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12th Issue April 2013
12th Issue April 2013
The e-magazine for 40.000 Plastic Surgeons
www.ipras.org/ipras-journals
healing
the visible
& invisible
scars
photo from: Christopher Thomas,
IPRAS - WomenforWomen mission
September 2012, Jalandhar (India)
105 National - Regional - Regional Societies Societies
ISSN: ISSN: 2241-1275

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C O N T E N T S
• President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . 5
• General Secretary’s Message . . . . . . . . . . . . . . . . . . 7
• New Honorary Editor in Chief . . . . . . . . . . . . . . . . . 8
• IPRAS Management office Report . . . . . . . . . . . . . 9
• IPRAS-WFW mission photographed
by Christopher Thomas . . . . . . . . . . . . . . . . . . . . . 21
Dr. Nelson Piccolo, Prof. Marita
Eisenmann-Klein and Prof. Ivo Pitanguy
PAGE
13
• Chris Khoo, Santiago, Chile . . . . . . . . . . . . . . . . . 23
• Academies and societies reports . . . . . . . . . . . . . 24
• Senior Ambassador . . . . . . . . . . . . . . . . . . . . . . . . 29
• Pioneer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
• Rising Star . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
The founding of International
Society of Paediatric Plastic Surgery
PAGE
26
• ISPRES Section . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
• Surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
• National Associations’ & Plastic surgery
organizations’ News . . . . . . . . . . . . . . . . . . . . . . . . 62
• Historical Accounts . . . . . . . . . . . . . . . . . . . . . . . . 70
• National & co-opted societies future events . . . . 74
The moment when Dr Nelson Piccolo
was honored as “ Amigo de Minas”
by Dr. Antonio Vieira
PAGE
67
• IPRAS Website . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
• Industry news . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
• IPRAS past General Secretaries . . . . . . . . . . . . . 86
• IPRAS Benefits for National Associations
& individual members . . . . . . . . . . . . . . . . . . . . . . 87
BULAPRAS members
PAGE
70
Issue 12 10 www.ipras.org IPRAS Journal 3

A I M S A N D S C O P E
• 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
4 IPRAS Journal www.ipras.org Issue 12

P R E S I D E N T ’ S M E S S A G E
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,
Patients around the world trust that all doctors had to swear
the Hippocratic Oath before starting to practice medicine. Did
YOU?
I didn't and I have to admit that I just had a vague idea about it before
I attended the unforgettable congress of ESPRAS, the European
Section of IPRAS, in 2009 on the island of Rhodes. The Congress
President Andreas Yiacoumettis and the congress organizer Zita
Congress decided to interrupt the congress for one day to take us
to the island of Kos, where Hippocrates practiced. We attended a
Hippocratic Oath ceremony there in the Hippocrates Gardens.
Ever since then it comes to mind, when I feel uncomfortable
about advertisements promising Beauty by aesthetic surgery:
Prof. Marita Eisemann-Klein
President of IPRAS
Some governments banned advertisement for aesthetic surgery, but there are others which
even promote this kind of industry.
It comes to mind when I have to realize that competition and fights for power start to replace
friendship and respect for each other, which was so typical for plastic surgeons throughout
the world.
It comes to mind when I meet our young colleagues: are we good role models for them?
Do we always treat them with patience, respect and generosity? Are we passing on to them
our expertise, all the details of our techniques and the improvements which we developed
throughout our professional life?
Every single day of my life I feel gratitude for my teachers. But do I let them know? Our teachers
also are the famous plastic surgeons, who selflessly spend their time to share their experience
with us in courses, congresses and workshops. Our pioneer in this issue, Sydney Coleman and
our Senior Ambassador Abel Chaijchir are perfect representatives of this group.
Some of our national societies like Brazil and Japan keep honoring their founders and
pioneers, - others don't. In IPRAS we just started to develop a culture of awareness for the
achievements of the last generation by founding the Board of Trustees, - their Chairperson
Gueler Guersu and our Honorary Editor-in-Chief are the ideal role models.
It is not too late to reach
out and say "Thank You"
and share the pride of
the achievements of
our wonderful specialty
rather than competing for
predominance. Generosity
makes us look good, - from
inside and outside the
specialty.
We rely on YOUR support
to make us all look good
in the eyes of our patients,
Kos Island, Representation of the Hippocratic Oath colleagues and the public.
Cordially yours
Marita Eisenmann-Klein
IPRAS President
Issue 12 www.ipras.org IPRAS Journal 5

Hippocratic Oath
I SWEAR by Apollo the physician, and Aesculapius, and Health, and All-heal, and all the
gods and goddesses, that, according to my ability and judgment, I will keep this Oath and
this stipulation- to reckon him who taught me this Art equally dear to me as my parents,
to share my substance with him, and relieve his necessities if required; to look upon his
offspring in the same footing as my own brothers, and to teach them this art, if they shall
wish to learn it, without fee or stipulation; and that by precept, lecture, and every other
mode of instruction, I will impart a knowledge of the Art to my own sons, and those of
my teachers, and to disciples bound by a stipulation and oath according to the law of
medicine, but to none others. I will follow that system of regimen which, according to my
ability and judgment, I consider for the benefit of my patients, and abstain from whatever
is deleterious and mischievous. I will give no deadly medicine to any one if asked, nor
suggest any such counsel; and in like manner I will not give to a woman a pessary to
produce abortion. With purity and with holiness I will pass my life and practice my Art. I
will not cut persons laboring under the stone, but will leave this to be done by men who are
practitioners of this work. Into whatever houses I enter, I will go into them for the benefit of
the sick, and will abstain from every voluntary act of mischief and corruption; and, further
from the seduction of females or males, of freemen and slaves. Whatever, in connection
with my professional practice or not, in connection with it, I see or hear, in the life of men,
which ought not to be spoken of abroad, I will not divulge, as reckoning that all such
should be kept secret. While I continue to keep this Oath unviolated, may it be granted to
me to enjoy life and the practice of the art, respected by all men, in all times! But should I
trespass and violate this Oath, may the reverse be my lot!
Source: “Harvard Classics Volume 38” Copyright 1910 by P.F. Collier and Son.
6 IPRAS Journal www.ipras.org Issue 12

G E N E R A L S E C R E T A R Y ’ S M E S S A G E
During the recent 17th Congress of the International Confederation
for Plastic, Reconstructive and Aesthetic Surgery, papers from all
corners of the world covered practically all major aspects of Plastic
Surgery. Although there were several presentations demonstrating
the strength of some timely assured techniques, with some
exponents presenting their 30-(or even more)year experience
17th IPRAS World Congress Conference Dinner.
IPRAS Industry Supporters Awarding.
with a determined technique or principle, there were a great
number of papers discussing relatively young techniques as well
as technologies – this is what a Congress like this is all about!
IPRAS has been involved in world congresses for well over half
a century and this has been the usual story of all things, although
in this more recent one we were able to gather attendees from
Dr. Nelson Piccolo
IPRAS General Secretary
over two-thirds of the countries ( 105 ) who are our members.
Some top members of Co-Opted Societies also came and we
were able to learn about our differences and similarities in
goals and objectives which were determined in very important
meetings with these leaders.
In this way, through our Congress and several meetings with the
members of the world leadership in several countries and fields
whom were present, IPRAS will permanently work to bring out
the best in Plastic Surgery.
Through the recently created Academies, in Aesthetic Surgery
and Laser, as well as through the Pedriatric Plastic Surgery
Society, and the reformulated IPRAS Journal Editorial Board,
IPRAS will certainly continue to influence the trend of the
evolution of our Specialty. For this, however, it is mandatory
that we keep our communication at its best and all are expected
to participate and contribute.
Our members are our most important asset – you and I, and all of
us, create our National Societies and these came together under
the umbrella of IPRAS for the benefit of Plastic Surgery as a
whole, worldwide! IPRAS will always be open to receiving and
distributing all communications which are or will be of interest
to our tens of thousands of members. These members in 105
countries are then in constant communication, be it via internet,
a World Congress or any of our many sponsored meetings and
congresses around the world. Look around, there is one of these
happening soon in your corner of the world – we endeavor to
be ubiquitous since we consider our presence as important as
yours, as we are the same, i.e. Plastic Surgery at its best!!!
Dr. Nelson Piccolo
IPRAS General Secretary
IPRAS Board of Directors
Issue 12 www.ipras.org IPRAS Journal 7

New Honorary Editor in Chief
Ricardo Baroudi
Dear Colleagues,
We are happy to present our new honorary editor in Chief Ricardo
Baroudi.
Everybody knows Ricardo as one of the world most famous plastic
surgeon with innumerous achievements. He was President of the
Brazilian Society of Plastic Surgery twice, President of the IPRAS
World Congress 1979, President of ISAPS, President of the ISAPS
World congress 2007, IPRAS Journal Senior Ambassador, Editor in
Chief of the Brazilian Journal of Plastic Surgery and IPRAS Board of
Trustees member.
Less people have the privilege to know Ricardo as a warm hearted,
kind and wise person with a great sense of humor and fundamental
knowledge about philosophy and always as a true gentleman.
We all look forward to his valuable contribution for the IPRAS
journal.
Editorial Board
8 IPRAS Journal www.ipras.org Issue 12

I P R A S M A N A G E M E N T O F F I C E R E P O R T
January 2013 – March 2013
Mr. Zacharias Kaplanidis
IPRAS Executive Director
The last 3 months, from January to March, went by
quickly, and during this time the IPRAS Management
Office dedicated most of its energy to the organization
and the success of the 17 th IPRAS World Congress in
Santiago, Chile.
Based on the principles that have characterized ZITA
Congress’ professionalism over the last 31 years, and our
agreements with IPRAS since 2010, we would like to make
an honest and objective report of this major event which
has occupied ZITA Congress from 2011 until today.
The congress secretariat with Greek and local staff
This congress, undoubtedly, was one of the largest ever to
have been organized in the 58-year history of IPRAS.
The number of registered participants reached 1,763,
coming from approximately 100 countries; the number
of faculty and speakers originally exceeded 1300; 26
masterclasses took place, which were attended by 455
participants, and the opening ceremony attracted twice
as many people than any other previously organized in
an IPRAS World Congress. We mention that the faculty
and speakers originally exceeded 1300 because one
perhaps disappointing aspect of the congress was that
of these 1700 registered participants (most of them preregistered),
approximately 250 did not appear at the
congress to collect their material, and some of these had
registered as speakers.
Although we are still working on the final financial aspects
of the congress, IPRAS is entitled to approximately
300.000€ as royalties, according to the relevant contract
with ZITA Congress. This amount is the largest that
IPRAS has ever collected from any previous World
Congress and it is even larger than the total IPRAS
income from the previous 16 World Congresses. Due
to this amount, IPRAS covered its budget for 2012 and
will cover the budget of 2013 as well.
IPRAS Executive Committee and National Delegates during the 17th IPRAS World Congress in Santiago
Issue 12 www.ipras.org IPRAS Journal 9

Opening Ceremony of the 17th IPRAS World Congress
As it is well known, all IPRAS budgets have the approval
of the IPRAS Executive Committee, while the final
balance sheets are audited by official auditing bodies.
Analytical information regarding the financial aspects
of the 17 th IPRAS World Congress, very soon will be
forwarded to the Executive Committee members as
well as to all National Delegates.
out the large number of participants at the opening
ceremony; the presence of many important personalities
such as Professors Guler Gursu (Chair of the Board of
Trustees), Paulino Morales, Mohammed Sobhi Ahmed
Zaki, Thomas Biggs, Ivo Pitanguy, Ricardo Baroudi,
Riccardo Mazzola, Hanno Millesi, Luis Vasconez,
the overwhelming participation (90%) of the IPRAS
Executive Committee;
the large number of embassies and ambassadors
that honored the congress with their presence; the
awarding of many important personalities (Prof. Jose
Guerrerosantos, Prof. Hanno Millesi, Prof. Riccardo
Mazzola and Prof. Luis Vasconez.) and important
companies that honour the IPRAS congresses and
the field of Plastic Surgery with their support; the
agreement for the cooperation between IPRAS and
ISAPS in the new Aesthetic Academy; the large
attendance at the daily sessions of the congress
(approximately 1300 participants per day);
From left to right: Dr. Nelson Piccolo, Brazil, representative of Prof.
Jose Guerrerosantos, Mexico, Prof. Luis Vasconez, US, Prof. Andreas
Yiacoumettis, Greece, Prof. Marita Eisenmann-Klein, Germany, Prof.
Riccardo Mazzola, Italy, Prof. Hanno Mallesi, Austria, Prof. Guler
Gursu, Turkey during the opening ceremony
Besides the impressive statistics and the achievement of
financial targets, at least for the IPRAS income (they had
been set since 2011), the congress had other important
successes, but also encountered some difficulties. Among
the best qualities of the congress, we would like to point
IPRAS Subcommittees meeting
the principle agreement of the Chilean Minister of
Health with IPRAS to collaborate on issues concerning
Plastic Surgery and WomenforWomen activities;
the foundation of the new Paediatric Society of Plastic
Surgery;
the IPRAS Trainees Association, which officially
participated as a new Association, under the IPRAS
umbrella;
IPRAS Executive Committee meeting
10 IPRAS Journal www.ipras.org Issue 12

Special coffee break during an IPRAS meeting
the donation to the Chilean non-governmental
humanitarian institution COANIQUEM; the
impressive participation of exhibitors, of whom the
majority graded ZITA Congress with an exceptionally
high score (9) in the special questionnaire that was sent
to them, and we duly thank them for it;
the decoration of the congress venue, which was
dedicated to all the important moments and the
protagonists throughout IPRAS’ history,
the use of a smart phone congress application which
allowed all participants to view all the program details
and congress information online and on the spot;
the exceptional food of the venue during the Gala and
the afternoon lunches, etc.
The congress indeed faced some difficulties, such as the
late delivery of approximately 500 final programs (from
1700), due to the incredible errors of the carriers and
airline companies, against whom ZITA Congress and
IPRAS have already taken legal action;
the delayed service at the opening ceremony cocktail,
due to the delay in the schedule of the lectures in the
plenary room and the unexpectedly high number of
participants;
the long queues at the secretariats on the 1 st day of the
congress which, however, due to the large number of
participants at the time (1500), were inevitable to
some degree,
and the large accommodation dispersion throughout
Santiago, which nevertheless was beyond ZITA
Congress’s control, since 80% of the participants
booked their accommodation by themselves, without
using official channels and chose non-official hotels.
For all the above and to the extent where ZITA
Congress was responsible, we sincerely apologize to
participants for the inconvenience.
From the panel in the opening ceremony, from left to right: Prof.
Guler Gursu, Prof. Ivo Pitanguy, Prof. Marita Eisenmann-Klein, Prof.
Andreas Yiacoumettis, Prof. Teresa De La Cerda, Prof. Patricio Leniz,
Prof. Wilfredo Calderon
The Polytech booth at the 17th IPRAS World Congress
The Mentor booth at the 17th IPRAS World Congress
The IPRAS booth in the main exhibition area
Issue 12 www.ipras.org IPRAS Journal 11

Moreover, the choice of the venue, Espacio Riesco, was
the most appropriate for this major event in Santiago.
Perhaps the soundproofing in some of the adjacent
congress halls could be considered as insufficient at
times and therefore seen as a flaw of the venue, but we
want to express that it was the most suitable venue for a
congress of such caliber. Furthermore, the audiovisual
equipment that was used was of a more than
satisfactory standard. Some momentary difficulties in
producing a few slideshows are considered acceptable,
Congress Dinner
especially regarding the hundreds of presentations in
8 parallel halls and speakers from all over the world.
Additionally, the translators’ work was also considered
to be highly satisfactory since their task to translate
from English to Spanish and English to Portuguese was
carried out successfully.
One more service that has been frequently commented
upon, were the transfers, which could not have been
carried out in a more efficient way, since as we
explained above, 80% of the participants booked their
accommodation individually and therefore they took
care of their own transfer from the hotel to the congress
venue and vice versa. Those who booked the official
congress hotels, which were mainly Sheraton Hotel
and Marriott, and had paid for the transfer service,
as it had been clearly announced, followed a specific
and frequent program and were 100% serviced.
We would also like to mention the social events and
especially the Official Congress Dinner (we already
mentioned the Opening Ceremony above), which was a
unique success since the food was exceptional, the show
was spectacular and typical of Chile, and the decoration
was rather interesting and …expensive. The number of
participants reached 600, 430 of whom received a free
invitation from ZITA Congress. Moreover, following a
decision by the President, Prof. Marita Eisenmann-Klein,
approximately one month prior to the congress, a faculty
dinner was not organized for purely operational reasons,
which concerned a large work load on several committees.
We also believe that a special reference must be made
to the media which covered this major event throughout
the congress and to the whole of Chile. We thank all the
IPRAS Executive Director, Mr. Zacharias Kaplanidis, during his
presentation at the General Assembly
reporters for their correspondence, the President
of the Chilean Society of Plastic, Reconstructive
and Aesthetic Surgery, Dr. Teresa De La Cerda, the
President of the Organizing Committee, Dr. Patricio
Leniz, the President of the Congress, Dr. Wilfredo
Calderon and the IPRAS Media Office in Greece.
In conclusion, we would like to thank the entire Chilean
Society of Plastic, Reconstructive and Aesthetic
Surgery and especially the President of the Scientific
Committee, Dr. Wilfredo Calderon, who after the
congress thanked us and congratulated us for everything
we did for the success of the congress, as well as the
Board of Directors and the Executive Committee for
their solid participation in Santiago and support to ZITA
congress. Finally, we would like to congratulate all the
nominee countries for the IPRAS World Congress
of 2019 (Colombia, Egypt, Indonesia & Turkey). It
is natural for those who were not elected as the host
country to feel some bitterness, but with their presence
and presentation all these days they definitely earned
a great deal. IPRAS and ZITA Congress assisted their
efforts with centrally located booths in the exhibition
area, which were provided for their public relations and
their promotion.
Thus, we end this IPRAS Management Office report by
wishing a wonderful spring or autumn to all of you from
105 countries around the world.
12 IPRAS Journal www.ipras.org Issue 12

Some Photographs from the 17th IPRAS
World Congress in Santiago, Chile
Participants during the Opening Cocktail
From left to right: Dr. Nelson Piccolo, Prof. Marita Eisenmann-
Klein and Prof. Ivo Pitanguy
Prof. Patricio Leniz, Prof. Teresa De La Cerda, Prof. Luis Vasconez,
Prof. Manuela Berrocal, Prof. Liacyr Ribeiro, Prof. Jaime
Arriagada, Prof. Wilfredo Calderon
The band playing during the opening cocktail
Prof. Manuela Berrocal during the opening cocktail
Awarding of Prof. Ivo Pitanguy as Hinderer Lecturer
IPRAS Assistant Executive Director, Mrs. Maria Petsa, presenting
IPRAS social media & application during the General Assembly
Issue 12 www.ipras.org IPRAS Journal 13

Bidders for the 2019 IPRAS World Congress
The booth of the Egyptian Society of Plastic Surgeons
The booth of the Colombian Society of Plastic,
Reconstructive and Aesthetic Surgery
The booth of the Indonesian Association of Plastic, Reconstructive
and Aesthetic Surgery
The booth of the Turkish Society of Plastic, Reconstructive and
Aesthetic Surgeons
Photos from the Exhibition Area
The RICHTER booth at the 17th IPRAS World Congress
The MARINA MEDICAL booth at the 17th IPRAS World Congress
14 IPRAS Journal www.ipras.org Issue 12

Photos from the Exhibition Area
The ARION booth at the 17th IPRAS World Congress
The ANTEIS booth at the 17th IPRAS World Congress
The ALLERGAN booth at the 17th IPRAS World Congress
The SEBBIN booth at the 17th IPRAS World Congress
The MICROAIRE booth at the 17th IPRAS World Congress
The SILIMED booth at the 17th IPRAS World Congress
The DEKA booth at the 17th IPRAS World Congress
The TULIP booth at the 17th IPRAS World Congress
Issue 12 www.ipras.org IPRAS Journal 15

Press Conference of the 17th IPRAS
World Congress
The press conference that took place during the 17th
World Congress was a success with a lively journalist
audience who kept on asking interesting questions! The
panel was itself a very prominent one bringing together
world famous plastic surgeons like Ivo Pitanguy and
Maria Siemionow! The later also gave interviews and
were much praised by the press! The Chilean Minister of
Health, Jaime Mañalich, also honored the Congress with
his presence for a whole day, during one of the days of
the Congress!
Dr. De la Cerda worked hard to promote the event and
other major news related to the industry and IPRAS to the
media an dTV especially! This wide broadcast promoted
the Congress news and findings even more. There was
world-wide radiance and publicity!
We would like to thank Dr. De la Cerda and the Chilean
Society Secretarial team led by Mrs. Veronica Novoa for
all the organizational support and communication on the
local level.
The Chilean society really worked hard on this one!
The Chilean
Minister of
Health, Jaime
Mañalich, also
honored the
17th Ipras World
Congress with
his presence
for a whole day
visit, during the
Congress where
he announced
the donation of
a great number
of free plastic
reconstructive
surgeries to
Chilean women
who underwent
mastectomy due
to breast cancer!
Media Coverage
Canal 13
TVN
MEGA
(Programa “En Pauta”)
CNN Chile
El Mercurio
La Tercera
La Hora
Radio BioBio
(Program “Peor es
nada”)
ADN Radio
Radio USACH
(Program “Las cartas
sobre la mesa”)
Estético.cl
Clínico.cl
Santiago Times
Terra
SoyChile.cl
El Dínamo
Direcmed
Flickr page of Chilean
Ministry of Health
16 IPRAS Journal www.ipras.org Issue 12

We should also mention Mrs Maria Sevastaki, the IPRAS
Media Office, Marketing Coordinator, who managed,
even from the opposite Hemisphere and other side of the
Atlantic, to mobilize many important media and prepare a
very professional and complete Press kit.
Overall, the exposure of the event to the media was of a
wide range. From big Newspapers to major TV channels
like CNN and high level Public Relations.
Speakers, topics, calls from journalists that wanted to
receive material from congress and PC.
Dr. Patricio Leniz, Prof. Marita Eisenmann-Klein, Prof. Andreas
Yiacoumettis, Prof. Maria Siemionow
Prof. Ivo Pitanguy, IPRAS Board of Trustee Member
Prof. Marita Eisenmann-Klein, Dr. Nelson Piccolo,
Prof. Maria Siemionow
Journalists from Chilean Newspapers
Issue 12 www.ipras.org IPRAS Journal 17

Prominent doctors from all over the world coming to meet in
one place created a commotion. The Ambassadors or highly
ranked staff from the Embassies of Brazil, Egypt, Germany,
Greece, India, Indonesia, Mexico, Portugal, Russia and
Turkey honored IPRAS with their participation in the
Congress and added extra diplomatic and ceremonial status.
IPRAS social events, including the Opening Ceremony and
Gala Dinner, were really major happenings.
President’s Table during the Congress Dinner
The 17th IPRAS World Congress was indeed an event of
scientific, social and international aura that moved IPRAS
one step forward!
Show during the Congress Dinner
Greek Ambassador, Mrs. Balta, Prof. Eisenmann-Klein, Prof.
Yiacoumettis, Dr. Piccolo, Dr. Palmos, Mrs. Piccolo during the
Congress Dinner
Indonesian Mission
A great thanks and appreciation to the Greek Embassy in
Chile which has greatly helped to communicate with the
Ambassadors in Chile and generate the official invitations.
Turkish mission
18 IPRAS Journal www.ipras.org Issue 12

Comments from some important people
for the organization of the 17th IPRAS World Congress
Dear Colleagues,
Maria Siemionow, MD, PhD, DSc
Professor of Surgery
Director, Plastic Surgery Research
Head, Microsurgery Training
Dept. of Plastic Surgery
Cleveland Clinic
The 2013 IPRAS meeting in Santiago de Chile brought an exceptional number of
participants. The Congress program covered all aspects of plastic, reconstructive
and aesthetic surgery supported by keynote lectures given by experts in their
respective fields. There were Panel discussions devoted to standard techniques,
innovations, and the future of plastic, reconstructive and aesthetic surgery. The
great scientific program which was attended by so many well known colleagues
and friends, combined with the vibrant city of Santiago, with so many wonderful
restaurants and cafe's, made this trip to Chile a very worthwhile experience.
Sincerely yours, your friend,
Dr. Wilfredo Calderon
Chair of the Scientific Committee
of the 17th IPRAS World Congress
I am very grateful for your wonderful work in
this tremendous Congress. I have never seen such
coordination and dedication! Please give my Thanks
to all others in your group. Have a nice return to your
beautiful country and feel happy because you have
done the Best. You will be always in my heart. I will
see at the next IPRAS World Congress in 2015.
Kindest regards,
Prof. Norbert Pallua
IPRAS Parliamentarian, Member of the IPRAS
Board of Directors
After having returned from the exiting city of Santiago
de Chile I would like to congratulate you on the
perfect organization of the 2013 World Congress of
the IPRAS. It was a great pleasure for me to participate
in this highly scientific event! I very much enjoyed the
wonderful atmosphere and the interesting discussions
with my colleagues from all over the world. It was a
wonderful event in one of the most beautiful places of
the world. Many thanks for all your kind efforts and
your continuous support.
I am very much looking forward to seeing you again
soon.
Issue 12 www.ipras.org IPRAS Journal 19

Prof. Mohamed Sobhi Ahmed Zaki, M.D.
Professor of Plastic Surgery,
Kasr El- Aini Faculty of Medicine, Cairo University
Member of the IPRAS Executive Council
Live Member of the IPRAS Board of Trustees Council
Honorary Vice-President of the Egyptian
Society of Plastic & Reconstructive Surgeons
The 17th IPRAS Congress which was held in Santiago
–Chile on 24 February to 1 March 2013 was the largest
in the whole history of IPRAS, concerning the number
of attendants; the number of scientific sessions and
the number of presenting papers. The scientific topics
included all aspects of Plastic & Reconstructive
Surgery and Burn Management. Many of the papers
were presented by junior plastic surgeons which is a
great achievement for IPRAS, which looks always
forward and encourages the future of our speciality.
The foundation of the IPRAS Paediatric Plastic Surgery
Society during the congress was a real success for our
speciality as many topics are rapidly advancing in this
subspecialty and necessitates a recognised separate
society.
The social program was elegant and a special one for
all junior staff that were invited to the Gala Dinner of
the congress free of charge.
The IPRAS President Prof. Marita Eisenmann-
Klein conducted the congress in a smooth, noble and
distinguished way. The great efforts of Prof. Andreas
Yiacoumettis; the staff of Zita Congress company and
members of different committees were remarkable.
I am looking forward to the coming 18th IPRAS
Congress. I hope and pray to GOD to be of the same
standards.
Prof.K.Güler Gürsu,MD
Chairperson of the IPRAS Board of Trustees
Dear colleagues,
We have left another World Congress behind us and
began to look forward to a new one already. The
Congress in Santiago/Chile certainly was a different
experience for most of us, coming from long distances,
seeing old friends and making new ones.
This congress had a special meaning for me. As the
Chair of the Board of Trustees I was honoured to
be the host (or hostess) of the Opening Ceremony.
During this ceremony, we had the great opportunity
to hear Prof. Pitanguy’s excellent presentation and to
witness Prof. Luis Vasconez to be honoured as a new
Trustee of IPRAS. For me it was an unforgettable
event to be at the same place and same time with
these two giants who happened to be also, my very
old friends. My most sincere congratulations to them
once more. Welcome on board! I believe it was one of
the best and most dignified opening ceremonies, with
exception of going over time as usual.
I would like to take this opportunity to point out one
great problem, according to me. What happened with
the execution of the Scientific program is unacceptable.
I know how hard several colleagues worked for months
and months in order to give us a good program. Several
people who had their papers accepted did not show up
and did not even bother to send a polite note stating
that they cannot attend. This caused a great discontent
amongst the participants and despair for the chair
persons of the sessions. This was not an end result of
other actions as aired by some, but just the contrary: it is
an old disease of our plastic surgery circles.
Just to have your name appear in the program and
not to show up. I condemn this very strongly and urge
ExCo to take a noticeable action in order to avoid this
to happen in the coming meetings.
I would like to express my thanks to all who had a
hand in making this difficult congress in to a successful
one. The only disappointment for me personally was,
not having enough time to see enough of a beautiful
country.
20 IPRAS Journal www.ipras.org Issue 12

"Burnt women" - IPRAS Gratefully thanks
Christopher Thomas and Ira Stehmann
For the copyright of the title photo from
"Burnt women" - an exhibition of works by
photographer Christopher Thomas and curator
Ira Stehmann for the benefit of the organization
"IPRAS-Women for Women"
Bernheimer Fine Art Photography in Munich
presented in February 2013 in cooperation with
"IPRAS-Women for Women", the exhibition
Christopher Thomas. Burnt women. A project
for "IPRAS-Women for Women" (WfW).
The photographer Christopher Thomas, world
famous especially for his portraits of cities
Venice The Invisible (2012), New York Sleeps
(2009) and Munich Elegies (2001-2005) and
curator Ira Stehmann, joined the team of WFW
founder IPRAS President Marita Eisenmann-Klein and WFW
President Constance Neuhann-Lorenz at a hospital in Jalandhar
to create portraits and interview women and girls who became
victims of criminal attacks.
Whether in India, Pakistan, Bangladesh, Africa or Iraq, women
have been victims of various forms of violence. Every hour
in India alone, a woman is burnt "to punish the bride for an
inadequate dowry or to get them out of the way, so that the man
can re-marry" (Nicholas Kristof, Sheryl WuDunn). Thousands
of women are burnt alive in Pakistan or etched with acid. Girls
are also often victims of murder attacks, because they are a
financial burden for the family.
In this exhibition Christopher Thomas presented selection
of 26 images. Christopher Thomas' empathic perspective,
his sensitivity, his compositional skill and great lighting can
create images powerful and touching and at the same time put
the viewer under their spell. His pictures show the incredible
suffering and their astounding suffering endurance, but also the
Christopher Thomas,
born in Munich in
1961, graduated from
the Bavarian State
School of Photography,
works worldwide as a
prestigious advertising
photographer. His
photo reportages
for Geo, Stern,
Süddeutsche Zeitung
Magazin, Merian
and other magazines
were internationally
awarded many times.
As an artist, he
became known with
his extensive cycle Munich Elegies, which was shown in 2005
at the Fotomuseum in Munich and published in the same year
B I O G R A P H Y
admirable strength these women and girls.
He focuses on the representation of individual
fates. While the patients in the hospital were
waiting patiently and full of hope for the
consultations, Christopher Thomas discovered
a ten year old burn victim named Neha. The
girl stood patiently to be photographed. Her
grandmother showed him Neha scars with
the red-brown, butterfly-shaped net patern.
According to her grandmother, angry neighbors
set the house on fire while the family slept. The
shape and surface of her scars create suspicion
that someone tried to kill Neha with a burning
blanket.
Christopher Thomas and Ira Stehmann plan,
to accompany and cover as photographer and journalist more
missions of "IPRAS-Women for Women". Also planned is a
new photographic publication regarding the invaluable work of
"IPRAS-Women for Women”. The goal is to inform more people
about the violence against women in third world countries. The
work of "IPRAS-Women for Women" as a project of IPRAS
is funded through donations. All income from the sale of the
photographs goes to “IPRAS-Women for Women”. "IPRAS-
Women for Women" does not use any paid advertisement,
and due to the support of the founder, the International
Confederation for Plastic Reconstructive and Aesthetic Surgery,
the administrative costs are minimal. Donations can be used
directly for the treatment of the victims.
Women for Women
Account: 138418100 - Bank Short Code: 20030300
IBAN 8170 0303 0001 3841 8100 - BIC CHDBDEHH
Bankhaus Donner and Reuschel
by Schirmer / Mosel. New York Sleeps was published short time
later, another Polaroid series. These works have been exhibited
at Bernheimer Fine Art Photography in Munich, at Steven
Kasher Gallery in New York, Fifty One Fine Art Photography
in Antwerp and The Wapping Project, in London. The associated
publication New York Sleeps. Photographs by Christopher
Thomas, was published in 2009 by Prestel Publishing (3rd
edition 2011), and was shortly thereafter awarded the German
Photo Book Award. Christopher Thomas Oberammergau
Passion originated during rehearsals for the local PassionPlay.
For his Passion cycle in 2011 he received the highest award:
(Silver) Art Directors Club of Germany in the Photography
category. An extensive selection of this cycle was exhibited at
the Bavarian National Museum from October 2011 to January
2012. The Publication of Christopher Thomas’. Passion,
photographs of the Oberammergau Passion Play 2010 is also
available at Prestel edition. There is also the book of his latest
work: Christopher Thomas. Venice, The Invisible Appeared.
Christopher Thomas lives in Munich.
Issue 12 www.ipras.org IPRAS Journal 21

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Moros y Cristianos…. y un Congreso
Some thoughts after 17th World Congress, Santiago
It was a glorious day at the end of the Congress. There
were no more committee meetings, or sessions to chair,
and so we were free to take the Turistik bus to Valparaiso
and Viρa del Mar. Come lunchtime, we headed for a
restaurant which we had read about, and followed the
map to a little side street just off the Avenida Peru. We
were the only diners, and were shown upstairs to the little
outside gallery which had a view of the blue Pacific in the
middle distance.
The restaurant was called Moros y Cristianos, Moors and
Christians, and a travel website ranked it #1 amongst 94
restaurants. Of course, coming from Europe, we were
intrigued. Why name a restaurant after the Moorish
Conquest of Spain in the 8th Century, or the subsequent
Reconquista when several Christian kingdoms
reconquered the Iberian Peninsula? These were the times
of the Crusades, when armies were pitted against each
other in continuous bloody conflict.
Alas, although the waiters tried to understand my question,
they spoke no English, and we spoke no Spanish at all.
Then, a breakthrough! Gesturing us to wait, they fetched
a charming young lady who had just started to work in
the restaurant. She spoke perfect English, or should I
say perfect American, because she had been brought up
in New York City, and had just returned to her family
home in Chile. “No”, she said, the name of the restaurant
had nothing to do with battles of the past, “Moros y
Cristianos is a dish of rice and beans from Cuba.” She
explained that the blend of the black beans and the white
rice on the same plate symbolised the harmonious mixing
of peoples, just as in Cuba.
Then she took us through the seafood menu and helped
us to order a delicious lunch.
We enjoyed the meal, and afterwards wanted to find out
more. “Chilean Sea Bass” it turns out is not a bass at all,
but the Patagonian toothfish, Dissostichus eleginoides,
despite being marketed as such in the United States and
Canada, and “Conger Eel” or “Congrio Colorado” is
actually a different species, the Pink Cusk Eel (genypterus
blacodes)!
We left the restaurant in a haze of contentment brought
about by the excellent fish cuisine and a glass or two
of local Sauvignon Blanc. As we walked back to the
bus we reflected on a recent session at the Congress
where tensions, many of them understandable, had been
brought out into the open. But the Congress itself had
many enjoyable moments, and we have all come home
with happy memories of our time in Chile.
In some ways, our lunch was a parallel experience. It
could have been problematic, but once we understood
each other, could communicate, and were sympathetically
treated, everything was fine. And it didn’t matter a bit
that we didn’t understand the taxonomy of the fish we
had enjoyed on our plates - but we did learn the science
later and banked it in the memory to bring home.
I wanted to remember the name of the lovely lady
from New York to share with you, and went back to
the restaurant website. Only the front page came up on
screen, with the message: SITIO EN CONSTRUCCIΣN.
So, work in progress.
Was there a lesson in that lunch for us: the “Moros y
Cristianos” of IPRAS?
Chris Khoo
Issue 12 www.ipras.org IPRAS Journal 23

IPRAS Laser Academy
Katharina Russe-Wilflingseder MD
Coordinator of the IPRAS LASER ACADEMY
The IPRAS Laser Academy was founded by the IPRAS
Board of Directors at the IQUAM Meeting in Athens in
November 2013 with the intention to install a platform for
plastic surgeons interested in laser medicine and to create
a forum of experts under the umbrella of IPRAS aiming to
exchange knowledge of laser and energy based technologies
and procedures in plastic and aesthetic surgery. Further on,
the Laser Academy takes care of training and education in
using laser and light technologies in our specialty, which
are already well established in treatments of vascular
malformations. Other promising fields are scar revisions
with fractionated ablative lasers in combination with drug
delivery into scar tissue. Deeper delivery through ablative
conduits might be accessible in the near future. At present
tissue tightening and rejuvenation from inside to outside
with minimally invasive cannula guided laser side fire fibers
has growing interest, as well as from outside to inside,
for instance, with fractionated lasers, radiofrequency and
ultrasound technologies. Picosecond lasers are on the way
to open new possibilities in treating tattoos.
A Laser Round Table on Facial Rejuvenation was held on
February 28, 2013 during the IPRAS meeting in Santiago
di Chile. Romulo Mene, Brazil, presented data of his 25
years of experience on laser treatments versuschemical
peelings in facial rejuvenation. Lina Triana, Colombia,
pointed out her experience on full and fractional ablative
laser resurfacing especially in Latin skin types. Katharina
Russe-Wilflingseder, Austria, gave an overview on nonsurgical
facial rejuvenation with minimally invasive
laser skin tightening and lipolysis, non-invasive laser
resurfacing and fat grafting in combination with lasers.
The first meeting of the IPRAS Laser Academy was held
on February 27, 2013, within the biannual world congress.
More than 50 colleagues attended and demonstrated their
interest in the new founded IPRAS Laser Academy. An
active discussion on needs, future projects and possible
collaborations with other societies took place. Katharina
Russe-Wilflingseder also informed the attendees about
the invited advisors to the Academy who all agreed to
join the IPRAS Laser Academy. As of February 2013
the confirmed advisors are Rox Anderson (Havard
and Wellman Institute, Boston), Merete Haedersdahl
(Biberg University, Copenhagen), Suzanne Kilmer
(Laser and Skin Surgery Center of Northern California,
Sacramento), Emil Tanghetti (Center for Dermatology
and Laser Surgery, Sacramento) and Christopher Zachary,
University of California, Irvine).
The next IPRAS Laser Academy Round Table will be
held at the 8 th BAPRAS Congress, September 5-7, 2013,
in Budva, Montenegro.
The membership to the IPRAS Laser Academy is free
of charge for IPRAS members. For more information,
please contact Katharina Russe-Wilflingseder, coordinator
of the IPRAS Laser Academy (katharina@russe.at) or
Maria Petsa, assistant executive director of the IPRAS
management office (maria.petsa@iprasmanagement.com).
24 IPRAS Journal www.ipras.org Issue 12

The Academy for Aesthetic Surgery Training
Miodrag M. Colić
Coordinator of Aesthetic Surgery Training Academy
The mission statement of IPRAS states that two of its
main goals and objectives are to “promote the art and
science of plastic surgery” and “to further plastic surgery
education and research” worldwide. As an expression of
concern for young plastic surgeons in training, IPRAS
TA (the International Association for Plastic Surgery
Residents and Trainees) came into being at the 10th
IQUAM Congress in Athens in November 2012. At the
same time the IPRAS Academy of Aesthetic Surgery
Training was born, dedicated to residents in their last year
of training. It aims to provide graduating trainees with
the best possible knowledge and experience in aesthetic
surgery. To achieve this goal the most natural response
was a collaboration between IPRAS and the International
Society of Aesthetic Plastic Surgeons (ISAPS), a sister
society and long-time partner in the field of aesthetic
surgery.
The first joint meeting was chaired by IPRAS President,
Marita Eisenmann-Klein, and ISAPS President, Carlos
Uebel, during the 17th World Congress of IPRAS in
Santiago, Chile, in February 2013. It was acknowledged
that there is a need for experienced senior members to
dedicate their teaching abilities to aesthetic education
for trainees. Dr Miodrag Colic was proposed as the coordinator
of these activities for both societies.
Immediately after the main meeting, two smaller working
groups followed, co-ordinated by Dr Colic. Members
of the IPRAS group were Drs Nelson Piccolo, Paolo
Persichetti and Manuel Garcia-Velasco, while members
of the ISAPS group were Drs Susumu Takayanagi, Fabio
Nahas and Theo Voukidis.
During the meeting which lasted more than one hour the
following issues were approved:
• The official sessions of Trainees Academy will only be
open to accredited trainees in Plastic Surgery. Approving
individual participation and checking credentials will
be the responsibility of the organizers.
• Academy meetings should be planned for, and
scheduled, during the official national or regional
meetings.
• They will be free of charge (usually included in
registration fee of the meeting).
• The program is to be announced for the whole year and
published in the abstract book.
• Demonstrations of surgery should be included (live
whenever possible).
• Sponsors will be listed in the program of each meeting
and given appropriate credit.
• Academy meetings should not coincide with courses
planned for experienced specialists.
• They will be organized as separate sessions – in a
different place, auditorium, faculty, topics etc.
• Proposed name for the lecturer will be: Aesthetic
Training Professor
• Proposed meetings: Balkan Society Meeting (BAPRAS,
September 8), Lebanese Meeting etc.
Marita Eisenmann-Klein and Carlos Uebel during the initial meeting of the proposed Aesthetic Academy for Trainees
Issue 12 www.ipras.org IPRAS Journal 25

The International Society
for Paediatric Plastic Surgery
a New IPRAS Society
Andreas Yiacoumettis
IPRAS Deputy General Secretary
Yet another idea of our President Prof Marita Eisenmann
Klein is well under way. After discussions with several
colleagues, a decision was taken to proceed with the
founding of a Society which will promote Paediatric
Plastic Surgery worldwide. At the inaugural meeting held
in Santiago, Chile, during the 17th World Congress, the
turnout of colleagues interested in this particular topic of
our Specialty was beyond expectation. In all, over seventy
declared their interest in becoming members of this new
IPRAS Society. A vivid discussion developed, creating a
climate of enthusiasm and demonstrating the willingness
to work towards strengthening the role of this topic in the
management of children with deformities and functional
or aesthetic problems. Our specialty is credited with
improvising, developing and establishing methods and
techniques widely employed by Plastic Surgeons and
colleagues from other specialties.
During this meeting the provisional Bylaws were
presented by the Deputy General Secretary Prof Andreas
Yiacoumettis and they were accepted with minor changes.
Further deliberations will take place after receiving
comments from the members via email communication.
It was also unanimously decided that the first scientific
meeting will take place next year in Turkey with Prof
Guler Gursu as the Congress President, but the dates
and the location will be announced later. During this
congress the General Assembly will convene officially
for the first time to approve the Bylaws and elect the
Executive Committee.
All members interested in becoming members of IPRAS/
ISPPS please contact the IPRAS executive management
office at : maria.petsa@zita-congress.gr;
During the inaugural meeting in Santiago, it was also
decided that the temporary administration of the IPRAS/
ISPPS will be in the hands of the following members:
Guler Gursu (Turkey)
Dan Enescu (Romania)
Ashok Gupta (India)
Nelson Piccolo (Brazil)
Andreas Yiacoumettis (Greece)
The founding of International Society of Paediatric Plastic Surgery, Santiago, Chile, March 2013
26 IPRAS Journal www.ipras.org Issue 12

IPRAS Trainees Association - IPRAS-TA: Santiago, Chile.
Benjamin Khoda MBChB, MRCS (Eng)
Plastic Surgery Specialist Registrar
Oxford and Wessex Training Programme, UK
Ondrej Mestak
Department of Plastic Surgery
1st Medical Faculty
Charles University in Prague, Czech Republic
The 17th World Congress for IPRAS took place in
Santiago, Chile from 24th February to 1st March 2013.
The congress saw high attendance with trainees and
Faculty from diverse backgrounds sharing and enhancing
knowledge.
During the Congress, IPRAS-TA held two successful
meetings which enabled us to raise awareness of the newly
formed IPRAS-TA and to recurit National Delegates. It
was an opportunity for the Executive Committee to meet
and expand on the ideas created during the launch of
IPRAS-TA in November 2012.
IPRAS-TA EXCO members and our President Prof. Eisenmann-Klein
Marita during the conference dinner at 17th IPRAS world congress.
The association has made tremendous progress in only
a short period and we will continue to work hard and
champion the voice of trainees worldwide. The first
three months of the year 2013 were very fruitful for
IPRAS-TA. We continued developing our projects within
the Executive Comittee, searching for new National
Delegates, establishing the IPRAS - TA webpage, and
organizing scholarships and exchange programs.
The biggest achievement was undoubtedly the launch of
a brand new webpage within the main domain of IPRAS
(www.ipras.org/residents-trainees). This webpage is
devoted to the IPRAS - TA. You can find basic information
about our society here, lists of upcoming meetings, our
by-laws, and information about members of Executive
Comitee including their contact details. This webpage
contains a questionnaire evaluating plastic surgery training
in different IPRAS countries. We highly encourage all
plastic surgery trainees to participate in this survey.
In an effort to achieve greater participation from various
IPRAS member countries, we openly approached
representatives of National Societies from countries not yet
represented in IPRAS-TA to nominate a National Delegate.
The IPRAS-TA National Delegate will thus be the link
between IPRAS-TA and the respective National Society.
During the IPRAS world congress in Chile, our
Chairperson, Sarah Lorenz presented provisional results
of the trainees survey and the aims, vision, outcomes and
progress made by IPRAS-TA.
At the first meeting, which took place on Monday 25th of
February, we were honoured by the presence of IPRAS
President Professor Marita Eisenmann-Klein, IPRAS
General Secretary Nelson Piccolo, and Deputy General
Secretary Andreas Yiacoumettis. We are grateful that
the IPRAS Executive Committee has shown tremendous
enthusiasm in supporting IPRAS-TA and have reassured
their continued support.
Many trainees especially from South America attended
the meeting and supported the mission of IPRAS - TA .
We had trainee participants from 14 countries (Argentina,
Czech Republic, Colombia, Chile, Cyprus, Germany,
Greece, Guatemala, Italy, Norway, Paraguay, Spain, U.K.
and Venezuela).
The meeting also provided a platform to engage and profit
from networking with leaders in the field of Plastic and
Reconstructive Surgery. The Masterclasses and the scientific
programme were excellent and encouraged discussion.
We will continue to pursue communication between trainees
all around the world. Our main goal in the immediate
future is to gather more members as well as to start new
scholarship programs, which would help trainees visit
departments in different countries. We are working towards
the 2nd IPRAS-TA meeting to be held in conjunction with
the 11th IQUAM meeting in Paris, 2014.
Issue 12 www.ipras.org IPRAS Journal 27

IPRAS Trainees Association - IPRAS-TA: Santiago, Chile.
Benjamin Khoda MBChB, MRCS (Eng)
Plastic Surgery Specialist Registrar
Oxford and Wessex Training Programme, UK
Ondrej Mestak
Department of Plastic Surgery
1st Medical Faculty
Charles University in Prague, Czech Republic
The 17th World Congress for IPRAS took place in
Santiago, Chile from 24th February to 1st March 2013.
The congress saw high attendance with trainees and
Faculty from diverse backgrounds sharing and enhancing
knowledge.
During the Congress, IPRAS-TA held two successful
meetings which enabled us to raise awareness of the newly
formed IPRAS-TA and to recurit National Delegates. It
was an opportunity for the Executive Committee to meet
and expand on the ideas created during the launch of
IPRAS-TA in November 2012.
IPRAS-TA EXCO members and our President Prof. Eisenmann-Klein
Marita during the conference dinner at 17th IPRAS world congress.
The association has made tremendous progress in only
a short period and we will continue to work hard and
champion the voice of trainees worldwide. The first
three months of the year 2013 were very fruitful for
IPRAS-TA. We continued developing our projects within
the Executive Comittee, searching for new National
Delegates, establishing the IPRAS - TA webpage, and
organizing scholarships and exchange programs.
The biggest achievement was undoubtedly the launch of
a brand new webpage within the main domain of IPRAS
(www.ipras.org/residents-trainees). This webpage is
devoted to the IPRAS - TA. You can find basic information
about our society here, lists of upcoming meetings, our
by-laws, and information about members of Executive
Comitee including their contact details. This webpage
contains a questionnaire evaluating plastic surgery training
in different IPRAS countries. We highly encourage all
plastic surgery trainees to participate in this survey.
In an effort to achieve greater participation from various
IPRAS member countries, we openly approached
representatives of National Societies from countries not yet
represented in IPRAS-TA to nominate a National Delegate.
The IPRAS-TA National Delegate will thus be the link
between IPRAS-TA and the respective National Society.
During the IPRAS world congress in Chile, our
Chairperson, Sarah Lorenz presented provisional results
of the trainees survey and the aims, vision, outcomes and
progress made by IPRAS-TA.
At the first meeting, which took place on Monday 25th of
February, we were honoured by the presence of IPRAS
President Professor Marita Eisenmann-Klein, IPRAS
General Secretary Nelson Piccolo, and Deputy General
Secretary Andreas Yiacoumettis. We are grateful that
the IPRAS Executive Committee has shown tremendous
enthusiasm in supporting IPRAS-TA and have reassured
their continued support.
Many trainees especially from South America attended
the meeting and supported the mission of IPRAS - TA .
We had trainee participants from 14 countries (Argentina,
Czech Republic, Colombia, Chile, Cyprus, Germany,
Greece, Guatemala, Italy, Norway, Paraguay, Spain, U.K.
and Venezuela).
The meeting also provided a platform to engage and profit
from networking with leaders in the field of Plastic and
Reconstructive Surgery. The Masterclasses and the scientific
programme were excellent and encouraged discussion.
We will continue to pursue communication between trainees
all around the world. Our main goal in the immediate
future is to gather more members as well as to start new
scholarship programs, which would help trainees visit
departments in different countries. We are working towards
the 2nd IPRAS-TA meeting to be held in conjunction with
the 11th IQUAM meeting in Paris, 2014.
Issue 12 www.ipras.org IPRAS Journal 27

S E N I O R A M B A S S A D O R
Abel Chajchir, MD
Please tell us about your professional background,
where did you go to school, your training, etc?
I got my Medical degree from Buenos Aires University,
following the teachers’ indications training in general
surgery until 1969, beginning the plastic surgery in
Argentina as well as visiting several Centers in different
places in Europe, but only making visits to England,
France, Italy and Spain. Overall I trained in Rio in the
Pitanguy professor school and made a lot of friends. I
trained In San Pablo with professor Ricardo Baroudi,
who also with his friendship he helped me to carry out
my scientific work, as well as in Mexico with professor
Jose Guerrero Santos who distinguished me by inviting
me to participate in his scientific researches.
During my professional activity I occupied all the
charges in the Argentine Society of Plastic Surgery ,
and in the Buenos Aires Plastic Surgery Society and in
some international Societies. I was visiting professor
at the Richmond Medical College and in the Catholic
University of Buenos Aires.
What about your family background? Did you have
other Plastic Surgeons in your immediate family?
My wife Dr. Iliana Benzaquen is a Dermatologist,
my daughter Gabriela Irina Dermatologist and Laser
specialist and my son Gustavo Andres a Plastic Surgeon.
When you initiated your practice in Plastic
Surgery, what were the most frequently performed
procedures?
At the beginning in Plastic Surgery the most frequent
procedure was the rhinoplasty. This procedure was
performed twice or three times a week at that time.
What led you to start using fat as part of your everyday
practice? What did you think then one could possibly
do with fat? Were you able to predict this widespread
and multifaceted use of fat and ADSC´s as we are
doing more and more today?
My use of fat began in 1981 when I made my first
demonstrations of liposuction, as we at that time used big
Issue 12 www.ipras.org IPRAS Journal 29

cannulas, because of which some depressions appear. In
order to correct the defects I started with the fat graft.
When I saw that this was useful I began to use it in the
face, with following re injections obtaining very good
results.
As logical as this procedure was, it was used by
professionals without the appropriate knowledge of the
technique, and that was an obstacle, but as I had very
good results I continue using it.
In your opinion, what was the major advancement
that was obtained with the use of fat grafting?
Without any doubt this is the right way to the tissular
regeneration, with the use of fat graft, stem cell and
rich plasma. These three important points, for tissue
regeneration, are based on fat grafts, stem cells and
platelet-rich plasma.
With the most recent research on this topic we will
achieve great advances in reconstructive surgery, not
only in plastic surgery in all the medical specialties like
orthopedic surgery, hand surgery, trauma, and so on.
What is your opinionof how Plastic Surgery is taught
nowadays? Do you agree that residents today have
a much wider exposure to the universe of Plastic
Surgery?
Without doubt I agree that residents today have much
more exposure to plastic surgery but it is necessary also to
introduce the basic science to begin this career. Training
in basic science is very important for all doctors.
As Senior Ambassador, please tell us what would
be your message that you would convey to Plastic
Surgeons around the world?
My message is that, return to the basic science, return to
research.
30 IPRAS Journal www.ipras.org Issue 12

P I O N E E R
Sydney Coleman, MD
Did you ever consider a different career than Plastic
surgery?
I’m from a ranching family in West Texas, and never
thought I would be a physician, let alone a plastic
surgeon. When I was 18 years old, after two semesters
at the University of Texas in Austin, I took the Medical
College Admissions Test because I knew I wanted to go
into scientific research, and this was the least expensive
test ($25 at the time).
An advisor at the school called me in and told me that I
had scored a very high score on my exam, and I might be
able to get into medical school even though I was only 18
years old. I applied and was accepted.
In Medical School, my first advisors were Ted Huang, a
plastic surgeon, and Mary Knudson, an anthropologist.
They talked me into working with them on my first
research project, interviewing 13 to 16 year olds who had
disfiguring facial and hand burns. When I started, I really
and truly thought the kids should be allowed to die—I
was 20 years old and that was my gut reaction.
As I got to know the disfigured adolescents, their siblings
and their parents, I realized that there were amazing and
important people behind those masks of scars on their
faces. I became obsessed with the importance of the
appearance of the face and body in relating to the outside
world.
If yes, what other options were you considering and
what made you finalize your selection?
My only career path in medicine that deviated from
plastic surgery was pediatric surgery. However, as much
as I loved pediatric surgery I saw too many children die
when I was training. I realized that I didn’t want to see so
many children die. And I especially did not want to have
to tell another parent that their child had died.
On the other hand, when you’re dealing with plastic
surgery patients, you’re making them more productive
people who can interface with the world in a way that
makes it easier for them to express their emotions and
conditions as well as feel better about themselves.
You are a visionary: did you ever have doubts that the
break-through for your pioneer work will come?
Fat grafting has been a natural progression for me. I was
in my residency when liposuction arrived in the US from
France in 1982. By the time I moved to NYC in 1985
for a 6-month fellowship at MEETH and NYU, I began
seeing subtle as well as remarkable iatrogenic liposuction
deformities. So when I began practicing in New York
in 1986, some of the first problems I encountered were
liposuction deformities in women’s thighs and arms.
Iatrogenic liposuction deformity was a new problem
that the world of plastic and reconstructive surgery had
not faced before. I asked all of the new “experts” on fat
suctioning about grafting liposuctioned fat, and most of
them told me that it would not work or it would not last
any longer than injectable collagen.
With that information, I approached the correction of the
first liposuction deformities with the idea that the grafted
fat might only last a few months. However, taking specific
Issue 12 www.ipras.org IPRAS Journal 31

photographic images before and months after surgery, I
found that the fat seemed to last a long time. In fact, even
my very first fat graft procedures had every indication of
permanence.
I listened to my patients as they asked me next to place fat
grafts into the face. In the mid 1980’s, injectable silicone
was commonly used in the face as a filler, and many
patients were skeptical. However, they witnessed in their
friends that fullness in the lips, cheeks, temples, nose,
et cetera had a remarkable rejuvenating effect. First, the
women in whom I had corrected liposuction deformities
asked me why I did not use fat instead of silicone in their
faces. Then, their friends found out about the possibility
of fat grafting to attain fullness in the face. Patients
pointed out the areas, and I listened. I started first with
nasolabial folds and marionettes, then lips, temples and
brows. Next, they asked me to place fat into the lower
eyelids and even the nose. A big leap from filling lines
and folds was to understand how fat could be used in
the lower face to restore a strong jawline and chin and
improve the cervical-mental angle.
Even in the late 1980’s, I began to notice the remarkable
improvement in the quality of the skin overlying areas
of fat grafting. It was with that in mind that I began
grafting fat into the dorsum of the hands: to restore not
just fullness, but also to improve the quality of the sundamaged,
aging skin.
Then my patients started asking me about enhancing the
body with fat grafting: the calves, buttocks and chest.
Eventually, many patients asked why I wasn’t doing
breasts, and in 1995, after the silicone implant crisis was
spreading throughout the US, I advanced to using fat
grafting in the breast.
The progression of discoveries for me has always been
patient-driven: patients asked me to do something, and
I cautiously did it, with the patient understanding that it
was the first time. And it often worked. In recent years,
the challenges have come more and more often from
other physicians seeking solutions for their patients with
difficult problems.
Did you feel disappointed or discouraged about the
skepticism which the majority of plastic surgeons
showed towards fat grafting for a long time?
I was alone in the woods for so long that I became used to
it. It is amazing to me that the same plastic surgeons who
were vehement disbelievers in the past are now “experts”
in fat grafting, claiming 10 or 20 years of “positive results,”
seeming to use fat on almost every case they do.
Some disappointing moments during your professional
life?
When plastic surgery “friends” who were bad-mouthing
fat grafting just a few years ago, were quoted in news
articles as having claimed to “invent” LipoStructure or
fat grafting.
Is there something you regret not having pursued?
I wish I had devoted more time to studying languages and
maintaining those that I have studied. I studied German,
French and Spanish, but only really keep up a little with
the Spanish.
In research: did you focus on fat tissue from the
beginning? Which results of your research projects
do you consider to be most important?
The research in which I have been involved has focused
on either anatomy or fat grafting. The most important
projects have shown that the method by which fat
influences the area into which it is placed is by improving
the vascularity and reducing scarring.
Briefly describe your current position and the variety
of patients you treat on a daily basis.
I am in a private practice in TriBeCa in downtown New
York City. I hold two academic appointments: one at New
York University Medical Center and one at the University
of Pittsburgh Medical Center.
For several years, I have been travelling to Pittsburgh
every month or every other month to work on three
research projects with Peter Rubin, one of our greatest
plastic surgery scientists. One project focuses on
understanding how fat grafting can be used in cranial and
facial combat injuries. A second project involves the use
of fat in cranial and facial combat injuries as well, but is
a controlled study in which stromal vascular fraction is
added. The newest project examines the use of fat grafting
in treating painful amputations. These three projects are
funded by the Department of Defense.
My practice is about 60% aesthetic in nature, although
much of the aesthetic procedures might be considered
reconstructive since they often involve correction of
complications caused by other surgeons. Most of my
practice is fat grafting based.
The best part of my practice is when I sit down with
someone and figure out how to make them look like they
think they should look. The second best thing is sitting
down with them a year or more later, looking at the
pictures, and making sure they are happy and we've done
all the things we were supposed to do.
What are your goals for the next few years?
My biggest goal is to unravel the mysteries of adipose
tissue and stromal vascular fraction. There is much that
we don’t know, and I believe there is enormous potential
in fatty tissue.
Explain what ISPRES means, why it was founded,
how it developed and what you expect from the next
ISPRES congress in Berlin.
ISPRES is the International Society of Plastic Regenerative
Surgery. ISPRES is an organization whose primary
goal is the education of Plastic Surgeons and clinicians
regarding fat grafting and emerging technologies based
32 IPRAS Journal www.ipras.org Issue 12

on the regenerative properties inherent in grafted fat.
ISPRES is a forum for sharing observations and
research about the applications of fat grafting, stromal
vascular fraction (SVF), adipose derived stem cells
(ADSC), and growth factors (GF) in plastic surgery. We
emphasize the functional qualities of grafted fat, particularly
the recently recognized role of fat tissue as a repair organ,
and how it can aid us in reconstruction and rejuvenation.
We also explore the clinical uses of fat grafts for creating
or restoring fullness in order to improve our aesthetic
and reconstructive procedures. Along those lines, we
review both research and clinical experiences that help
us determine how to maximize fat graft survival.
The March 2012, ISPRES Congress in Rome had 90
speakers and attendees from 55 countries. We turned
away over 200 people who tried to register. There were
over 150 abstracts submitted from all over the world. We
used these abstract submissions to create a fresh, vibrant
meeting in which much new information was presented.
We mingled invited speakers (often in panels) with
speakers who had submitted abstracts.
Much of the information was heard for the very first time
in an international forum. This worldwide participation
of new presentations, made possible by the abstracts,
rendered our first ISPRES Congress different from most
other conferences, and more exciting for the attendees
and participants alike.
The vision of ISPRES Berlin 2013 Congress
For the next Congress in Berlin, we will maintain the
fresh approach of our first Congress in Rome. The invited
faculty will present their latest observations, discoveries
and research. The scientific and organizing committees
have worked together to develop a program in which
innovative abstract submissions will complement the
panels and invited lectures.
ISPRES Rome 2012 had many pleasant surprises for those
who attended. It is difficult to comprehend the changes
that have occurred in the last year alone. I promise you
that ISPRES Berlin 2013 will have many more surprises
than you can imagine.
The exchange of ideas about fat grafting, SVF and tissue
engineering will occur not just during the sessions, but
on the Congress floor and during the evenings. The
attendees will have opportunities to befriend scientists
and surgeons from every corner of the world. There will
be many pleasant surprises every day and night of the
congress. That exchange of ideas will change the world
we live in immeasurably over the next decades.
What is the future of Plastic surgery in the US?
Plastic surgery is moving toward minimizing procedures,
performing prophylactic treatments and, most
importantly, regenerative surgery. Regenerative surgery
involves the use of the patient’s own body and tissues
to treat maladies instead of performing larger surgeries
and/or using implants and medications. This is obvious at
every meeting in plastic surgery in the world. Fat grafting
and related regeneration are now the topic of the present
and the future.
What do you like to do in your free time; hobbies/
sports?
I love to ski, do aerobics and weight lifting.
Issue 12 www.ipras.org IPRAS Journal 33

R I S I N G S T A R
Alexandre Marchac, MD
Did you ever consider a different career than Plastic surgery?
Not since I was 15, when my father, Daniel, showed me a film
he had just done, on a bipartition for a Tessier #0-14 cleft. I was
amazed by the combination of mechanics and biology, the ability
of his hands to create something totally new, and the good he had
done to this little girl. I was set on becoming a plastic surgeon.
Such a precise goal made my medical studies both dynamic and
stressful, because our system is solely based on test ranking,
without any interviews. Today, I feel grateful for succeeding,
because although many other medical specialties are interesting,
none has the same combination of technical skills, creativity, and
humanism that I enjoy so much in Plastic Surgery.
Describe some of the highlights of your training. Great
mentors/teachers, great cases, great opportunities.
Beside my father, on whom much has been written recently
and for who I had the greatest love and admiration, I have
met many excellent surgeons during my 7 years program.I
was lucky to spend 6 months of residency with Vladimir Mitz,
my uncle, who I admire for his technical skills and artistry.
Laurent Lantieri certainly was the most pivotal one in my
academic training, because taking part in the face transplant
program was an incredible experience. The most memorable
story that I can recall is when Laurent Lantieri was away at
AAPS and we got a call for a transplant, on a Monday at 7pm.
Surprisingly, he told us to go ahead and start, and that he
would jump on a plane! I did the tracheostomy at 3am, and
a colleague and I started to prepare the recipient, while two
colleagues went to harvest the donor. At noon, we had just
done the anastomosis when Lantieri arrived from the airport.
It was wonderful to see the cavalry arrive! The most incredible
part of the story is that he went back to the US on Wednesday,
and we got another donor on Friday. And, just like the first
time, we did our second transplant of the week. After this, my
greatest opportunity was surely to meet with Françoise Firmin.
At a dinner, Eric Arnaud told me that she was looking for a
fellow because a guy had bailed out at the last minute. I called
her the next day, and I found myself unexpectedly spending
the next six months learning ear reconstruction, right after my
residency. She really is a superb surgeon and I am glad that
today we keep working closely together.
Some disappointing moments during your training?
My biggest disappointments came from senior surgeons who
chose the easy way instead of the right way for the patient.
Shortly after my Firmin fellowship, I was called one day
by a senior surgeon in my department to help him to do a
transnasalcanthopexy on a pan-facial fracture in a young adult.
He had already done a bi-coronal incision and I saw that the
patient had a total ear amputation. I respectfully asked him if
he had considered preserving the superficial temporal artery,
but his answer was that “he was simply going to put in implants”.
He preferred to bill expensive implants rather than offer his
patient a chance of a lifelong autologous reconstruction.
Mistakes you could have avoided?
Of course. But I know that I am not the only one, because I recall
my father calling me to tell me about a mistake he had made,
how it had turned out, and most importantly the lesson he had
learned from it. He would then make sure that I understood it
well. Mistakes are inevitable and we must betotally prepared
to correct them. This is the essence of professionalism.
Is there something you regret not doing during your training?
Yes, I regret not getting more exposure to vascular surgery. It's
a great training for a flap surgeon. Perhaps I will in another
lifetime.
Issue 12 www.ipras.org IPRAS Journal 35

How about research? Did you do any and what were your
topics?
Research is not mandatory during medical school in France
and I was so focused on getting good scores that I discarded
it.I took part in several clinical research projects, but at the
end of my surgical training, I felt lost reading the experimental
papers of PRS. It gave me an incentive to do research. At a
craniofacial meeting, I met Stephen Warren who was the
lab director at NYU. He really impressed me by his bright
intellect and I asked if I could work with him. This was after
my two clinical fellowships, with Françoise Firmin and my
father. I spent a fascinating year at NYU, doing basic research
on angiogenesis and stem cells.
How much emphasis should we give in research during plastic
surgery training?
Research should definitely be encouraged during residency. In
Paris, we had a cadaver and animal laboratory available every
day for residents. Once in a while, I would escape the service
and practice in the lab before a difficult operation or explore
some point of anatomy that looked confusing. At NYU, I
loved Monday morning research meetings, when Joseph
McCarthy, in his role of experienced and talented conductor,
was untangling problems, assigning someone to help a resident
who was stuck on a project, and motivating everyone to give
their best. Today, I dream of a program where residents would
have half a day every week to work on a research project, with
appropriate mentoring of course.
Since you spent training time on both sides of the Atlantic
could you please share you personal opinion on strengths
and weaknesses of either system.
I was very impressed by the quality of the training at NYU
and other top American programs. Broad exposure to surgical
problems, good mentoring, research. I don’t see much to
change there, whereas I would like to add more research into
our French programs, which are mostly hands-on.
Based on your training experiences what advice would you
give to young trainees?
I tell my trainees to forget about the difficult tests and remember
their natural curiosity, and enjoy this short period of training
in life. I tell them to learn as much as possible and later identify
what they like most, and then thrive at being the best at it. I tell
them not to hurry, to travel and look for a mentor.
Briefly describe your current position and the variety of
patients you treat on daily basis.
I’m a consultant surgeon in Laurent Lantieri‘s department,
where I spend two days a week doing ear reconstructions and
microsurgery, mainly for autologous breast reconstruction.
The rest of the week, I’m in private practice, not far from the
hospital, where I do both reconstructive and aesthetic surgery.
I switched from full time faculty to part time 6 months ago,
and I must confess that I truly enjoy building up my practice,
despite the administrative burden and economical crisis.
So far, what were the highlights of your career?
1/ the face transplants, 2/ Victor and David, two African
patients with total lip and nose amputation, from Bonobo
Monkey bites, which I reconstructed simultaneously in the
span of 6 months and 3/ my first humanitarian mission in
Bolivia, which moved me beyond expectations.
What are your goals for the next few years?
1/ to organize a great meeting in Paris on September 25-27th
2014 for the International Society of Auricular Reconstruction
(www.isar.org), 2/ to establish my private practice further and
3/ to have a great creative idea that makes us leap forward.
What is your definition of a complete and successful Plastic
surgeon?
It is a balance between technical skills, scientific knowledge,
expertise in a subspecialty, willingness to teach and share, and
devotion to his patients.
Are you involved or plan to participate in volunteer surgery?
Yes, I go once a year to South America to do autologous ear
reconstruction, with Françoise Firmin at first, and now with a
small group of friends, with the support of La Chaîne de l’Espoir.
We do about 30 microtia cases in a week, first and second stages.
Microtia is an excellent model for volunteer surgery, as long as
you can train local surgeons to take care of healing problems
and come back to do the second stage. Françoise and I are going
to Uganda this September for the first time.
What does IPRAS mean to you? Why should plastic surgeons
around the world become active with this organization?
IPRAS is the United Nations of Plastic Surgery, an organization
that has the unique ability to speak to everyone and coordinate
international efforts. It is a place for everyone to share and
learn.
What is the future of Plastic surgery in France and what are
the major pressures that our specialty faces?
Since October 2012, the government is raising a 19,6% VAT on
aesthetic surgery, under the pretext that it is not therapeutic.
We have been fighting this decision, and a European regulation
just gave us a positive answer. Otherwise, I believe that Plastic
Surgery is still an expanding field, unlike cardiac surgery, and
that we will see great innovations in the coming years.
What do you like to do in your free time; hobbies/sports?
I like to run and go to the gym, and I sail and ski during the
holidays. I draw a lot for pleasure and play the guitar, and in
general I like arts and design. And I am expecting a son in May,
and this will take me a lot of time, because I definitely want to be
a good father and a good husband for my lovely wife Nathalie.
What is your favorite book? Favorite music?
The book that I would take with me on a deserted island: the
complete works of Antoine de Saint-Exupery. I listen to a lot
of jazz, but the record I would take is a best of Frank Sinatra
songs, to lift my spirit when I’ll be down.
36 IPRAS Journal www.ipras.org Issue 12

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38 IPRAS Journal www.ipras.org Issue 12

Issue 12 www.ipras.org IPRAS Journal 39

I S P R E S S E C T I O N
2nd ISPRES Congress, Berlin, Germany
June 7-9, 2013
Message from the President of ISPRES
Dear Colleagues,
As the Chairman of the Board of Directors of the International Society of Regenerative Surgery,
it is our pleasure and honor to invite you to the 2nd ISPRES meeting to be held in Berlin at the
Steigenberger Hotel, June 7-9, 2013.
By inviting you to Rome for the first meeting, I pointed out that the 70’s and 80’s were characterized
by the discovery and study of the axial flaps, a necessary step for the development of reconstructive
microsurgery in the 90's.
At the end of this period, the “fat graft” was inserted forcefully in our clinical practice.
The first meeting of ISPRES in Rome began to define and point out the biological capacity of
adipose tissue graft, emphasizing both its use as a filler and as a regenerative agent and mentioned
that "fat" is characterizing the current period in the history of plastic surgery.
I think it is right to say this. After Rome in each meeting around the world, the term "fat" has
always had an honorary place and increasingly many of us engage in its research, testing and its
clinical application.
It is not yet time for further and deeper consideration on the use of this new feature of plastic
surgery, which I would define revolutionary, since there are still many things to be learned about
it, while a lot of assumptions based on results of basic research, form part of this discipline. Surely
we understand that many positive surprises are yet to come.
A year later following Rome, its notion is clearer and we expect that the participants of the
meeting in Berlin will furthermore, lead to a better understanding of the biological complexity of
fat graft.
For all these reasons I invite you to join us to follow, monitor and contribute to the growth of
possibilities of this new adventure in plastic surgery.
Gino Rigotti
ISPRES President
Issue 12 www.ipras.org IPRAS Journal 41

Message from the
General Secretary of ISPRES
The 2nd Congress of the International Society of Plastic Regenerative
Surgery (ISPRES) convenes in Berlin June 6-9, 2013. In Berlin
this June, you will learn about a paradigm shift in medicine and
plastic surgery towards regeneration and how you can apply these
philosophies to your own clinical practice. Regenerative surgery
manipulates our own body’s tissues to treat and cure conditions
rather than using drugs and more invasive, non-natural procedures.
This regenerative approach is no longer a dream of the future, but is
rapidly becoming part of our current practices.
The invited faculty, Scientific Committee and the Organizing
Committee have devised the content of ISPRES Berlin 2013. We have
combined scientists with surgeons from around the world to provide
a fresh understanding of adipose derived stem cells (ADSC), stromal
vascular fraction (SVF) and fat transplantation. The program is not
just at the cutting edge of science, but also full of clinical knowledge
which surgeons can implement into their practices.
The first sessions of ISPRES Berlin 2013 will update the attendee
with a new understanding of how adipose derived stem cells work.
The early sessions will lay the groundwork so the audience can
appreciate the fascinating clinical studies presented in the rest of
the meeting. During the first session, Gino Rigotti will explain
the newly recognized entity, the “postadipocyte”, and its integral
role in fat grafting. The earlier sessions will also present studies
that help clarify where and how we find ADSC and how they
work to regenerate tissue. Many talks will focus on the speakers’
understanding of how fat grafts work and methods of enriching fat.
Hans Hauner, the first scientist who isolated and cultured human
preadipocytes, is our keynote speaker this year.
New information about how adipose stem cells work will help
clinicians understand the many scientific presentations on tissue
engineering. These presentations will lay the groundwork, so the
audience will be able to appreciate the fascinating clinical studies
and experiences presented from around the world. Much time
will be devoted to maximizing donor and recipient sites for fat
grafting, including external volume expansion, hyperoxygenation
and the effect of PRP and other additives.
Stromal Vascular Fraction (SVF) is thought by many to be the future
of medicine. For that reason, ISPRES Berlin 2013 will devote
several sessions to SVF, and will include the role of SVF in almost
every session. An international faculty will provide an in depth
analysis of the different methods of processing and using SVF.
For instance, in one of the sessions on processing SVF we have the
following presentations:
• Carlo Tremolada and Camillo Ricordi from Italy will explain
a potentially revolutionary advance in SVF: “LipoGems”
• David Daehwan Park from Korea will show us automated
extraction of adipose derived stem cells.
• Sundar Raj Swathi from India will introduce a new automated
device for SVF isolation
• Jae-Ho Jeong from Korea will demonstrate the use of SVF for
bedside treatment of surgical complications
• John Fraser from California will give an update on the SVF
clinical studies currently underway using the Celution®
System
After the above session, Guy Magalon from France and John Fraser
from California will clarify how to determine what is present in
SVF. Every section of the Congress will present an international
perspective, like the ones above.
There will be sessions on SVF-enriched fat for rejuvenation,
combat injuries, scars, burn wounds, scleroderma, diabetic ulcers,
open fractures, and a range of maxillofacial and craniofacial
applications. We will also spend much time discussing potential
problems with the use of SVF, including safety issues, potential
complications, and governmental regulation of SVF.
In a session running concurrent with the facial and wound
presentations, we will have over six hours on the use of SVF and
fat in aesthetic and reconstructive breast surgery, including much
discussion of the preparation of the breast for fat implantation and
of the potential cancer risks associated with this procedure.
A course entitled “Fundamentals of fat grafting: complementary
and conflicting techniques” will take place on June 6, 2013 from
1:30pm to 6pm, the afternoon before the Congress begins. This
will be a basic course comparing the varying techniques that
have evolved in fat grafting: contrasting the many techniques that
have developed for different indications, and looking at how they
contrast with and complement each other. We will also include
some of the fundamentals of the preparation of SVF using different
methods and devices.
Also during that pre-meeting, we will have a specific course with the
purpose of educating practicing physicians about the nomenclature
of Cell Biology, which has rapidly become a part of the plastic
surgery literature. Another course will help us all to understand and
interpret specific scientific studies more intelligently.
The scientific program of ISPRES Berlin 2013 will present the
world’s most clinically relevant research and experiences with the
regenerative phenomenon that is revolutionizing plastic surgery.
Presentations will be at the highest scientific level, but the
Conference is aimed at making the science of fat grafting, SVF,
ADSC and growth factors accessible to the practicing clinician.
I will begin to tease you with the planned presentations over the
next weeks from the Facebook site, LipoStructure https://www.
facebook.com/LipoStructure
Sydney R. Coleman, MD
President of ISPRES 2013
Secretary General of ISPRES
42 IPRAS Journal www.ipras.org Issue 12

INTERNATIONAL SOCIETY OF PLASTIC REGENERATIVE SURGERY
CONGRESS
June
BERLIN, GERMANY
Steigenberger Hotel
n e w f r o n t i e r s a n d h o r i z o n s i n t h e f i e l d o f t i s s u e r e g e n e r a t i o n
Be at the edge of the latest developments
Learn more about new
extraordinary techniques
Pre-Congress Instructional Course
6 June 2013, 1:30pm-6:00pm
“Fundamental Principles of fat grafting: complementary and conflicting techniques”
www.ispresberlin2013.com
also available from your mobile devices
Organized by
Follow ISPRES BERLIN 2013 at F/B
Supported by
International Confederation
for Plastic Reconstructive
& Aesthetic Surgery
Endorsed by
American Society
of Plastic Surgeons
Austrian Society
of Plastic, Reconstructive
& Aesthetic Surgery
British Association
of Plastic, Reconstructive
& Aesthetic Surgeons
German Society
of Plastic, Reconstructive
and Aesthetic Surgery
ZITA
C O N G R E S S
Korean Society
Turkish Society
& T R A V E L
of Plastic & Reconstructive of Plastic Reconstructive and ISO 9001
Surgeons
Aesthetic Surgeons
ISO 14001
Issue 12 www.ipras.org IPRAS Journal 43
Organizational Support

INTERNATIONAL SOCIETY OF PLASTIC REGENERATIVE SURGERY
CONGRESS
June
BERLIN, GERMANY
Steigenberger Hotel
n e w f r o n t i e r s a n d h o r i z o n s i n t h e f i e l d o f t i s s u e r e g e n e r a t i o n
PRESIDENT of the Congress:
Sydney Coleman,
ISPRES General Secretary, USA
LOCAL Organizing Committee
Norbert Pallua,
ISPRES Treasurer, Germany
Dennis von Heimburg, Germany
INTERNATIONAL
ORGANIZING COMMITTEE
Fahd Benslimane, Morocco
Valerio Cervelli, Italy
Abel Chajchir, Argentina
Suk Wha Kim, Korea
Paulo Roberto Leal, Brazil
Riccardo Mazzola, Italy
Fernando Molina Montalva, Mexico
Ahmed Adel Noreldeen, Egypt
Sergey Nudelman, Russia
Norbert Pallua, Germany
Zsolt Revesz, Hungary
Ewa Siolo, South Africa
Peter Vogt, Germany
Andreas Yiacoumettis, Greece
SCIENTIFIC COMMITTEE
Luigi C. Clauser, Italy
Marita Eisenmann-Klein, Germany
Brian Kinney, USA
Qing-Feng Li, China
Sin-Daw Lin, Taiwan
Guy Magalon, France
Norbert Pallua, Germany
David Daehwan Park, Êorea
Nelson Piccolo, Brazil
Lee L. Q. Pu, USA
Peter Rubin, USA
Ricardo Tieghi, Italy
Kotaro Yoshimura, Japan
INVITED FACULTY
Eckhard Alt, Germany
Jean Christophe Bichet, France
Steve Cohen, USA
Dan Del Vecchio, USA
Marita Eisenmann-Klein, Germany
John Fraser, USA
Seung-Kyu Han, Korea
Hans Hauner, Germany
Alexes Hazen, USA
Roger Khouri, USA
Luca Lancerotti, Italy
Paulo Roberto Leal, Brazil
Qing-Feng Li, China
Sin-Daw Lin,Taiwan
Ramon Llull, Spain
Guy Magalon, France
Alessandra Marchi, Italy
Ali Mojallal, France
Dennis Orgill, USA
Norbert Pallua, Germany
David Daehwan Park,
Nelson Piccolo, Brazil
Valerie Planat-Benì ard, France
Lee Pu, USA
Gino Rigotti, Italy
Peter Rubin, USA
Andrea Sbarbati, Italy
Sandeep Sharma, India
Ewa Siolo, South Africa
Aris Sterodimas, Greece
Ricardo Tieghi, Italy
CarloTremolada, Italy
Carlos Ventura, Italy
Peter Vogt, Germany
Dennis von Heimburg, Germany
Jorg Wiltfang, Germany
Kotaro Yoshimura, Japan
TOPICS
Introduction and Historic Perspectives
The Biology of Fat, Stromal Vascular Fractions, Adipose
Derived Stem Cells and Growth Factors
Maximizing and Understanding Results of Clinical Fat Grafting
Stromal Vascular Fractions: Processing and Use
Storage of Harvested Fat and SVF
Acute, subacute & chronic conditions treated with fat grafting
Safety issues with SVF, Fat Grafting and Growth Factors
Fat Grafting to the Breast
Corporal Fat Grafting
Facial Fat Grafting
Regional Considerations of fat grafting in the Face & Neck
Craniofacial/Maxillofacial Applications of Fat Grafting
Regulations & Ethics concerning Fat Transplants, SVF,
ADSC & Growth Factors
Special Course: “Cliff notes” on Cell Biology for Clinicians
Special Course: Understanding and interpreting specific
scientific studies on fat grafting, SVF, ADSC & GFs
Terminology consensus
Contact: 44 IPRAS Zita Journal Congress www.ipras.org & Travel Issue 12SA, Mrs. Irene Katti, tel. (+30) 211 100 1783, i.ka@zita-congress.gr

Regenerative Applications of Plastic Surgery
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Issue 12 www.ipras.org IPRAS Journal 45

Laser Stimulation
on Adipose Stem Cells (ASC) and Adipocytes
Background:
Research on the 1210-nm Laser –which is subsequent
to our experience using the 980-nm Laser– introduces
a technique, ideal for treating lipodystrophy, that causes
less trauma to tissues, presents a low rate of minor
complications and produces no damage to adipocytes.
The 1210-nm Laser has high absorption-affinity for
Lipid-Rich Tissue and has demonstrated to stimulate
the adipose-derived stemcells (ASC) and adipocytes of
subcutaneous tissue, with a new concept: A Selective
Photothermostimulation (SPS) confirming that Light
(LASER) is life; making its use possible for regenerative
medicine and tissue engineering,as for fat grafting in
Liposculpture, Breast Reconstruction or as filler in
Face Rejuvenation, demonstrating that this technique is
suitable to harvest both cells.
Our study originated in the search of a gold standard
in Laser technique, that offered high preservation of
the subcutaneous tissue, its adipose and stem cells and
less trauma for the patient. We changed the concept of
Lipolaser so far related to “lipolysis” and created the
new concept of “fat preservation by laser “.
The present study is based on the analysis of the
Subcutaneous tissue after the application of Laser 1210-
nm with a Selective Photothermostimulation effect.
Adipose-derived stem cells (ASCs) have been identified
as an ideal source for tissue engineering, because of
its simple harvesting possibilities and its potential to
differentiate into several cell lineages. With this lasertechnique
we demonstrated that it was possible to
preserve the integrity of adipocytes and ASCs.
Materials and Method:
Data were collected from 225 patients who underwent
Laser Liposuction between June 2010 to December
2012. Histological samples of the subcutaneous tissue
were analysed and compared to samples of conventional
liposuction. Mitochondrial activity was measured to
determine the viability of the samples. A group of
these samples were submitted to thermal stress by
cryopreservation and their viability was measured
after. Results from both groups were compared before
and after cryopreservation.
Results:
Histological studies determined that the mesenchymal
Authors: Centurión* Patricio, Noriega** Adrián.
*MD. Plastic & Regenerative Surgeon. Research Professor, Faculty of Health Sciences.
Universidad Peruana de CienciasAplicadas (UPC) - Laureate International Universities. Lima – Perú.
**MD. Plastic Surgery Assistant.
Author Email: Patricio Centurión: pccenturion@gmail.com
cells presented in the sample Laser 1210-nm
demonstrated a higher number: 357 cells /µL (8.9 x
106 cells)with a viability of 90% compared with the
sample of conventional liposuction: 14 cells /µL (0.35 x
106 cells)with a viability of 90%. Also the samples were
measured after cryopreservation and the ones obtained
through Laser liposuction doubled the number of the
ones of the conventional Liposuction.
The mitochondrial activity of adipocytes indicates an
index of 1.4 of well-defined and unaltered cells with the
Lipolaser 1210-nm compared with an index 0.6 for the
conventional liposuction.
Conclusions:
Several studies demonstrated that the 1210-nm has
high absortion-affinity for Lipid-Rich Tissue and has
proven to stimulate the adipocytes and mesenchymal
cells of the subcutaneous tissue, with a new concept:
Selective Photothermostimulation (SPS). This effect
maintains adipocytes and ASC unaltered, providing
with an optimal harvesting material compared to
conventional Liposuction and therefore making
them viable for regenerative medicine, autografts in
Liposculpture, Breast Reconstruction or as fillers in
Face Rejuvenation.
Key words:
Lipolaser 1210-nm, Laser Selective Photothermostimulation,
Adipocyte derived Stem Cells, Regenerative Medicine.
References:
1. Anderson R R, Farinelli W, Laubach H, Manstein
D, Yaroslavsky A, Gubeli J, et al. Selective
photothermolysis of lipid-rich tissues: a free electron
laser study . Laser SurgMed. 2006 ; 38 : 913 – 919 .
2. Centurion P, Noriega A. Fat Preserving by Laser
1210-nm. Journal of Cosmetic and Laser Therapy,
2013; 15: 2–12.
3. Peplow P, Chung T, Ryan B, Baxter D. Laser
Photobiomodulation of Gene Expression and Release of
Growth Factors and Cytokines from Cells in Culture: A
Review of Human and Animal Studies. Photomedicine
and Laser Surgery 2011. 29(5): 285-304.
46 IPRAS Journal www.ipras.org Issue 12

Imagenologic Findings in Breast
after Autologous Fat Grafting
Dra Federica Zlotniski -Uruguay
The objective of this work is to review the medical
literature in order to answer the following questions:
What has changed since 1987, when the American
Society of Plastic and Reconstructive Surgeons,
banned the use of this technique due to the possibility
of interfering with breast cancer screening tests? What
are the expected imagenologic findings after breast
fat grafting? Does fat grafting increase the difficulty
breast cancer detection?
Autologous fat grafting to the breast is not a simple
procedure and should be performed only by well-trained
and skilled surgeons. This procedure is being performed
incorrectly by untrained and untutored physicians
and could result in major complications. The primary
complication of breast lipografting is the formation of
liponecrotic cysts which have characteristically benign
appearances in sonography, mammography or magnetic
resonance imaging. 1 2
Fat necrosis, cyst formation, and indurations can be
seen as in any other surgical manipulation of the breast.
The incidence of calcifications after all types of breast
operations varies but has been reported to be as high
as fifty percent of patients after two years. Fortunately,
radiologists are adept at distinguishing the calcifications
of malignant causes from the benign calcifications
resulting from fat necrosis. 3
A range of mammographic findings such as parenchymal
asymmetrical densities, radiolucent cysts, heterogeneity
of the subcutaneous tissues, and benign-looking
calcifications can be expected after autologous fat
transplantation to the breast.4 5 Ultrasonographic
features like anechoic lesions with posterior acoustic
enhancement or shadowing, cystic lesions with internal
echo, and increased echogenicity of the subcutaneous
tissues can also be expected after breast lipofilling. 6 7
In the magnetic resonance the fat necrosis appears as
masses less intense in T1 compared with native fat of
the breast. In T2 fat necrosis appears more intense.
This could be due to the fibrosis of the grafted areas or
because they contain less fat. 8
In patients that presented breast cancer, the first thing
to consider is the difference between fat necrosis and
malignant recurrence. Usually, the patients follow up is
based in the physical examination and mammography.
If lumps appear, the combination of sonography and
mammography is generally enough for their evaluation. 9
10
In few cases a magnetic resonance would be necessary.
If there are doubts, a biopsy of the lesion can be
11 12 13 14
performed.
Some authors, like Fulton 15 , say that such lesions can
hide microcalcifications associated with carcinomas
and confuse the breast cancer screening. Most of the
calcifications, even the grouped ones, are benign.
Therefore the decision of performing a biopsy should be
based in multiple factors, analyzing the patient’s history.
In multicenter study 16 from three institutions confirms
that lipofilling following breast cancer treatment leads to
a very low rate of complications and does not affect the
radiologic follow-up after breast-conserving surgery.
What has changed since 1987, when the American
Society of Plastic and Reconstructive Surgeons,
banned the use of this technique due to the possibility
of interfering with breast cancer screening tests?
Several grafting techniques have been reported, being
Coleman´s principles, the most respected by most
plastic surgeons. Atraumatic technique, processing
and infiltration, ensues better graft survival and overall
clinical results.
Other technical improvements have also been reported,
like the pre-expansion of the receptor site, allowing for
higher volumes of injection with better survival rates.
What are the expected imageneologic findings after
breast fat grafting?
The most frequent complications are fat necrosis, cysts
formation, calcifications and palpable masses. The
appearance of these lesions, according to some authors,
might interfere with the diagnosis of breast cancer, being
this the main reason for the ongoing debate surrounding
breast fat grafting.
Does fat grafting increase difficulty of breast cancer
detection?
This is a safe technique and does not interfere with
breast cancer screening. Both technique and screening,
should be performed by skilled surgeons and radiologists
specialized in breast pathologies.
Issue 12 www.ipras.org IPRAS Journal 47

1. Hyakusoku H, Ogawa R, Ono S, Ishii N, Hirakawa K (2009)
Complications after Autologous Fat Injection to the Breast .Plast.
Reconstr. Surg. 123: 360-370
2. Illouz YG (1989) Body sculpturing by lipoplasty. London,
Churchill Livingstone, pp 390–394
3. Sydney RC, Alesia PS.(2007) Fat grafting to the breast revisited:
safety and efficacy. Plast Reconstr Surg.119:775–783.
4. Illouz Y.G, Sterodimas A (2009) Autologous fat transplantation
to the breast: A personal technique with 25 years of experience.
Aesth Plastic Surg
5. Veber, Tourase C, Toussoun G, Moutran M, Mojallal A, Delay E
(2011) Radiographic findings after breast aumengtationby autoloous
fat transfer. Plast Reconstr Surg 127:1289
6. Bilgen IG, Ustun EE, Memis A (2001) Fat necrosis of the breast:
clinical, mammographic and sonographic features. Eur J Radiol
39(2):92–99
7. Taboada JL, Stephens TW, Krishnamurthy S, Brandt KR,
Whitman GJ (2009) The many faces of fat necrosis in the breast.
AJR Am J Roentgenol 192(3):815–825
8. Goehde SC, Kuehl H, Ladd ME (2005) Magnetic resonance
imaging of autologous fat grafting. Eur Radiol 15(12):2423–2426
9. Pierrefeu-Lagrange AC, Delay E, Guerin N, Chekaroua K,
Delaporte T. (2006) Radiological evaluation of breasts reconstructed
with lipomodeling. Ann Chir Plast Esthet. 51:18–28.
10. Veber, Tourase C, Toussoun G, Moutran M, Mojallal A, Delay E
(2011) Radiographic findings after breast aumengtationby autoloous
fat transfer. Plast Reconstr Surg 127:1289
11. Botteri E, Bagnardi V, Rotmensz N, et al. (2010)Analysis of
local and regional recurrences in breast cancer after conservative
surgery.Ann Oncol. 21:723–728.
12. Petit JY, Gentilini O, Rotmensz N, et al. (2008) Oncological
results of immediate breast reconstruction: Long term follow-up
of a large series at a single institution. Breast Cancer Res Treat.
112:545–549.
13. Kroll SS, Schusterman MA, Tadjalli HE, Singletary SE, Ames
FC (1997) Risk of recurrence after treatment of early breast cancer
with skin-sparing mastectomy. Ann Surg Oncol 4:193–197
14. Helvie MA, Bailey JE, Roubidoux MA, et al. (2002) Wilkins
mammographic screening of TRAM flap breast reconstructions for
detection of non palpable recurrent cancer. Radiology 224:211–216
15. Fulton JE. (2003)Breast contouring with “galled” autologous fat:
A 10-year update. Int J Cosmet Surg Aesthet Dermatol. 5:155–163.
16. Petit J.Y, Lohsiriwat V, Clough K.B, Sarfati I, Tarik Ihrai,
Rietjens,M, .Veronesi, P, Rossetto F, Scevola A, Delay E. (2011)
The Oncologic Outcome and Immediate Surgical Complications
of Lipofilling in Breast Cancer Patients: A Multicenter Study–-
Milan-Paris-Lyon Experience of 646 Lipofilling Procedures Plast.
Reconstr. Surg. 128: 341
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48 IPRAS Journal www.ipras.org Issue 12

International Society of Plastic Regenerative Surgery (ISPRES)
Application For Membership
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Issue 12 www.ipras.org IPRAS Journal 49

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52 IPRAS Journal www.ipras.org Issue 12

Issue 12 www.ipras.org IPRAS Journal 53

S E R V E Y S
What is the future of laser in the modern plastic surgery?
Author: Romulo Mene, MD, Plastic Surgeon*
Co author: Yuri Mene, Dermatologist**
Member of: SBCP, ISAPS, IPRAS,
*IPRES, ASPS, ALSMC, ESLMC,SBLMC
*Regent of the Laser and Resurfacings Chapter
of the Brazilian Society of Plastic
Surgery, 2009/2010, 2011/2012, 2013/2014.
*President of the Brazilian Society of Laser
in Medicine and Surgery 2011-2012 and 2013-2014
CEO for Center for Advanced Skin Therapy
Ipanema, Rio de Janeiro, Brazil.
**Dermatologist in the Advanced Center
Skin aging is clearly a progressive atrophy process,
where the tissue receives less and less blood and tends
to decrease its volume. The appearance of wrinkles,
blemishes, and loss of shine are the most significant signs
reported by our patients.
1996 2012
Fig 1A - RA , 45 YO.
Before treatment
Fig 1B -16 years after ablative
CO2 laser resurfacing
(full face)
Over the past century, different combined techniques have
been developed to improve the dermal and epidermal
signs of photo- and or chronological skin aging.
Nowadays, modern plastic surgery is complemented
with different non-surgical procedures such as lasers and
chemical peelings.
The goal in the use of non-invasive skin procedures is to
achieve patient satisfaction to give them a more youthful
look by diminishing the signs of aging and the damage
caused by years of sun exposure in both facial and nonfacial
areas such as the hands, neck or chest.
The history of laser skin resurfacing brought a lot of hope
for the recovery of skin quality for those patients with
a high degree of photo-aged skin. Unfortunately, these
techniques are still limited to the photo types 1, 2 and 3
(Fitzpatrick classification).
It is fundamental that the laser equipment used for
resurfacing be of the highest technology and the operator
be well trained to avoid sequels. The best laser equipment
to remove the epidermis and to stimulate the dermis,
is that which uses the highest power of Erbium-YAG
(3,000 mJ); it has the same advantages of CO2 lasers,
without the side effects typically caused by CO2 lasers.
(Hypochromia, long recovery time of the skin tissues and
long lasting erythema).
New laser technologies offer another alternative to
rejuvenate the skin with fewer side effects than earlier
lasers. The latest generation of laser resurfacing is
2010
FIG 2A - 2009 – EK, 60 YO.
Before treatment
FIG 2B - 5 days after the traditional
Blepharoplasty done with the CO2 laser in
continuous mode and periorbital ablative
Laser Resurfacing with Erbium-YAG
FIG 2C - 45 days after
54 IPRAS Journal www.ipras.org Issue 12

fractional resurfacing. It penetrates deep into the skin,
leaving the surrounding skin unaffected and intact,
thereby allowing for the surrounding, healthy skin cells to
assist in the healing of the damaged cells. This advanced
technology enhances the ability to fine-tune treatments,
and allows us to better refine and customize treatments
based on each patient's specific needs.
It gives the option to work in a selective and fractionated
manner in great depth, to work safely on patients with
extensive skin damage, to increase collagen production
that creates dramatic results to improve the appearance
of skin texture and reduce the appearance of wrinkles and
acne scars with considerably less downtime than other
invasive laser technologies.
These procedures facilitate the interaction with chemical
peels.
With a better understanding of the interaction between the
laser, the tissues, and the limitations of laser resurfacing
techniques, we seek to offer our patients the best all round
results, whilst decreasing our risks.
Modern Plastic Surgery needs to be prepared for new
concepts in REGENERATIVE PLASTIC SURGERY.
The correct diagnosis of the skin to be treated and the
choice of the methods that can restore or reverse the
atrophic skin are very important.
In the Brazilian Society of Plastic Surgery, where for the past
five years I've been the head of the Chapter for Laser and
procedures to regenerate and reverse atrophic human skin,
our main goal is to prepare young Plastic Surgeons during
their academic formation (Plastic Surgery Residency) and
also to pass these advanced skills to experienced colleagues
who are not familiar with these lasers technologies and
adapt them to the use of these procedures with regenerative
potential that are able to reverse the atrophic lesions that
occur during the natural aging process, or accelerated aging
process produced by the sun.
We suggested some theoretical topics for the national
program for academic formation of new Plastic
Surgeons.
1. Interaction of Laser-Tissue, understanding the skin
histology applied to laser and chemical peeling
procedures.
2009
FIG 3A - IBP, 78 YO. Before treatment
FIG 3B - 22 days after upper eyelid Blepharoplasty done with the
CO2 laser in continuous mode and sun damaged skin treatment
with Fractional CO2 Laser Resurfacing
2. Differential diagnosis of the major skin lesions, benign
or malignant.
3. General knowledge of physics applied to the lasers
used in dermatology and plastic surgery.
4. Chemical Peels Agents: how they work, their limits
and the control of possible complications.
5. Selection of skin lesions and the parameters for the
lasers and chemical peels.
6. Management of post-inflammatory process that normally
occur with the use of lasers and chemical peels.
Among these proposals is the use of different types of lasers
combined with different types of chemical peels that can
work in harmony and maintain laser resurfacing results for
a long time. Figs: 1A/1B, 2A/2B/2C and 3A/3B).
Issue 12 www.ipras.org IPRAS Journal 55

Replantation in Children
Ruiz Alonso # * María Elena (marilenbur@yahoo.es), López Fernández** Susana,
García Cano* Pilar, Zamora Parra* Belén, Rivera Vegas* MariaJesus, Fernández Sierra*** Abel
#
Current director of FILACP Hand Section
* PlasticSurgery. Hospital Universitario de Burgos. Burgos (Spain)
** PlasticSurgery. Hospital de la Santa Creu i Sant Pau. Barcelona (Spain)
*** Encoding Service. Hospital Universitario de Burgos. Burgos (Spain)
Introduction:
Amputations are injuries that are experienced with great anxiety
and much more when they occur in children. Replantation
performed by specialists in hand surgery usually gets very
good results both vascular and functional, also improving the
psychological consequences associated with trauma of this
type.
In children, the indications for replantation include any upper
extremity part. In fact, the decision to replant resides solely
in the operating surgeon who will assess the feasibility of the
reconstruction. We evaluate the results obtained from different
points of view, not only assessing the vascular outcome but
also the functional status and growth obtained in the replanted
segment. We also evaluate differences from adult patients in
terms of mechanism of injury, amputation level and indications
of replantation. The emphasis is on technical differences in
terms of material and human resources, which require the
management of these patients; taking into account that the
management of both patient and amputee segments should be
even more exquisite and meticulous, which is required in adult
patients.
Materials and methods:
During a 10-year period, 432 people required replantation
or revascularization of the upper extremity at our center, the
Reference Replantation Center of Spain, 29 of which were
children, representing 6.7% of the total; below most of the
world average that are at around 10%. This is probably because
we work in a very industrial area which may increase the cases
in tool workers.
PHOTO 1
Results:
The most common types of injuries found in the children
were avulsion and crush (PHOTO 1). Only 1 case was
PHOTO 2 PHOTO 3
56 IPRAS Journal www.ipras.org Issue 12

macroreplantation, being amputations of the thumb (15 cases)
and the little finger more frequent (8 cases).
Obviously, we develop these procedures in children under
general anesthesia and we also add a regional catheter for
postoperative care which decreases the pain and vasospasm
in the repaired vessels. We use a tourniquet in the majority of
the procedures.
As in adults, bone fixation is the first step after an adequate
debridement. When needed, shortening of the bone should be
conducted, facilitating bone healing and decreasing tension on
the repairs of the other structures (vessels and nerves). During
the bone shortening, it´s very important to avoid compromising
the epiphyseal growth plate.
The extensor and flexor tendons are repaired next, before
vascular structures, to prevent movement that could injure
them. In vascular reconstruction, we prefer to do the arteries
first for two main reasons; ischemia time (to prevent the return
of the toxic metabolites into the systemic circulation), and the
veins of the children are too small and sometimes it’s easy do it
after the reperfusion because they’re filled with blood and it’s
easy to identify them. It is essential to avoid tension; this is why
we use vein grafts whenever necessary. If possible, primary
nerve repair should be carried out at the time of replantation.
Nerves, tendons and bone grafts should be delayed until the
stable coverage.
An adequate coverage of vessels is mandatory, as well as
avoiding tension on the closure that might compromise the
revascularization. For proximal amputations, decompressive
fasciotomies are indicated to protect against a compartment
syndrome that can be develop after revascularization. A
bulky and soft dressing is applied to prevent the disrupting of
anastomotic suture lines with an uncontrolled movement.
Functional results used to be excellent but despite this success,
from the vascular point of view, replantation in children is not
as successful as in adults because of the greater frequency of
crush / avulsion injuries and the smaller size of the vessels.
Success rates among larger pediatric replantation series range
from 63% to 97%, we’re in 83% (PHOTO 2 AND 3). The
replanted part usually continues growing if the epiphyseal plate
does not close prematurely, averaging 86-92% of contralateral
size.
Conclusions:
The upper extremity amputations in children are fortunately
very rare. The need for both human and technical methods,
means that treatment should be carried out in centers with
appropriate specialists in comprehensive management of such
injuries, obtaining very good results in the vast majority of
patients from the vascular and functional point of view and an
adequate growth.
Bibliography:
1. Raja Mohan, Zubin Panthaki, Milton BA. Replantation in
the pediatric hand. J Craniofac Surg 2009; 20: 996-8.
2. Michalko KB, Bentz ML. Digital replantation in children.
Crit Care Med 2002; 30: S444-7.
3. Kim JYS, Brown RJ, Jones NF. Pediatric upper extremity
replantation. Clin Plastic Surg 2005; 32: 1-10.
Issue 12 www.ipras.org IPRAS Journal 57

Induced Angiogenesis in PCL Bioactive Scaffolds
with a new Prefabrication Method
Experimental study on rats
Dębski Tomasz 1,2 (tdebski@o2.pl), Gilewicz Joanna 1 , Kurzyk Agata 1 ,Ostrowska Barbara 3 , Jaroszewicz Jakub 3 ,
Wysocki Juliusz 1 , Machaj Eugeniusz 1 , Jaworowski Janusz 1 , Święszkowski Wojciech 3 , Pojda Zygmunt 1
1
Maria Skłodowska-Curie Cancer Memorial Centre, Warsaw
2
Department of Plastic Surgery, The Medical Centre of Postgraduate Education, Warsaw.
3
Biomaterials Group, Materials Design Division, Faculty of Materials Science and Engineering,
Warsaw University of Technology
Background:
The initiation and development of a fully functional vascular
network in bioengineered artificial bone are crucial for
reconstruction of large osseous defects. One of the methods
of inducing neovascularization in bioactive scaffolds is
prefabrication. The majority of prefabrication methods
described in literature relies on neovascularisation from
arteriovenous loop or ligated arteriovenous bundle. These
methods are technically difficult and may lead to vessel
thrombosis and dysfunction. In our study we are proposing
a prefabrication method where vascular pedicle is of a flowthrough
type and is located inside the scaffold. Such design
diminishes the risk of thrombosis, and enables vascularisation
not only from vascular pedicle inside the scaffold, but also
from surrounding tissues like skin, fascia or muscle.
Fig. 1. Scaffold implantation. On the left side the scaffold is implanted in proximity of vascular pedicle (arrow). On the right side the scaffold
is closed on vascular pedicle (new prefabrication method).
58 IPRAS Journal www.ipras.org Issue 12

Aim of the study:
The purpose of the study was to determine whether a new
prefabrication method could
successfully induce angiogenesis in PCL scaffolds cultured
with adipose-derived stem cells (ADSC).
Material and methods:
Tube-shaped scaffolds (fi 6x10 mm) with inner diameter of
about 2 mm were produced from polycaprolactone (PCL)
using a 3-D printing method. All procedures were performed
on 36 WAG male rats divided into 3 groups of 12 rats each. In
the first group, empty PCL scaffolds were tested as a control
group. In the second group the scaffolds were seeded with
ADSC, and in the third one the scaffolds were seeded with
ADSC after osteogenic induction. The animals underwent the
surgical procedure under general anesthesia. In each animal,
two scaffolds were implanted. On the right side, the scaffold
was positioned adjacently to the superficial inferior epigastric
artery (classic method). On the left side, the scaffolds were
prefabricated by closing them on the superficial inferior
epigastric artery (new method). (Fig. 1)
In each group half of the animals were euthanized after 2
months, and the other half after 6 months of implantation. The
scaffolds were harvested for analysis.
Angiogenesis and osteogenesis were assessed by uCT scanning
and histopathological examination such as H-E staining,
immunohistochemical staining for osteocalcin and CD31
positive cells.
Results:
Angiogenesis and osteogenesis significantly increased in the
groups of scaffold cultured with ADSC prefabricated with the
new method. (Fig.2,3)
Conclusions:
The promising results obtained with the new prefabrication
method encourage clinical application of this technology.
Acknowledgments:
This work was supported by the European Regional
Development Fund within the Innovative Operational
Program in the frame of project BIO-IMPLANT (Grant No.
POIG.01.01.02-00-022/09)
a
Fig. 2. Hematoxylin-Eosin staining of the empty scaffolds 6 months after implantation (cross-section):
a) scaffold with vascular pedicle located outside
(classic prefabrication method);
b
b) more vessels and more mineralised tissue in scaffold with
vascular pedicle located inside (new prefabrication method).
Fig. 3 Mineralisation in the scaffolds after 2 months of implantation. (% of mineralised tissue)
Issue 12 www.ipras.org IPRAS Journal 59

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60 IPRAS Journal www.ipras.org Issue 12

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Issue 12 www.ipras.org IPRAS Journal 61

NATIONAL ASSOCIATIONS’ & PLASTIC SURGERY ORGANIZATIONS’ NEWS
Free your publications – with GMS GPRAS
Forwarding your scientific article to patients, linking to it from your website or spreading it as a PDF – by publishing
in “classic” journals are often not possible. “GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and
Hand Surgery” (GMS GPRAS), the open access e-journal by German Society of Plastic, Reconstructive and Aesthetic
Surgeons (DGPRΔC) and German Society for Burn Medicine (DGV), offers a new form of publication. Surgeons
can publish their works in GMS GPRAS after an internal peer review. Submissions in English are possible – only a
German abstract has to be attached. All articles in GMS can be accessed worldwide and free of charge – for experts
and patients: http://www.egms.de/dynamic/en/journals/gpras/index.htm
All rights on your work will remain with you. The author only grants GMS GPRAS the right to store the work in
databases for an unlimited period of time, and to distribute and reproduce the article in electronic form. You can
publish the scientific results on your department website, copy it as often as you want, and forward it to colleagues.
GMS only asks that you make reference to the original publication.
More information on GMS:
http://www.egms.de/static/en/help.htm
For further questions please contact:
German Society of Plastic, Reconstructive
and Aesthetic Surgeons (DGPRΔC)
Luisenstrasse 58-59
10117 Berlin
Germany
info@dgpraec.de
Philippine Association of Plastic, Reconstructive
and Aesthetic Surgeons (PAPRAS)
The Philippine Association of Plastic, Reconstructive and Aesthetic Surgeons (PAPRAS) will
be hosting, for the first time, an ISAPS Course in Manila and the First National Meeting
of the PAPRAS, on March 2-4, 2014. The Course Director will be Dr. Susumu Takayanagi,
President-elect of ISAPS. Details of the course will be sent later.
T: (555) 123 - 4567 - F: (555) 523 - 4567
W: http://www.papras.org - E: info@papras.org
62 IPRAS Journal www.ipras.org Issue 12

43rd Annual Meeting of the Egyptian Society
of Plastic and Reconstructive Surgeons (ESPRS)
In a relaxing atmosphere in the sunny warm resort of Ain
Sokhna, under the theme Exchanging Experience, the
43rd Annual Meeting of the Egyptian Society of Plastic
and Reconstructive Surgeons (ESPRS) was held this
year in collaboration with the Turkish Society of Plastic,
Reconstructive and Aesthetic Surgeons (TSPRAS) on
February 13th – 15th 2013, preceded by an instructional
course and workshop on February 12th.
The Egyptian Society of Plastic and Reconstructive
Surgeons (ESPRS) is the first Plastic Surgeons’ Society
in the Middle East. It was established in 1962, and the
Annual Meeting is the grand socio-scientific event
among many others held by the different Plastic Surgery
Departments of Egyptian universities.
The official opening ceremony began by the National
Anthem and a short video demonstrating the scientific
and social activity of the ESPRS through 2012 as well
as the symposia held by the different Plastic Surgery
Departments of the Egyptian Universities. This was
followed by welcome messages from Prof. Sobhi Hweidi
(ESPRS President and the Presidents of the Conference)
and the Conference Organizing Committee: Prof. Fwazy
Hamza (ESPRS Secretary General), Prof. Atef Emam
(ESPRS Treasurer) and Prof. Amr Magdy (ESPRS
Assistant Secretary).
The international guests were welcomed and five Senior
Egyptian Plastic Surgery Pillars were honored: ESPRS
Honorary President Prof. Farid Mostafa (Alexandria
University), Brig. Gen. Prof. Farook Khoider (Military
Academy), Prof. Hasan Badran (Ain Shams University),
Prof. Mohamed Sobhi Zaky (Cairo university) and
Prof. Alaa Gheita (Cairo university) for their major
contribution to the establishment and progress of Plastic
Surgery in Egypt.
Prof. Ismail Kuran.
To their honor, three Honorary Lectures were delivered:
Regenerative Trends of Fat Grafting in Plastic Surgery
by Prof. Ahmed Adel Noreldin, How to Adopt Your
Opening ceremony.
Issue 12 www.ipras.org IPRAS Journal 63

Own Plastic Surgery Technique by Prof. Ikram Seif and
Cultivation of a Thinking Plastic Surgeon by Prof. Fathi
Khodeir
Throughout this three-day conference, more than three
hundred and fifty participants and international guests
enjoyed up-to-date knowledge, fruitful discussions,
exchanged their experience and gained international
friends.
The international guests were Ismail Kuran, President
of the Turkish Society of Plastic, Reconstructive and
Aesthetic Surgeons (TSPRAS), Reha Kisnisci (Turkey),
Baris Ηakir (Turkey), Serdar Eren (Turkey), Derya
Φzηelik (Turkey), Naem Moamen (UK), M. El Labban
(UK), Osama Mortada, President of the Sudanese Society
of Plastic and Reconstructive Surgeons, Abd Samiee
(Sudan), Attala Hamoud (Qatar) and Ahmed H. Rahoma
(Malysia)
Among the national lecturers there were Hasan Badran
(Ain Shams University), Mohamed Sobhi Zaky (Cairo
University), Mostafa Hemeda (Ain Shams University),
Alaa Gheita (Cairo University), Aly Moftah (Cairo
University), Ahmed EL Sharkawy (Cairo University),
IKram Seif (Ain Shams University), Sobhi Hweidi
(Zagazig University), Amr Salah (Ain Shams University)
and Ahmed Adel Noreldin (Cairo University).
Over 29 hours, 105 oral presentations by international and
national speakers were delivered during eleven scientific
sessions, including: aesthetic and reconstructive breast
surgery, rhinoplasty, facial aesthetics, maxillofacial
surgery, reconstructive head and neck surgery, body
contouring, trunk and genitalia, lower limb reconstruction,
hand surgery and burns, as well as an instructional
course on upper limb reconstruction and a work shop on
Botulinum toxin and fillers.
The best five papers presented by junior authors were
nominated for Best Research Paper of the Year and they
were awarded five valuable textbooks. These distinguished
papers were Evaluation of Cranial Bone Production
Using Bone Marrow Stem Cells (Experimental study) by
Khaled El Gazzar, Skin Banking by Serag Monier, Early
Tendon Transfers For Median or Radial Nerve Injuries
by Youssif Khachaba, Validation of the Stepwise Flexor
Tendon Simulation Model by Ahmed Hweidi and The
Role of Adipose Derived Stem Cells in Enhancement of
Peripheral Nerve Injuries Repair by Ayman Mandour.
The schedule of the conference permitted plenty of
leisure time for the participants to enjoy the charming
atmosphere and many seaside activities
The meeting was a very successful one and at the end of
the conference, the general assembly meeting of ESPRS
was held. The new board was elected and the Presidency
of ESPRS was handed to Prof. Ahmed Adel Noreldin,
IPRAS Deputy General Secretary, becoming the ESPRS
President for 2013.
Amr Magdy, MD
Professor of Plastic Surgery
Ain Shams University
Ass. Secretary of the Egyptian Society of Plastic
& Reconstructive Surgeons, ESPRS- Cairo, EGYPT
64 IPRAS Journal www.ipras.org Issue 12

Challenges Delivering Cleft Surgery in the Underdeveloped Word:
Lessons Learned and how to Avoid Making New Errors
Seth Thaller MD, DMD
Mimis Cohen MD, FACS, FAAP
Comprehensive cleft care in the U.S. is delivered by a
limited number of well trained plastic surgeons affiliated
with cleft/craniofacial teams. Although the vast majority of
plastic surgeons received adequate background education
and hands on experience in cleft care, during their training,
they did not necessarily have contemporary experience
with surgical management. In addition, they had lost
their “confidence” that they could once again perform
such procedures particularly during mission surgery. The
board of the American Society of Maxillofacial Surgeons
(ASMS)recognized a specific need related to updated
education for comprehensive cleft care and proposed
to organize a “refresher” course in order to provide not
only well trained and experienced Plastic Surgeons with
additional education and experience, but young plastic
surgeons as well. The goal was to provide these surgeons
with updated knowledge, renew their education in surgical
cleft care and give them the opportunity to efficiently and
safely participate in volunteer cleft surgeries around the
world.
Members of the Faculty: Drs. Warren Schubert, Peter Taub, Andrew
Wexler, Henry Kawamoto, Seth Thaller, Mimis Cohen, Henry
Vasconez and Pravin Patel.
Brochure of the Course
ASMS partnered with the American Society of Plastic
Surgeons (ASPS) and organized the first refresher course
in 2007 during the annual ASPS meeting in Baltimore.
This course was successful beyond any expectation and the
feedback received from participants was very positive.
It became very clear that the need was much more diverse than
what we had initially proposed. For instance, a significant
number of the attendees were exceedingly experienced
surgeons who had already completed a number of surgical
missions. They wanted more of a forum to discuss pertinent
issues. On the other side were the so-called neophytes who
wanted to be “refreshed” so the course evolved.
With financial support from Stryker and Operation Smile,
a biannual multidisciplinary course was established and
planned to follow the ASMS Basic Maxillofacial Course.
This one day course possesses a “refresher” aspect but
also provides a forum to permit free and open interactive
dialogue between faculty and attendees regarding the most
commonly encountered surgical, logistic, financial, ethical
and other issues related to mission cleft surgery.
This year’s meeting took place on January 27, 2013 and
was hosted at the University of Miami. The meeting was
very well attended and overall very successful. In addition
to the co-chairs of the event, speakers included Drs. Henry
Kawamoto, Henry Vasconez, Andrew Wexler, Warren
Schubert, Pravin Patel, Peter Taub and Carlos Navarro.
Additional lectures on nursing, pediatrics, anesthesia
and organization of missions were also included in the
program.
Issue 12 www.ipras.org IPRAS Journal 65

Center West Regional Meeting of Plastic Surgery
in Brazil gathers 228 attendees
With Facial surgery as the main theme, the Regional Center
West Meeting in Plastic Surgery of the Brazilian Plastic
Surgery Society gathered together 228 plastic surgeons in
Goiania, from March 21 to 23, 2013.
During the Opening Ceremony, Former National
Presidents, Farid Hakme and Ewaldo Bolivar , as well as
IPRAS General Secretary, Nelson Piccolo, and Carlos
Alberto Calixto were honored by the Board of Directors.
Regional President, Nelson Fernandes welcomed and
thanked present and past members of the Brazilian Plastic
Surgery Society Board of Directors for their support in the
acquisition of the new Regional Society offices, as well as
for the success of this meeting. Past National President and
current Director of the Humanitarian Surgery Department,
Pedro Martins welcomed and thanked all the local surgeons
as well as surgeons from other states who helped on the
humanitarian day of breast reconstruction surgeries.
Program Director, Niveo Steffen, shared with the audience
that the current trend of the National BOD is to emphasize
all aspects of Plastic Surgery at their meetings, and that
there will be contributions to the programs of all of the next
seven regional and National meetings from all chapters of
the Brazilian Society. He also mentioned that this year,
the Brazilian Congress of Plastic Surgery, on its 50th
Anniversary, is to be one of the largest, if not the largest, in
the entire world; over 3500 plastic surgeons are expected in
Rio this November.
Similar thoughts were shared by President Jose Horacio
Aboudib, who mentioned the importance of the current
( growing ) interaction of all Chapters and Committees
of the Brazilian Plastic Surgery Society, aiming at the
improvement of all activities of the Society, in all levels
of training as well as in relation to the practicing Plastic
Surgeon.
Just before the 26º Jornada Centro Oeste de Cirurgia Plástica, a
Humanitarian Plastic Surgical Day occurred on March 20, 2013 when
one stage breast reconstruction was performed in 15 patients. This
Picture shows the surgical team and directors of the Humanitarian
Surgery Department of The Brazilian Society of Plastic Surgery.
The President of the Brazilian Plastic Surgery Society, Dr. Jose
Horacio Aboudib and the President of the Goias Regional Section,
Dr. Nelson Fernandes at the inauguration of the Regional Society
Office Building.
Opening Ceremony of the Center West Regional Meeting with members of the BOD of the Brazilian Society of Plastic Surgery and the Regional
Section, with Presidents Jose Horacio Aboudib and Nelson Fernandes, and IPRAS General Secretary, Nelson Piccolo, who was honored that night.
66 IPRAS Journal www.ipras.org Issue 12

VII Plastic Surgical Complications Symposium
in Minas Gerais, Brazil, Prioritize Patient Safety
The VII Symposium in Complications in Plastic Surgery was
held by the Sociedade Brasileira de Cirurgia Plastica, Minas
Gerais Regional Section, in Ouro Preto, Minas Gerais on April
5-6, 21013, and it maintained a recurrent theme throughout:
guidelines to direct the practice of combined procedures and
the limits of patient safety.
Plastic Surgeons, ICU specialists, anesthetists and counselors
at Law were unanimous : combined procedures need to follow
pre-established standards regarding duration , i.e., there
should be a time limit for the time it takes to perform these
procedures. The safety check list has become even longer,
with aspects to be checked from the first Office visit until the
post operative discharge.
The moment when Dr Nelson Piccolo, IPRAS General Secretary,
was honored as “ Amigo de Minas” by Dr. Antonio Vieira
Combined procedures check list
Although combined procedures may have benefits, such as
single anesthesia, cost cutting and increased efficiency in
hospital admission time, there is a greater risk of complications
with the longer procedural time length.
Safety standards must be followed pre, per and postoperatively,
with a safety checklist being rigorously followed. Procedures
which may last up to 4 hours have a Green light, up to 5 hours
a Yellow light, and over six hours, a Red light.
Lawyers went a little further and have recommended that the
Office visits should be videotaped and all procedures are to be
performed only after a consent form is signed.
Another warning must be clearly understood by the surgeon
when seeing a very demanding patient or a patient with multiple
complaints, which should raise one´s awareness for a possible
emotional unstability which could hinder part or all of the
patient´s post-operative recovering.
Forum
There were several discussions about minimum age and when,
and IF, to perform procedures in pregnant women or in the
immediate post-partum period. Most participants ageed that
one must wait 6 months to one year for procedures in a recently
pregnant woman. Minimum age was not a unanimous consensus,
but most agreed that the patient must be at least 16-18 years of
age, while procedures in younger patients, should be possible for
special cases like post-bariatric procedures for example. Another
common point of discussion was the overall opinion that the
surgeon should stick to the planned ( and consented ) procedure,
with no intraoperative changes and that patients undergoing
combined procedures must be admitted for at least 24 hours.
Another issue widely discussed was that the patient must know
that in combined procedures, there will be two teams operating
and that intracavitary surgery should not be performed together
with plastic surgical procedures.
Liposuction and Breast Implants
There was an overall consensus that the Brazilian Society
of Plastic Surgery that only plastic surgeons are capable of
performing liposuction, placement of breast implants and other
related plastic surgical procedures. Also, several complications
of breast implants and facial fillings which came to plastic
surgeons’ offices with irregular or non-licensed materials were
presented and there was a general alert placed on this products.
Conferences
Immediate past President of the Brazilian Plastic Surgery
Society, Sebastião Nelson Edy Guerra presented a retrospective
of his 38 years practicing our specialty, also stressing the
importance of administering the wishes of the patient within
the reality of Plastic Surgery .
Nelson Piccolo demonstrated his 25 year-long experience
regarding the use of tissue expanders on burn sequellae as well
as the relatively recent, two-year experience with ADSC´s,
since over three hundred patients with burn wounds and
sequellae were adjuvantly treated with this “new” technique.
“Disecting the Unsuccessful Result” was presented by the team
of the local university Professor Rodrigo Otávio Gontijo Tostes.
His conference excelled in counselling and guidance - his main
warning was : “ one should always be against the simplification
of Plastic Surgery – one should never forget the details.... “
One of the main sessions when immediate past President of the
Brazilian Plastic Surgery Society, Sebastião Nelson Edy Guerra,
discussed some of the aspects of his 38 years as a Plastic Surgeon
Issue 12 www.ipras.org IPRAS Journal 67

A D V E R T I S E M E N T
Using Skin derived ABCB5 cells in aesthetic
medicine - A novelty of pluripotent stem cells.
News from Klentze Medical Faculty in Phuket
Cellular therapy has evolved quickly over the last decade both at the level
of in vitro and in vivo preclinical research and in clinical trials. Embryonic
stem cells and non-embryonic stem cells have all been explored as potential
therapeutic strategies for a number of diseases. One type of adult stem
cells, mesenchymal stem cells, has generated a great amount of interest
The more developed a cell is (from embryonic to adult stem cells), the less
is the ability to replace more than one tissue type. The reason for this can
be found in the progressive development of the stem cell to be part of one
germ layer (endodermal, mesodermal and ectodermal layers) of the body
tissue. Among the adults stem cells, one group is called mesenchymal cells,
which can be harvested from bone marrow, fat or skin. A new cell population
has been found , which show in their engraft capacities a behavior like MSC
cells, but with pluripotent power, thereby replacing apoptotic cells of all
three germ layers.
ABCB5 cells :
Among adult cells from adipose tissue, bone marrow and skin, Ganss,
together with Frank detected a new generation of pluripotent stem
cells, the so called ABCB5 cells, which are Mesenchymal cells, but have
pluripotency like embryonic or IPS cells and which have the ability to repair
and replace aged and damaged cells in all body tissues. ABC B5 means
ATP-binding cassette sub-family B member 5 also known as P-glycoprotein
ABCB5. This is a plasma membrane-spanning protein that in humans is
encoded by the ABCB5 gene. ABCB5 has been suggested to regulate skin
chemotherapy drug resistance.
What are the advantages of ABC B5 cells, compared
with adipose derived cells. ?
One has to understand, that the term stem cell treatment involves only
as well. But most of the users do not typically cultivate or extend them. Us-
clinics use devices which separate adult stem cells from fat tissue using a
combination of spinning motions and chemical reactions with more or less
good results. The disadvantage lays in the potency of these cells products.

A D V E R T I S E M E N T
One problem with the autologous use of adult stem cells is that the quantity
of cells is only as good as the patient’s supply. Older patients with fewer
stem cells will not likely have enough to overcome, say, osteoporosis when
a bone fractures, or a tear in cartilage or a dead spot on the heart muscle.
In those cases, one strategy is to put the patient’s small number of stem cells
into a culture media and allow them to expand.
While fat or bone marrow derived mesenchymal stem cells display
multipotency, ABCB5 cells have given their evidence to be pluripotent,
meaning they target damaged cells of all three layers, like embryonic cells
or IPS cells, to replace them.
Conclusion: We need to focus on stem cells which are:
a) Harvested by a mini biopsy
b) Cultivated in a GMP laboratory
c) Banked in a GMP facility
d) Expanded in a GMP facility
f) Pluripotent and therefore can be used for all organs to treat various
diseases, used for Anti-Aging reasons and used to build up skin tissue
and vessels in skin treatment and breast tissue and vessels to maintain
longer than usual treatments.
ABCB5 cells have this ability, without the ethical burden and cancer risk of
embryonic cells, without the risk of retro virus infection by IPS cells, without
liposuction, but done only by a tiny skin biopsy behind the ear. ABCB5
cells are the future of stem cell therapy, and Klentze Medical Faculty is
proud to present these cells in their education programs and partnerships.
References
1. Shihua Wang, Xuebin Qu , Robert C Zha; Journal of Hematology &
Oncology 2012, 5:19
2. Zouboulis CC, Adjaye J, Akamatsu H, Moe-Behrens G, Niemann
C.Human skin stem cells and the ageing process. Exp Gerontol. 2008 Sep 9.
3. Frank MH, Sayegh MH. Immunomodulatory functions of mesenchymal
stem cells. Lancet 2004 May 1;363(9419):1411-2
4. Frank NY, Pendse SS, Lapchak PH, Margaryan A, Shlain D, Doeing C,
Sayegh MH, Frank MH. Regulation of progenitor cell fusion by ABCB5
P-glycoprotein, a novel human ATP-binding cassette transporter. J Biol
Chem 2003 Nov 21;278(47):47156-65.
Klentze Medical Faculty
Education for physicians
Professor Dr. Michael Klentze, MD
Thanyapura Integrative Health Clinic
Phuket, Thailand
120/1 Moo7 Thepkasattri Road, Thepkasattri,
Thalang, Phuket 83110 Thailand
www.klentze.com
Tel : + 66 76 333 000
Email : info@klentze.com

H I S T O R I C A L A C C O U N T S
Bulgarian Association of Plastic, Reconstructive and
Aesthetic Surgery (BULAPRAS) - a concise history,
recent activities and perspectives
Considerable progress in medical science during the
last few decades worldwide along with dynamic growth
in the demand of plastic surgery services in Bulgaria
has set new requirements for our professional society.
As a response to this new public necessity, a group of
Bulgarian plastic surgeons led by Assoc. Prof. Dimitar
Evstatiev, MD, PhD, Head of the Clinic of Plastic Surgery
at Medical University of Sofia, initiated the establishment
of BULAPRAS in the year 2000. He was elected to
be the first president of this organization. Because of
the widespread malpractice in our country at that time
consisting in performance of aesthetic surgery procedures
mainly by unqualified medical practitioners, a number of
various measures were undertaken in order to preserve
the public from these injurious services. With regard to
the severe complications after breast augmentation by
using of the so called “Ukrainian hydrogel”, a series of
discussions were organized as well as well-grounded
scientific papers and mass-media articles were published.
A further step to the patient’s safety campaign was the
consent for thorough ban of synthetic and semisynthetic
fillers’ application, voted and approved at the First
National Conference of Plastic, Reconstructive and
Aesthetic Surgery held in April 2010 in Sofia.
During the period 2002-2008, due to some disadvantages
and imperfections in the Bulgarian public health system
and, probably, to mercantile interests, a paradoxical
separation of the medical specialty of plastic,
reconstructive and aesthetic surgery, was performed.
Two novel specialties were introduced, namely ‘plastic
and reconstructive surgery’ and ‘aesthetic and cosmetic
medicine’. In the training program for aesthetic surgery,
neither any basic knowledge of plastic surgery, nor
practical training in reconstructive surgery was included
at all. The chief person of the educational program
wasn’t qualified and even lacked any acquired specialty
of plastic surgery. Huge efforts were necessary and hard
work was done by BULAPRAS president and Board
members to attain changes in the regulations for plastic
surgery training and education in Bulgaria. Аs a result,
nowadays there exists only one united medical specialty
named ‘Plastic, Reconstructive and Aesthetic Surgery’
and the training of aesthetic surgery is an integral part of
the whole course of education.
The Second National Conference of Plastic, Reconstructive
and Aesthetic Surgery held in cooperation with IPRAS
in April 2011 in Pravets, represents an undoubted
success in the activity of BULAPRAS Board. The rich
scientific program devoted to the single fields of plastic,
reconstructive and aesthetic surgery and the interesting
scientific presentations, debates and comments proved the
good level of mastering the matter by Bulgarian plastic
BULAPRAS members attended the Ist annual meeting in Hisar on March 23th 2013
70 IPRAS Journal www.ipras.org Issue 12

surgeons. The significance of this event was emphasized
by Prof. Marita Eisenmann Klein, President of IPRAS,
and Prof. Andreas Yiacoumettis, General Secretary of
IPRAS, who delivered invited lectures and were actively
involved in the discussions during the Conference.
In November 2012, BULAPRAS General Assembly
Meeting was held and new Board elections were
conducted. In the report of the former Board, not only
the positive achievements, but also the failures and
unsolved problems were comprehensively analyzed.
Special attention was paid to the need for continuity
inmanagement, overcoming disadvantages and setting
new goals and practical tasks for the new Board. Following
the vote, Prof. Juriy Anastasov, MD, PhD, DSc, Head of
the Clinic of Plastic and Cranio-Facial Surgery at the
Medical University of Plovdiv, was elected as President
of BULAPRAS. Assoc. Prof. Dimitar Evstatiev, MD,
PhD, was elected as Vice-president, Daniel Yankov,
MD, PhD - as Research Secretary, Michael Skerlev, MD
- as Organization Secretary and Ilio Stoyanov, MD - as
treasurer. In the course of the Conference, the changes
and additions of the by-law, the new rules for internal
organization and for a good medical practice as well as
the program for the scientific events in 2013 year were
intensively discussed and finally approved. One thing that
deserves attention is the accepted decision to organize a
minimum of 4 scientific meetings annually at exchange
hosting of the three leading academic centers in the cities
of Sofia, Plovdiv and Varna. All the meetings are open
events for participants from other specialties, plastic
surgery trainees and foreign guests and lecturers.
Main priorities in the new Board program consist in the
further increase of integration and influence of BULAPRAS
in the medical community and public as well as support
of the plastic surgery training education and successful
marginalisation of the incompetent medical service.
Besides this, we emphasize medical ethics issues and their
diverse aspects and shapes as well. The implementation of
the tasks of the variety of activities initiated by the previous
government body, taken and continued by the present one,
related to the creation of new standards adequate to the
principles for good medical practice represents a crucial
step towards the improvement of the quality of plastic,
reconstructive and aesthetic surgery in Bulgaria. The
vast majority of the members of the commission founded
by the Bulgarian Ministry of Health with the obligation
to implement the new standards for plastic surgery are
BULAPRAS members.
Obviously, we should more intensively promote young
physicians’ professional qualifications by facilitating
participation in regularly performed educational and
training courses and individual specializations. Singleauthored
and collective research and publication activity
represents an integral part in this process. In this respect,
together with IPRAS member societies in other countries,
we should promote not only joint research activities but
also active participation in international scientific meetings
abroad. The practice of foreign ‘visiting professors’
should become more popular in Bulgaria, too. Young
Bulgarian scientists should be encouraged to prepare
and defend dissertations on hot topics of contemporary
plastic, reconstructive and aesthetic surgery.
Apart from the set objectives of the new Board of
BULAPRAS, I would like to add my personal ambitions
and expectations. They embrace a narrower collaboration
and integration between BULAPRAS and IPRAS, as well
as broader participation of Bulgarian plastic surgeons in
organized scientific events, aswell as in other thematic
directions of the work of our large international family.
The internationalization of our specialty is a fact, and I
believe that this is not only the present, but the future of
plastic, reconstructive and aesthetic surgery.
Daniel Yankov, MD, PhD
Secretary, BULAPRAS Research
Naval Hospital of Varna, Military Medical Academy of
Sofia, Bulgaria
BULAPRAS Board, from left to right: Dr. Michael Scerlev Organization Secretary, Prof. Jury Anastasov President,
Prof. Dimitre Evstatiev Vice-president, Dr. Daniel Yankov Research Secretary, Dr. Ilio Stoyanov Treasurer
Issue 12 www.ipras.org IPRAS Journal 71

InaPRAS (the Indonesian Association of Plastic,
Reconstructive, and Aesthetic Surgeons) or
PerhimpunanDokterSpesialisBedahPlastik,
Reconstruksi, danEstetik (PERAPI)
Teddy O.H. Prasetyono, M.D.
CiptoMangunkusumo Hospital/ the University of Indonesia
Plastic surgery in Indonesia was first introduced by Prof.
Moenadjat Wiratmadja after completing his studies at
Washington University, in the US in the late 50’s. He then
started work at the academic hospital, the top referral
Cipto Mangunkusumo Hospital, which is affiliated with
the University of Indonesia in Jakarta. Subsequently,
although after a somewhat long time, he managed to have
his surgeon fellows work with him, who later became his
early time colleagues after their apprenticeship under his
expertise. They are R. Bisono, SidikSetiamihardja, A.J.
Riewpassa, and others. The late Prof. Wiratmadja was
the one in our history who created an avenue for plastic
surgeons to grow and develop in their professions.
In 1980, the early group of this unique specialty came to
have the desire to initiate the foundation of their society,
an organization called “PerhimpunanAhliBedahPlastikda
nRekonstruksi Indonesia”, or “Indonesian Association of
Plastic and Reconstructive Surgeons”. In the year 1982,
the organization changed its name into “Perhimpunan
AhliBedahPlastik Indonesia” (PERAPI) or Indonesian
Association of Plastic Surgeons (IAPS). Members of
the association at that time were BayuNugroho (†),
SidikSetiamihardja, Bisono, DjohansjahMarzoeki,
August J Rieuwpassa, HerwandarSastrasupena (†),
SoeminthaBismaDjaya,F.X. Soetoko (†), R Soedibyo
(†), and BuchariKasim (†). They are the founding
members of IAPS, which then late last year transformed
its name to become InaPRAS (Indonesian Association of
Plastic Reconstructive and Aesthetic Surgeons) in order
to maintain the field of aesthetic surgery as its domain
nation wide.
Throughout its existence, InaPRAS has held a number
of national and international events. Although it has
been somewhat late in starting its annual scientific
meetings in 1997, InaPRAS has decided to catch up with
its counterparts internationally by taking English as its
official language since 2005. The upcoming 17 th Annual
Scientific Meeting will be held in Bandung city on April
27 th -30 th 2013 featuring many prominent national faculties
as well as international ones such as the rising stars Rei
Ogawa of Japan and JoonPio Hong of Korea. For those
who are interested in participating in the event, they may
send an email to pitperapixvii@pharma-pro.com.
InaPRAS, through one of its young members, David
Perdanakusuma, has further enhanced its annual scientific
meeting by initiating a free paper competition named the
Golden Knife (PisauEmas) Award which has become an
icon of prestigious achievement for free paper presenters.
Dr. Perdanakusuma is currently the Chairman of
Indonesian College of Plastic Surgery; a body authorizes
the plastic surgery training program in the country.
The first winner of the Golden Knife Award was Teddy
O.H. Prasetyono who was then a resident of the University
of Indonesia. Dr. Prasetyono has further initiated an annual
research proposal competition and named the award as
Purple Lotus (TerataiUngu) Award in 2008 during the
14 th ASEAN Congress of Plastic Surgery which was
held in Jakarta and chaired by himself. This was the first
competition held by InaPRAS to include international
participants. Just as the Golden Knife Award, the Purple
Lotus Award has also become an icon where young
researchers really compete.
Besides having its own programs, InaPRAS has also
hosted several international events, such as the 3 rd
ASEAN Congress of Plastic Surgery that was chaired
bylate Dr.DwiyoSugondo in 1986, followed by the 8 th
72 IPRAS Journal www.ipras.org Issue 12

ASEAN Congress of Plastic Surgery in 1996. In 2001,
one IAPS member, Gwendy Aniko, was elected as
the president of OSAPS in 2001, and the 8 th OSAPS
Congress was successfully held in Bali. The next 15 th
OSAPS Congress will be held in Indonesia in year 2016
after the bid conducted by Dr. Prasetyono during OSAPS
business meeting in Seoul last year. In addition, several
international congress bids have been successfully
won by an InaPRAS member, Dr. Prasetyono,
whosuccessfully brought about the 9 th APFSSH (Asia
Pacific Federation for Surgery of the Hand) Congress
that was held in Bali in 11-13 October 2012. That was
the first APFSSH Congress held in Indonesia in the
history of hand surgery. The success of the bids in Hong
Kong, 2008, was preceded by his success in organizing
3 consecutive years of the International Symposium in
Hand Surgery and the Advances of Hand Therapy from
2004 to 2006, which became famous throughout Asia.
Recently, he and the InaPRAS team (organized by Dr.
Audy Budiarty) also succeeded in winning the bid of the
21 st IPRAS World Congress to be held in Bali in 2019.
The success in Santiago, March 2013 was then followed
with the success of the plastic surgeon-burn enthusiasts to
bring about the 10 th APBC (Asia Pacific Burn Congress)
to be held in 2015 in Bali during the APBC Executive
Committee Meeting in Hanoi, April 4 th 2013. All those
events are beyond the contribution of InaPRAS members
in some upcoming ISAPS Post Graduate Courses, such
as China ISAPS Course in Shanghai September this year,
Indonesia ISAPS Course next year, and the Philippine
ISAPS Course also next year.
Armed with its 116 members, InaPRAS has continuously
produced new techniques and innovations in plastic
surgery. Dr. David Lalonde who introduced wide awake
hand surgery by using tumescent solution has inspired
one of InaPRAS’s members, Dr. Teddy O.H. Prasetyono,
to expand its usage for various purposes. Earlier work
of Dr. Prasetyono was the use of epinephrine injection
for hypospadia surgery. Recently, he developed the
tumescent with much lower concentration (the “One-per-
Mil” tumescent) to broaden its indications for various
hand and upper extremity pathological conditions. He
presented his work at IPRAS Santiago this year on Non-
Tourniquet Hand Surgery for babies and patients of all
ages, wherein the session was chaired by Dr. Lalonde.
Some of the prominent plastic surgeons, who specialize
in hand surgery in Indonesia, have taken part in founding
HIPITA (Himpunan Indonesia untukPengembanganIlmu
BedahTangan) or the Indonesian Society for Surgery of
the Hand. This society is not exclusive to plastic surgeons,
but orthopedic and leprosy surgeons are also eligible for
membership among other specialists. Regardless, it is a
plastic surgeon who contributed 2 chapters to the 2011
IFSSH TextBook titled: “Hand Surgery Worldwide:
International Reconstruction of a ‘Beautiful and Ready
Instrument of the Mind,’” edited by James Urbaniak,
Scott Levin, Goo-Hyun Baek, and Soucacos.
Being compassionate for the needy, InaPRAS repeatedly
conducts a number of humanitarian activities every year.
Free cleft lip and palate surgery has been held extensively
since 1997 in numerous places throughout the archipelago
of Indonesia through the “Thursday to Sunday” scheme. At
most of the events, InaPRAS comes with an effective team
consisting of 6 plastic surgeons, 2 anesthesiologists, and
4-5 scrub nurses and anesthesia nurses with all the surgery
equipment anddisposables. Always doing the mission at
the local district or provincial hospitals, the team usually
operates on 3 beds for 2 babies or small children per bed
in one rounding sit, and 2 beds for surgeries under local
anesthesia whenever necessary. The local staffs are always
of help during all the charity events, especially the scrub and
anesthesia nurses. On average, the team is able to manage
60-80 patients during the “Thursday to Sunday” scheme.
Cooperating with the national Dharmais Foundation and
OBI (OborBerkat Indonesia) Foundation, the outbound by
the InaPRAS exclusive programs has come to more than
10,000 cleft lip and palate surgeries. The number is not
included the inclusive charity surgeries on daily bases in
the centers of cleft lip and palate across the country which
are supported by many national as well as international
foundations, such as the Smile Train. InaPRAS has also
collaborated with InterplastANZ (Australia-New Zealand)
since the 1990’s to provide charity programs for those
in need of plastic surgery reconstruction, including burn
contractures and noma.
Through all its activities, InaPRAS will continue to be
an avenue for plastic surgeons in Indonesia to develop
the science of plastic surgery and its application for the
benefit of others.
Issue 12 www.ipras.org IPRAS Journal 73

NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS
07 - 09 Jun 2013
2nd ISPRES Congress 2013
Location: Berlin, Germany - Venue: Steigenberger Hotel
Contact: Mrs. Irene Katti - Telephone: +30 2111001783 - Fax: +30 2106642116
E-mail: i.ka@zita-congress.gr - URL: http://www.ispresberlin2013.com/
11 - 15 Jul 2013
2015 WSRM World Congress (World Society of Reconstructive Microsurgery)
Location: Chicago, USA - URL: http://www.wsrm2013.org/ - E-mail: contact@wsrm2013.org
05 - 07 Sep 2013
8th Congress of the Balkan Association of Plastic,
Reconstructive and Aesthetic Surgery (BAPRAS)
Location: Budva, Montenegro - Venue: Avala Resort and Villas
Contact: Mrs. Mina Ploumpi - Telephone: +30 2111001781 - Fax: +30 2106642116
E-mail: a.pl@zita-congress.gr - URL: http://www.baprascongress2013.com/
10 - 14 Sep 2013
44th Congress of the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC)
& 18th Congress of the Association of German Aesthetic-Plastic Surgeons (VDÄPC)
Location: Münster/Westfalen, Germany
12 - 14 Sep 2013
Congreso de Cirugía Plástica del Cono Sur Paraguay 2013
Location: Paraguay - E-mail: info@cirugiaplastica.org.py
12 - 14 Sep 2013
XV Dominican Congress of Plastic Surgery
Location: Santo Domingo, Dominican Republic
Venue: Hotel V Centenario
E-mail: otoniel888@yahoo.com
03 - 05 Oct 2013
2nd International Pan African Congress of Plastic and Reconstructive Surgery
Location: El Alamein, Egypt - Venue: Porto Marina Hotel
Contact: Mr. Nikos Antonopoulos - Telephone: +30 2111001782 - Fax: +30 2106642116
E-mail: n.an@zita-congress.gr - URL: http://www.panafricanps2013.com/
11 - 15 Oct 2013
Plastic Surgery The Meeting 2013
Location: San Diego, CA, USA - Venue: San Diego Convention Center
http://www.plasticsurgery.org/For-Medical-Professionals/
Resources-and-Education/Meetings/Plastic-Surgery-The-Meeting-.html
24 - 26 Oct 2013
Technology Innovations In Plastic Surgery /
4th International Congress of the Armenian Association
of Plastic, Reconstructive and Aesthetic Surgeons (AAPRAS)
Location: Yerevan, Armenia - Venue: Matenadaran
Contact: Mrs. Irene Katti - Telephone: +30 2111001783 - Fax: +30 2106642116
E-mail: i.ka@zita-congress.gr - URL: http://www.aapras-tips2013.com/

Technology Innovations in Plastic Surgery
Expected
Organizers
October 2013
24 26
Above expectations....
New evolutions that add value in our field
Supporters
Endorsed by
Organizational
Support
Metenadaran Museum - Yerevan, Armenia
ZITA
C O N G R E S S
& T R A V E L
ISO 9001
ISO 14001
www.aapras-tips2013.com
Issue 12 www.ipras.org IPRAS Journal 75

C o m m i t t e e s
Congress President:
Gagik Stamboltsyan,
AAPRAS Founding Member, Armenia
Expected
Organizers
Supporters
Endorsed by by
Organizational
Support
ZITA ZITA
C O N G CR OE NS GS
R E S S
& T R A& V TE RL
A V E L
ISO ISO 9001 9001
ISO 14001 ISO 14001
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:
Garegin Babloyan
Karen Danielyan
Artavazd Sahakyan
Leon Torosyan
Gevorg Yaghjyan
Russia Members:
Ruben Adamyan
Nikolay Milanov
Igor Reshetov
Georgia Members:
Marlen Sulamanidze
Organizing Committee
Chairman:
Set Kazaryan
Co-chairman:
Zacharias Kaplanidis,
IPRAS Executive Director, Greece
Members:
Hrachya Arshakyan
Arthur Arutunian
Tatevik Babayan
Aram Boroyan
Iva Kuzanov
Lilit Nerssisyan
Aram Sahakyan
Hovhanness Stamboltsyan
Anna Vanesyan
International
Invited Faculty
Gregory Antoine, USA
Stephan Ariyan, USA
Charlotte Ariyan, USA
Mimis Cohen, USA
Sydney Coleman, USA
Horacio Costa, Portugal
October
Bruce Cunningham, USA
Marita Eisenmann-Klein, Germany
Raffi Gurunluoglu, USA
Outi Kaarela, Finland
Chris Khoo, UK
Brian Kinney, USA
Gaylle Lloyd, USA
Ramon Llull, Spain
Guy Magalon, France
Nicolay Milanov, Russia
Constance Neuhann-Lorenz, Germany
Norbert Pallua, Germany
Andre Panossian, USA
Othon Papadopoulos, Greece
John Persing, USA
Nelson Piccolo, Brazil
George Psaras, Cyprus
Kirill Pshenisnov, Russia
Igor Reshetov, Russia
Ricardo Rodriguez, USA
Katharina Russe-Wilflingseder, Austria
Dirk J.Schaefer, Switzerland
Io Sofianou, Greece
Aris Sterodimas, Greece
James Zins, USA
Technology Innovations in Plastic Surgery
Above expectations....
2013
24 26
New evolutions that add value in our field
Metenadaran Museum - Yerevan, Armenia
www.aapras-tips2013.com
Contact: ZITA CONGRESS & TRAVEL SA, Mrs. Irene Katti, tel. 0030 211 1001783, i.ka@zita-congress.gr

Topics
Abstracts
Surgery of the Skin and Cutaneous Malignancies
Should be submitted
Fat Grafting
online or via e-mail at
Facial Rejuvination
abstracts@aapras-tips2013.com
Breast
Abstracts
Body Contouring
Submission
Deadline
Tissue Engineering
1/06/2013
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
Registration
Accommodation
FEES
EARLY
UNTIL
1/7/2013
LATE
UNTIL
1/9/2013
hotel
SINGLE
ROOM
DOUBLE
ROOM
PARTICIPANTS 200€ 250€
RESIDENTS 100€ 150€
GOLDEN TULIP 115€ 70€
Prices quoted on “per person/ per night” basis and include tax and breakfast
Venue
Golden tulip is a central 5* hotel with
historical and rich cultural heritage
Metenadaran Museum
a major research center with the largest
collection of Armenian Manuscripts
To book your flights at special rates please contact
Mrs. Orsa Dritsa at: o.dr@zitatravelcongress.gr
ON LINE REGISTRATION/ACCOMMODATION BOOKINGS AVAILABLE AT: www.aapras-tips2013.com

Social Media Networking
IPRAS International Confederation
for Plastic Reconstructive & Aesthetic Surgery
www.ipras.org
Join our group!
IPRAS Facebook page
Follow our news!
IPRAS Twitter account
Connect with
our professional network!
IPRAS - professional page
IPRAS - group
Women for Women - group
Share our experience!
www.youtube.com/iprastv
ISPRES International Society of Plastic Regenerative Surgery
ISPRES Facebook page
ISPRES Professional page
78 IPRAS Journal www.ipras.org Issue 12
www.ispres-ipras.org

Issue 12 www.ipras.org IPRAS Journal 79

80 IPRAS Journal www.ipras.org Issue 12

Ass. Prof. Efterpi Demiri
Issue 12 www.ipras.org IPRAS Journal 81

Edinburgh International Conference Centre, Edinburgh, UK
6 – 11 July 2014
Hosted by the British Association of Plastic Reconstructive
and Aesthetic Surgeons
A European Voice for Plastic Surgery
Come to Scotland and enjoy...
A full scientific programme
• international guest lecturers
• interactive education
• up-to-the-minute surgical advances in our specialty
A full social programme
The perfect opportunity to network with colleagues and industry peers – a chance to meet new
people and conduct future business while sampling the best Edinburgh has to offer.
Sponsorship
There is limited availability for relevant companies to support ESPRAS 2014 as a sponsoring
partner, or to exhibit products and solutions at this important congress. To register your
interest please contact the team now on sales@espras2014.
espras2014.org
supported by

I P R A S W E B S I T E
JOIN YOUR COLLEAGUES
The first website that gives you the opportunity
to upload your scientific profile for free!!
www.ipras.org
Take advantage of the opportunity to upload free
and easy, your scientific profile at the IPRAS
website. Gain the benefits of being under the
IPRAS umbrella. 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 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.
There are two new Sections at the IPRAS
website.
• IPRAS-TA section where you may find
more information concerning the Trainees
Association
• Congress Registry section where you may find
the all the plastic surgery related congresses.
If you face any difficulties please do not hesitate
to contact us at:
maria.petsa@iprasmanagement.com
Always at your disposal!
IPRAS Management Office
84 IPRAS Journal www.ipras.org Issue 12

I N D U S T R Y N E W S S E C T I O N
Patient 3D-Web Access: patients and doctors want it!
“Special offer for the IPRAS members and readers. See end of the article for more details.”
Over 1’000 patients sent their intimate
photos
In less than 3 months since the first web-banner for
patients was launched, already more than 1’000 patients
have used it to send their photos to doctors and this
figure is growing every day. Without any extra effort,
doctors receive the patient’s contact information and 3D
before the consultation even starts. It’s that easy!
An online survey was conducted among the patients who
sent their 3D to doctors. The results clearly showed that
the Crisalix web-banner is one of the most important
qualified lead providers in the plastic surgery industry
ever developed.
…now for both Breasts and Face!
Crisalix just released a new highly intuitive and easy-touse
new generation of its 3D face simulator. It comes
with a fully automated application for rhinoplasty and
combines Crisalix’ lead generator capabilities with the
web-banner.
From now on you can simulate a nose job in just a few
clicks using this new interactive tool. With up to 12
different anatomical controllers, you can independently
modify any main part of the nose, and use the other
advanced tools to fine tune the final result.
“I am looking forward to my surgery and am happy I got to see
the 3D image that helped set my mind at ease”. A.S. (USA).
And over 140 doctors already have it
Already during these first three months, doctors around
the world have started reaping the benefits of attracting
more patients, facilitating their consultations and
increasing conversion rate and referrals without any extra
work by simply installing the web-banner on their website.
Some of the most recognized doctors and clinics such as
Clinica Planas (Spain), Hilton Becker (USA), Ruth Graf
(Brazil), Cornette de Saint Cyr (France) and many more
are already enjoying the benefits of the new web-banner.
Crisalix sets the banner up for the doctor in no time so
patients can immediately click on it and prepare the 3D
by taking their photos from home.
“The patient sent us the photos through the banner for a 3D
consultation, and in two days she already had a consultation
with us, where she immediately decided to proceed with the
surgery after seeing the simulation results.” Piotr Sikorski, MD
(Finland)
“Only a few days after I placed a 3D banner on my website for
my new potential patients to prepare their 3D from home, I had
already 1 patient who came up for a consultation, was pleased
with the 3D simulation, and finally booked the surgery.” Matt
James, MD (St-Thomas Hospital, UK)
Increase patient satisfaction and demand, and
effortlessly grow your business through higher
conversion rates and referrals.
IPRAS members and readers have a special 10%
discount on Crisalix annual subscriptions. To benefit
from this offer, please visit www.crisalix.com/prices
and proceed to “sign up”. Use the following code in the
“Coupon Code” field:
41f282e1d8
Crisalix
PSE-A
1015 Lausanne
Switzerland
info@crisalix.com
Issue 12 www.ipras.org IPRAS Journal 85

I P R A S P A S T G E N E R A L S E C R E T A R I E S
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 Bossé
(Canada)
1983 - 1992
Ulrich T. Hinderer
(Spain)
1992 - 1999
James G. Hoehn
(USA)
1999 - 2006
Marita Eisemann-Klein
(Germany)
2006 - present
86 IPRAS Journal www.ipras.org Issue 12

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
Issue 12 www.ipras.org IPRAS Journal 87

12th Issue April 2013
IPRAS Journal Management
Editor:
Honorary Editor-in-Chief:
Editorial board:
GS Print:
E-mail:
Post Editing:
Photographer:
IPRAS
Ricardo Baroudi, MD
Marita Eisenmann-Klein, MD
Nelson Piccolo, MD
Andreas Yiacoumettis, MD
Mimis Cohen, MD
Chris Khoo, MD
Zacharias Kaplanidis, Economist
Diastasi
info@diastasi-print.gr
William Greenall
Julian Klein
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
Association Management Director: Labrini Nikolopoulou
E-mail : l.ni@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: July 2013
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.