strategies and practices are kept far away from political intensions and individual interests. I am sure that it is one of the very few scientific organizations in which so many people, in fact more than 170, are closely engaged with the everyday operation of our Confederation, intending only to serve and promote the science and art of Plastic Surgery. 101 National Delegates, more than 50 Executive Committee members, 13 Subcommittees with more than 45 members and finally 9 members of the Board of Directors work, away from political or vested interests and malice. This is wonderful and rare. We are all obliged to keep it as it is. I take the opportunity to start this 3-month report this way because almost all our planet continues to suffer from these political and individual interests and intentions. I don’t know how we can avoid the sometimes catastrophic results of political mistakes, vested interests or political

strategies. But I do know how important it is to keep scientific organizations like IPRAS distanciated from such practices.

IPRAS Management Office Report The period of July – September 2012, was full of interesting actions for our Confederation. Starting with our humanitarian work, we had another successful mission to India, at the beginning of September, where amongst others, Dr. Constance Neuhann-Lorenz, Dr. Marita Eisenmann-Klein, Dr. Georgia Spyropoulou, Dr. Hansel Africano offered their volunteer services. WomenforWomen is indeed a very important and globally recognized humanitarian body, purely initiated, operated and governed by IPRAS. Recently, during an official ceremony in Berlin, our President, Dr. Marita Eisenmann-Klein and our Deputy General Secretary, Dr. Andreas Yiacoumettis, received congratulations and were honored with a plaque from the President of the Republic of Germany, Mr. Joachim Gauck, for the activities of IPRAS WomenforWomen.

During the ceremony that President of the Republic of Germany, Mr. Joachim Gauck, honored Prof. Marita Eisenmann-Klein for the activities of IPRAS WomenforWomen

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IPRAS BOOTH during ISAPS congress in Geneva, September 2012. From Left: Mr. Zacharias Kaplanidis, IPRAS Executive Director, Dr. Abel Chajchir, Argentina, Dr. Teresa de la Cerda, Current President of the Chilean Society of Plastic, Reconstructive and Aesthetic Surgery, Dr. Ricardo Mazzola, IPRAS Historian

Our Executive Director, Mr. Zacharias Kaplanidis had the opportunity to travel to Egypt in late-August and meet the President of the Panafrican Section, Mr. Ahmed Noreldin and other officials of the Egyptian National Association to discuss the main issues regarding the Panafrican Biannual congress, which in 2013 will take place in Egypt (El Alamein), together with the annual national congress of the Egyptian Society. No doubt it will be a very successful and interesting event and we would like to thank our Deputy General Secretary, Mr. Ahmed Noreldin and the members of the Egyptian National Society for their wonderful hospitality and their assistance. The only bad thing during that time, was that Greece lost to Germany in the European League by 4-2!. An interesting and very useful trip was to the small but promising country of Montenegro, where Mr. Kaplanidis with our Executive Committee member from Serbia, Dr. Miodrag Colic, looked into the prospect of Montenegro forming an Official National Association and becoming a full member of IPRAS. Thanks to the great help from Dr. Colic and Dr. Aleksandra Bozovic Celebic, we are very close to realizing this target and very soon, perhaps

during the IQUAM Congress in Athens, Montenegro will become the 102nd IPRAS member. At the same time, Dr. Miodrag Colic, Dr. Alexandra Bozovic Celebic and Mr. Zacharias Kaplanidis worked in Budva, the beautiful sea side city of Montenegro to prepare the organization of the 8th Congress of the Balkan Association of Plastic, Reconstructive and Aesthetic Surgery, which will take place in September 2013. It was really a great trip with a lot of promising results. Mr. Zacharias Kaplanidis, also had the opportunity to spend a few days in Moscow at the beginning of September and visited the President of the Russian Association of Plastic Surgery, Dr. Nikolay Milanov and Moscow University Officials, in an effort for IPRAS to collaborate closely with the Russian National Association and the public officials for educational courses in several fields of Plastic Surgery, such as Aesthetic Surgery, Regenerative Surgery, Reconstructive, Burns and Microsurgery. An important event has already been decided between the Russian National Association and IPRAS/ISPRES for the coming December in Moscow (December 12th & 13th). September, as always, was full of congresses worldwide. During the period of 4-8 September, IPRAS honored its co-opted society, participating officially, in the very important and successful event of the biannual ISAPS congress in Geneva. Our General Secretary, Dr. Nelson Piccolo, our Executive Director, Mr. Zacharias Kaplanidis, the assistant Executive Director, Mrs. Maria Petsa and the Commercial Director of ZITA Congress, Mr. Gerasimos Kouloumpis, were there to talk with the ISAPS officials as well as to promote the vision and activities of IPRAS. The strong IPRAS representation at the ISAPS most important event passed the important message of our President, Dr. Marita Eisenmann-Klein, that IPRAS and ISAPS, historically, are very close relatives and staying like this will be for the benefit of Plastic Surgery. In a very emotional official event the past president, Dr. Jan Poell from Switzerland, “passed the torch on” to the new President, Dr. Carlos Uebel from Brazil. We

ROAPS 2012 congress. From the left:Dr. Bodog F., Ioan Lascar (Honorary President of ROAPS, Romania), Chairperson: Marita Eisenmann Klein (IPRAS President, Germany), Alfred Traub (Hungary), Chairman of the Organizing Committee: Ioan Petre Florescu (Executive President of ROAPS, Romania)

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ROAPS 2012 congress. From the conference dinner. Among others. Dr. Dana Jianu,Romania- Organizing Committee member of the ROAPS 2012 congress, Dr. Brian Kinney, USA-IPRAS Deputy. General Secretary, Dr. Thomas Biggs, USA-IPRAS Journal editor in Chief, Dr. Manuel Garcia Velasco, Mexico- IQUAM Vice President)

congratulate both of them for what they have done and we wish to the new President to continue managing ISAPS in the future with great success. IPRAS will always be close to Dr. Carlos Uebel and to the new Executive Committee for educational and other purposes, promoting the science and art of Plastic Surgery. Immediately after Geneva, on September 9th to 10th, the IPRAS officials and the IPRAS booth, travelled to the beautiful city of Sinaia in Romania. The 12th Congress of the Romanian Association of Plastic Surgeons in co-organization with the Hungarian Association of

ROAPS 2012 congress in Romania, September 2012. From Left: Dr. Andreas Foustanos, Former President of the Hellenic Society of Plastic Reconstructive and Aesthetic Surgery, Beatrice Popovici-Vilcu, General manager - Romger Medical and Mr. Zacharias Kaplanidis, IPRAS Executive Director

Plastic Surgeons, was indeed a great success. The IPRAS educational course opened this event the first 2 days and a number of great plastic surgeons from around the world, such as: Thomas Biggs (USA), Yilin Cao (China), Sydney Coleman (USA), Marita Eisenmann-Klein (Germany), Andreas Foustanos (Greece), Alexandru Georgescu (Romania), Brian Kinney (USA), Michele Masellis (Italy), Hanno Millesi (Austria), Maurizio Nava (Italy), David Netscher (USA), Nelson Piccolo (Brazil), Gino Rigotti (Italy), Manuel Garcia Velasco (Mexico) and Fu Chan Wei (Chinese Taipei), offered without any doubt a great scientific program and added value to the whole event. The Romanian Plastic Surgeons participated in the IPRAS educational course, exchanging experiences and knowledge with their international colleagues. At the end of the congress all participants were more than happy from the scientific program, from the organizational level and from the high hospitality efforts of the local organizing and scientific committee. We would like to congratulate and thank the President of the National Association, Dr. Ioan Petre Florescu, who was also Congress President, the Honorary President of the National Association, Dr. Ioan Lascar, Dr. Dana Jianu, Dr. Carmen Giuglea, Dr. Crenguta Coman and all the members of the Romanian Association for their hospitality. We really enjoyed this scientific event and we would also like to thank all the exhibitors and sponsors for their valuable contribution, such as: Mentor, Allergan, Peak Medical, Rombiomedica, BMW, Solartium, Bustiere Medicale, Brava, Arion Laboratories, Tulip Medical Products, See Try Buy, Teosyal, Zdrovit, Maramed, Contractubex, Restylane, LC Rhea Medical, Meda Pharma and Servier. Issue 10

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The beautiful city of Innsbruck was our next immediate destination, where the well established international congress for Laser took place. The President of this event, which takes place every 2 years, is our plastic surgeon, Dr. Katharina Russe-Wilflingseder. For obvious reasons, IPRAS had given an official endorsement and our President, Dr. Marita Eisenmann-Klein, was officially invited as the IPRAS President and as a faculty member. The very interesting scientific program included some of the best scientists of the sector, such as: R. Rox Anderson (USA), Mathew M. Avram (USA), Christine Dierickx (Belgium), Marita EisenmannKlein (Germany), Merete Hædersdal (Denmark), Suzanne L. Kilmer (USA), Albert J. Nemeth (USA), Katharina Russe-Wilflingseder (Austria), Emil A. Tanghetti (USA), Christopher B. Zachary (USA), Wolfgang Bäumler (Germany), Thomas Hintringer (Austria), Constance Neuhann-Lorenz (Germany), Leonardo Marini (Italy), Serge R. Mordon (France), Uwe Paasch (Germany), Alexis Sidoroff (Austria), Stephan Spendel (Austria), Rolf-Markus Szeimies (Germany), Peter Waldenberger (Austria), Gottfried Wechselberger (Austria) and Andreas Yiacoumettis (Greece). There is no doubt that apart from dermatologists, ophthalmologists, etc., plastic surgeons play a very important role in the science and art of laser procedures. Taking into consideration the important role of plastic surgeons in laser applications and therapies, our President, Prof. Marita Eisenmann-Klein, our Deputy General Secretary, Prof. Andreas Yiacoumettis and the President of the Innsbruck event, Dr. Katharina Russe-Wilflingseder, worked during this event on the formation of a Laser Academy under the official umbrella of IPRAS. We also believe that it is a great opportunity for our Confederation to coordinate the efforts

LasserInnsbruck 2012 Congress. From the left: Dr. Rox Anderson, Dr. Merete Haedersdal, Prof. Andreas Yiacoumettis, Dr. Elizabeth Russe

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LasserInnsbruck 2012 Congress. Dr. Katharina Russe-Wilflingseder, Congress President.

of plastic surgeons and invite the best of the specialists of the Laser field from other sectors (e.g. dermatology), to unite their efforts for the progress of Laser Surgery and Procedures. We are confident that during the IQUAM congress in Athens, the IPRAS Executive Committee will approve the official formation of this Academy of Laser, under the IPRAS umbrella and with the collaboration of excellent scientists from some other specialties. We congratulate Dr. Katharina RusseWilflingseder for the exceptional scientific program. We congratulate and thank the above-mentioned high level international faculty and we are looking forward to the next congress in Innsbruck in 2014, hopefully with the official support of the IPRAS Academy of Laser. With Innsbruck we come to the end of the most important IPRAS management office activities during the period of the last 3 months. There is no doubt that many other activities took place during this time, but there is no way to even briefly refer to most of them. We would only like to notice that the following 3 months untill the end of the year are full of important activities for IPRAS, starting with the IQUAM event of Athens, the Executive Committee meeting during the event, the formation of new academies of IPRAS in Athens, the IPRAS mission in New Orleans were the ASPS annual congress will take place (we wish them all the best), the participation in the Brazilian plastic surgery annual congress in Porto Alegre (we wish every success to the Brazilian National Association) and more. Furthermore, we wish you all a healthy and prosperous period until the end of the year and we thank you for being close to the IPRAS vision and values.


Austrian Society of Plastic Aesthetic and Reconstructive Surgery Sekretariat der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie Fr. Eva Klausner Besondere Einrichtung für Biomedizinische Forschung Währinger Gürtel 18-20 A – 1090 Wien Telefon (01) 40400 5221 Fax (01) 40400 5229 office@plastischechirurgie.org www.plastischechirurgie.org

The Austrian government has passed a new law regulating aesthetic surgery. Summary of the most important points: Vorstand Starting on January 1st 2013, restrictions will be implemented in the field of aesthetic Präsident Prim.Dr. Thomas Hintringer procedures. Linz Clients under the age 16 are entirely excluded from any kind of cosmetic Vize-Präsident procedure. Univ.Doz. Dr. Helmut Hoflehner Between the ages of 16 and 18 years, parents must confirm their consent AND a psyGraz Sekretär chological evaluation is mandatory. Univ.Prof.Dr. Stephan Spendel Grazcertified In principle performing cosmetic surgery is restricted exclusively to board plas-tic surgeons. Other disciplines should perform those operationsKassier that are Univ.Doz.Dr. Rupert Koller 7.9.2012 Wien actually taught in their train-ing. Permissions are assigned to proof by the Medical Beiräte Dr. Walther Jungwirth Association. Salzburg Exceptions to this regulation have to be granted permission by the Austrian Medical Univ.Prof.Dr. Horst Koch Graz Association. Univ.Prof.Dr. Gerhard Pierer Innsbruck A two week period between the medical briefing and the consent is obligatory. Prim.Dr. Boris Todoroff Tighter restrictions on advertising are being introduced. In particular, advertising via Wien promotional presentations or contests is to be banned. Technologically altered photoDr. Elisabeth Zanon Innsbruck graphs are to be explicitely designated as such in the future. Specialist training designations ( such as Specialist for ENT or Specialist for Plastic, Aesthetic and Reconstructive Surgery) may be supplemented by physicians only with specified terms. This means, that the denotations “Cosmetic surgery” or “Aesthetic Medicine” are the only permissible terms to be used in this context. Vague labeling The Austrian government has passed a new law regulating aesthetic surgery. such as “Beauty-Doc” or similar is not allowed in the future. Summary of the most important points: Starting on January 1st 2013, restrictions For additional information, please see : will be implemented in the field of aesthetic procedures. http://www.parlament.gv.at/PAKT/VHG/XXIV/BNR/BNR_00583/ Clients under the age 16 are entirely excluded from any kind of cosmetic procedure. Between the ages of 16 and 18 years, parents must confirm their consent AND a psychological evaluation is mandatory. Sekretariat der In principle performing cosmetic surgery is restricted exclusively to board certified plasÖsterreichischen Gesellschaft tic surgeons. für Plastische, Ästhetische und Other disciplines should perform those operations that are actually taught in their trainRekonstruktive ing. Permissions are assigned to proof by the Medical Association.Chirurgie

Fr. Eva Klausner

Exceptions to this regulation have to be granted permission the Austrian BesonderebyEinrichtung fürMedical Association. Biomedizinische Forschung A two week period between the medical briefing and the consent is obligatory. Währinger Gürtel 18-20 Tighter restrictions on advertising are being introduced. In particular, advertising via A – 1090 Wien promotional presentations or contests is to be banned. Technologically altered photographs are to be explicitely designated as such in the future. Telefon (01) 40400 5221 Specialist training designations ( such as Specialist for ENT or Specialist for Plastic, Dr. Thomas Hintringer Fax (01) 40400 5229 Aesthetic and Reconstructive Surgery) may be supplemented by physicians only with President of the Austrian Society office@plastischechirurgie.org specified terms. This means, that the denotations "Cosmetic surgery" or "Aesthetic of Plastic Aesthetic www.plastischechirurgie.org Medicine" are the only permissible terms to be used in this context. Vague labeling and Reconstructive Surgery such as "Beauty-Doc" or similar is not allowed in the future.

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The AAPS is seeking applications for the John D. Constable International Traveling Fellowship For the sixth consecutive year, The American Association of Plastic Surgeons is pleased to announce the John D. Constable International Traveling Fellowship in Plastic Surgery. True to its mission, the award provides a unique opportunity for an international plastic surgeon to study and train with AAPS members and leaders in American plastic surgery. Over the past five years, plastic surgeons from Iraq, China, Egypt, Malaysia and Vietnam have been selected as recipients and have benefited from this exceptional experience. In their final reports, they have all expressed a profound gratitude for the knowledge and experience gained and the sense that the experience has indeed, changed the course of their lives and careers. They have returned to their respective countries with an enhanced ability to treat patients and train their colleagues. The fellowship invites an international plastic surgeon to come to America under the auspices of the American Association of Plastic Surgeons. The goal is to improve the fellow’s understanding of American plastic surgery and to promote good will and academic interchange among surgeons of the international and American surgical communities. The chosen fellow will be in the United States as an observer for a period of 6-12 weeks under the sponsorship of members of the American Association of Plastic Surgeons.

Eligibility Candidates must be fully trained in their respective country in plastic surgery and a member in good standing of their national society. They must be able to communicate well in both written and spoken English and must be sponsored by

two members of their national society where appropriate.

Candidate Application All candidates will be required to submit: 1. A letter from the candidate describing their proposed program and academic/educational interests 2. A Current Curriculum Vitae 3. Two letters of recommendation from surgeons in the candidate’s national society

Application from Host Institutions Institutions interested in hosting a Constable International Traveling Fellow will be required to submit: 1. A planned curriculum for the visiting fellow 2. Availability of personal support (housing/food) during the visit One fellowship in the amount of $7,500 per year will be awarded. The funds provided are intended to cover the international and national transportation obligations for a successful fellowship. The Chair of the Constable Committee will make notification of acceptance of the fellowship to the applicant and to the host institutions. Applications should be submitted no later than January 31, 2013. The recipient will be required to provide a written report at the conclusion of the fellowship that will be submitted to the Board of the American Association of Plastic Surgeons. The content of this report will not only outline the details of the learning process and content but also suggestions to the committee as to how to better the educational and social opportunity for the future fellows.

Candidate and Institution required documentation should be submitted to: American Association of Plastic Surgeons 500 Cummings Center, Suite 4550 Beverly, MA 01915 USA aaps@prri.com www.aaps1921.org 16

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PIONEERS

Dr. Jorge Herrera Buenos Aires, Argentina

Dr. Biggs: Dr. Herrera, you honor us by appearing as this issue’s Pioneer. As you know, this is a title we give to those surgeons who, through the entirety of their career, have pursued excellence and have transmitted this desire to other surgeons who have sought them as mentors. Please tell us a bit about your professional life, and begin with your educational background. Dr. Herrera: I received my M.D. degree in 1967 at the Medical College Buenos Aires University. During the beginnings of my career, I decided I would follow my father’s specialty, Dermatology. He was at that time dedicated mainly to dermatologic surgery. To gain better training in surgical skills, I entered a General Surgery Residency at the Rawson Hospital in Buenos Aires, a school founded by two worldwide renowned surgeons, Ricardo and Enrique Finochietto Dr. Biggs: How and why did you get into plastic surgery? Dr. Herrera: After this four years training in general surgery, dermatologic surgery felt rather limited and, thus I oriented my practice towards plastic surgery. I served as a resident in plastic surgery at the same hospital where I had done my general surgery training, Rawson Hospital in Buenos Aires, finished that training in 1974, and remained in the staff there until 1979. It was during these years that, thanks to the teachings of important Argentine plastic surgeons, I acquired my first knowledge in this field, with special interest in reconstructive surgery, with emphasis in the treatment of burn sequelae and oncologic facial surgery. Dr. Biggs: But like all our Pioneers your educational adventure didn’t stop there. Tell us more. Dr. Herrera: In addition to attending all the annual congresses in Argentina I participated in many others throughout Latin America, and eventually the world over. I made particular trips to have advanced training with outstanding people. In the U.S. with J.M. Converse, Thomas Rees, and Sherrell Aston in NYC; Ralph Millard in Miami Florida; and John Owsley, and Bruce Connel, in California. In Spain I studied with Jaime Planas in Barcelona, and in Brazil with Ivo Pitanguy, Liacyr Ribeiro, and Ronaldo Pontes. In more recent years my main contributions have been in several papers and lectures: face lifting with personal variations in SMAS treatment, short scar face lift, blepharoplasties, management of mammary implants’ complications, reduction mammaplasty with vertical scar, among others. The research and writing of these papers have been huge educational experiences. The friendship with Ribeiro has been and continues to be greatly rewarding. Dr. Biggs: Tell us about your professional positions.

Dr. Herrera: In 1980 I became Associate Professor in the Plastic Surgery Division of the Universidad del Salvador School of Medicine, Buenos Aires, and in 2005 to the present, Head Professor and Chairman Plastic Surgery Division of that same institution in Buenos Aires. Dr. Biggs: What professional organizations’ positions have you held? Dr. Herrera: In 1982 I was Secretary of the General Sociedad Argentina de Cirugía Plástica. In 1983 I served as President of the Sociedad de Cirugía Plástica de Buenos Aires. In1996 I became President of the Sociedad Argentina de Cirugía Plástica y Reparadora, in 1999-2001 I was the National Secretary of ISAPS. From 1992 to 2002 I was Director of the Chapter of Aesthetic Plastic Surgery –Iberolatinoamerican Society of Plastic Surgery, in 2005 I was the Master Surgeon of the Sociedad de Cirugía Plástica de Córdoba, and between 2010-2012 the 3rd Vice President of ISAPS. Dr. Biggs: This is a monumental list of positions and responsibilities. What are some of your memorable educational experiences? Dr. Herrera: During the ‘70s and my travels throughout USA and Europe, I had unique experiences with all the men I mentioned before. I remember J.M.Converse illustrating for me his technique of folding a forehead flap for nasal reconstruction, using his tie to demonstrate it! I also remember Ralph Millard instructing me on the basic principles of Plastic Surgery and on excellence in cleft lip and palate surgery. His friend, Dr. Hector Marino, a pioneer in plastic surgery in our country, recommended me to him. Dr. Marino founded in 1974 the first Plastic Surgery Post-Graduate Specialization in Argentina, of which I am the current director. Dr. Biggs: What are your more current interests? Dr. Herrera: In this career – which is divided into six units: Burns, Limb Surgery, Maxillofacial, Oncologic, Pediatric and Aesthetic Surgery - our objective is training future Plastic Surgeons with solid knowledge in general surgery, a condition that we consider most important for a good performance in the specialty. For a promising and true leadership of our specialty, it is of the greatest importance to pursue the development of intensive continuous medical education programs, thus achieving an integral teaching of our surgeons, which in this way will differentiate them from uncountable intruders, who under the name of aesthetic medicine invade our specialty with a limited knowledge of a few techniques. Dr. Biggs: Thank you ,Dr. Herrera. You exemplify beautifully the type of plastic surgeon that we designate as a “PIONEER”. Issue 10

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RISING STAR

Dr. Carmen Giuglea Bucharest, Romania Dr. Biggs: Congratulations for being chosen as our Rising Star and welcome to the interview. Dr. Giuglea. Thank you. Dr. Biggs: Tell us about you early years. Dr. Giuglea: I was born on December 13, 1967 in Bucharest, in a family of intellectuals who had only one goal: to offer me the best conditions of living and education, as best as possible during the communist era. I finished high school in Bucharest as the best in my class and decided to pursue medical school, which I finished in 1993, without really knowing where I was going. Dr. Biggs: How did you get into plastic surgery? Dr. Giuglea: It was a great chance to meet in 1994, during my staging year, Prof. I.P. Florescu, and to work with him. He had just moved into a new emergency hospital at that time and was trying to become known personally and professionally. Being alone and needing help he was happy to have me there as a staging doctor, not very skilled but dedicated and willing to learn. That six-month period was my first contact with this specialty and I fell in love with it forever. Dr. Biggs: What followed then? Dr Giuglea I was convinced that I wanted to follow this specialty and I managed to enter the residency in 1994. During the residency I followed all the required stages (general surgery, orthopedics, ENT Surgery, ophthalmology, OMF surgery), but the majority of time (4 years) I trained in all fields of plastic surgery: reconstructive, microsurgery, burns, aesthetic surgery. I became a specialist in 1999 and senior doctor in 2004, all my activity taking place in an emergency hospital where I had the chance to collaborate with other specialties like neurosurgery, general surgery, orthopedics and rehabilitation, solving the most difficult cases, at the border of these specialties and plastic surgery. This involved extensive tumors of the head and neck with skin, soft tissues, bone, dura mater, and brain invasion. It also involved large skin and soft tissue defects after trauma of the upper and lower extremity, which were operated together with orthopedic surgeons. We did breast and chest wall reconstructions and pressure sores as well In the emergency arena I performed finger and hand replantations, revascularizations of the upper extremity and lower leg, complex trauma of the face, upper and lower extremity and also burns. Dr. Biggs: What academic avenues did you follow after all that? Dy. Giuglea I pursued my PhD on free tissue transfer as a reliable method for covering large defects after extensive tumors of the head were removed and was awarded that degree in 2007. Since 2011 I have been a Lecturer at the University of General Medicine, because I decided to start my didactic career. Dr. Biggs: What course has your career taken since then? Dr. Giuglea: After working for 15 years in the same hospital,

last year I took the decision to be on my own and I moved to another emergency hospital, where there was a plastic surgery department but a not so developed one. I took this decision considering that I was ready to move on, that I had enough experience, having dealt with each case of plastic surgery, and enough energy to build a new team in a new place. In the past one and a half years I have managed to bring two more colleagues to work with me and to transform the department into a real clinic with 25 beds. Dr. Biggs: What is your biggest wish now? Dr. Giuglea: I believe my biggest wish at this moment is to fulfill my dream of building a professional surgical team, made of true people with proper working conditions, surrounded with respect and harmony. I consider that our professional part of life is taking the most of our time and therefore should occur in a friendly atmosphere, and also be organized for the best efficiency. I also wish that our clinic will become one of the best in Bucharest and all the country. Dr. Biggs: Tell me more. Are you interested in aesthetic surgery? Dr. Giuglea, I will continue by telling you also that aesthetic surgery was one of my constant concerns. I began my private activity 10 years ago, more timid at the beginning, not having a powerful aesthetic surgery school at that time, but I found my courage and became engaged in all aspects of aesthetic surgery. This involved breast surgery, liposuction, rhinoplasty, face, and of course the very new trend of fat grafting. I have been trying to educate myself constantly, going a few times a year to the most interesting scientific meetings and workshops all over the world. Besides that I am constantly participating in scientific studies presenting papers at scientific meetings, and being involved in research studies (7 phase II and III international and multicentric studies as a subinvestigator and one study as the principal investigator). In addition I am involved with students and residents in plastic surgery. Dr. Biggs: Do you have interests outside of plastic surgery? Dr Giuglea, I don’t want to finish before telling you that the most important persons in my life are my children, Diana and Horia, for whom I would like to be not only an example, but also a close friend. I consider no effort too big for them. In the end I want to thank you for this opportunity you gave me, to share my life experience and I hope the future will bring us more opportunities to improve ourselves and fulfill our dreams. Dr. Biggs: Thank you Dr. Giuglea. You make us proud by being our Rising Star…but this also means we expect very much from you in the future…and I’m confident you won’t disappoint us.

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SENIOR AMBASSADOR

Dr. Gerard Illouz Paris, France

Dr. Biggs: Of course the whole world knows of you and your great contribution to plastic surgery. Please tell us a bit of your background and how you got into liposuction. Dr. Illouz: My origin was in Oran, Algeria, where I had my early training... then to France. I received all my medical schooling at Montpelier and surgical training in Paris with services in many hospitals and working under many outstanding surgeons (Prof. Charrier, Prof. Azerad, Dr. Lebeau, Dr. Gerard Lemarchand, Dr. David, Dr. Lance, Prof. Mondor, Prof. Olivier, Prof. Oudot, Prof. Couinaud, Prof.Duhamel, Dr. Monsaingeon, Dr. Lazard, Dr Auclair, and prof. Redon). Dr. Biggs: By your CV it’s apparent that you were trained in an extensive array of surgical specialties, which is the epitome of plastic surgery. How did you get interested in liposuction? Dr. Illouz: The discovery of liposuction was a “love story”. At that time, in 1977, I had a girl friend, very beautiful, and already a well known actress who was accustomed to wearing huge décolletés in the back. She developed a lipoma on her back and asked me to remove it without any visible scar. It was a challenge and because of that I discovered liposuction, my first case was a lipoma. Dr. Biggs: Then you set the world on fire with your report of your experience in 1982. Dr. Illouz: Yes, and when the American Society sent a task force to France to see what we were really doing and then went home with an official approval things changed rapidly. I published my book, Body Sculpting By Lipoplasty, and from then on the world followed. Dr. Biggs: Tell us about the evolution that is now taking place. Dr. Illouz: The surgical world has moved and will move even further into less invasive procedures. The work I’ve been doing for the past twenty years with stem cells is

becoming more accepted and I feel we’ll see less and less use of implants…breast, calf, chin, buttocks..all kinds. Dr. Biggs: What is your most recent work? Dr. Illouz: I have written my autobiography, On Seeking Aphrodite, which is my story. I’m in love with beauty and I’ve been in constant search for it. I have a picture of the cover of the book for you. Dr. Illouz: It’s a great pleasure and an honor to present you as our Senior Ambassador. You have made a significant leap in the evolutionary process in plastic surgery.

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HUMANITARIAN WORKS

Report-Women for Women Camp Jalandhar, Punjab, September 2-September 9, 2012 The Location The September 2012 WomenforWomen mission by IPRAS, took place in the Shangara Singh Hospital, property of Dr. Shangara, father in law of our wonderfulhost Dr. Chanjiv Singh. The hospital is located in the city of Jalandhar with a population of approximately 1 million people, in the state of Punjab in the Northwest of the Republic of India. The Jalandhar Doab (the region surrounding the city between the Beas and Sutlej rivers) also marked the easternmost territory of the empire of Alexander the Great in ancient times. Our team arrived in Amritsar airport on September 2nd 2012. Saarvee, the wife of Dr. Chanjiv was waiting for us along with her sister and gave us the warmest welcome. Since that very first instant she started to look after us and was always eager to keep us happy and comfortable. We hopped on a bus arranged for us and started our journey by visiting the House of Chanjiv’s parents in Amritsar where they offered us traditional delicacies such as rosepetal sherbets and cold drinks and explained briefly their origin and religion-Sikhism. Our next stop was the famous Gold Temple of Amritsar, a beautiful traditional artwork Sikh Temple that is all Gold Plated. We left Amritsar in the afternoon and after a 3hs bus-drive we arrived at Jalandhar. Dr. Chanjiv was waiting for us at theat the Radisson Hotel to discussed our mission schedule. The hotel rate was graciously reduced, thanks to Dr. Chanjiv’s intervention as a donation for WomenforWomen by IPRAS. Shangara Hospital is a small private hospital with two OR´s for greater interventions and one for smaller ones. During our mission all the regular activities were put to a halt for which, we were especially grateful. So we found the whole staff and equipment at our disposal. All patients who presented were women and children having suffered fire and acid burns from 6 months to 20 years

earlier with severe scarring. Most of them had never received relevant treatment before. The Team Our team consisted of four Surgeons: Team Leader, Dr. Constance Neuhann-Lorenz (Germany, Munich), Prof. Marita Eisenmann-Klein (Germany, Munich) who could not join us since the beginning due to her obligations as President of the IPRAS but still came to Jalandhar on the 5thSeptember, the day of her birthday, Dr. Hansel Africano (Colombia, Bogota), Dr. Georgia-Alexandra Spyropoulou (Greece, Thessaloniki) and Dr. Chanjiv Singh (India, Amritsar). Photographic Documentation was performed by the famous photographer Christopher Thomas and his producer and curator Ira Stehmann. Ira also covered the whole mission as a journalist and plans to arrange in the future an exhibition about this mission in Munich for fundraising to help support the WomenforWomen cause. We operated under general or regional anaesthesia thanks to the help of anaesthesiologists Dr. HS Dhanju, Dr. Suman Sharma and especially Dr. Baljit Bajwa Professor of Anaesthesiology, who impressed us all with his skills in blocks and difficult cases such as one year old children with facial burns and nose obstruction. The patients were looked after by resident Dr. Amarjot Singh, OT assistants Kailash and Abhimanyu, anaesthesia assistants Manjit Singh and Rajdeep Singh and OT nurses Kulbir Kaur and Palwinder Kaur. The Mission The surgical mission started on September 4th. We went to the outpatients Department of Shangara Sing Hospital where prescreened approximatly 50 patients had been screened for us to re-evaluate. 20 of these patients finally were scheduled for

Photo from Prof. Marita Eisenmann-Klein Birthday

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Patients treated by WomenforWomen members

surgery. The majority of patients displayed sequelae of flame burns and burn contractures on various parts of their bodies. We performed surgery in 16 patients with facial, neck and upper arm burns. We evaluated 3 children with syndactyly and polydactyly, one child with a lower lip cyst and one patient with scar on the left cheek from previous abscess excision. Patients were all female except from the 3 children with severe syndactylies. We started the operations after unpacking our numerous surgical supplies of 100kg! These were donated thanks to the generosity of various German sponsors, who had also previously donated requested supplies to Dr. Constance Neuhann-Lorenz for WfW by IPRAS. She carried them from Germany with her luggage. Lufthansa Air Company as well as Jet Airlines graciously donated free air transport. Medicines came from BapuInder Singh Charitable Trust, and Dr. Africano also brought dressings and bandages from Convatec Company in Colombia. Furthermore, Panthenol creamswhich were donated from (Adler Pharmacy/ Dr.Koch, Munich) and they were given to patients that we chose not to operate upon. We operated simultaneous acture release and scar release with z-plasties. On Friday morning we saw the follow up cases and performed dressing changes. There were no complications so far, patients and families were grateful that their quality of life was improved. Further postoperate care was discussed with the local team and documented on the WfW postop documentation sheets, which were also left with the patients to arrange the dressing changes after our departure. We agreed with the local team to maintain online contact in case of any late onset complications. Chirurgie Sans Frontieres Congress Coincidentally on September 7th and 8th, a Congress of Surgery without Borders took place in Jalandhar, which we were invited to attend. Surgeons from Buthan, Sri Lanka, Myanmar, Tibet and Pakistan attended this Congress, which is very exceptional, as it is difficult to attain visa to India from these neighboring countries, especially from Pakistan. The Smile Train was co-sponsoring the Congress and we were able to exchange views with their representative on philanthropic missions. Dr. Marita Eisenmann-Klein and Dr. Constance Neuhann-Lorenz invited speakers in the Plastic Surgery session, were awarded the Honorary Fellowship of the National Society of Surgeons of India (Dr. Marita Eisenmann-Klein) respectively of the National Society of

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Plastic Surgeons of India, Northern Section (Dr. NeuhannLorenz). During the opening ceremony of the Congress we expressed our gratitude for the generous hospitality of all our local hosts and two of us - Mrs. Spyropoulou and Mrs. Africano- wore the traditional local sari dress to honor the people of Jalandhar. Mission Overview Our mission to Jalandhar was a great success! We were able to improve the lives of these patients and exchange views with surgeons from other parts of the world on how we do things. Moreover, we felt grateful and appreciated how lucky we are to live in a safe and comfortable environment back in our countries. Many thanks to everyone who contributed to the success of our mission! Sponsors The mission was generously supported by the following companies and individuals: • Rotary Jalandhar Central - For the second time • Bapu Inder Singh Charitable Trust • Convatec Company in Colombia - Dressings and bandages from • Rotary Club Jalandhar Central (Jalandhar, India). President Dr. Chanjiv Singh • Dr. Shangara Singh , hospital owner • Mrs. Sarvee Singh • Hospital Staff Shangara Singh Hospital • Lufthansa Munich Terminal Mr. Kluehr • Mr.Robert Salzl (former Lufthansa chief Pilot) • Adler Apotheke, Munich • Erbe, Med. HF-Instruments, Germany • Karmeliten-Pharmacy , Munich Germany • Smith & Nephew Company • KVG, Medical Supplies , Germany • Hartmann GmbH , Germany We are deeply grateful for all their support and trust.

Dr. Spyropoulou Georgia-Alexandra Lecturer in Plastic Surgery Aristotles University of Thessaloniki Thessaloniki, Greece


Dr. Varaztad H. Kazanjian “The miracle man of the western front”

Varaztac Hovhanes Kazanjian was born in the heartland of ancient Armenia in Erzinga in 1879. When he was a child the family moved to Sivas (in Saebasti) a where he attended school. At the age of 15 he moved to Samsoun on the Black Sea. It was a time of great peril for the Armenians and he sympathized with an Armenian revolutionary party. He was soon being sought by the Turkish authorities for “passing forbidden political pamphlets in the dead of night. “To save his life, he was smuggled out of Turkey by an uncle”. He was sixteen when he arrived in New York in November of 1895, “with a bundle on my back and nothing else, not even a passport”. He was sent directly to Worcester, Massachusetts which had the largest colony of Armenians on America (nine hundred). Their largest employer was a wire mill where young Varaztad worked as a wire drawer until 1903. It was brutal work, “the milled sucked the blood and flesh of the workers.” His passion for knowledge was so intense that he immediately began night school. “For seven years,” he said, “ I did not miss a single night.” He became an avid reader, taking books to work. Many years later, he recalled, with helplessness, their hardships, their nostalgia for their homeland.” He developed a fierce determination to succeed. On an outing in 1990, when careers were being discuses, one of his fellow workers said, “You take dentistry, that’s a good profession.” He approached the Dean at Harvard Dental School in 1902 about matriculation and was admitted on probation. In June 1905, he received the degree of Doctor of Dental Medicine. His dental practice in Boston empathized maxillo facial prosthesis. On the outbreak of the First World War, he joined the First Harvard Unit with the rank of honorary lieutenant in the British Royal Army Medical Corps, and served in France as a dentist from 1915 and 1919. He treated the severe facial injuries sustained during trench warfare. “Give that man Kazanjian anything he wants,” his superior said. His innate skill, extreme patience and drive for perfection earned him the reputation of the miracle man of the western front. The major Kazanjian was invested by King George V as a Companion of the most Distinguished Order of St. Michael

and St. George. Had he been a British subject, he would have been known as Sir Varaztad. The foundation of modern plastic surgery had been laid in the battlefield hospitals of France and this immigrant Armenian-American dentist was one of its architects. He crossed into a no man’s land which only a few had bridged. Dr. Kazanjian set the standard and formulated the principles of treatment that were followed so successfully by others in World War I and even World Was II. Upon return from France in 1919, at the age of 40, he entered Havard Medical School and was given credit for two years. In his final year, his position and stature were dramatically changed. A clinic for medical students conducted by two distinguished visiting British surgeon was being held at the surgical amphitheater of the teaching hospital. As the demonstration was proceeding, one surgeon in glancing up paused in disbelief. These two British, surgeons rushed up and physically dragged “the quiet, black-haired little dentist” down from the amphitheater. Kazanjian was presented as the one who had taught the British surgeons the very technical skills that they were demonstrating. In Boston, he went on to become one of the world’s most famous plastic surgeons and Harvard’s first professor of plastic surgery. He operated without any wasted movements, very decisive and fast. He was ambidextrous. In collaboration with his former student, Dr. John Marquis Converse, he wrote in 1949 the classic plastic surgery textbook, The surgical Treatment of Facial Injuries. Humility with dignity were Dr. Kazanjian’s most notable traits. He was quit and unassuming: his bearing was shy and approached the apologetic. He was never known to negate a colleague’s work. His kindness, warmth and modesty became legendary. Dr. Varaztad Kazanjian died on October 19,1974, in his 95th year and I attended the service at Harvard University. “He had been recognized by ‘kings, and cardinals, presidents of great universities, noted political leaders, and the press of the world,” his son said. It was fated that I preserve the story of this “Gentle Genius of Plastic Surgery” and to enhance and remember the dignity of the man. Hagop Martin Deranian, DDS

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International Society of Plastic Regenerative Surgery (ISPRES)

Application For Membership Family Name: ………………………………………………… Name: …………………………………………………

www.ispres-ipras.org

IPRAS national society/association or regional association Country member: ………………………………………………… Board Certification in: ………………………………………………… Membership(s): ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………………

Hospital/Private Practice

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City

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Address

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Telephone

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Fax

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E-mail

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My involvement / experience with fat research /application or other regenerative factors: ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………………

Please send the application at maria.petsa@iprasmanagement.com or fax it at 0030 210 664 5176

I attach a recent Curriculum Vita (one page) I Hereby Declare that the above mentioned details are true and correct Full Name and Signature:

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Berlin Germany

www.ispresberlin2013.com

2nd ISPRES Congress is expected to be granted UEMS points

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newer frontiers and horizons in the field of tissue regeneration

Steigenberger Hotel

ORGANIZED BY:

ORGANIZATIONAL SUPPORT:

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International Society of Plastic, Regenerative Surgery

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ISO 9001 ISO 14001

International Confederation for Plastic, Reconstructive and Aesthetic Surgery

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2 ISPRES 2013 Congress nd

ISPRES BERLIN 2013 Dear colleagues, We are pleased to announce that the second congress of the International Society of Plastic Regenerative Surgery (ISPRES) will be held on June 7-9, 2013 at the Steigenberger Hotel, in Berlin, Germany. The first Congress was held in Rome March 9-11, 2012 and was an unprecedented success, attended by plastic surgeons from 55 countries and selling out three months before the meeting. ISPRES was founded to stimulate the study and discussion of those forms of plastic surgery that utilize fatty tissue, stromal vascular fraction, growth factors and adipose derived stem cells to repair, remodel and enhance the human body. FORMAT: The format for the upcoming Berlin 2013 Congress will be similar to the previous meeting in Rome 2012. Plastic surgery scientists will review our rapidly expanding knowledge of the science of fat and the components of adipose tissue. We will highlight the elements of translational research, which allow us to better understand what is happening in clinical applications. While understanding the science of adipose tissue is important,the ultimate goal is to use the knowledge obtained from the Congress to improve surgical clinical practices. Sessions will highlight the use of transplanted adipose tissue, stromal vascular fraction, growth factors, and adipose derived stem cells in the following clinical situations (see topics). Standard and alternative methods of processing fat grafts will be presented throughout the meeting.

Of course, safety issues will be emphasized throughout the sessions. Discussion of the standardization of nomenclature for this new branch of plastic surgery will take place. Finally, we will discuss the regulatory aspects of adipose tissue, growth factors and stem cells, and the role of our professional societies and governments world-wide. ABSTRACTS: During the Rome 2012 ISPRES Congress, abstracts of unprecedented quality were accepted and presented through-out the meeting in almost every session. We plan to use the same format to encourage introduction of new ideas and speakers in Berlin 2013. Please start planning your contribution to ISPRES 2013, and submit your abstract before our deadline, December 15, 2012

TOPICS • Buttock augmentation • Breast augmentation • Breast reconstruction •Tuberous breasts • Uses of stromal vascular fraction • Reverse expansion (BRAVA) • Uses of platelet rich plasma • Growth factors • Engineered adipose tissue • Storage of fat grafts and SVF • Unusual problems and applications

•Treatment of aging & sun damaged skin • Facial aesthetic surgery • Maxillofacial surgery • Craniofacial surgery • Extremity reconstruction •Aesthetic extremity enhancement •Therapeutic radiation damage •Acute open wounds and burns • Chronic wounds & fistulas • Surface and deep scarring • Iatrogenic liposuction deformities

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ISPRES BERLIN 2013 HOTEL VENUE: The Steigenberger Hotel has been chosen as the official hotel and the meeting venue for the ISPRES Berlin 2013 Congress. The Steigenberger Hotel is ideally situated in Berlin, and is a modern, luxurious but affordable hotel.Please register early. Our Rome 2012 meeting hotel was sold out meeting three months before the meeting.

MEMBERSHIP IN ISPRES: It is important for you to be part of this exciting new society by joining us not only in ISPRES Berlin Congress in June,2013,but also as a member of ISPRES. The ISPRES membership dues for 2012 is 100€.The 2013 ISPRES dues will be 130€. Candidates and associates can become members for 70€ in 2012 and 90€ for 2013. If you are not already a member of ISPRES, please initiate your application. Send the membership application, a one - page curriculum vitae and a copy of your board certification to m.pe@zita-congress.gr. We look forward to seeing you in Berlin, June 2013. Please register early as we sold out three months before the Rome 2012. Respectfully,

Gino Rigotti President ISPRES

Sydney Coleman Secretary General ISPRES President ISPRES Berlin 2013 Congress PRESIDENT of the Congress: Sydney Coleman, ISPRES General Secretary, USA

LOCAL HOST: Pallua Norbert, ISPRES Treasurer, GERMANY

REGISTRATION: FEES

Doctors Members Doctors Non-Members Residents Members Residents Non-Members Students Members Students Non-Members

EARLY UP TO 20/3/2013

LATE FROM 21/3/2013 & ON SITE

450 € 600 € 200 € 250 € 100 € 150 €

600 € 750 € 200 € 250 € 100 € 150 €

To apply for ISPRES membership visit: www.ispres-ipras.org ACCOMMODATION: Steigenberger H o t e l

SR 145€/per night a ti o n & a o n li n e re g is tr

DR 175€/per night

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rates from For special flight

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SURVEYS

AESTHETICS IN FACIAL TRANSPLANTATION Presented at the 10th National Congress of Northern Cyprus Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons in September 12-16, 2012 Selahattin ÖZMEN, M.D., Assoc. Prof., Gazi University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery & Hand Surgery With the advancing techniques and the increase of experience, we, plastic surgeons often find ourselves trying to achieve better results with advanced procedures in the field of microsurgery. The search for the “ideal” technique continues, especially for the challenging cases. We all are aware that facial deformities deserve a space in this category. As with most reconstructive algorithms; skin grafting, local flaps, tissue expansion, prefabrication and free tissue transfers are the current reconstructive routine for the treatment of severe facial deformities due to trauma, burn injuries, gunshot wounds or cancer. Nevertheless, reconstructive results of these procedures are usually unsatisfactory. There is very little room for camouflage when the face is at stake: skin discolorations, uneven textures, contractures that form especially around the mouth, nose, ears and eyes cause an unnatural, expressionless, almost mask-like face, are easily noticeable at conversation distance in most of the cases. These cases often require a significant number of reconstructive attempts, but even so, the results are not pleasing neither for the patient nor the surgeon.

Composite tissue allotransplantation became a reality in 1998 with the successful transplantation of a hand (1). Since then, many experimental and clinical studies concerning composite tissue transplants have been carried out for the reconstruction of the hand, larynx, abdominal wall, knee joint, tongue and so forth (2-10). These successful results gave the courage to think of the possibility of a partial or total human face allotransplantation. In November 2005 the first partial face transplantation took place in France led by Devauchelle and Dubernard (15). Since then a total number of 24 face transplants have been performed, and tailored facial allografts have restored aesthetic as well as functional subunits of the faces of these patients with the transfer of soft and skeletal tissue as we are informed through scientific and social media. With the success of face transplantations performed, this procedure is set to be the “ideal” technique for patients suffering from severe facial disfiguration. Even though the vascular anatomy of the face is well-known and many plastic surgeons have the microsurgical skills and anatomical knowledge to perform face transplantation surgery, should it

Figure 1-2: Pre-facial transplantation of patient operated at Gazi University Hospital department of Plastic Surgery. She had undergone more than 35 previous reconstructive operations before she was admitted to our department.

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become a routine procedure at the reconstructive algorithm? In reality, face transplantation is more than a matter of technical advancement. This operation is a reconstructive as well as an aesthetic procedure. Therefore all aspects including aesthetic appearance of the patients should be considered. We reviewed the results of the performed facial transplant in this presentation. The surgical aspect is probably one of the few aspects that have been resolved. The side effects of current immunosuppressive medication and the physcological impact it would have on the patient and family members must be seriously considered. Until that risk-free day comes, recipient candidates and their families should be fully informed about the risks of the procedure and immunosuppression and undergo extensive counseling in the preoperational phase. Face transplantation should still be a possibility for those who have run out of other options.

References 1. Dubernard, J. M., Owen, E., Herzberg, G., et al. Human hand allograft: report on first 6 months. Lancet 353: 1315-1320, 1999. 2. Siemionow, M., Gozel-Ulusal, B., Engin Ulusal, A., et al. Functional tolerance following face transplantation in the rat. Transplantation 75: 1607-1609, 2003. 3. Barker, J. H., Francois, C. G., Frank, J. M., et al. Composite tissue allotransplantation. Transplantation 73: 832-835, 2002. 4. Petit, F., Minns, A. B., Dubernard, J. M., et al. Composite tissue allotransplantation and reconstructive surgery: first clinical applications. Ann Surg 237: 19-25, 2003. 5. Siemionow, M., Bozkurt, M., Kulahci, Y. Current status of composite tissue allotransplantation. Handchir Mikrochir Plast Chir 39: 145-155, 2007.

Figure 3: The transplanted midface as a LeForte II flap; including maxilla, nose, teeth, muscle, bone, cartilage, skin and mucosa.

6. Ravindra, K. V., Wu, S., Bozulic, L., et al. Composite tissue transplantation: a rapidly advancing field. Transplant Proc 40: 1237-1248, 2008. 7. Akst, L. M., Siemionow, M., Dan, O., et al. Induction of tolerance in a rat model of laryngeal transplantation. Transplantation 76: 1763-1770, 2003. 8. Ulusal, B. G., Ulusal, A. E., Ozmen, S., et al. A new composite facial and scalp transplantation model in rats. Plast Reconstr Surg 112: 1302-1311, 2003. 9. Demir, Y., Ozmen, S., Klimczak, A., et al. Tolerance induction in composite facial allograft transplantation in the rat model. Plast Reconstr Surg 114: 1790-1801, 2004. 10. Unal, S., Agaoglu, G., Zins, J., et al. New surgical approach in facial transplantation extends survival of allograft recipients. Ann Plast Surg 55: 297-303, 2005. 11. Kanitakis, J., Badet, L., Petruzzo, P., et al. Clinicopathologic monitoring of the skin and oral mucosa of the first human face allograft: Report on the first eight months. Transplantation 82: 1610-1615, 2006.

Figure 4: The patient at four weeks after transplantation, first time in front of the press.

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Magic Toe Amputation

Presented at the 10th National Congress of Northern Cyprus Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons in September 12-16, 2012 Prof. Dr. Muzaffer Altındaş" Istanbul University Cerrahpasa Medical Faculty, Plastic and Reconstructive Surgery

Background: 80 percent of diabetic foot wounds occur in the forefoot. Most of these wounds are associated with bone and joint involvement. Toe amputations and ray amputations are the most frequently performed surgical interventions for the lesions limited to forefoot. Most patients and their relatives perceive the toe loss as an important and negative turning point in their lives. They cannot get over the fear of and concern for repetitive amputations. Due to the same reasons, many diabetic patients refuse surgery although they have advanced deformities that

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may cause dangerous injuries. As a matter of fact, many of our patients wanted to learn about the possibility of prosthetic toes. Understanding the anxiety and fear experienced by these patients, we defined a new alternative surgical procedure, which protects the external appearance of the toe. This surgical procedure is not perceived by patients as one that completely modifies the anatomical figure of the foot, ridding the patients of their toes. Therefore, we called this new operation “The Magic Toe Amputation”.


Method:

Conclusions:

Between 1994 – 2011, 42 diabetic patients with 50 lesions were treated with “Magic Toe Amputation”. Of the 50 toes treated with the defined procedure, 6 were great toes, 9 were second toes, 9 were third toes, 6 were fourth toes and 20 were fifth toes.

Magic Toe Amputation served as a reliable and successful alternative for patients who were anxious about losing their limbs. In time, it proved applicable to a greater number of indications and one that we relied on frequently for patients with diabetic foot. We believe that the Magic Toe amputation is as much an operation that can be used for proflactive purposes in the future as it is used for mainly treatment. We believe that any surgeon, who works with diabetic feet, can apply Magic Toe Amputation to the patient successfully as long as they know how to keep the tissues intact, and have the dexterity to re-form and relocate the tissues.

Results: The same or very close to the original toe length and thickness were sustained in all cases. Nails were included in the excision material in 45 cases; in 5 cases nails were protected. The new toe had sufficient strength and elasticity although phalanxes were removed.

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Limitation in Facial Allotransplantation 1: Alternative reconstructive techniques for pediatric patients Presented at the 10th National Congress of Northern Cyprus Turkish Society of Plastic, Reconstructive and Aesthetic Surgeons in September 12-16,2012 Murat Topalan, M.D. Prof., Istanbul University, Istanbul Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul.

Facial skin has a unique character with its color, pliability, texture, and vascularity. Established methods of reconstruction are far from restoring these elements. The skin of the neck and of the supraclavicular region is structurally most similar to that of the face. Facial transplantation, as it is well known , is the finest treatment method for patients suffering from burns, trauma or functional losses after tumor excisions since it promises to restore for facial transplantations is encountered in children. In this group of patients of young age, facial transplantation is illegal. In a pediatric case, the family is always the decision-maker, and the decision for the treatment method is highly correlated with the education level and socio-cultural status of the family. The use of immunosuppressives by the children, due to their side effects, is highly problematic. In this group of patients, unless vascular flap that will grow in sync with the growing organism of the child is constructed, after repeated operations and functional losses a face with a patchy look will be inevitable. Child patients with facial deformities suffer from serious psychological problems as well. The integration of these patients to the society can be

Picture 1a

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possible only when their facial deformity is reconstructed in line with what will be accepted by the society. With this purpose in mind, we perform reconstruction with four surgical techniques on young patients suitable to be operated. These can be summarized as follows: 1. Transfer of skin of the neck to the face with temporal facial prefabrication, 2. The prefabrication of one-sided radial forearm flap under the neck and supraclavicular skin, 3. The bilateral performance of the same operation to be able to change the full facial skin (Figure 1 a-b) and 4.The prefabrication of the omental, the free flap to the chest wall (figure 2 a-b). By placing expanders under all these flaps, thin, highly vascular and large flaps can be obtained. In this report, the surgical techniques are explained and some results 10-12 years after the operation are sampled. The objective should always be a reconstruction that will provide these children with a new condition in which they will be exposed to the society with no problems and in which they will continue their education. With prefabricated flaps and techniques relayed and explained here, the restoration of the specific aesthetic units of the face, of the half of the face and of the complete face is possible.

Picture 2a

Picture 2b


LIMITATION IN FACIAL ALLOTRANSPLANTATION

Alternative reconstructive techniques for pediatric patients by Murat Topalan, MD Comments by Maria Siemionow, MD, PhD, DSc:

Facial allotransplantation has limited application in the adult population and at the current stage of knowledge, is reserved only for patients with severe deformities, which failed to respond to conventional reconstructive techniques. Besides the fact that over 24 facial transplantations have been performed worldwide, we are still evaluating outcomes of transplanted patients. Despite the effort and technical feasibility, 3 patients have lost their lives following facial transplantation, and all patients have suffered from episodes of rejection and more or less severe side effects of lifelong immunosuppression required to support the facial allograft. The debate of whether face transplantation can be performed in children with severe deformities is open. Currently, the inclusion criteria for face transplantation, includes patients between 18 and 65 years of age. The question is why a severely deformed child of 14, 15, or 16 is not eligible, whereas the young adult, who is 18, would be eligible for facial transplantation. These are the questions which the medical society, ethicists, and children’s families have to discuss and become comfortable with answering. Dr. Murat Topalan should be commended for the presented case of conventional reconstruction following severe burn in a child. Based on our IRB protocol at Cleveland Clinic, we were considering for face transplantations only the patients who have undergone conventional reconstructive procedures in order to justify face transplantation with lifelong immunosuppression. The case presented by Dr. Topalan encourages staged procedures for reconstruction of patients with facial burns and could be applied not only to children, but also to the adult population. If, as presented by the authors, aesthetic and functional results can be restored in staged conventional reconstructive procedures, this should always be considered before facial transplantation is attempted, specifically in children. Considering the outstanding results documented by many centers worldwide offering conventional reconstruction of patients with facial burns, we may, in the near future, want to revisit the idea of considering burn patients as candidates for facial transplantation. Maria Siemionow, MD, PhD, DSc Professor of Surgery Director, Plastic Surgery Research Head, Microsurgery Training Dept. of Plastic Surgery Cleveland Clinic 9500 Euclid Ave. / Desk A-60 Cleveland, OH 44195 Ph: 216-445-2405 Fax: 216-444-9419 Email: siemiom@ccf.org

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ORGANIZED BY INT

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PL

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International Confederation for Plastic, Reconstructive and Aesthetic Surgery

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SOCIEDAD CHILENA DE CIRUGIA PLASTICA

Sociedad Chilena de Cirugia plastica Recontructiva y Estetica

RECONSTRUCTIVE ESTETICA

WHERE THE GLOBAL PLASTIC SURGERY SOCIETY MEETS!

IPRAS 2013 WORLD CONGRESS

th

st

24 FEBRUARY - 1 MARCH 2013 S A N T I A G O ,

C H I L E

3000 expected participants 1450 already Confirmed International Speakers 105 Countries Organizational Support:

ial Spec el trav tel & hoes rat

OFFICIAL LANGUAGE : ENGLISH

SIMULTANEOUS TRANSLATION IN SPANISH & PORTUGUESE

The most update information on the congress & ON-LINE bookings at: www.ipraschile.cl

ZITA C O N G R E S S

ISO 9001 ISO 14001

ZITA CONGRESS S.A.


COMMITTEES Congress Presidents Congress President Patricio Leniz MD, Phd (Chile) International Honorary President Ivo Pitanguy MD, FACS (Brazil) National Honorary President Jaime Arriagada MD, FACS (Chile) President of the Chilean Plastic Surgery Society Teresa de la Cerda MD (Chile) World Distiguished Professor Luis O.Vasconez MD, FACS (USA) Latinamerican Distinguished Professors Manuela Berrocal MD (Colombia) Liacyr Ribeiro MD (Brasil)

International Organizing Committee Chairman: Piccolo Nelson, Brazil Members: Arguello Choiseul Alberto, Costa Rica Burvin Ram, Israel Chaijchir Abel, Argentina Elbaum Alberto, Uruguay Elberg Jens Jorgen, Denmark Florescu Ioan Petre, Romania Fossati Gonzalo, Uruguay Franka Mohammed Rida, Libya Huseyin Borman, Turkey Kaplanidis Zacharias, Greece Kinney Brian, USA Masia Jaume, Spain Mcguire Michael F., USA Meza Britez Maria Elsa, Paraguay Neuhann-Lorenz Constance, Germany Niemi Tarja, Finland Pestalardo Carlos, Brazil Pshenisnov Kirill, Russia Russe-Wilflingseder Katharina, Austria Schneider Michael, Norway Zambacos George, Greece

Local Organizing Committee Chairman: Leniz Patricio, Chile Co-Chairman: Cabello Rodrigo, Chile

Scientific Committee

IPRAS 2013

VENUE

Gomez Gregorio, Spain Gursu Guler, Turkey Horch Raymund, Germany Kamols Lars Peter, Austria Khouri Roger, USA Klinger Marco, Italy LeLouarn Claude, France Lipski Konstantin, Russia Madaree Anil, South Africa Morales Paulino, Argentina Pallua Norbert, Germany

Papadopulos Nikolaos, Germany Petit Jean-Yves, Italy Pierer Gerhard, Austria Pitanguy Ivo, Brazil Pusic Andrea, USA Rigotti Gino, Italy Rosenkrantz Hölmich Lisbet, Denmark Vogt Peter, Germany Withey Simon, United Kingdom Yiacoumettis Andreas, Greece Zaki Sobhi Ahmed Mohamed, Egypt

WORLD CONGRESS

Scientific Program Committee Chairman: Yiacoumettis Andreas, Greece Members: Eisenmann-Klein Marita, Germany Leniz Patricio, Chile Palmos Petros, Greece Piccolo Nelson, Brazil Sofianou Io, Greece Wilfredo Calderon, Chile To view SCIENTIFIC BOARD please visit www.ipraschile.cl/portal/ /scientific-program-committee/

Honorary Committee Brody Garry, US/Canada Baroudi Ricardo, Brazil Biggs Thomas, USA Costagliola Michel, France Gursu Guler, Turkey Jian-Ning Li, China Marchac Daniel, France Morales Paulino, Argentina Nicolai Jean-Philippe, Netherlands Pitanguy Ivo, Brazil Zaki Mohamed Sobhi Ahmed, Egypt

Faculty To view FACULTY please visit http://ipraschile.cl/portal/faculty/

CONGRESS VENUE Espacio Riesco Convention Center By offering the right space, latest technology and excellent service, it promises to be an “out of the world” experience for highly effective and successful conferences. It holds more than 130,000 m of land, meeting rooms of 10,000 m that can easily hold around 6,500 guests as well as an indoor expocenter of 17,000 sq.m. and an outdoor expocenter of 28,000 sq.m. By providing a parking facility for around 2,000 vehicles, the center is internationally deemed fit to meet all the requirements of global exhibitors as well.

Chairman: Calderon Wilfredo, Chile Co-Chairman: Marchac Daniel, France Members: Ahmed-Adel Noreldin, Egypt Barnea Yoav, Israel Bibolini Alejandro, Paraguay Biggs Tomas, USA Brody Garry, USA/Canada Cervelli Valerio, Italy Coleman Sydney, USA Edsander-Nord Åsa, Sweden Evans Gregory, USA Frey Manfred, Austria

www.ipraschile.cl


IPRAS 2013

RATES

HOST

WORLD CONGRESS

REGISTRATION

LATE UNTIL 10/01/2013

ON SITE FROM 11/01/2013

MASTER CLASSES €/each

Participants

750€

900€

50€

Residents

350€

400€

30€

Students/Nurses

300€

350€

-

Accompanying

150€

150€

-

FEES

Registration fees include: Attendance to all scientific sessions Access to the exhibition area Conference Bag Coffee and tea breaks Light lunches Participation in the Opening Ceremony and the Welcome Reception

Registration fees for Accompanying include: Participation in the Opening Ceremony and the Welcome Reception Access to the exhibition area Wine day tour HOTEL

HOTELS Prices are quoted on bed and breakfast basis 5 nights minimum stay DAILY SHUTTLE SERVICE: 12 € per day/person- 5days package (Round-trip transportation between the Conference venue & your hotel)

CHILE

SANTIAGO MARRIOTT HOTEL 5* INTERCONTINENTAL SANTIAGO 5* SHERATON SANTIAGO HOTEL 5* CROWNE PLAZA HOTEL SANTIAGO 5* PLAZA EL BOSQUE SUITES 4* HOTEL NERUDA 4* EUROTEL EL BOSQUE 4* EUROTEL PROVIDENCIA 4* HOTEL FUNDADOR 4* CEASAR BUSINESS 4* HOTEL NERUDA EXPRESS 3* APARTS HOTEL NERUDA 3*

For those who treasure the wealth of spectacular natural attractions desert, glaciers, beaches, vineyards, hot springs, volcanoes, river and lakes – Chile is a destination that shouldn’t be missed!!!

Single room per night

Double Room per night

190 € + 30 € VAT 190 € + 30 € VAT 190 € + 30 € VAT 160 € + 25 € VAT 125 € + 18 € VAT 115 € + 18 € VAT 110 € + 16 € VAT 110 € + 16 € VAT 105 € + 16 € VAT 99 € + 13 € VAT 85 € + 13 € VAT 85 € + 13 € VAT

205 € + 30 € VAT 200 € + 30 € VAT 200 € + 30 € VAT 170 € + 25 € VAT 135 € + 18 € VAT 125 € + 21 € VAT 120 € + 18 € VAT 120 € + 18 € VAT 110 € + 16 € VAT 115 € + 16 € VAT 95 € + 15 € VAT 95 € + 15 € VAT

SANTIAGO It is the gateway to Chile and one of the most modern capital cities on the continent.

CROWNE PLAZA HOTEL

MARRIO TT HOTE L INTERCONTINENTAL HOTEL

EL ON HOT SHERAT

For ON-LINE registration and accommodation bookings please visit the official congress website:

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


SOCIAL PROGRAM

OPTIONAL TOURS

IPRAS 2013 WORLD CONGRESS

SOCIAL PROGRAM OPENING CEREMONY

GALA DINNER

Monday, 25 February 2013

Thursday, 28 February 2013 Space: Expocenter Cocktail (before the Gala Dinner): Socialize with colleagues in a specially designed lounge area. Gala Dinner: Feel the energy of the greatest talented singers, musicians and dancers at this unique spectacular event with live folklore music, acrobatic shows and many surprises. The Gala Dinner will also include:

Greetings at Espacio Riesco Convention Center, Congress Hall Cocktail at Patio Salto del Agua : Network with colleagues from all over the world while enjoying a nice entertaining evening with live music !

• IPRAS National Society Award for pursuing IPRAS goals in its country • IPRAS Individual Member Award for pursuing IPRAS goals in his profession • IPRAS Industry Award for their long-lasting loyalty to the confederation • Best Paper Award Ceremony

OPTIONAL TOURS We carefully selected the most exclusive and unforgettable tours for you!

CHILEAN PATAGONIA -KAWESKAR ROUTE (4 DAYS/3 NIGHTS) Visit the third largest reserve of fresh water on the planet and crib of the biggest and most spectacular glaciers in the southern hemisphere with SKORPIOS III (PUERTO NATALES-AMALIA GLACIERCALVO FJORD): Sailing through Patagonian channels in the bay of 5 Glaciers sliding down from Sarmiento Mountains to the sea

VINA DEL MAR & VALPARAISO (full day excursion-8 hours) Route toward the Pacific coast along local color beaches. CONCHA Y TORO WINERY (half day tour - 4 hours) 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.

For more information visit: www.ipraschile.cl/portal/organization or contact Mr. Nikos Antonopoulos at Tel. 00302111001782, fax 00302106642116, e-mail: n.an@zita-congress.gr


CONFIRMED SPONSORS

IPRAS 2013 WORLD CONGRESS

SILVER SPONSOR

BRONZE SPONSORS

SPONSORS

Medytox

BLACK & BLACK S

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ANFIELD

Scientific Europe, BV


IPRAS 2013

ORGANIZERS

WORLD CONGRESS

Organized by INT

ER NATION AL

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CTIVE AES

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International Confederation for Plastic, Reconstructive & Aesthetic Surgery

Supported by SU R

ERY RG

EUR OP

Federación Ibero Latinoamericana de Cirugía Plástica (FILACP)

European Society of Plastic Reconstructive & Aesthetic Surgery (ESPRAS)

Panafrican Association for Plastic & Reconstructive Surgeons (PAPRS)

Asociacion Mexicana de Cirugía Plástica Estética y Reconstructiva (AMCPER)

Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER)

Sociedad Venezolana Cirugía Plástica y Reconstructiva (SVCPR)

Sociedad Paraguaya de Cirugía Plástica, Reparadora y Estetica (SPACPRE )

EUROPEAN SOCIETY OF PREVENTIVE, REGENERATIVE AND ANTI-AGING MEDICINE

International Society of Plastic Regenerative Surgery (ISPRES)

European Society of Preventive Regenerative & Anti-Aging Medicine (ESAAM)

AMERICAN SOCIETY OF PLASTIC SURGEONS

Sociedade Brasileira de Cirurgia Plástica

American Society of Plastic Surgery (ASPS)

Brazilian Society of Plastic Surgery (SBCP)

Sociedad Colombiana de Cirugía Plástica Estética y Reconstructiva

Sociedad de Cirugía Plástica, Reparadora y Estética del Uruguay (SCPREU)

(Miembro de la ACSC, FILACP, IPRAS)

International Committee for Quality Assurance, Medical Technologies and Devices in Plastic Surgery (IQUAM)

IPRAS SPONSOR

E.S.P.R.A.S

AESTHETIC

OCIETY OF PL NS EA

& VE TI

RECONSTRU C TIC AS

Organizational Support ZITA C O N G R E S S

ISO 9001 ISO 14001

Abstracts: Mr. Gerasimos Kouloumpis, Tel. 00302111001780, fax 00302106645176, e-mail: k.ge@zita-congress.gr, Mrs. Maria Petsa, Tel 00302111001787, fax 00302106645176, e-mail: m.pe@zita-congress.gr. Registration /Accommodation Bookings: 1) Mrs. Irene Katti, Tel. 00302111001783, e-mail: i.ka@zita-congress.gr 2) Mr. Nikos Antonopoulos, Tel. 00302111001782, fax 00302106642116, e-mail: n.an@zita-congress.gr. Air Ticket Reservations: Mrs. Orsa Dritsa, Tel. 00302111001797, e-mail: o.dr@zitatravelcongress.gr, fax: 00302111001779. Social Program / Optional Tours: Mr. Nikos Antonopoulos, Tel. 00302111001782, fax 00302106642116, e-mail: n.an@zita-congress.gr. Marketing/ Media Office: Mrs. Maria Sevastaki, Tel. 00302111001773, fax: 00302106645176, e-mail: m.se@zita-congress.gr


NATIONAL ASSOCIATIONS’ & PLASTIC SURGERY ORGANIZATIONS’ NEWS

16TH ASEAN Congress of Plastic Surgery “The Pearls of 30 Years” Gerald C. Sy, MD, FPCS, FPAPRAS, MBA Publications Committee Chairman Organizing Committee of the 16th ACPS

The Philippine Association of Plastic, Reconstructive, and Aesthetic Surgeons, Inc. (PAPRAS) is the only society in the specialty of Plastic Surgery duly recognized by the Philippine Medical Association and the Philippine College of Surgeons. PAPRAS hosted the recently concluded 16th ASEAN Congress of Plastic Surgery as its culminating event for the 50th Anniversary celebration. The muchtalked about event was held last March 11th-14th, 2012 at the powdery white sand beach of the world’s 2nd-top beach destination, Boracay, Aklan. To further ignite the enthusiasm for the event, 28 internationally renowned speakers from 13 countries (Australia, China, Finland, France, Italy, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, Thailand, and the United States) were invited to share their expertise in different Plastic Surgery topics. With the Congress theme “The Pearls of 30 Years”, 11 general topics were namely prepared:

Cleft Lip/Palate, Body Contouring , Breast and Trunk Reconstruction, Aesthetic Breast, Wound Healing, Aesthetic Rhinoplasty, Nasal Reconstruction, Periorbital Rejuvenation, Facial Rejuvenation, Face Transplant, and Stem Cells and Tissue Engineering. In celebration of their 30 years of service in the Philippines, Operation Smile International with Dr. Irene Tangco started Day 1 of the Congress with management of issues of various craniofacial anomalies, from cleft lip and palate to craniosynostosis reconstruction and encephalocele management. The International Society of Aesthetic Plastic Surgeons (ISAPS) Symposium with Dr. Susumu Takayanagi played host for the topics of Day 2 of the Congress. Speakers from Australia, Japan, Finland, France, Philippines, South Korea and Taiwan happily shared their expertise in the management of aging facial skeleton, blepharoplasty,

ISAPS SYMPOSIUM Speakers - standing from Left: Dr. Jose Joven V. Cruz (Scientific Committee Chairman, Philippines), Dr. Akihiro Ichonose (Japan), Dr. Yu-Ray Chen (Taiwan), Dr. Susumu Takanayagi (Japan), Dr. David Daehwan Park (South Korea), Dr. Darryl J. Hodgkinson (Australia), Dr. Florencio Q. Lucero (Philippines), Dr. Alexander G. De Leon (16th ACPS Congress Chairman, Philippines), Dr. Asko Salmi (Finland)

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Mrs. Catherine Hodgkinson (wife of Darryl J. Hodgkinson), dancing the Tinikling (Philippine’s National Dance)

augmentation mammoplasty, abdominoplasty and orthognathic surgery. The day ended with more enjoyment, as Dr. Alexander de Leon, President of PAPRAS officially welcomed the guests and invited them to a night of camaraderie, paired with delicious food. Entertainment was provided by local dancers who introduced a bit of Filipino culture through folk dance. The third day was crammed with plenary sessions on topics such as body contouring, breast and trunk reconstruction, wound healing, stem cells and tissue regeneration, facial rejuvenation, head and neck reconstruction and aesthetic rhinoplasty. Thereafter, the participants were treated to dinner and a delightful fire dance performance by the sea. The fellowship night also brought out a lot of surprises from the delegates, as representatives from each country acquainted us with their own culture through song, dance, and even martial arts! It was definitely a night to remember. The Congress concluded with more plenary sessions on the topics of aesthetic breast surgery, the rare case of facial transplantation and periorbital rejuvenation. The 16th ASEAN Congress of Plastic Surgery has satisfied the delegates continuing quest for knowledge and camaraderie. With the Philippines Department of Tourism campaign “It’s More Fun in the Philippines”, the Congress indeed also proved to be a pleasant mixture of work and play for Plastic Surgeons from different parts of the world.

OPERATION SMILE SYMPOSIUM Speakers: (clockwise) Dr. Drew Schnitt - U.S.A (seating), Dr. Hector M. Santos, Jr.-Philippines (standing); (seating from left to right) Dr. Richard Lewandowski - Australia, Dr. Joselito Rosauro J. Cembrano - Philippines, Dr. Jesus Gil B. Inciong - U.S.A.

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Plastic Surgery Congress 2013 Melbourne Australia

Under the auspices of the Australian Society of Plastic Surgeons (ASPS) and the New Zealand Association of Plastic Surgeons (NZAPS), the 2013 Plastic Surgery Congress will take place in Melbourne, Australia from the 24th to the 26th of April. The Congress Program will have a strong international focus on the world’s best practice in plastic surgery, and cutting edge technology and innovation. We are proud to present a panel of distinguished international speakers including Dr. Greg Evans, Dr. Bryant Toth, Dr. Nazim Cerkes, Dr. Julian Pribaz, Dr. Michael Yaremchuck and Dr. Joe Gruss. With a comprehensive line-up of concurrent sessions, the Congress will host an impressive array of activities both in terms of scientific content as well as faculty. The cosmopolitan city of Melbourne, and the state of the art Melbourne Convention and Exhibition Centre is the ideal setting for our Congress. Known for its style and sophistication, Melbourne exudes a distinct bohemian charm with its maze of hidden laneways, opulent bars, exclusive restaurants, charming gardens and off-the-

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beaten-track boutiques. It’s also a cultural hub of museums, galleries and music venues. Conveniently located on the East Coast of Australia, Melbourne is also the gateway to numerous exotic destinations across Australia and the Asia-Pacific region, including Thailand, Fiji, Hong Kong and New Zealand. There are endless opportunities to unwind and explore. The PSC is currently calling for submissions of high quality quality scientific papers to be considered for inclusion in the PSC 2013 program. Both research and clinical papers will be considered. The Call for Abstracts document can be downloaded via the PSC website at www.plasticsurgerycongress.org.au. We encourage you to visit our website regularly for the latest updates and announcements. Our PSC Secretariat will also be able to answer your enquiries. Please email us at: psc2013@the associationspecialists.com.au or call us on: +61 2 9431 8638. We welcome our international guests to join us for continuing professional development and extensive networking at the 2013 Plastic Surgery Congress.


DGPRÄC & VDÄPC Congress 2012 in Bremen: Humanity – a keystone of Plastic Surgery

Bremen – Premiere in the Free Hanseatic City of Bremen. For the first time the smallest German Federal Land welcomed the largest German Society of Plastic Surgery. “Humanity” was the motto of the 43rd Annual Convention of the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC) and the 17th Annual Convention of the Association of German Aesthetic-Plastic Surgeons (VDÄPC). From September 13 to 15, 2012, more than 700 Plastic Surgeons and other professionals visited Bremen Congress Center to learn more about the latest in Plastic Surgery. 220 scientific lectures, 153 posters, ten workshops, seven Lunch Symposia, two hands-on classes, three Care Symposia and a “Best of Session” provided a basis for intensive scientific exchange. “Humanity is the basis of all medical action”, Congress President Prof. C. Can Cedidi explained this year’s motto. “We became physicians to heal people. Unfortunately, in a time of economic and organisational pressure this truth is getting out of sight. If, for example, a health insurance does not see the necessity for a certain operation I am seriously influenced in my medical autonomy of decision and often forced to restrict my therapy.” This conflict was reflected in many lectures, for example in a paper dealing with funding of palliative coverage of tumor defects (FV97).* Due to the 2012 congress motto

“Humanity” the voluntary work of Plastic Surgeons in developing countries was the centre of attention. Lectures referring to burn contractures during “Interplast Germany” missions (FV21/FV22) or to the new demands for helping in war zones (FV23) stirred the audience’s interest. The current state of research in Reconstructive, Aesthetic, Burn and Hand Surgery was the topic of many sessions. The scandal about defective breast implants by French producer “PIP” was also subject of several papers dealing with “bleeding” implants (FV58) or the validity of sonography examination of PIP implants (FV59). A special patients’ forum with top-class experts gave PIP patients the possibility to ask for risks and possibilities.

New board members The DGPRÄC general meeting elected Prof. Dr. Peter M. Vogt new President of the society. Vogt had been President since 2010 already. Prof. Dr. Hans-Eberhard Schaller was elected new Vice President again. The extended board also received new members. Prof. Dr. Henrik Menke will be Representative of Medical Directors for another turn, Dr. Christoph Czermak will serve as the new Representative of Residents. The members also decided to make Prof. Dr. Raymund E. Horch Representative of Academic Medical Directors for a second turn. Jonas Kolbenschlag became Representative of Associate Members, Prof. Dr. Ulrich Kneser was elected Head of Reconstruction/Microsurgery Section. The Burn Surgery Section is now chaired by Prof. Dr. Bert Reichert, Doc. Dr. Dr. Johannes C. Bruck became Head of Aesthetic Surgery Section. Prof. Dr. Michael Sauerbier was elected new Head of Hand Surgery Section. Prof. Dr. Christoph Heitmann will represent DGPRÄC in the German Society for Senology (DGS).

Honorary Member

DGPRÄC Honorary membership for extraordinary commitment: Prof. Lemperle (r.).

Following the official congress motto the 2012 DGPRÄC Honorary Membership was given to „InterplastGermany“-Founder Prof. Dr. med. Gottfried Lemperle for his long lasting humanitarian commitment. Prof. Lemperle imported the Interplast idea to Germany in 1980 by founding an own section. Since then, Interplast members have travelled developing countries every year on their own expense. The volunteers perform plastic surgery on patients with face malformations, burn scars or war wounds. Between 1977 and 1994 Prof. Lemperle Issue 10

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was head of the Department of Plastic Surgery at Markus Hospital in Frankfurt/Main. Today he is teaching at University of California in San Diego, USA. Prof. Lemperle was President of DGPRÄC 1985 to 1988, received the Federal Cross of Merit in 1997 and was given the Dieffenbach medal in 2010.

Awards and prizes “Fascination Plastic Surgery – based on my own experience” was the title of this year’s Dieffenbach lecture. Prof. Dr. med. Edgar Biemer, Dieffenbach award winner 2012, took the audience on an excursion through decades of plastic-surgical know-how. In 1973, Prof. Biemer joined the Department of Plastic and Reconstructive Surgery at the University Hospital “rechts der Isar” in Munich.

Dieffenbach prize winner Prof. Biemer.

Following studies in Scandinavia, United Kingdom and USA he became head of the department in 1986 until his retirement in 2007. Prof. Biemer was President of DGPRÄC from 1993 to 1995. In 2008, he performed the first double arm transplant on a patient with twosided traumatic arm amputation. Prof. Biemer has been honorary DGPRÄC member since 2011. DGPRÄC has awarded the Dieffenbach medal since 1989 in memory of Plastic Surgery pioneer Johann Friedrich Dieffenbach (1792-1847). The future generation of researchers was also awarded in Bremen. Dr. Jan Philipp Stromps and his team (Department

Congress “rocks”: the “Original MHH Live Band” entertained the Plastic Surgeons during the gala evening.

of Plastic Surgery, Hand and Burn Surgery at University Hospital RWTH Aachen) received 1000 Euro for the best scientific poster (“Modelling basic wrist motions via Multi Body Simulation”). The 1500 Euro prize for the best lecture was given to Mustafa Becerikli and his team (Department of Plastic Surgery and Burn Surgery / Hand Surgery Center at BG University Hospital Bergmannsheil in Bochum) for the topic “Silencing of EphB4 tyrosine kinase receptor in synovial sarcoma by RNA-interference inhibits tumor progression and migration”. PD Dr. Andreas Arkudas (Department of Plastic Surgery and Hand Surgery, University Hospital ErlangenNürnberg) was the winner of DGPRÄC Science Award 2012. For his habilitation treatise entitled “Optimising of axially vascularized matrices in tissue engineering” he was awarded 3000 Euro. “Polytech Health & Aesthetics GmbH” donated this year’s Travel Scholarship worth 2500 Euro to Dr. Matthias I. A. Reichenberger (Ethianum Clinic for Plastic, Aesthetic and Preventive Medicine at University Hospital Heidelberg).

Further training of the year For the fifth time the DGPRÄC awarded the best Further Training Hospital of the year. Prof. Dr. Raymund E. Horch (Head of Department of Plastic Surgery and Hand Surgery, University Hospital Erlangen-Nürnberg) won the Award in the category „more than four Assistants in Further Training“. The category “up to three Assistants in Further Training” went to Dr. Klaus-Stephan Wittig (Head of Department of Plastic Surgery at Agaplesion Diakonie Hospital Hamburg). * All Abstracts can be found here: www.egms.de/dynamic/de/meetings/dgpraec2012/

Mrs. Dr. Hollenberg and physicians in micro surgery workshop.

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More information regarding “Interplast-Germany” can be found here: www.interplast-germany.de


21st ISAPS Congress

After long and intensive preparations with a big and great team we had a fantastic ISAPS biennial congress in Geneva this year from September 4th until 8th. Due to the outstanding work of our scientific chairman Dr. Alain Fogli, assisted by our Educational Commission Chair Dr. Nazim Cerkes we had an unparalleled faculty. 165 invited speakers, the crème de la crème worldwide in aesthetic plastic surgery, completed by many free papers made this congress scientifically the best I have ever seen or heard. The presentations were completed by a large videothek and lots of master classes all very well frequented. As usual in ISAPS we don’t only look for outstanding scientific programs but also for friendship throughout the world. That means we met a lot of old friends and made a lot of new ones during the magnificent social events. The organization of our local host Dr. Kai Schlaudraff and his lovely wife Annette with the additional inspiration of my wife Christine gave all the events a very positive familiar touch. It started with the Presidential Dinner that took place in the Yacht Club of Geneva, the home of the Alinghi boat. Among many good friends from all around the world, the whole Board of Directors, Catherine Foss and her team were present and many presidents or secretaries of other societies. The Faculty Dinner took place in the wonderful Château de Coppet where we got after a one hour boat ride.

Dr. Jan Poell, Former President of ISAPS during the Gala Evening in the Swiss National Circus Knie

A highlight was certainly the Gala Evening in the Swiss National Circus Knie where we enjoyed food, drinks and a full program of the circus that we had all for ourselves. I opened the program with a short speech from the back of an elephant and ended it brushing the floor freeing it from all the dirt I had left after the two years of my presidency. Then I handed the besom over to Carlos Uebel, our new president, to keep ISAPS clean for the next two years. All together this congress was a tremendous success in the lovely town of Geneva and its surroundings. It will certainly be unforgettable for the 1300 participating plastic surgeons and the 700 accompanying persons and exhibitors. It’s only left to me to thank all the teams that have been the reason for this success. And there are much more persons involved than one would imagine. You all deserve big, big THANK YOU.

Dr. Jan Poell Former President of ISAPS

ISAPS main congress hall

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IPRAS report LaserInnsbruck 2012, Advances and Controversies in laser and Aesthetic Surgery, 4th International Conference, took place in the historic building of the faculty of Catholic Theology of the University of Innsbruck from September 12 – 15, 2012. Th third biannual conference was held in Innsbruck, following and enjoying the success of the first meeting that took place in Barcelona in 2006. At the opening ceremony addresses were made by Dr. Katharina Russe-Wilflingseder, Conference President, Prof. Dr. Marita Eisenmann-Klein, President of IPRAS, Prof. Dr. Andreas Yiacoumettis, President of ESPRES, Prof. Dr. Thomas Hintringer, President of the Austrian Society of Plastic, Reconstructive and Aesthetic Surgery (ÖGPRÄC), and by the Program Committee and Representatives of the American Society of Laser Medicine and Surgery (ASLMS) Prof. Dr. R. Rox Anderson (USA), Dr. Merete Hædersdal (Denmark), Dr. Suzanne L. Kilmer (USA), Dr. Emil A. Tanghetti

Prof. Andreas Yiacoumettis, ESPRAS President, IPRAS Deputy General Secretary, Dr. Katharina Russe-Wilflingseder, Conference President, Prof. Marita Eisenmann-Klein, IPRAS President, Dr. Thomas Hintringer, President of the Austrian Society of Plastic Aesthetic and Reconstructive Surgery

(USA), Prof. Dr. Christopher B. Zachary (USA). The conference was endorsed by IPRAS, the Austrian Society of Plastic, Aesthetic and Reconstructive Surgery (ÖGPRÄC), the American Society of Laser Medicine

Conference Hall

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Exhibition Hall

Prof. Andreas Yiacoumettis, ESPRAS President honor Dr. Katharina Russe-Wilflingseder as the president of the conference.

• fat grafting as well as foreign body reactions to fillers • scar treatment • vascular malformation for future laser wavelength and systemic drugs & on the interdisciplinary approach • tissue tightening, body contouring and cellulite • the various options of surgical, invasive laser-assisted, non- invasive laser and energy based treatment modalities The conference ended with lectures on future perspectives on laser and light technologies and their application in medicine. We believe that this conference with the interdisciplinary exchange and transfer of knowledge, the lively academic discussion helped to establish a forum for Plastic Surgeons, who have an interest in effective and safe laser applications. At the end of this successful meeting all members of the faculty agreed to continue with LaserInnsbruck and planned the next conference for September 2014.

and Surgery (ASLMS), the European Society of Preventive, Regenerative and Anti-Aging Medicine and was granted 15 European CME credits. For the first time a one-day Preconference Course illuminated the basic science of lasers and energy based devices, laser tissue interaction and the fundamentals, safety and complications of various laser treatments in Plastic Surgery and Dermatology. Over these three days a variety of highly interesting topics were presented by the distinguished and well known international faculty of leading Plastic Surgeons, Dermatologists and Scientists. Of major interest were lectures on:

Dr. Katharina Russe-Wilflingseder Conference President

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Nicaraguan Association of Plastic Surgery: Volunteer Work Sandra Gutierrez, President ANCP This past June the ANCP conducted its IV annual Volunteer Surgery Plan. The organization began with a meeting in the form of a general assembly where they decided as a group, the type of surgery to perform and which patients to benefit. This year the Association chose blepharoplasties and patients of low income who work in the health sector (nurses, aides, technicians, etc). Subsequently, the necessary surgical groups were organized and the volunteer anesthesiologists were summoned. The board of the Association then exposed the plan to five different private hospitals, which assumed full sponsorship of the campaign. Next, the different surgical teams narrowed the list of potential patients. The whole process was based on team unity, disposition and organization, being one of the activities that joins the ANCP into one body working together for a greater cause. This year sixteen patients were successfully benefited. Our Association thanks all of its members and volunteer anesthesiologists for the effort and work put into this

Dr. Sandra Gutierrez, President ANCP. News channel covering the volunteers’ surgical mission.

volunteer campaign. ANCP thanks as well all the hospitals for their genuine generosity and support, the volunteer residents and all the staff participating and making this cause possible.

Volunteers surgeons working in an operating room.

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10th annual congress of the Northern Cyprus Turkish Plastic, Reconstructive and Aesthetic Association Ali Nihat Ulgen President of the Northern Cyprus Turkish Plastic, Reconstructive and Aesthetic Association

The 10th annual congress of the Northern Cyprus Turkish Plastic, Reconstructive and Aesthetic Association took place Between the 12-16 September, 2012 at the Merit Crystal Cove Hotel of Girne, in Cyprus. The aim of our association that two years ago became also an affiliate of IPRAS, is to bring the criteria of the international knowledge to the island. I believe we have succeeded in this. My colleagues presented their successful work, while remaining loyal to the principle: ‘’The best of all human beings is the one who serves the others most’’. Some of the presentations that we liked very much and that we propose for the IPRAS journal are the following: 1. Dr.Selahattin Ozmen’s “Aesthetics in Facial Transplantation”

2. Dr. Tunc Tiryaki’s ‘’Stem Cell Enriched Tissue (Set) Injections: A New Weapon in Aesthetic and Reconstructive Surgery’’ 3. Dr. Muzaffer Altindas’s “Magic Toe Amputation” 4. Dr. Murat Topalan`s “Limitation in Facial Allotransplantation 1: Alternative reconstructive techniques for paediatric patients”. We have learnt a great deal from the three conferences that Dr. Mario Pelle Ceravolo has so generously presented. We have been very gratified to receive the support of Dr.Christos Merezas, the chair of Cyprus Plastic and Reconstructive Surgery Association, and his colleagues as well. Their support demonstrates that politics cannot interfere with our friendship.

Dr. Christos Merezas,president of the society of Cyprus of Plastic and Reconstructive Surgeons, between Dr. Ali Nihat Ulgen, president of NCTSPRAS and Dr. Umit Boratac, president of the 10th Congress of the Northern Cyprus during the congress.

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2nd World Congress of Plastic Surgeons of Lebanese Descent Cancun October 10-13, 2012 Two years ago in Beirut, at the first world congress of Plastic Surgeons of Lebanese descent, we decided to bring the next meeting to Mexico. By that time, I didn’t know exactly the amount of work ahead, but after the completion of the task, I really think it was truly worth it. In Cancun we had some great professors, for which, the guidance of the president of the Society of surgeons of Lebanese descent, Ricardo Baroudi , was essential. The list of Faculty is long, but there were people from Argentina, Belgium, Brazil, Canada, Ecuador, France, Germany, Italy, Lebanon, Nicaragua, Rumania, USA and, of course, Mexico. The scientific program was magnificent, so was the social program enhanced by the presence of Aline Younes, the representative of the Lebanese consulate in Mexico City, who offered an elegant Tequila Tasting in one of Cancun’s most elegant Hotels. I would not like to express my personal thankfulness to all the people involved in this project in order not to omit someone who deserves it. Enough is to say that in my personal point of view it was such a splendid meeting in

all ways, and I am sure that it exceeded the expectations of all the participants. ALL the people who worked on it were very professional and delightful. The topics went from the simple techniques of filling a nasolabial fold, to extremely complicated procedures of microsurgery, but always with the personal “touch” of super experienced surgeons. There is much to say about my beautiful country, Mexico, that served as the frame of this magnificent event. And the story continues…. Beirut, Lebanon , 2014, the country from which come my origins and for which I’m very proud. If you want to obtain more details of this past meeting go to: www.congressmexico.com/LSPRAS 2012. but if you look forward to join the next meeting please refer to Bishara Atiyeh at: batiyeh@terra.net.lb Sincerely, José Luis Haddad Congress President President of The Mexican Society of Plastic, Reconstructive and Aesthetic Surgery.

From the left: Dr. José Luis Haddad, Congress President, Dr. Hamra, Dr. Thomas Biggs, IPRAS Editor in Chief

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12th Congress of the ROAPS & the HAPRAS 9-12 September 2012, SINAIA, ROMANIA

This September between the 9th-12th, the 12th Congress of the Romanian Association of Plastic Surgeons (ROAPS) & the Hungarian Association for Plastic, Reconstructive and Aesthetic Surgery (HAPRAS) took place at the Casino & Palace Hotel. During this time, surgeons could also attend the very interesting IPRAS Course: “State of the Art of Fat Transplantation in Regenerative Plastic Surgery & Microsurgery”. The Congress was organized by ROAPS, co-organized by HAPRAS and supported by: the International Confederation for Plastic, Reconstructive and Aesthetic Surgery - IPRAS, the European Society of Plastic, Reconstructive and Aesthetic Surgery - ESPRAS, the International Society of Plastic Regenerative Surgery ISPRES, the European Association of Societies of Aesthetic Plastic Surgery EASAPS and the European Federation of Societies for Microsurgery EFSM. Partners of the event were: the University of Medicine and Farmacy “Carol Davila”, the Bucharest UMF and the Romanian Academy of Medical Science ASM. The organizational support was accorded by ZITA Congress. The committees that organized and led the congress

were: President: Ioan Petre Florescu (Executive President of ROAPS, Romania), Course Director: Ioan Lascar (Honorary President of ROAPS, Romania), Chairperson: Marita Eisenmann-Klein (IPRAS President, Germany), Co-chairperson: Alfred Traub (Hungary), Chairman of the Organizing Committee: Ioan Petre Florescu (Executive President of ROAPS, Romania), Co-chairmen of the Organizing Committee: Nelson Piccolo (Brazil), Alfred Traub (Hungary), Csaba Molnar (Hungary). There were also well known, familiar faces like Thomas Biggs (USA), Ileana Boiangiu (Romania), Crenguta Coman (Romania), Zorin Crainiceanu (Romania), Carmen Giuglea (Romania), Dana Jianu (Romania), Stefan Jianu (Romania), Zacharias Kaplanidis (Greece), Ioan Lascar (Romania), Silviu Marinescu (Romania), Alfred Traub (Hungary) from the Organizing Committee and Nicolae Antohi (Romania), Ion Bordeianu (Romania), Tiberiu Bratu (Romania), Marita Eisenmann Klein (Germany), Dan Enescu (Romania), Ioan Petre Florescu (Romania), Andreas Foustanos (Greece), Alexandru Georgescu (Romania), Carmen Giuglea (Romania), Doina Ionescu

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Opening cocktail (Romania), Dana Jianu (Romania), Roger Khouri (USA), Silviu Marinescu (Romania), Csaba Molnar (Hungary), Toma Mugea (Romania), Gino Rigotti (Italy), Serban Arghir Popescu (Romania), Theodor Stamate (Romania), Alfred Traub (Hungary), Marek Valcu (Romania), Andreas Yiacoumettis (Greece), Dragos Zamfirescu (Romania) from the Scientific Committee. Marita Eisenmann-Klein, Ioan Lascar and I.P. Florescu moderated the IPRAS Course (I) that opened the Event. The faculty which sustained very enlightening papers were: M. E. Klein, Tom Biggs, Yilin Cao, Nelson Piccolo and Sydney Coleman. The panel titled “Future in breast reconstruction /augmentation fat graft versus implants” was presented by: Marita Eisenmann-Klein, Tom Biggs, Nelson Piccolo, Yilin Cao and Sydney Coleman. A very interesting Exhibition was also organized during the Congress that helped all get to meet with major medical companies on the Romanian profiled market: MENTOR, EWOPHARMA - ALLERGAN – as Platinum Sponsors, PEAK MEDICAL – as Gold Sponsor, ROMBIOMEDICA – as Silver Sponsor and BMW – as Bronze Sponsor. Other of the event present in the exhibition were: BRAVA, MEDA, RESTYLANE, SERVIER, SOLARTIUM, CONTRACTUBEX, MARAMED, LC RHEA MEDICAL, SEE TRY BUY – TEOSYAL, ARION, SMART START CONSULTING, TULIP MEDICAL PRODUCTS. The official opening of IPRAS COURSE and 12th Congress of ROAPS and HAPRAS took place in the “Amphitheater Sinaia Casino” followed by the Opening

Cocktail in the “Mirror Hall”, an elegant event in a lovely and relaxed atmosphere. Starting Monday September 10, the IPRAS Course (II) was opened and moderated by Tom Biggs, M. E. Klein and Nelson Piccolo and the faculties presenting were: Tom Biggs and Sydney Coleman. The panel of this Course titled: “The future of facial fat graft versus fillers and open surgery” was sustained by Tom Biggs, Sydney Coleman, Marita Eisenmann-Klein, Dana Jianu and Brian Kinney. The moderators were: Sydney Coleman, Dana Jianu and Tom Biggs started the IPRAS Course (III). Just after lunch, followed the IPRAS Course (IV). The closing word of IPRAS Course was pronounced by the IPRAS President, Marita Eisenmann Klein. The 12th Congress of ROAPS and HAPRAS started immediately after the IPRAS closing words with SESSION I: AESTHETIC SURGERY (I) – BREAST with the following Chairmen: I. P. Florescu, Ioan Lascar and M.G. Velasco. Presenter’ faculties of this session were: M. G. Velasco, Andreas Foustanos, Alfred Traub, Toma Mugea, Dana Jianu, Maria Filipescu, Teodor Stamate, Radu Ionescu (Allergan Speaker). The evening ended with a Gala Dinner at the Palace Hotel Restaurant celebrating a fruitful meeting and friendship among colleagues and countries, sharing experiences, dancing and feeling the spirit of a wonderful time spent together. Tuesday, September 11th, the 3rd day of the Congress, was dedicated to SESSION II: MICROSURGERY, with Fu Chan Wei, Hanno Milessi and Alexandru V. Georgescu as Chairmen. They following faculties also participated:

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Dr. Manuel Garcia Velasco (Mexico-IQUAM Vice President), Dr. Carmen Giuglea (Romania-Scientific Committee member of the ROAPS 2012 congress), Mr. Zacharias Kaplanidis (Greece-IPRAS Executive Director), Dr. Nelson Piccolo (Brazil-IPRAS General Secretary), Mrs. Velasco (Mexico), Dr. Sydney Coleman (USA-ISPRES Secretary General), Dr. Dana Jianu (RomaniaOrganizing Committee member of the ROAPS 2012 congress, ISAPS NS, EASAPS Parliamentarian and Historian) Matei Ileana, Capota Irina, Filip Ardelean, Hanno Milessi, Dragos Zamfirescu, Ruxandra Andrei, Serban Arghir Popescu, Ioan Lascar. The SESSION III: BURNS had as Chairmen and presenters: Nelson Piccolo, Dan Enescu and Michele Masellis and the SESSION IV: HAND, PLASTIC and RECONSTRUCTIVE SURGERY with David T. Netscher, Ioan Lascar and Gusztav Gulyas as Chairmen. Besides them, the other presenters were: Zamfirescu D., Minamimoto Toshiyuri and Michele Masellis. The SESSION V was dedicated to AESTHETIC SURGERY having as Chairmen: Manuel G. Velasco, Gino Rigotti and Brian Kinney. Beatrice Vilcu was also a presenter. This evening started with ROAPS Meeting and ended with a traditional Romanian dinner offered by the company Peak Medical. In the same great ambience, as the previous ones, this night was also a successful evening in all its aspects: traditional Romanian dishes, music and dancing mood from everyone present! The last day of the Congress was dedicated to SESSION VI: MICROSURGERY (II), Chairmen: Ioan Lascar, Dragos Zamfirescu, Zorin Crainiceanu and 2 presenters besides them: M. Mastacaneanu, Mihai R. SESSION VII: AESTHETIC SURGERY (III) with Chairmen: Marek Valcu, Alfred Traub and Carmen Giuglea and many faculty presenters: Andreas Foustanos, Cristodor Patricia, Constantin Stan, Argentina Vidrascu, Sorin Tatulescu, Toma Mugea, Csaba Molnar, Tom

Biggs, Zajakova Yolanda, Zorin Crainiceanu, Radu Jecan, Radu Ionescu, Marek Valcu, Gustav Gulyas, Stefan Jianu, Eduard Ursuleanu. The last 2 sessions of the Congress: SESSION VIII and IX dedicated to RECONSTRUCTIVE PLASTIC SURGERY (I and II), Chairmen: Michele Masellis, David Netscher, Ioan Lascar and other presenter’ faculties: Ovidiu Stefanescu, Sorin Tatulescu, Ruxandra Andrei, Nicolae Antohi, Silviu Marinescu, Bogdan Marinescu, Mykhuylyukov V.M. Crenguta Coman and for SESSION 9: Chairmen: D. Zamfirescu, Teodor Stamate, Silviu Marinescu and the speakers: C. Stangu, D. Zamfirescu, Sorin Tatulescu, Roxana Chiru, V. Bloanca, Bogdan Marinescu, C.R. Jecan, Zorin Crainiceanu, Carmen Giuglea were the final discussed subjects before the closing message of the event. Posters’ exposition was presented in the lobby of the Mirror Hall. The Congress concluded in the same friendly atmosphere with the thoughts of the enjoyable time and all personal opinions and experiences shared during these four days, which for all participants are those precious elements to make an event one of success. Dana Jianu MD. PhD, ISAPS NS EASAPS Parliamentarian and Historian

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HISTORICAL ACCOUNTS

Devoted to the 20th Aniversary of the Establishment of Plastic and Reconstructive Surgery Center in Armenia Gagik Stamboltsyan, M.D., Founder of Medical Center “Avangard”, Chief of Clinic

Twenty four years ago, in December 1988, a devastating earthquake struck northern Armenia. Casualties from the quake were overwhelming, with over fifty thousand killed and more than thirteen thousand injured and maimed. At that time Armenia was part of the USSR. And the USSR decided for the first time to allow western aid and medical teams into the borders to help and treat the casualties. In response, numerous Armenian-American charitable organizations mobilized to bring relief to victims and among these was the Armenian General Benevolent Union (AGBU), and its president Louise Manoogian Simone. The AGBU organized the air-lift of more than 60 patients to US. Half of these were plastic and reconstructive patients. Stephan Ariyan, former Chairman of Plastic Surgery at Yale New-Haven Hospital was involved in treatment of these patients. “Unfortunately, it was not possible to bring more seriously injured back because they could not be transported by plane. With the thousand in Armenia still requiring surgery, it only made sense to take the services there”, said Stephan Ariyan. It also made sense to AGBU to undertake training professionals from the Armenian medical community in the vital skills necessary to treat their own people. This thinking brought about the concept of Plastic and Reconstructive Surgery Center (PRSC) in Armenia. Through a Cooperative Agreement with the US Agency for International Development, the AGBU began the process of organizing and staffing the PRSC in Yerevan, Armenia. Prior to the existence of the of Plastic and Reconstructive Surgery Center established by the AGBU in Yerevan, plastic and reconstructive surgery had not existed as a

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discipline in the former Soviet Union and the PRSC was planned from the start to operate at current US standards. One of the first steps taken by the AGBU was to develop a training program for the Armenian medical professionals. Therefore an Armenian microsurgeon, Dr. Gagik Stamboltsyan and a vascular surgeon Garegin Babloyan, as well as two anesthesiologists, Armenuhi Kharatyan and Karen Manvelyan and seven nurses were brought from Armenia to Yale New-Haven Hospital for one year to receive hands-on training in their respective fields. Dr. Ariyan together with Paul Barash, MD, Chief of anesthesiology and Karen Camp, RN, Clinical Director of Surgical Nursing, trained the Armenian physicians and nurses from September 1991 to September 1992 under a special waiver. These Yale-trained professionals formed the core group of the PRSC’s Armenian staff. While the training program was underway, the AGBU, helped by physician advisors and numerous consultants, procured almost $2 million worth US manufactured stateof-the-art equipment to furnish the PRSC. The equipment was purchased through a Grant from the US Agency for International Development and the AGBU. In the summer of 1992 a US Air Force C-5 Galaxy military cargo plane 75% filled with equipment carried it from USA to Yerevan to establish the AGBU PRSC. The PRSC formally opened its doors 20 years ago in November 1992. Opening of the PRSC was equivalent to establishment of a new discipline, Plastic and Reconstructive Surgery, in Armenia, as well as establishment of health care with US standards. Dr. Gagik Stamboltsyan was assigned to be the Chief of

The core team of the PRSC with Doctors Paul Barash and Stephen Ariyan

Dr. Armenuhi Kharatyan is performing awake intubation under Dr. Andranik Ovassapian’s supervision


the PRSC by Dr. Ariyan and Dr. Armenuhi Kharatyan was assigned to be the Chief of anesthesiology by Dr. Paul Barash. The target of the establishment of the PRSC was the treatment of patients who were requiring plastic and reconstructive surgery and not cosmetic surgery. The number of burn patients was increasing at alarming rates because of the severe energy shortages in Armenia as a result of using unsafe kerosene heaters and other makeshift means of heating. One the other hand the amount of patients needing reconstructive surgery was also rising due to the war in Nagorno Karabagh. So, the PRSC was almost always overloaded and thousands of patients were getting healthcare there. As it was planned initially, the education of the PRSC staff was continuing in Armenia. During the first ten years of its activities the PRSC visited more than 12 missions with surgeons, anesthesiologists and nurses who not only performed hundreds of difficult surgical cases but also provided continuing educational program as for the PRSC staff in Yerevan as well as for local physicians and nurses. Other surgeons, like Dr. Earl Scott stayed in Yerevan and worked with the PRSC staff for more than six months and during his three visits traveled to Giumri (the quake epicenter) as well as to Nagorno Karabagh in spring 1995. Hundreds of patients were screened during these visits and forty injured patients from the civil population of Nagorno Karabagh were transported to Yerevan, to the PRSC for their treatment. Forty six surgeries were performed during a onemonth period. The AGBU contributed to the treatment of the patients, their transportation from Nagorno Karabagh and back home and the meals during their stay at the PRSC. Along with the doctors, nurses from America were also visiting the PRSC to continue the education of the PRSC nurses. Among them Carolyn Pritchik and Marianne Hess, who stayed in Yerevan for one year during their first visit. The PRSC has been designated by the Armenian Ministry of Health as a plastic and reconstructive surgery training arm of the Yerevan State Medical University. This prototype center was being viewed by the Armenian Ministry of Health as a model for improved patient care and modern methodology and technology. The PRSC also housed Armenia’s first plastic and reconstructive surgery library. The AGBU sent hundreds of journal issues and textbooks of plastic surgery and anesthesiology and subscriptions of leading American plastic surgery and anesthesiology journals to help keep the PRSC staff up-to-date. In autumn 1995 the PRSC took a new challenge: treatment of brutalized female war victims from Abkhazia and Georgia. When the United Methodist Committee on Relief (UMCOR) turned to the USAID requesting assistance for a group of girls and women maimed in the Abkhazia-Georgia border conflict who were seeking medical treatment in the US, local representatives sent UMCOR to the AGBU PRSC. USAID, which partially funded the Center, was aware of the work being done there and knew the staff was fully capable of handling such trauma cases: gunshot wounds, burns and disfiguring trauma. PRSC Chief Dr. Gagik Stamboltsyan commented this mission “It was not only an honor that USAID singled out our Center, but we and the

AGBU wanted to help in this unfortunate situation. The PRCS is always open for those who seek the medical care that we provide, and the nationality is irrelevant”. Many of the cases being performed at the PRSC were with disfigured victims. It was not only challenging for the surgical staff but also for the anesthesiologists. Difficult airway cases were coming one after the other. The late Dr. Andranik Ovassapian who was a Professor of Department of Anesthesia & Critical Care and the Director of the Airway Study and Training Center, University of Chicago, Chicago, IL, and was known as an expert in difficult airway management not only in US but throughout the world, in 1994 visited Yerevan, the PRSC and trained the anesthesiologist of the PRSC Armenuhi Kharatyan the techniques of difficult airway management. Dr. Ovassapian’s work at the PRSC was focusing on asleep and awake fibrotic intubations not known in Armenia previously. Thus, the PRSC was not only the place where patients could get western standards health care but also a place where plastic surgeons and anesthesiologists were learning new techniques and approaches in their specialties. The Board of the Armenian Association of Plastic, Reconstructive and Aesthetic Surgeons (AAPRAS) consists of seven surgeons. Four of them have worked at the PRSC. Years ago the target of the establishment of the PRSC was the treatment of patients who were requiring plastic and reconstructive surgery and the first ten years of its activities the PRSC were about treating solely patients with burns, contractures, different damages of the body, cleft lips and palates other congenital deformities . Thanks to the AGBU contributions these patients were being treated free of charge. No cosmetic cases were being performed. Since 2000, life started to change in Armenia and the number of patients seeking for cosmetic surgery started to increase. The PRSC started to admit patients for cosmetic surgery and cosmetic and aesthetic surgery also started to develop at the PRSC. Development of life dictates new conditions: today the PRSC does not exist as it was initially established. Some members of the core team of the PRSC established the Medical Center “Avangard” and work together with US standards, which they learned at Yale University. They treat patients requiring plastic and reconstructive surgery as well as those who require cosmetic and aesthetic surgery. “Avangard” Medical Center is the logical extension of the activities of the PRSC. Establishing the PRSC in Yerevan, Armenia has been one of Dr. Stephan Ariyan’s great ideas. It is thanks to Dr. Ariyan’s valuable contribution that today in Armenia we have western standard approach to Plastic and Reconstructive Surgery. Dr. Ariyan’s idea found its financial and organizational support at AGBU. Celebrating the 20th Anniversary of the PRSC in November 2012, the staff addresses its gratefulness to Dr. Ariyan, Dr. Barash, the AGBU and its President Louise Manoogian Simone, Program Director Regina Ohanian, the US International Development Agency and all those physicians and nurses who visited the PRSC to provide patient care and continuous education to the PRSC team, for their efforts and contributions in the establishment of a US standards Plastic and Reconstructive Surgery Center in Armenia.

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FRENCH PIONEERS OF COSMETIC SURGERY From the early years of the 20th century, French surgeons have practiced Aesthetic Surgery operations. The first article of Julien Bourguet: “correcting unsightly nose without external scar” in 1909. The first facelift in France was performed by a gynecological surgeon, Samuel Pozzi, circa1910. But it is with the experience

1 Between the two world wars Raymond Passot (1886-1933) in 1919 published the first article on “the correction of facial wrinkles.”In his book published in 1931, it reported 2500 facial rejuvenation procedures.He described techniques of mammoplasty and abdominoplasty. He advocated the use of fat for breast augmentation and scalp flap for the treatment of baldness. Julien Bourguet (1876-1952) described a few months after Passot in 1919 a technique of lifting and peeling of the skin with cervical lipectomy. Subsequently, he improved his technique by sectioning the facial muscles. He made their anatomical description and alcoolised the frontal branch of the facial nerve. In 1924, he described “the orbital fat hernia” and advocated their removal by conjunctival approach.

Suzanne Noël (1878–1954) Ambulatory surgery (1926) of treating severely wounded faces (“broken faces”) during the first World War that appeared a generation of practitioners practicing cosmetic surgery exclusively. These surgeons during the twenty years that separated the two world wars defined the principles of almost all cosmetic surgeries.

Julien Bourguet (1876-1952) Trans-conjonctival blepharoplasty (1924)

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Suzanne Noël (1878-1954) was the first female plastic surgeon. Her book “cosmetic surgery, its social role”, is the first to show photographs” before and after “.She was also the first to perform outpatient surgery in her office. Maurice Virenque (1888-1946) used since 1925 deep anchored stitches in the facelift. Louis Dartigues (1869-1940) published numerous technical mammaplasties techniques: vertical scar technique (improved in1970 by Claude Lassus) and shortly after Thorek the amputation with free areola nipple complex graft.


whose work was entirely devoted to Cosmetic Surgery (SOFCEP). In 1974, Vladimir Mitz and Martine Peyronie published the anatomical description of the SMAS (Superficial Musculo Aponeurotic System) which allowed new lifts techniques. In 1977, Yves Gerard Illouz developed the technique of liposuction, which is a revolutionary advance in the history of Aesthetic Surgery. He was also the source of important studies on fat. Paul Tessier (1917-2007), the designer of the CranioFacial Surgery, devised in 1989, a subperiosteal facelift technique called the mask lift. In breast surgery, one should note the contributions of Georges Henri Arion (1931-2005) who invented the “inflatable” prosthesis in 1965, and Louis Benelli in 1988, who described a technique of periareolar breast reduction. Maurice Virenque (1886-1946) «modern» Face-lift (1926)

2 After the 2nd World War From 1939, with the war, the practice of Cosmetic Surgery became rare in France. In 1953, young surgeons founded the French Society of Plastic and Reconstructive Surgery. They practiced Plastic Surgery, but put in the foreground the Reconstructive Surgery. From 1970, the younger surgeons criticized this approach too exclusive. They founded in 1989, a society

3. After 1990 In the last decade of the 20th century and the early years of the 21st century, cosmetic surgery takes on a new importance. Jean François Pascal and Claude Le Louarn describe new techniques and abdominoplasty surgery after massive weight loss. Indications of fat injections in the breast are defined by Emmanuel Delay, Mojallal Ali and Eric Auclair. A particular interest is given to the aging of the face and leads to a better knowledge of the aging process. Alain Bonnefon, Bernard Cornette de Saint Cyr, Alain Fogli, Daniel Labbe, Claude Le Louarn, Daniel Marchac, Frank Trepsat are at the origin of important conceptual advances and their surgical implications. Editor’s Note: This essay was written at my request as I have been for a long time highly impressed by the advanced sophistication in aesthetic surgery by my French colleagues. This article, by necessity for brevity, omits many for which I’m regretful, but will welcome a Letter to the Editor for comments in this regard.

Julien Glicenstein Historian of the National Society of PRS

Louis Dartigues (1969-1940) Vertical scar Mamma plasty (1924) Issue 10

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Saudi Scientific Association of Plastic Surgery and Burns (SSAPSB) Saudi Arabia is the largest country in the Arabian Gulf region, and hence, the SSAPSB serves a very large area of the Middle Eastern, Asian and other Foreign Plastic Surgeons in the country, besides the Saudis. We are the closest geographically to Africa, therefore we have very strong ties with the African plastic surgery societies as for example, the Egyptians. In fact, we commonly collaborate in our scientific activities. Greetings from the Saudi plastic surgeons! The history of plastic surgery in Saudi Arabia is a long history of more than 40 years of ambition, hopes and petition. I remember with pride the efforts of my colleagues plastic surgeons, in its early years, to promote the specialty by overcoming the social difficulties and technical needs and to establish safe, successful high standard plastic surgery service in the kingdom of Saudi Arabia, which we successfully achieved. Our success made us dream of creating the first professional Scientific Association of Plastic Surgery and Burns (SSAPSB) in the kingdom, which was founded on 2001 (G) to promote the specialty and to facilitate the exchange of knowledge and experiences locally and internationally with the similar associations and their plastic surgery members. We are an Association starting its second decade but we have proudly achieved a lot in a short time, by providing up-to-date education to our members through local scientific activities, followed by the Annual International Conferences and many Workshops where eminent plastic surgeons been invited from all over the world. We work hard to disseminate accurate and current information to the public and media, and to promote safe plastic surgery nation-wide

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Objectives We aim to provide high standards of practice of plastic surgery in our country; which can be achieved by continuous education with courses, scientific participation of Saudi Plastic Surgeon in the local and international conferences and workshops and by exchange of knowledge and experience with the other plastic surgery associations and their members. The encouragement of distinguished scientific research in the specialized fields and publications in superior scientific journals. The organization of scientific expeditions for the members and the establishment of scientific competitions in the areas of specialization. In addition to local monthly activities all over the kingdom, we have the following international activities:

Activity 1st KAU International Surgical Congress “Minimally Invasive Surgery” King Abdul-Aziz University Jeddah, King Fahd Medical Research Center, 4-5 November 2008, 17hours 2nd International Plastic Surgery and burn conference, 6 - 8 April 2010, 30 hours per SCHS NO.

Preconference workshop of the 2nd International Plastic Surgery on 5 April 2010 • Workshop on bariatric surgery & Body contouring Surgical techniques, Liposuction, Laser modalities & Combined procedures.


3rd International Plastic surgery conference 2011 • Aging face, rejuvenative surgical and adjunctive Measures (Laser, Botox, peeling and fillers). • Plastic Surgery of the Diabetic Foot. • Human Med (Body Jet) • Aptos ( live surgery 2 cases ) • Lipolysis & Zerona (live demonstrations 2 cases) • Post-liposuction Thermage (live demonstrations 2 cases) • Combination of Fraxel & Face Lift. Saudiplast 2011, the 3rd International Conference of Saudi Association of Plastic Surgery & Burns In collaboration with Plastic Surgery Unit ,3-5 May 2011 King Fahad Medical Research Center

Pre congress workshop Workshop (1) Lipomodelling (The Use of Fat in Esthetic & Reconstructive Surgery) • Live surgery on cases of Facial rejuvenation • Live surgery on cases of Neck liposculpture • Live surgery on cases of Fat lipofiling of the upper and lower extremity (Hand &feet ) Workshop (2) Workshop on Body Jet Liposuction & Lipofilling • *Live surgery on cases of Body profiloplasty • cases of liposuction with lipojet liposuction and Autologous fat graft for breast augmentation • Workshop (3 ) Non-invasive body contouring . • Workshop (4 ) Novel method to get rid of localized fat: Cryolipolysis (Zeltiq) • Workshop (5 ) On Botox injection Esthetic use of Botox injection in patients live Application Workshop on Botox injection. Workshop of cleft lip and palate 19-21 january 2010 king abdul- aziz university hospital . • Workshop of Cleft Nose Surgery Nasal Reconstruction for Patient with Cleft Lip and Palate 20 –22/9/2011 King Abdul-Aziz University

Hospital . • Workshop Post Mastectomy Breast Reconstruction 03-04 Dec. 2011 King Abdul-Aziz University Hospital • Workshop Management of Velopharyngeal Incompetence Post Cleft Palate Repair 7-9 /4/2012 King Abdul-Aziz University Hospital • Workshop Evolution of Fat and Fat Grafting (28 – 29) - 4-2012 King Abdul-Aziz University Hospital The coming conference :The 4th International Conference of Saudi Association of Plastic Surgery & Burns In collaboration with Plastic Surgery Unit, 4-6/2 /2013. With Pre congress

workshop 2-3 /2 /2013. The main theme of the conference is Aesthetic and Reconstructive Breast Surgery

The current Board Members (The 3rd board of the association) President Prof. Sabah S. Moshref Vice President Dr. Basim A. Awan General Secretary Dr. Badr M. Abdulrauf Treasurer Dr. Thoraya M. Tachkandy Board Members Prof. Yasir S. Jamal Dr. Ibrahim A. Mirdad Dr. Ahmed R. Bakhsh Dr. Saleh A. Khawaja Dr. Mohamed Farag

Prof. Sabah Moshref Consultant & Professor of Plastic Surgery President of Saudi Society of Plastic Surgery Head of plastic surgery unit King Abdul-Aziz University Hospital Jeddah KSA. Mobile 00966505617886 Dr.sabahmoshref@gmail.com Issue 10

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Spanish Society for Plastic, Reconstructive and Aesthetic Surgery (SECPRE)

Marín Santander, ED. Resident’s Representative. Member of the Executive Committee of the Spanish Society for Plastic, Reconstructive and Aesthetic Surgery (SECPRE). Resident in Plastic Surgery. Complejo Hospitalario Universitario de Albacete. Spain Culaciati Tapia, C. Resident in Plastic Surgery. Complejo Hospitalario Universitario de Albacete. Spain Martínez Andrés, P. Resident in Plastic Surgery. Complejo Hospitalario Universitario de Albacete. Spain. Gómez Bajo, GJ, General Secretary of the Spanish Society for Plastic, Reconstructive and Aesthetic Surgery (SECPRE) Masiá Ayala, J. President of the Spanish Society for Plastic, Reconstructive and Aesthetic Surgery (SECPRE)

1. The beginnings First evidences of documented Spanish plastic surgery come from the first half of the 19th Century, when Diego Argumosa and collaborators, such as Joaquín Hysern, developed original techniques about tissue transplantation and lip and eyelid reconstruction. During the early years of the 20th Century, Professor Cortés Lladó from the University of Seville Surgical Pathology Department, contributed to the development of Spanish plastic surgery after having acquired knowledge and skills with Professor Morestin in France. This author defined Plastic Surgery as “shape preservation or morphological improvement often bound to a physiological objective such as conservation or function recovery”. Regretfully, Spanish Civil War (1936-1939) represented, as happened in many other places in the world, the time when Plastic Surgery truly emerged as a surgical specialization. At that time, warfare defensive systems such as trenches and barricades, and the utilization of fire and stabbing weapons, determined a special kind of head and neck wounds, which challenged both surgeons and anesthesiologists. A New York Times reference dramatized about those facts: “There were so many mutilated faces among the rebel army as there were in the first World War British army”. Wounded soldiers and citizens gathered searching for an urgent solution in order to return to a normal life. Thus, in 1937, General Francisco Franco asked United States surgeon Joseph Eastman Sheehan 62

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(1885-1951) to join the surgeon José Soler Roig and create what would become the first Plastic Surgery Service in Spain at the “General Mola Hospital” in San Sebastián. In 1938, Dr. José Sánchez Galindo, who had been sent to New York to learn from Sheehan both reconstructive surgery and orotracheal intubation, assumed the role of Chief of the Plastic Surgery Department. At the end of the war, Dr. Sánchez Galindo remained in charge of the Plastic Surgery Department at the Gómez Ulla Army Hospital in Madrid. At the same time, Spanish Red Cross developed Plastic Surgery Facilities and Departments in Madrid, Barcelona, Sevilla and Valencia. In 1950s, a group of plastic surgeons developed what would become the roots of the Spanish Plastic Surgery Society. In October 15th, 1953, Dr. Sánchez Garrido, Soraluce Goñi, Vilar-Sancho and Álvarez Lowell signed the statutes, which were officially approved by the General Health Department in 1950. Consequently, in May 12th, 1956, the Spanish Plastic and Reconstructive Surgery Society was definitively created. Its main objective was to improve health assistance through learning, ethics, clinical practice and investigation on the field of Plastic Surgery. The first board of directors was constituted by Dr. Sánchez Galindo (President), L. Mir y Mir and J.A. Soraluce Goñi (Vice-presidents), L. Álvarez Lowell (General Secretary), B. Vilar-Sancho (Treasurer), V. Mirabet Hipólito and M- Gras Artero. According to the Spanish General Law for Medical specialties, in 1957 Plastic Surgery was acknowledged as a Surgical Specialization.

2. The development After several national Meetings, on may 25th 1964, the first SECPRE National Congress was celebrated in Madrid, serving as Congress President Dr. Vilar Sancho, as Honorary President Dr. Sánchez Galindo, and as President of the Spanish Plastic Surgery Society (SECPRE) Dr. Planas Guash and as General Secretary Dr. Enríquez de Salamanca. Main topics were reconstructive surgery of the hand, traffic trauma sequelae and aesthetic surgery. Seventy members were inscribed as members of the society at that time. The European Society of Plastic, Reconstructive and


Aesthetic Surgery (ESPRAS) was created as a section from IPRAS, during the 4th International IPRAS meeting in Rome, on October 13th 1967. The second Quadriennal congress was held in Madrid, in 1973. The president of the Congress was Dr. Vilar Sancho, Coordinator of the Executive Committee of ESPRAS. In 1965, Argentinian Plastic Surgery Society invited both Spanish and Portuguese societies to the first Iberolatinamerican Congress, presided by Dr. Ernesto Malbec, Norberto Spera and Héctor de la Ruffa. Benito Vilar Sancho and Ulrich Hinderer represented Spain. Dr. Hinderer proposed a second Iberolatinamerican Congress to be held in Spain. It took place in Córdoba, and Dr. José Cabrera and Ulrich Hinderer were the Presidents of that event. Dr. Benito Vilar Sancho and Mario González Ulloa prepared a script expressing the will of all the assistants to create a Federation. During the 12th Congress, under the presidency of Dr. Ricardo Baroudi, Spain and Portugal confirmed their will to join the Latinoamerican group because of the cultural bindings uniting the assistant countries. Finally, in 1974, at the 13th Congress of in Caracas, was founded the Iberolatinoamerican Plastic and Reconstructive Surgery Federation (FILACP). The Spanish Plastic Surgery Journal was first edited in 1967 under the SECPRE presidency of Dr. Lazo. The first issue was published on May 1968 being editors Dr. Quetglas and Dr Hinderer. In 1971, Dr. Quetglas was designated as Editor in Chief of the Journal. Since the Iberolatinoamerican Federation had been already created, both journals were merged into the actual Journal of Ibero-Latinoamerican Plastic Surgery (Cirugía Plástica Iberolatinomericana). During 1973 and 1974, with Dr. Quetglas Moll as President, the general board approved the current name of Spanish Plastic, Reconstructive and Aesthetic Surgery Society (SECPRE). In 1992, the X IPRAS World Congress was held in Madrid

(which was postponed by a year, due to the gulf war). The President of that Congress was Dr. B. Vilar-Sancho and the Congress General Secretary, Dr. M. Bermudez From 1992 to 1999, Dr. Ulrich T. Hinderer was General Secretary of IPRAS The original logotype was mantained until 1998 when the SECPRE decided to switch to a new one, which was chosen at the XXXIII Spanish National Congress.

3. The present Currently, SECPRE stimulates humanitarian activities in different countries where international collaboration is requested. Several programs have been developed. In the present time, 800 plastic surgeons and 100 residents in Plastic Surgery are members of SECPRE. The actual board of directors is formed by Dr. Jaume Masià Ayala (President) and Dr. Gregorio Gómez Bajo (General Secretary) who are committed to promote SECPRE as a world wide distinction of Excellency in Plastic Surgery.

4. References 1. Diario ABC Madrid 16/05/1962 pag 49. 2. Diario ABC Madrid 23/05/1964 pag 51. 3. Diario ABC Madrid 28/05/1964 pag 85. 4. Diario ABC Madrid 29/06/1973 pag 132. 5. www.secpre.org, www.espras.org, www.ipras.org. 6. “Historia de la anestesia en España 1847 - 1940” Avelino Franco Grande, Julián Álvarez Escudero, Joaquín Cortés Laíño. ARÁN Ediciones S.L. 2005 7. “In memoriam” Cir. plást. iberolatinoam. v.33 n.1 Madrid ene.-mar. 2007 8. “In memoriam” Cir. plást. iberolatinoam. v.35 n.1 Madrid ene.-mar. 2009

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Plastic Surgery Hyperguide: An Interactive Continuing Medical Education Web Site

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Μore than 80 well respected international faculty from 50 countries gathered in one meeting to share latest knowledge on: • Breast augmentation safety - PIP issue, ALCL, long term results • Fat grafting and stem cell application in Plastic Regenerative Surgery • Facial rejuvenation (Fillers, Botulinum toxin, LASER and safety issues) • Parameters of practice (standards, legislations, training)

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10th IQUAM CONGRESS AND CONSENSUS CONFERENCE Athens - Greece • 2- 4 November, 2012 ROYAL OLYMPIC HOTEL

Registration Fees

Topics • Breast Implants • Soft Tissue and Dermal Fillers • Fat Grafting • Tissue Engineering • Stem Cell and Growth Factor Research • Recent Findings in Technologies and Devices for Plastic Surgery • Current State of Bans and Warnings by Health Authorities

350,00 €

Participants

250,00 €

Residents* Accompanying Persons

100,00 €

*To qualify as a Resident a letter from Head of Department must be submitted as proof of fulltime employment in a specialty/training program in the current academic year.

Accommodation ACCOMMODATION FEES

Single Room / per night

110 € 70 €

ROYAL OLYMPIC HOTEL 5* ACROPOLIS VIEW HOTEL 4*

Double Room / per night

125 € 95 €

* Prices are quoted above on a bed and breakfast basis and include all taxes; 3 nights minimum stay required

Royal Olympic Hotel 5* CONGRESS VENUE The hotel lays just in front of the famous Temple of Zeus and the National Gardens. underneath the Acropolis and only 2 minutes walk to the new Athens Acropolis Museum.

View from the Hotel: Ancient Temple of Zeus

Acropolis View Hotel 3* The hotel is nestled in the serene green area of Filopappou, offering commanding Acropolis View, near the new Acropolis Museum and the historical center of Athens in Greece, 10min walk from the area of Plaka.

View from the Hotel: Acropolis

Host City Athens is the oldest city in Europe and the city with the longest history. Strolling through Athens, the visitor discovers this rich history as Ancient, Roman, Byzantine and modern monuments abound. Take advantage of this unique feature and enjoy a trip into the course of history. Athens experiences great weather in November and offers a wide range of attractions and cultural activities

Host Country Greece is a crossroad of colors and cultures; the visitor can feel the strength of History and the warmth of the southern extremity of Europe and discover the evolutionary course of thought, influence and experience. Greece with a uniquely affluent historical past, is a country that, though statistically small, is huge in its diversity, full of beautiful contradictions that offers a constant journey in time, from the present to the past and back again through a breathtaking scenery.

For the first time in Greece One of the most important scientific events in the field with cutting edge unpublished scientific results which will formulate the next updated “Position Statement” to be distributed to the Health Ministries of 102 countries

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10th IQUAM CONGRESS AND CONSENSUS CONFERENCE Athens - Greece • 2- 4 November, 2012 ROYAL OLYMPIC HOTEL

Invited Faculty

Committees Honorary President: Nicolai Jean Philippe, Netherlands Congress President: Poëll Jan, Switzerland IQUAM President: Neuhann-Lorenz Constance, Germany IPRAS President: Eisenmann-Klein Marita, Germany INTERNATIONAL ORGANIZING COMMITTEE Chair: Yiacoumettis Andreas, Greece Secretary: Palmos Petros, Greece Colic Miodrac, SERBIA Demiri Debi, GREECE Eed Mohamed, SAUDI ARABIA Fedeles Joseph, SLOVAKIA Javarov Murod, UZBEKISTAN Kaplanidis Zacharias, GREECE Lascar Ioan, ROMANIA

May Albert De, BELGIUM Milanov Nicolai, RUSSIA Mugea Toma, ROMANIA Noreldin Ahmed Adel, EGYPT Piccolo Nelson, BRAZIL Voukidis Theo, GREECE Yavuzer Reha, TURKEY

LOCAL ORGANIZING COMMITTEE (GREECE) Athanasopoulos Elias Boukouvalas Zisis Dimovelis Petros Gavriil Efstratios Gravvanis Andreas Karonidis Athanasios Kerastaris Dimitrios Moisiadou Aggeliki Panagiotou Petros Papadimitriou Andreas

Papadopoulos Stefanos Papaioannou Konstantinos Paraskevopoulos Stavros Pavlides Leonidas Pitas Sotirios Spyriounis Petros Stavropoulou Vassiliki Tsekouras Anastasios Vasiliou Menelaos

SCIENTIFIC COMMITTEE Chair: Marchac Daniel, France Co-Chair: Pusic Andrea, USA Co-Chair: Papadopoulos Othon, Greece Auclair, Eric, FRANCE Biggs Tom, USA Brody Garry, USA Cunningham Bruce L., USA Eisenmann – Klein Marita, GERMANY Filho Pericles, BRAZIL García-Velasco Manuel, MEXICO Horch Raymund, GERMANY Khoo Chris, UK Khouri Roger, USA Kinney Brian, USA Lantieri Laurent, FRANCE Le Louarn Claude, FRANCE Madaree Anil, SOUTH AFRICA Markowicz Marta, GERMANY

Neumeister Michael, USA Pallua Norbert, GERMANY Papadopulos Nikos, GERMANY Petit Jean Yves, Italy, ITALY Prasetyono Teddy, INDONESIA Rigotti Gino, ITALY Rubin Peter, USA Russe-Wilflingseder Katharina, AUSTRIA Sabapathy Raja, INDIA Schaefer Dirk, SWITZERLAND Scheflan Michael, ISRAEL Suk Wa Kim, SOUTH KOREA Toth Bryant, USA Vogt Peter, GERMANY Yoshimura Kotaro, JAPAN

SOCIAL COMMITTEE Chair: Sofianou Io, Greece

Members: Karaoli Martha, Greece Kyriopoulou Jenny, Greece

Auclair Eric, France Becker Hilton, USA Benito De Javier, Spain Berger Alfred, Germany Bergeret-Galley Catherine, France Berrocal Manuela, Colombia Biggs Tom, USA Botti Giovanni, Italy Brody Garry, USA Cao Yi Lin, China Castana Ourania, Greece Chen Yu Ray, Chinese Taipei Cohen Mimis, USA Colic Miodrag, Serbia Costa Horacio, Portugal Costagliola Michel, France Cunningham Bruce, USA D’ Amico Rick, USA Daver Bahman, India Delay Emmanuel, France Diaz-Guillen Ricardo, Panama Dionyssopoulos Alexandros, Greece Drzewiecki Krysztof, Denmark Duskova Marketa, Czech Republic Echeverria Guillermo, Guatemala Eed Mohammad, Saudi Arabia Eisenmann-Klein Marita, Germany Enescu Dan, Romania Evstatiev Dimitre, Bulgaria Filho Pericles, Brazil Fook Lia, Brazil Foustanos Andreas, Greece Franka Rida Mohammed, Libya Frey Manfred, Austria Garcia Velasco Manuel, Mexico Germann Guenter, Germany Gilis Janis, Latvia Gorney Mark, USA Grisotti Andrea, Italy Guerrero Romulo, Ecuador Guerrerosantos Jose, Mexico Gulyas Gustav, Hungary Gursu Guler, Turkey Haeck Phil, USA Hamdi Moustapha, Belgium Hebisch Antoine, Luxembourg Heijningen Ivar van, Belgium Ho Quoc C, France Hoflehner Helmut, Austria Hovius Steven, Netherlands Hvilsom Gitte, Denmark Jianu Dana, Romania Kinney Brian, USA Kletsas Dimitris, Greece Klinger Marco, Italy Koller Jan, Slovakia Koulermou Georgia, Cyprus Kouppas Andreas, Greece Kubiena Harald, Austria

On-line Bookings DON’T MISS THE OPPORTUNITY TO BOOK YOUR REGISTRATION / ACCOMMODATION ON-LINE ΑΤ:

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Lantieri Laurent, France Le Louarn Claude, France Lennox Peter, Canada Machens Hans, Germany Magalon Guy, France Marchac Alexandre, France Marchac Daniel, France McGuire Michael, USA Melnikov Dmitry, Russia Mlachkouski Slarhel, Belarus Molea Guido, Italy Mottura Aldo Antonio, Argentina Mu Lan Hu, China Mugea Toma, Romania Mureau Marc a. M., Netherlands Neuhann-Lorenz Constance, Germany Niamtu Joe, USA Nicolai Jean Philippe, Netherlands Ninkovic Milomir, Germany Norma Cruz, Puerto Rico Nozaki Motohiro, Japan Pallua Norbert, Germany Papadopoulos Othon, Greece Papadopulos Nikolaos, Greece Parkhouse Nick, UK Pavlides Leonidas, Greece Pena Cabus Guillermo, Honduras Persichetti Paolo, Italy Piccolo Nelson, Brazil Poell Jan, Switzerland Prantl Lukas, Germany Prasetyono Teddy, Indonesia Psaras George, Cyprus Pshenisnov Kirill P., Russia Pusic Andrea, USA Rohrich Rod, USA Russe-Wilflingseder Katharina, Austria Schaefer Dirk J, Switzerland Scharnagl Erwin, Austria Sharpe David, UK Siburian Elida Sari, Indonesia Sofianou Io, Greece Starceva Olesya, Russia Stasievich Aleh, Belarus Sterodimas Aris, Greece Stocchero Irthamar, Brazil Tsoutsos Dimosthenis, Greece Uebel Carlos, Brazil Vazques Guillermo, Argentina Vogt Peter, Germany Voukidis Theodore, Greece Warwick Morris, South Africa Wixtrom Roger Wolfli James, Canada Yaghjyan Gevorg, Armenia Yavuzer Reha, Turkey Young Leroy, USA Zaki Mohamed, Egypt


1st

IPRAS INTERNATIONAL TRAINEES’ MEETING

Athens - Greece • 1 November, 2012 ROYAL OLYMPIC HOTEL

For the FIRST time …

Confirmed Sponsors Gold Sponsor

Silver Sponsor

1st IPRAS INTERNATIONAL TRAINEES’ MEETING Will take place in Athens on November 1st, 2012. This meeting will make history as the first of its kind in the world! It is expected that trainees from many countries will participate as well as representatives from Trainees’ Organizations. The Faculty of this meeting will include respected and well known teachers, heads of training programs, trainees and members from the IPRAS leadership.

Program • Scientific Presentations • Training and Accreditation • International Co-operation • Official Participation of Trainees in IPRAS • Launching the Academy for Aesthetic Surgery Training)

Topics Sponsors

• What to do to become a plastic surgeon on a country? • Academy for Aesthetic Plastic Surgery Training • Preliminary results of the survey on “Training in the different IPRAS countries • Founding of the IPRAS-TA (Training Association) and its representatives • Best paper session AWARD: registration fee & accommodation for 17th IPRAS World Congress, Santiago, Chile, 24/2-1/3/2013!

Seniors’ Organizing Committee Chair: Andreas Yiacoumettis, IPRAS Deputy General Secretary, Greece Marita Eisenmann-Klein, IPRAS President, Germany Nelson Piccolo, IPRAS General Secretary, Brazil Norbert Pallua, IPRAS Parliamentarian, Germany Ahmed Noureldin, IPRAS Deputy General Secretary, Egypt Brian Kinney, IPRAS Deputy General Secretary, USA Daniel Marchac, Chairman IPRAS Scientific Advisory Board, France

Trainees’ Organizing Committee Chair: Sarah Lorenz, Germany Shady Rehim, UK Antonis Kritharis, Greece Ondrej Mestak, Czech Rep

Osvaldo Ribeiro Saldanha Filho, Brazil Lisa Russe, Austria

Registration Fees IPRAS sponsors the registration fee for trainees! 1st IPRAS International Meeting for Trainees

before EUR 100 € new EUR 50 €!!

Combined Registration for 10th IQUAM & st 1 IPRAS International Meeting for Trainees

before EUR 320 € new EUR 250 €!!

*Residents’ Combined Registration: 10th IQUAM & 1st IPRAS International Meeting for Trainees

Final Program Το view Final Program please visit: www.iquam2012.com/program

On-line Bookings DON’T MISS THE OPPORTUNITY TO BOOK YOUR REGISTRATION / ACCOMMODATION ON-LINE ΑΤ:

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CROCUS EXPO CENTER

www.russiansymposium2012.com M O S C O W R U S S I A

INTERNATIONAL IPRAS - ISPRES SYMPOSIUM IN PLASTIC REGENERATIVE & AESTHETIC SURGERY In conjunction with the National Congress of Russian Society of Plastic Surgery

DECEMBER

12-13 2 0 1 2

ORGANIZERS:

ON P X SPR A S

Russian Society of Plastic, Reconstructive and Aesthetic Surgeons (Russian SPRAS) International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS)

MAJOR SPONSOR ORGANIZATIONAL SUPPORT:

ENDORSEMENT: International Society of Plastic, Regenerative Surgery(ISPRES)

OFFICIAL LANGUAGE : ENGLISH

ZITA C O N G R E S S

ISO 9001 ISO 14001

ZITA CONGRESS S.A.

SIMULTANEOUS TRANSLATION IN RUSSIAN

Unique opportunity to share experience with Leading International Experts

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TOPICS · Latest Developments on Fat Grafting: A modern technique for reconstruction, reshaping, regeneration/ rejuvenation · New Invasive and Non-Invasive Techniques of Facial Rejuvenation and Silhouette Fat enrichment with stem cells

PRESIDENT OF THE CONGRESS

Gino Rigotti, ISPRES President (Italy)

ORGANIZING COMMITTEE

President: Nikolai Milanov, SPRAS President (Russia) Members: Zacharias Kaplanidis, IPRAS Executive Director (Greece) Kirill P. Pshenisnov, IPRAS Specialty Protection Committee (Russia)

SCIENTIFIC COMMITTEE

Marita Eisenmann – Klein, IPRAS President (Germany) Roger Khouri, ISPRES Vice President (USA) Natalia E. Manturova (Russia) Riccardo Mazzola, IPRAS Historian (Italy) Alexander I. Nerobeev (Russia) Arslan Penaev (Russia) Gino Rigotti, ISPRES President (Italy) Sergey A. Roumiantsev (Russia) Dmitrij V. Slosser (Russia) Klaus Ueberreiter (Germany) Kotaro Yoshimura (Japan)

REGISTRATION FEES(€)* (€) FEES

UNTIL 15/10/2012

FROM 16/10/2012

DOCTORS

300€

400€

RESIDENTS

200€

300€

TO BOOK ONLINE VISIT www.russiansymposium2012.com HOST CITY:

HOST COUNTRY:

VENUE:

MOSCOW

RUSSIA

CROCUS CENTER

Moscow is the capital and a major political, economic, cultural and scientific center. In the course of its history the city has served as the capital of a progression of states, from the medieval Grand Duchy of Moscow and the subsequent Tsardom of Russia to the Soviet Union.

The country is characterized by diverse landscapes of icy tundra and sun-kissed beaches, dense silver birch and fir forests and deep and mysterious lakes, snow-capped mountains and swaying grasslands – those famous steppes, ancient fortresses, luxurious palaces, swirly spired churches and lost-in-time wooden villages.

International Exhibition Center was designed and constructed using modern building materials in accordance with the highest international architectural standards. Its core business is holding of large international exhibitions of different profiles with participation of Russian and foreign companies.

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Wednesday, 12th December

Thursday, 13th December

08:00-10:00 Registration 10:00-13:30 Biology and Techniques Biological aspects (30 min) Gino Rigotti Adipose derives Stem Cells: what the future might hold (30 min) Marita Eisenmann-Klein Functional roles of stem cells in fat grafting (30 min) Kotaro Yoshimura Fat grafting basic technique and technical details (30 min) Riccardo Mazzola Optimization of graft material in fat grafting (30 min) Kotaro Yoshimura Fat grafting technique. Personal approach (20 min) Gino Rigotti Discussion

08:00-09:00 Registration 09.00-11.30 Breast Reconstruction Fat Grafting for Breast Reconstruction after failure of other reconstructive techniques and Breast Deformities (30 min) Marita Eisenmann-Klein Fundamental principles of fat grafting to the breast and how to make large volumes survive (30 min) Roger Khouri Immediate breast reconstruction with fat grafting (30 min) Roger Khouri Breast reconstruction: conversion and total breast reconstruction (30 min) Gino Rigotti Breast Reconstruction with the Reverse Abdominoplasty and Fat Transfer (RAFT) procedure (30 min) Roger Khouri

13.30-14.00

Lunch

11.30-12.00 14.00-17.00 Face, Hands, Body Fat grafting to the face (25 min) Riccardo Mazzola Application of fat grafting to the hand (25 min) Roger Khouri Fat grafting to the vocal cords to correct dysphonia (25 min) Riccardo Mazzola Facial reconstruction/contouring with fat (25 min) Kotaro Yoshimura Treatment of Dupuytren contracture with Fat grafting (25 min) Roger Khouri Fat grafting to correct velo-pharyngeal incompetence (25 min) Riccardo Mazzola Fat grafting to the face: regeneration and cosmesis (25 min) Gino Rigotti

Coffee break

12.00-14.00 Breast Augmentation/reshaping Part I Breast augmentation with fat grafting (30 min) Roger Khouri Breast augmentation/reshaping (30 min) Gino Rigotti Breast conservative treatment: correction of outcomes with fat (30 min) Gino Rigotti Clinica result of large volume fat grafting by water-jet assisted fat harvesting and transfer (30min) Klaus Ueberreiter 14.00-14.30 Lunch

17.00-17.30 Coffee break

14.30-15.30 Breast Augmentation/reshaping Part II Controversial on fat grafting to the breast (30 min) Gino Rigotti New approaches to breast augumentation with lipotransfer (30 min) Arslan Penaev

17.30-18.30 Discussion and Question time

15.30-16.30 Discussion and Question Time

Contact person: Mrs. Mina Ploubi, tel. 0030 211 100 1781, fax:0030 210 664 2116, e-mail: a.pl@zita-congress.gr

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Dear Colleague, We invite you to the 4th CATFAS meeting Controversies, Art & Technology in Facial Aesthetic Surgery, which will take place in Gent, Belgium, from June 7th to 9th, 2013. During this meeting the newest concepts and ideas on facial aesthetic surgery are presented and discussed by the worldÕs key opinion leaders, a unique opportunity in Europe. The highlights this year will be: �� Current Understanding of Facial Aesthetics �� Anti-aging Engineering �� New Trends in Facial Fat Grafting �� The Present and Future of Facial Rejuvenation �� Modern Open Rhinoplasty Concepts �� Stem Cells from Fat As usual, we expect lively discussions and much interaction between faculty and audience. Live surgery will be broadcasted in 3D High Definition, the newest high quality standard. Patrick Tonnard and Alexis Verpaele Hosts and organizers CATFAS meeting

�������������������������������������������������� ������������������������ ������������������������ ������������������������ ��������������������� � �

Patrick Tonnard, Alexis Verpaele, Moustapha Hamdi Scientific Board

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TOPICS • Fat grafting and its rule in regenerative plastic surgery • Burn Wound Care • Guidelines for flap surgery • Principles and latest advances in microsurgery • Panel on Humanitarian Projects

• Rhinoplasty • Facial Rejuvenation • Body Contouring • Breast Aesthetic • Breast Primary and Secondary Reconstruction

President of the Congress: AHMED ADEL NORELDIN, Deputy Secretary General of the International Federation for Plastic, Reconstructive & Aesthetic Surgery (IPRAS) Chairman of the Pan African section of the International Federation for Plastic, Reconstructive & Aesthetic Surgery (IPRAS)

ORGANIZING COMMITTEE

SCIENTIFIC COMMITTEE

From Egypt T. Abolezz A. Afifi O. Antar A. Drweesh M. Elhadidi A. Emam F. Gharieb F. Hamza A. Maged E. Mandour A. Moftah A. Mgdi Y. Saleh From Nigeria Al Abobaker S. Ademola II. Onah

From Egypt H. Badran A. Elsharkawi S. Hewidi M. Ismaeil M. Kadri A. Khashaba I. Labib H. Saber A. Salah E. Seif S. Zaki From Nigeria I. Obgannaya Jk. Olabanji R. Nabuko

From Ghana J. Alpaloo From Kenya H. Nurein From Morocco F. Benslimane A. Chillihi A. Tazi From Uganda K. Edris From Sudan M. Abdulsamei From Tunisia A. Nefzi

From South Africa Sh. Barker A. Madaree S. Van Herden From Ghana P. Agbenonku From Kenya I. Aref B. Githae From Lybia R. Franka From Zambia G. Jovic

REGISTRATION FEES FEES EARLY UNTIL 15/6/2013 DOCTORS 2502 RESIDENTS 1502 ACCOMPANYING PERSONS 1202

LATE FROM 16/6/2013 & ON SITE 3502 2502 1202

VENUE - ACCOMMODATION HOTEL

SINGLE ROOM/ NIGHT

Porto Marina

DOUBLE ROOM/ NIGHT

105€

125€

Online abstract submission, registration & accommodation booking available at: www.panafricanps2013.com

Contact: ZITA CONGRESS Mr. Nikos Antonopoulos, tel. + 30 211 1001782, e-mail: n.an@zita-congress.gr

2

EL ALAMEIN, EGYPT

ND

INTERNATIONAL PAN AFRICAN CONGRESS OF PLASTIC AND RECONSTRUCTIVE SURGERY Issue 10

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TOPICS Surgery of the Skin and Cutaneous Malignancies Fat Grafting Facial Rejuvination Breast Body Contouring Tissue Engineering Flap Reconstruction

Present State of Research in Peripheral Nerve Regeneration New Trends in Fillers and Toxins Energy Based Devices Set – up Successful Plastic Surgery Practice New Frontiers in Plastic Surgery Practice

INVITED FACULTY Stepan Ariyan (USA) Sydney Coleman (USA) Bruce Cunningham (USA) Dan DelVecchio (USA) Greg Evans (USA) Roger Khouri (USA) Brian Kinney (USA)

Mimis Cohen (USA) Daniel Marchac (France) Nicolay Milanov (Russia) Ahmed Noreldin (Egypt) Igor Reshetov (Russia) Gino Rigotti (Italy)

COMMITTEES Congress President: Gagik Stamboltsyan, AAPRAS Founding Member, Armenia

Scientific Committee Chairman: Armen Hovhaanissyan, AAPRAS President, Armenia Co-Chairpersons: Marita Eisenmann Klein, IPRAS President, Germany Andreas Yiacoumettis, IPRAS Deputy General Secretary, Greece Armenia Members: Karen Danielyan Artavazd Sahakyan Leon Torosyan Gevorg Yaghjyan

Russia Members: Ruben Adamyan Nikolay Milanov Igor Reshetov Georgia Members: Iva Kuzanov Marlen Sulamanidze

Organizing Committee Chairman: Set Kazaryan Co-chairman: Zacharias Kaplanidis, IPRAS Executive Director Members: Arnold Adamyan Hrachya Arshakyan Tatevik Babayan Garegin Babloyan

Aram Boroyan Ivan Kuzanov Lilit Nerssisyan Hovhanness Stamboltsyan

REGISTRATION EARLY UNTIL 1/7/2013

Participants Residents

200 2 100 2

LATE UNTIL 1/9/2013 250 2 150 2

ACCOMMODATION GOLDEN TULIP HOTEL SINGLE ROOM/night: 115 2 DOUBLE ROOM/night: 140 2

IMPORTANT DATES Abstract Submission June 1st 2013 Early Registration July 1st 2013 Late Registration: September 1st 2013

Online registration & accommodation booking available at: www.aapras-tips2013.com Issue 10

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NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS 26 - 30 Oct 2012 Plastic Surgery THE MEETING Location: New Orleans, USA E-mail: registration@plasticsurgery.org URL: http://www.plasticsurgerythemeeting.com/

31 - 04 Nov 2012 34th Turkish Association of Plastic, Reconstructive and Aesthetic Surgery Location: Antalya, Turkey - Tel: +90 212 381 46 00 E-mail: tprecd@figur.net URL: http://www.plastikcerrahikurultayi.org/

01 - 04 Nov 2012 10th IQUAM CONSENSUS CONFERENCE & The 1ST IPRAS INTERNATIONAL TRAINEES’ MEETING Location: Athens, Greece - Venue: Royal Olympic Hotel Contact: Nikos Antonopoulos Tel: +302111001782 - Fax: +302106642116 E-mail: n.an@zita-congress.gr URL: http://www.iquam2012.com/

04 - 08 Nov 2012 47 Annual Conference of the Association of Plastic Surgeons of India (APSICON 2012) Location: Lucknow, India - URL: http://www.apsicon2012.com/

08 - 10 Nov 2012 Marrakesh World Aesthetic Conference Location: Marrakesh, Morocco Venue: Palmaraie Palace URL: http://www.mwac2012.com/

14 - 18 Nov 2012 49th Brazilian congress of Plastic Surgery Location: Porto Alegre, Brazil URL: http://www.cirurgiaplastica.org.br/


NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS 29 - 01 Dec 2012 The Cutting Edge 2012: Advanced Sculpting of the Nose Location: New York, USA Venue: The Waldorf Astoria Hotel URL: http://www.aestheticsurgeryny.com

06 - 08 Dec 2012 Controversies in Reconstructive Microsurgery Location: Istanbul, Turkey - Venue: The Marmara Istanbul Hotel URL: http://www.controversies2012.org

12 - 13 Dec 2012 International Symposium in Plastic, Regenerative and Aesthetic Surgery Location: Moscow, Russia - Venue: Crocus Center Contact: Mrs. Mina Ploumpi Tel: +30 2111001781 - Fax: +30 2106642116 E-mail: a.pl@zita-congress.gr URL: http://www.russiansymposium2012.com/

12 - 14 Dec 2012 National Congress of Russian Plastic Surgery Society Location: Moscow, Russia - Venue: Crocus Center URL: http://www.plastsur.ru/page/koncepciia_kongressa.html

13-15 December 2012 Fourth International Conference on Regenerative Surgery Location: Rome, Italy - Venue: Eurostars RomaAeterna Hotel Tel:+39 01042064090 - Fax: +39 01042091580 E-mail: mail@eurotraining.it URL: www.regenerativesurgery.it


IPRAS WEBSITE

www.ipras.org

JOIN YOUR COLLEAGUES The first website that gives you the opportunity to upload your scientific profile for free!!

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Now it is very simple to upload your scientific profile and gain the benefits of being under the IPRAS umbrella. Try it…!! Sign up on www.ipras.org and follow the following steps: 1. Create an account by clicking “Member’s login” on the top right-hand corner and then select the “Create new account” tab. 2. Fill out your “Username”, “Email” and “Password”, as required. 3. Select the option “Doctor” and your country, under the section “If you are a doctor, complete the following”. 4. Once all account details have been added, click on “Create new account” button. Then you click on “EDIT” and then on “DOCTOR PROFILE”. This is the section where all the information of your scientific profile can be uploaded. You may complete the fields with the information that you prefer such us: Personal Picture, Hospital Position, Affiliation, Special Field of Interest, Contact Details, Memberships, Topics of Special Interest, Publications etc. At the “EDIT” section you may proceed to the appropriate corrections at your account such us to change your password or to update personal information. When you complete the aforementioned steps there will be one last step remaining for your details to be uploaded on the IPRAS website. The application must be approved by the National Association you are a member. The application will

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be sent at the Association of the country that you have declared, ensuring that only IPRAS members of good standing and high ethical principles are able to upload their personal details. As soon as your Association verifies you as a member, your profile will automatically be uploaded at the website’s, “Find a doctor” option in the “Members”section. It is also up to you to decide whether your profile will be classified as “private” or visible to all visitors of the IPRAS webpage. Our aim, besides facilitating communication among colleagues, expands to allowing patients to verify the good standing and high ethical principles of the doctors’ profiles hosted, allowing them to choose qualified IPRAS members for needed procedures. In conclusion, I want to emphasize the usefulness of the IPRAS website FORUM. A section you will gain access to, as soon as your profile has been accepted and uploaded. Only verified plastic surgeons can use it and read its contents. Therefore, you will have the opportunity to exchange ideas, news regarding plastic surgery techniques, news from your National Association, alerts and all other information you would like to share with your peers. Don’t miss the opportunity to make the IPRAS website twice as useful to you! If you face any difficulties please do not hesitate to contact me at: maria.petsa@iprasmanagement. com . Always at your disposal! Maria Petsa IPRAS Assistant Executive Director


INDUSTRY NEWS �

Crisalix’s New Generation of 3D Simulations Now Available Quality of images like never before

“Special offer for all IPRAS members and readers. See end of the article for more details.”

Impress your patients with Crisalix’s ultrafast and accurate 3D simulator

themselves more concretely into what their body could look like after the procedure.

The new Crisalix simulator introduces a state-of-the art ‘engine’ designed to contribute to the efficiency of your consultation with simulations generated from the 3D model in as little as 2 seconds! Not only will you save consultation time, but the significantly enhanced quality of the 3D model will assist you in increasing patient satisfaction, conversion rates and referrals.

In addition, the replication of the patient’s skin from the 2D photos on the 3D images has also been significantly enhanced. With the new version, you can provide your patients with 3D images representing more faithfully their precise skin texture and color.

The first worldwide beta testing of its kind

The simulation of implant insertion employs a new scientific algorithm which provides for even more accurate 3D results than to date. These algorithms go to a level of detail never achieved till now for reproducing the precise shape of the implant in the patient’s body, thereby providing a highly accurate representation of post-procedures results.

Optimized 3D model to captivate your patients �

Crisalix integrates the most advanced 3D technology, similarly to what is used for box office motion picture animations as well as sophisticated 3D architectural visualizations and video games. Crisalix’s 3D imaging provides an unparalleled depth of perception and accuracy for the satisfaction of your patients. Crisalix’s approach to creating the 3D model has been extended to the body’s back and upper arms, to recreate in 3D these parts of the anatomy. This helps your patients have a more complete view of their preprocedure body, and more importantly, project

Crisalix has carried out the first beta testing of its kind on a worldwide basis. The objective of this undertaking has been to intensely test and validate Crisalix with various environments, specialists, user profiles and specificities from different markets. This study was conducted with prominent clinics, acclaimed university professors, board members, founders and presidents of associations, recognized key opinion leaders, and an amalgamation of a number of highly distinguished surgeons from every continent.

IPRAS SPECIAL OFFER

IPRAS members and readers benefit from an exclusive offer for UNLIMITED 3D PATIENT MODELS FOR FREE during 1 month, including unlimited simulations for each patient. To take advantage of this offer, simply visit www.crisalix.com, click on the FREE TRIAL button and enter following code in the “Coupon Code” field:

IPRAS Crisalix SA, PSE-A, 1015 Lausanne, Switzerland info@crisalix.com

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IPRAS PAST GENERAL SECRETARIES

90

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 BossĂŠ" (Canada) 1983 - 1992

Ulrich T. Hinderer (Spain) 1992 - 1999

James G. Hoehn (USA) 1999 - 2006

Marita Eisemann-Klein (Germany) 2006 - present

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International Confederation for Plastic Reconstuctive and Aesthetic Surgery 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

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10th Issue October 2012

IPRAS Journal Management Editor: Editor-in-Chief: Editorial Board:

Page Layout: E-mail: Post Editing: Photographer: IPRAS Management Office ZITA CONGRESS SA 1st km Peanias Markopoulou Ave P.O BOX 155, 190 02 Peania Attica, Greece Tel: (+30) 211 100 1770-1, Fax: (+30) 210 664 2216 URL: www.ipras.org • E-mail: zita@iprasmanagement.com Executive Director: Zacharias Kaplanidis E-mail: zacharias.kaplanidis@iprasmanagement.com Assistant Executive Director: Maria Petsa E-mail: maria.petsa@iprasmanagement.com Accounting Director: George Panagiotou E-mail: george.panagiotou@zita-congress.gr IPRAS Media Office: Maria Sevastaki E-mail: m.se@zita-congress.gr Commercial Director: Gerasimos Kouloumpis E-mail: gerasimos.kouloumpis@zita-congress.gr

Next issue: January 2013

IPRAS Thomas Biggs, MD Marita Eisenmann - Klein, MD Andreas Yiacoumettis, MD Christian Echinard, MD Constance Neuhann-Lorenz, MD Zacharias Kaplanidis, Economist Diastasi info@diastasi-print.gr Labrini Nikolopoulou Julian Klein

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.


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