2019 PROGRAMME

Best Practice in Aesthetic and Reconstructive Breast Surgery

2:00 PM - 3:30 PM

ONCOPLASTIC SURGERY

Chair: Michael Scheflan

  • Chest wall perforator flaps
    Jean-François Honart
  • Advanced oncoplastic techniques with glandular manipulation 
    Douglas MacMillan
  • Baby portacath 
    Federica Chiesa
  • Prepectoral reconstruction: step by step 
    Maurice Nahabedian
  • Immediate reconstruction with autologous fat graft 
    Roger Khouri

MICROSURGICAL BREAST RECONSTRUCTION

Chair: Claudio Angrigiani

  • Tips and tricks 1: the algorithm for recipient vessels and how to prepare them
    Mark Ashton
  • Tips and tricks 2: bipedicled/stacked flaps and other variations for volume
    Eric Santamaria
  • Delayed breast reconstruction with the DIEP flap: how to shape the breast and correct bad results
    Phillip Blondeel
  • Lumbar flaps
    Filip Stillaert
  • Tips and tricks in the use of the venous coupler
    Mihye Choi

3:30 PM - 4:00 PM

Refreshments

4:00 PM - 5:45 PM

AESTHETIC BREAST SURGERY

Chair: Eric Santamaria

  • Breast augmentation: from choosing the implant to planning the surgery
    Brad Calobrace
  • Mastopexy with mesh
    Paul Harris
  • Sutureless/incisionless mastopexy
    Roger Khouri
  • Implant to fat conversion
    Michael Scheflan
  • Tips to reduce discomfort and speed up recovery following dual-plane breast augmentation, kindly supported by GC Aesthetics
    Adrian Richards

7:00 AM - 8:15 AM

Registration and refreshments

8:15 AM - 8:30 AM

Welcome and introduction

Jian Farhadi & Jaume Masia

8:30 AM - 9:35 AM

BEST PRACTICE IN THE MANAGEMENT OF HEREDITARY BREAST CANCER

Chairs: Joan Lipa & Sinikka Suominen

  • Is there a difference in doing a therapeutic or risk reducing mastectomy?
    Zoe Winters 
  • Screening for the BRCA patient during pregnancy
    Federica Chiesa
  • Rapid genetic testing – friend or foe?
    Anjana Kulkarni 
  • Benefit and timing of RRM after previous cancer treatment
    Jana de Boniface
  • MRI after risk reducing surgery: standard of care?
    Steve Allen
  • Live poll

9:35 AM - 10:30 AM

BEST PRACTICE IN CHEMO AND RADIATION THERAPY RELATED TO RECONSTRUCTION

Chairs: Jana de Boniface & Jean-Franϛois Honart

  • What is the safe timeline between mastectomy and chemotherapy?
    Hartmut Kristeleit & Mihye Choi
  • Variations in adjuvant radiotherapy
    Maurice Nahabedian & Günther Gruber
  • Live poll

10:30 AM - 11:00 AM

Refreshments and exhibition viewing

11:00 AM - 11:30 AM

ROUNDTABLE DISCUSSION 1: ADJUVANT RADIOTHERAPY - OPTIONS FOR RECONSTRUCTION AND TIMING FOLLOWING SURGERY

Chairs: Michael Scheflan & Maurice Nahabedian
Panel: Günther Gruber, Luis Fernando Perin, Benjamin Sarfati, Joan Lipa

Live poll

11:30 AM - 12:00 PM

SOS SESSION: YOUR CHALLENGING CASES DISCUSSED

Chairs: Mark Ho-Asjoe & Gemma Pons

12:00 PM - 12:30 PM

KEYNOTE LECTURE: BACK TO BASICS

Mark Ashton

12:30 PM - 1:45 PM

Lunch and exhibition viewing

12:30 PM - 1:00 PM

LUNCHTIME SYMPOSIUM: ICG USE IN LYMPHATIC SURGERY: PREVENTION, TREATMENT AND SURVEILLANCE

Kindly supported by Stryker UK
Francesco Boccardo

1:45 PM - 2:15 PM

ROUNDTABLE DISCUSSION 2: SHOULD WE OFFER RECONSTRUCTION IN METASTATIC BREAST CANCER?

Chairs: Zoe Winters & Eric Santamaria
Panel: Hartmut Kristeleit, Venkat Ramakrishnan, Federica Chiesa & Günther Gruber

Live poll

2:15 PM - 3:15 PM

LBM FREE PAPER SESSION: SURGICAL PEARLS IN AESTHETIC AND RECONSTRUCTIVE SURGERY

Chairs: Benjamin Sarfati & Nigel Mercer

  • Augmented reality in breast reconstructive surgery: projecting the pre-operative DIEP flap planning onto patients in a randomised controlled trial
    Stefan Hummelink
  • Extended supramedial flap: an excellent option for oncoplastic repair of large breast defects in outer quadrants
    Abdolali Assarian
    Micro-autologous fat transplantation (MAFT) for primary augmentation
    Yu-Hao Huang
  • How to effectively eliminate seroma in two-stage pre-pectoral breast reconstruction?
    Marta Duarte
  • A simple treatment for capsular contracture in augmented women undergoing breast conservation can help avoid mastectomy and enhance overall cosmesis
    David Lesniak
  • A possibility of PAP flap neurotisation for a sensate small breast reconstruction
    Tamoyuki Yano
  • Minimally invasive breast reconstruction combining lipofilling and pre-muscular prothesis after radiotherapy
    Kais Razzouk
  • Autologous breast reconstruction in low BMI patients: strategies for maximising skin envelope and breast volume
    Anita Mohan

3:15 PM - 3:45 PM

Refreshments and exhibition viewings

3:45 PM - 4:15 PM

BEST PRACTICE IN LYMPHOEDEMA/LIPOEDEMA

Chairs: Filip Stillaert & Claudio Angrigiani

  • What is the algorithm in lymphatic surgery and rehabilitation?
    Sinikka Suominen
  • Current best practice in lipoedema
    Gemma Pons 
  • Discussion

4:15 PM - 5:00 PM

IBSA SESSION: BEST PRACTICE IN BREAST SURGERY: DEFINING THE ROLES

Chairs: Jaume Masia & Jian Farhadi

  • Who can or should be doing risk reducing mastectomies?
    Douglas MacMillan
  • Should there be a minimum number of microsurgical cases per year for a surgeon?
    Phillip Blondeel 
  • Should there be regulation regarding training qualifications for placing prosthetic devices in the breast?
    Maurice Nahabedian 
  • Do plastic surgeons need to be certified in preoperative imaging?
    Steve Allen
  • Discussion and live poll

5:00 PM - 5:30 PM

Afternoon Symposium: Pre-pec positioning with meshed ECM in breast reconstruction

Kindly supported by Ideal Medical Solutions 
Marcello Pozzi

5:30 PM - 7:30 PM

LBM Welcome Reception

Kindly supported by Synovis MCA

6:15 AM - 7:30 AM

LBM Fun Run through Regent's Park

Led by: Sandra Wichert

7:00 AM - 8:00 AM

Registration and refreshments

8:00 AM - 9:15 AM

BEST PRACTICE IN AUTOLOGOUS RECONSTRUCTION

Chairs: Phillip Blondeel & Venkat Ramakrishnan

  • Who should NOT be offered a free flap
    Jaume Masia 
  • Perforator selection and algorithms
    Mark Ashton 
  • Time to stop rib resection?
    Mihye Choi 
  • To quilt or not to quilt the donor site
    Susana Correa 
  • Flap monitoring: short and sweet?
    Sinikka Suominen
  • When should we stop revising the anastomosis?
    Gemma Pons
  • Enhanced recovery: is it really worthwhile?
    Joan Lipa
  • Live poll

BEST PRACTICE IN BREAST SURGICAL ONCOLOGY

Chairs: Douglas MacMillan & Federica Chiesa

  • Sentinel node biopsy without isotope
    Adnane Afifi
  • Incomplete margins: re-excision or mastectomy
    Jana de Boniface 
  • Multiple ipsilateral cancers: therapeutic mammoplasty vs mastectomy
    Zoe Winters 
  • Nipple sparing mastectomy in the previous irradiated breast
    Andrew Baildam
  • Nipple sparing mastectomy in the difficult breast shape
    Michael Scheflan
  • Neoadjuvant chemotherapy in BCS
    Michael Gnant
  • Live poll

9:15 AM - 10:00 AM

THE WEIRD AND WONDERFUL IN AUTOLOGOUS RECONSTRUCTION

Chairs: Claudio Angrigiani & Mark Ashton

  • Autologous breast reconstruction and complex chest wall reconstruction in the Asian population
    Dajiang Song
  • Breast augmentation with free flaps
    Filip Stillaert 
  • Multiple free flaps and their vascular configurations
    Phillip Blondeel 
  • Mini DIEP for breast symmetrisation in unilateral reconstruction
    Eric Santamaria
  • Live poll

BEST PRACTICE IN ONCOPLASTIC SURGERY

Chairs: Andrew Baildam & Michael Gnant

  • Volume displacement
    Federica Chiesa & Jean-Franϛois Honart
  • Volume displacement
    Douglas MacMillan & Moustapha Hamdi
  • Management of retroareolar tumors
    Jana de Boniface
  • Timing and contraindications for lipofilling after BCS
    Mihye Choi

10:00 AM - 10:30 AM

Refreshments and exhibition viewing

10:30 AM - 10:45 AM

MID-MORNING SYMPOSIUM: STUDY RESULTS OF USAGE OF A SINGLE USE NEGATIVE PRESSURE DEVICE REDUCNG BREAST IMPLANT LOSS AND COMPLICATION RATES. CLINICAL EXPERIENCE AND MARKET ADOPTION

Kindly supported by Smith and Nephew
John Murphy

10:45 AM - 11:15 AM

KEYNOTE LECTURE: BEST PRACTICE IN AUTOLOGOUS RECONSTRUCTION ACROSS THE DECADES

Venkat Ramakrishnan

11:15 AM - 11:30 AM

SUMMARY OF ST GALLEN/VIENNA 2019 CONSENSUS

Chair: Andrew Baildam

Michael Gnant

11:30 AM - 12:00 PM

KEYNOTE ADDRESS: HOW TO DEFINE THE CUP SIZE - IN CONVERSATION WITH SARAH SHOTTON

Sarah Shotton, Creative Director, Agent Provocateur

12:00 PM - 12:30 PM

LUNCHTIME SYMPOSIUM: USE OC CLOSED INCISION PRESSURE THERAPY IN ONCOLOGICAL BREAST SURGERY

Kindly supported by KCI
Pietro Ferrando

12:00 PM - 1:15 PM

Lunch and exhibition viewing

1:15 PM - 1:45 PM

KEYNOTE LECTURE: BEST PRACTICE IN IMPLANT RECONSTRUCTION OVER THE DECADES

Peter Cordeiro

1:45 PM - 2:45 PM

BEST PRACTICE IN PRE-PECTORAL IMPLANT RECONSTRUCTION

Chairs: Mark Ho Asjoe & Jana de Boniface

  • Pre-pectoral vs sub-pectoral
  • Maurice Nahabedian
  • Implant options: fixed volume vs tissue expander
    Benjamin Sarfati
  • The matrix stepladder: None vs wrap around vs tent technique
    Gemma Pons 
  • How to prevent rippling and implant visibility
    Filip Stillaert 
  • Mesh options: biological vs synthetic
    Douglas MacMillan
  • Discussion and live poll

2:45 PM - 3:30 PM

IMPLANT TECHNOLOGY AND RELATED ISSUES

Chairs: Peter Cordeiro & Brad Calobrace

  • The impact of implant surface on capsular contracture
    Ardeshir Bayat 
  • What is the life span of an implant?
    Roger Wixtrom
  • Special topic: Breast implant illness
    Steven Teitelbaum
  • Discussion and live poll

3:30 PM - 4:00 PM

Refreshments and exhibition viewing

3:30 PM - 5:00 PM

MANAGING COMPLICATIONS AND THE UNEXPECTED IN IMPLANT-BASED RECONSTRUCTION

Chair: Michael Scheflan & Benjamin Sarfati

  • Correction of animation deformity associated with subpectoral reconstruction: the role of prepectoral conversion
    Cristina Garusi
  • Management of infected implants
    Mark Ho Asjoe 
  • Local flaps as substitutes for implants
    Claudio Angrigiani 
  • Management of breast cancer in breast augmentation patients
    Andrew Baildam 
  • Timepoint of conversion to autologous reconstruction
    Eric Santamaria 
  • Live poll

5:30 PM - 7:00 PM

Networking reception

Kindly supported by Endomag

8:00 PM - 12:00 AM

LBM Social Function

8:00 AM - 8:30 AM

Refreshments and exhibition viewing

8:30 AM - 9:15 AM

BEST PRACTICE IN BREAST AUGMENTATION

Chairs: Moustapha Hamdi & Paul Harris

  • The critical steps in breast augmentation
    Steven Teitelbaum 
  • Managing chest wall and breast asymmetries in aesthetic breast surgery
    Brad Calobrace
  • Dual-plane breast augmentation vs subfascial composite augmentation
    Filip Stillaert
  • Low weight implants: when to use them
    Michael Scheflan
  • Live poll

9:15 AM - 9:45 AM

BEST PRACTICE IN MANAGING COMPLICATIONS FROM BREAST AUGMENTATION

Chairs: Michael Scheflan & Mark Ho-Asjoe

  • The triad deformity from the periareolar incision for augmentation
    Steven Teitelbaum 
  • Management of the problematic inframammary fold
    Charles Volpei 
  • Capsular contracture treatment update
    Ardeshir Bayat

9:45 AM - 10:00 AM

MID-MORNING SYMPOSIUM

Kindly supported by GC Aesthetics
Piercamillo Parodi

10:00 AM - 10:30 AM

Refreshments and exhibition viewing

11:15 AM - 12:15 PM

BEST PRACTICE IN MASTOPEXY AND REDUCTION

Chairs: Phillip Blondeel & Charles Volpei

  • Anatomical-based decision-making in mastopexy augmentation
    Paul Harris 
  • Addressing the upper pole: implant vs fat grafting vs glandular flaps
    Brad Calobrace 
  • When and how to use meshes
    Moustapha Hamdi
  • Breast reduction: defying gravity
    Luis Fernando Perin
  • Live poll

11:15 AM - 11:45 AM

KEYNOTE LECTURE: BEST PRACTICE IN LIPOFILLING OF THE BREAST OVER THE DECADES

Roger Khouri

11:45 AM - 12:30 PM

BEST PRACTICE IN LIPOFILLING OF THE BREAST

Chairs: Roger Khouri & Brad Calobrace

  • Timing, washout and placement (summary of techniques from BBM)
    Jaume Masia
  • Large vs low volume fat grafting
    Phillip Blondeel 
  • Fat as a solution to improve difficult breast augmentations
    Charles Volpei 
  • Management of complications of fat grafting
    Susana Correa
  • Live poll

12:30 PM - 12:40 PM

THE IMPORTANCE OF POST-SURGICAL COMPRESSION WEAR

Kindly supported by macom®
Marc Pacifico

12:40 PM - 1:00 PM

THE MEDIA EYE: INSIDER TIPS THAT EVERY SURGEON SHOULD KNOW

Francesca White, Editor, Tatler Beauty & Cosmetic Surgery Guide

1:00 PM - 1:45 PM

Lunch and exhibition viewing

1:45 PM - 2:00 PM

UPDATE ON ALCL

Chairs: Luis Fernando Perin & Nigel Mercer

  • The current knowledge on aetiology
    Roger Wixtrom

2:00 PM - 3:00 PM

JOINT LIVE SESSION WITH THE SAO PAULO BREAST SYMPOSIUM: THE ALCL DEBATE

The ALCL debate: scientific evidence vs pragmatism

Chairs: Luis Fernando Perin & Nigel Mercer

Surgical Panel: Peter Cordeiro, Moustapha Hamdi, Brad Calobrace, Maurice Nahabedian & Jaume Masia

Industry Panel: Deeba Ahmed Allergan, Luana Clerico Polytech, Ardeshir Bayat Motiva, Chris Brotherston GC Aesthetics & Roger Wixtrom

3:30 PM - 4:00 PM

Summary and close of conference