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G E N E R A L S E C R E T A R Y ’ S M E S S A G E<br />

As technology and techniques evolve, Plastic Surgeons<br />

around the world are continuously presented with an evergrowing<br />

number of options to be offered to their patients.<br />

Although sophistication and/or simplicity obviously vary in<br />

the choices we have today, I consider the current use of fat<br />

grafting one of the more sophisticated, as well as one of the<br />

simplest, techniques that we can use.<br />

It is simple because it is right there, anywhere, everywhere!!!<br />

The patients have been asking us to remove and to replace<br />

fat since Professeur Illouz first showed us how to aspirate it<br />

on the early 80´s. Techniques and suggestions for techniques<br />

having gone through the natural history of evolution, and the<br />

good ones were established with time.<br />

It is sophisticated because it carries a wealth of options and<br />

benefits !!!<br />

The relatively recent finding of these cells having specialized<br />

tissue, or tissue which could turn into a specific lineage of<br />

cells, has turned our minds into different directions, when we<br />

use fat as a filling, or as grafting.<br />

Benefits are being shown by the day, with hundreds of papers<br />

already published on this subject. Experts and exponents<br />

appear in several corners of the world.<br />

The good news - we know who they are! These experts came<br />

Dr. Nelson Piccolo<br />

IPRAS General Secretary<br />

to Berlin, this June, to show the state of the art in fat usage.<br />

These experts meet under a name – ISPRES, the International<br />

Society for Plastic Regenerative Surgery.<br />

Sydney Coleman was the President of ISPRES Berlin 2013 -<br />

together with Norbert Pallua , local host in Germany and Gino<br />

Rigotti ( from Italy ), President of ISPRES, under the auspices<br />

of IPRAS and its President, Marita Eisenmann-Klein, and they<br />

were able to put together a major meeting, with tens and tens<br />

of presentations who brought us basic science, and from basic<br />

science to the operating room table and to the Office, where<br />

satisfied patients want more, and more, and more...<br />

There was even a terminolgy consensus panel when these<br />

same experts took a look at the bulk of the related published<br />

material to see how we have been naming these findings and<br />

this progress, and how we could implement a more “uniform<br />

language“ when we publish or discuss our progress in this<br />

field of Plastic Surgery.<br />

We have been living in the internet age for a little over 20<br />

years now. Search engines are a part of our everyday life.<br />

These engines have an ability, after being given a key search<br />

term, to “choose” the most frequently related search terms<br />

for that specific subject, and multiply the area of search<br />

enormously. If we were able to use a uniform set of terms on<br />

our future discussions and publications, besides “speaking the<br />

same language” with the consequently obvious benefits for<br />

the Specialty, there would also be a gain in how our research<br />

and our results could be found and distributed.<br />

As another bonus from ISPRES Berlin 2013, IPRAS and<br />

ISPRES is creating a task force to promote guidelines for<br />

standardization of terminology of the emerging adipose<br />

derived technology and techniques (including fat grafting,<br />

adipose stem cells and SVF).<br />

We are always happy to see Plastic Surgeons from around the<br />

world working on improving the ways we practice, bringing<br />

new benefits to our patients– we are always happy to see<br />

Plastic Surgery at its best!!!<br />

Dr. Nelson Piccolo, IPRAS General Secretary, Dr. Sydney<br />

Coleman, ISPRES General Secretary, Dr. Ahmed Adel Noreldin,<br />

IPRAS Deputy General Secretary<br />

Dr. Nelson Piccolo<br />

IPRAS General Secretary<br />

Issue 13 www.ipras.org IPRAS Journal 7

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