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www.ipras.org6th Issue October 2011The flag of IPRAS now proudly waves at the IPRAS Management Office in AthensThe flag of IPRAS now proudly waves at the IPRAS Management Office in AthensFive continents100 countries - regions37.000 Plastic SurgeonsISSN: 1792-457X

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C O N T E N T S• President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . 5• General Secretary’s Message . . . . . . . . . . . . . . . . . . 7• Editor-in-Chief’s Message . . . . . . . . . . . . . . . . . . . . . 8• IPRAS Management office Report . . . . . . . . . . . . . 9• Pioneers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15• Rising Star . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17• Senior Ambassador . . . . . . . . . . . . . . . . . . . . . . . . 18IPRAS Booth during 9th PanhellenicCongress and 2nd IMAFR Congress,Kos, GreecePAGE9• In Loving Memory . . . . . . . . . . . . . . . . . . . . . . . . . 19• Humanitarian Works . . . . . . . . . . . . . . . . . . . . . . . 22• Surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27ISAPS Symposium in Urumqi, ChinaPAGE39• National Associations & Plastic surgeryorganizations’ news . . . . . . . . . . . . . . . . . . . . . . . . 35• Historical Accounts . . . . . . . . . . . . . . . . . . . . . . . . 51• ISPRES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65• ISPRES By-Laws . . . . . . . . . . . . . . . . . . . . . . . . . . 66• National & co-opted societies future events . . . . 86• Industry news . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8933rd annual congress of the TurkishSociety of Plastic Reconstructive andAesthetic Surgeons, Cesme, TurkeyPAGE45• Certificate of Membership . . . . . . . . . . . . . . . . . . 91• IPRAS website . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92• IPRAS Benefits for National Associations& individual members . . . . . . . . . . . . . . . . . . . . . . 97ASPS Historical AccountPAGE51Issue 64 www.ipras.org IPRAS Journal 3

A I M S A N D S C O P E• To promote the art and scienceof plastic surgery• To further plastic surgeryeducation and research• To protect the safety of the patientand the profession of Plastic,Reconstructive and Aesthetic Surgery• To relieve as far as it is possiblethe world from human violenceor natural calamities throughits humanitarian bodies• To encourage friendshipamong plastic surgeonsand physicians of all countries4 IPRAS Journal www.ipras.org Issue 6

P R EIS PI DR EA NS T J’ S OMU ER SN S ALG EBoard of DirectorsPresidentMarita Eisenmann-Klein - GermanyGeneral SecretaryNelson Piccolo - BrazilTreasurerBruce Cunningham - USADeputy General SecretaryYi Lin Cao - ChinaDeputy General SecretaryBrian Kinney - USADeputy General SecretaryAhmed Noureldin - EgyptDeputy General SecretaryAndreas Yiacoumettis - GreeceParliamentarianNorbert Pallua - GermanyExecutive DirectorZacharias Kaplanidis - GreeceProf. Marita Eisemann-KleinPresident of IPRASDear Colleagues,now, after having created a stable fundament with our new IPRAS officers and sub-committees,we are ready to start the creative part, - actually the fun part: the promotion of ISPRES, theInternational Society of Plastic Regenerative Surgery.The interest in stem cell applications and fat grafting techniques is growing rapidly.The complexity of this field requires interdisciplinary cooperation. And whenever we meet in thesegroups we are thrilled to realize how much progress has been achieved.What a great time to be a plastic surgeon!Shouldn’t we congratulate ourselves continuously for our “scriptdecision” to become plasticsurgeons?And what personality traits are necessary to become a successful plastic surgeon?Courage and optimism, self-confidence balanced with modesty and frustration tolerance, theability to embrace new challenges, risks and adventures and above all, - INTUITION.Why intuition? Simply because in critical situations - and we experience many more than most ofthe other professionals - our instinct takes over and supports our intellectual faculties.Why only then? Because we are educated to be rationalists. Albert Einstein stated: “The intuitivespirit is a holy gift and the rational spirit a faithful servant. We have created a society which honoursthe servant and forgets about the gift.”Is there anything we can do to enhance our intuition? Yes, there is.Creative people experience stimuli of all kind more intensively, not necessarily only the ones thatare important for our professional performance or private happiness. A perfect place to trainthese skills will be our Chinese-European Congress in Beijing, October 27-30th! Our Chinesecolleagues keep surprising us with unusual approaches to problems in our fields. There will be alot of great ideas to take home with us!However, stimuli from inside are just as important as external stimuli. We must look more closelyto all our ideas, thoughts and sometimes unusual associations from our subconscious.These unusual associations are the treasures that promote our creativity!As Albert Einstein states: “Nothing can exist without order, nothing can develop without chaos.”I believe strongly in this statement the longer I look at my desk….Its status was commented by a friend: “Now I can imagine how it looks when a post train runs offthe rails.”Steve Jobs, one of the greatest minds of our time, stated:“Have the courage to follow your heart and intuition. They somehow already know what you trulywant to become, everything else is secondary.Stay hungry, stay foolish.”Cordially yoursMarita Eisenmann-KleinIPRAS PresidentIssue 6 www.ipras.org IPRAS Journal 5

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G E N E R A L S E C R E T A R Y ’ S M E S S A G EGoiania, September 2011Prof. Nelson PiccoloOne more issue of the IPRAS Journal, with lots to lookforward to! IPRAS is truly fulfilling its role, which ismaking the specialty of Plastic Surgery and the specialistPlastic Surgeon more and more recognized and knownaround the world.Congresses and meetings held during these past couple ofmonths have demonstrated a major interest of Surgeonsfrom several different continents to share their ideasand standardize the way Plastic Surgery is performed,regardless of the site where this actually happens.Knowledge of the new horizons of the Specialty is beingquickly and efficiently disseminated and these eventsare most certainly facilitating this. When the Surgeons2nd IMAFR Congress, from the left: Dr. Antonio Frota,Prof. Nelson Piccolo (IPRAS General Secretary),Dr. Norbert Pallua (IPRAS Parliamentarian)cannot visit more economically fortunate countriesto participate in the traditional major congresses andcourses, IPRAS is bringing these events to them.This October, we are holding a very large internationalevent in Beijing, China, where Surgeons from allcontinents will be meeting our Chinese colleaguesand share knowledge and experiences first-hand. Wewill certainly have a lot to learn from them, as wellas who they are, where they work and what kinds ofPlastic Surgery procedures are performed daily in thiscontinental Country.This meeting, with more than 300 invited speakers, isorganized by ESPRAS and the Chinese Society of PlasticSurgeons, and Co-Organized by IPRAS (InternationalConfederation for Plastic, Reconstructive and AestheticSurgery), ASPS(American Society of Plastic Surgery),SBCP (Brazilian Society of Plastic Surgery) , ISAPS(International Society of Aesthetic Plastic Surgery),ESAAM (European Society of Preventive Regenerativeand Anti-Aging Medicine) and ESLAS (EuropeanSociety of Laser Aesthetic Surgery) demonstrating,as mentioned above, the true internationality of theSpecialty, the essence of Plastic Surgery in the past, andeven more evident today.Also, the 2011 National Congress of the SociedadeBrasileira de Cirurgia Plastica (SBCP) will take place inGoiania, Brazil. It is one of the largest ( if not the largest) meetings in Plastic Surgery of the world, this congress isexpected to be the meeting place for 2500 to 2800 plasticsurgeons from all over Brazil and South America. Guestsfrom 5 continents will be enriching the scientific program.The Brazilian Society is also extremely committed topresent Plastic Surgery as a complete specialty and thismeeting will bring the state of the art in all aspects of whatis practiced today to our region.I personally, and IPRAS as a whole, would like to thankyou all for your contributions in the past and would alsolike to encourage you to participate, whenever possible,presenting your papers in the congresses and meetingsorganized by IPRAS and in this Journal as well as. Yourexperience and ideas are most important us all!I also would like to send you all my very best wishes,while looking forward to meet you in person, in Beijing,Prof. Nelson PiccoloIPRAS General SecretaryIssue 6 www.ipras.org IPRAS Journal 7

Ibrahim Yıldırım, our trustee member Dr. GursuGuler and the rest of the Turkish Society’s Boardof Directors, for their hospitality and their interestProf. Marita Eisenmann-Klein (IPRAS President) from the openingCeremony on of the 7th Congress of the Balkan Associationto make more dynamic efforts towards spreadingscientific knowledge worldwide. Congratulationsand many thanks also to the Organizational Office,Figur, and more specifically to Mrs. Nur Olcer andMrs. Ebru Ercan for their excellent efforts andtheir warm hospitality.Literally speaking, straight after Turkey, we traveledto the most sympathetic Sarajevo in Bosnia, in orderto attend the 7 th Congress of the Balkan Associationof Plastic, Reconstructive and Aesthetic Surgery(September 14 th – September 17 th ) . This was a veryinteresting congress which attracted participantsfrom the Balkan Area and more specifically, fromBosnia, Greece, Turkey, Romania, Bulgaria,FYROM, Albania, Croatia, Serbia, Slovenia. TheIPRAS President, Prof. Marita Eisenmann-Kleinattended the congress for 2 days and so did theExecutive Director, Mr. Zacharias Kaplanidis. TheIPRAS Booth was also there during the congress andwas staffed by Mr. Nicholas Yiacoumettis and Mr.George Koliopoulos. The Executive Director hadthe opportunity to speak directly to the participantsof the congress and invited the Balkan plasticsurgeons to come closer to IPRAS and to activelyparticipate in the confederation’s activities.The President of the Congress, Dr. Reuf Karabegwas undoubtedly the “soul” of the organization, andwas promised through our President, Dr. MaritaEisenmann-Klein, that IPRAS would help andsupport the Bosnian Association as well as theBalkan Association of Plastic, Reconstructive andAesthetic Surgery, in any possible way.As far as we are aware, the next BAPRAS congresswill take place in Serbia, and will be chaired by ouroutstanding member, Dr. Miodrag Colic, to whomwe wish every success and promise that IPRASwill be by his side in order to help the BalkanAssociation grow even stronger.During the 7 th BAPRAS, Prof. Marita Eisenmann-Klein and Mr. Zacharias Kaplanidis, hadindividual meetings with the Presidents of theBalkan Associations and more specifically, with Dr.Marko Margaritoni from Croatia, Dr. DimiterEvstatiev from Bulgaria, Dr. Reuf Karabeg fromBosnia and Dr. Marijan Novakovic from Serbia.From the left: Priv. Doz. Dr. Klaus Exner, Past President of TheGerman Society of Plastic Surgeons, Prof.h.c. Marita Eisenmann-Klein IPRAS President, Prof. Peter Vogt, President German Societyof Plastic Surgeons, Prof. Peter Kompatscher, Past PresidentAustrian Society of Plastic SurgeryIPRAS booth in SarajevoWe would like to thank Dr. Reuf Karabeg and hiswife Amela, for their especially warm hospitality toour President, Prof. Marita Eisenmann-Klein andthe entire team of the IPRAS Management Office.Finally, the activities of the last 3 months endedin late September, with the IPRAS participationat the Joint Congress of the Austrian and theGerman Societies of Plastic, Reconstructive and12 IPRAS Journal www.ipras.org Issue 6

Aesthetic Surgeons (September 29 th – October 1 st )in Innsbruck, Austria. The German and AustrianSocieties offered the space for the IPRAS booth tooperate throughout this very important congress.Furthermore, the high scientific level of the congressattracted and contributed more than 600 participantsand 30 exhibitors, one of which was our President,Prof. Marita Eisenmann-Klein with the President of the AustrianSociety of Plastic Surgeons Dr Helmut Hoflehner.Prof. Marita Eisenmann-Klein, who was part ofthe scientific programme. The congress was alsoattended by Mrs. Maria Petsa and Mr. GerasimosKouloumpis, who staffed the IPRAS Booth.We would like to thank the Presidents of theGerman Association, Dr. Peter Vogt and theAustrian Association, Dr. Helmut Hoflehner fortheir hospitality and their courtesy towards ourIPRAS President and the IPRAS ManagementOffice team.We would also like to add that many participantsvisited the IPRAS booth and were particularlyinterested in the newly founded ISPRES(International Society for Plastic, RegenerativeSurgery), the IPRAS Sub-committees and all futureevents. Moreover, many obtained the IPRASCertificate and as usual in every congress the IPRASpin was also given. Hopefully, in the next edition ofthe IPRAS Journal, we will have the opportunity topresent some of the notable scientific papers andabstracts that were analyzed during this congress.With this mission to Austria, we conclude theIPRAS Management Office’s main activitiesfor the last 3 months which covered North-EastEurope and Central Europe. We continue with twoother Continents. Firstly, Asia and the significantcongress of China (October 27 th - October 30 th )and secondly, South America with the Congress ofthe Brazilian Association in Goiana (November11 th – November 15 th ).Thank you all and we wish you the best of healthand strength for this season which is filled withdifficulties and challenges.Zacharias KaplanidisIPRAS Executive DirectorIPRAS Management OfficeZITA CongressIssue 6 www.ipras.org IPRAS Journal 13

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P I O N E E R SDr. Yu Ray ChenDr Biggs: Dr. Chen, congratulations on beingchosen as this Issue’s “Pioneer”. Please tell us a bitabout your educational background.Dr. Chen: I graduated from the Medical Schoolof the National University of Taiwan in 1972, didmy General Surgery residency at the Hospital ofthe National University of Taiwan and completedmy Plastic Surgery training at the Chang GungMemorial Hospital, under the tutelage of Dr. SamuelNoordhoff.Dr. Biggs: Tell us a bit about the progress of yourcareer.Dr. Chen: I am currently the Chairman of theChang Gung Steering Committee, the leader ofChang Gung Group, and Professor of Surgery at theChang Gung University. My role in Chang GungMemorial Hospital is the Chairman. The Grouphas 9 Hospitals and Institutes with nearly 10,000beds, from Children’s Hospital, General Hospitaland Chronic Hospital to Geriatric home. It providesfrom acute care to hospice, from Cosmetic Surgeryto liver transplantation. It is a NGO and it is thelargest medical provider in Taiwan.Dr. Biggs: Tell us about your personal surgicalexperience.Dr. Chen: Since 1980 I’ve performed over twothousand mid-facial and mandibular osteotomies,and numerous cleft and intracranial reconstructions.I have had a keen interest in Craniofacial FibrousDysplasia, about which I have published a numberof papers. I have also been fortunate enough todevelop several modifications of osteotomies in themaxillofacial region.Dr. Biggs: What has been your teaching experience?Dr. Chen: I have been involved in the teaching andtraining of more than 250 Plastic and CraniofacialSurgery fellows from 35 countries. I have authoredmore than 200 publications and have made morethan 300 presentations at numerous local andinternational scientific meetings. Right now I have aone-year fellow from USA (just finished his HarvardPlastic Surgery residency, Dr. Dhruv Singhal), anAO Craniomaxillofacial Surgery fellow from Spain(short-term, 3 months), and many visitors includingFellows. I also have fellows from Korea, Thailand,Indonesia, Syria and Lithuania. I provide theopportunity for them to attend my clinics, operatingroom and clinical research.Dr. Biggs: What Societies are you involved in andwhat honors have you received?Dr. Chen: I am a member of many professionalsocieties. In Taiwan, I have been elected Presidentof the Cleft Palate and Craniofacial Association, thePlastic and Reconstructive Surgical Association,and the Society of Aesthetic Plastic Surgery.Internationally, I have also been elected Presidentof the International Society of Craniofacial Surgery(1997-1999), Secretary of the Asian-PacificCraniofacial Association (1993-1997) , GeneralSecretary of the Asian-Pacific Section of IPRAS(2001-2005) and Maliniac Lecturer of AmericanSociety of Plastic Surgeons (2008). Throughoutmy career, I have been appointed as VisitingProfessor in many distinguished Institutionsincluding the University of Illinois in Chicago,Washington University in St. Louis, the Universityof Pennsylvania, the Singapore General Hospital,and the University of Stellenbosch and TygerbergHospital in Cape Town, South Africa.Issue 6 www.ipras.org IPRAS Journal 15

Dr. Biggs: What do you feel your most significantproject has been?Dr. Chen: The most significant project in myyears of practice is the set up and leadership of theChang Gung Craniofacial Center. We have 13 fulltime attending Craniofacial Surgeons providinghigh quality medical service, including cleft lip andpalate repair, microtia repair, craniofacial trauma,maxillofacial osteotomies (orthognathic surgery),sleep apnea surgery, facial contouring surgeryand other cosmetic procedures. We have weeklyresearch meetings, and more than 16 ongoingresearch projects (along with more than 10 full-timecraniofacial orthodontists). We have internationalfellows from all over the world and hold the annualInternational Chang Gung Forum, with focuson cleft lip and palate and maxillofacial surgery.We regularly do surgery missions to Cambodia,Phillippines, Mongolia and China, along with theCraniofacial Foundation which was founded by mymentor, Dr. Samuel Noordhoff, and we carry on theinternational missions by teaching international cleftsurgeons, orthodontists, speech therapists, nursesand coordinators.Currently, since April 2010, we have set up theChang Gung Craniofacial Research Center withactive clinical and some basic research projects,randomized clinical research, image studies (conebeam CT and 3DMD photos), genetic research andsome tissue engineering studies. I myself do studieson “the prevention of inferior alveolar nerve injuryduring sagittal splitting of the mandible”.Dr. Biggs: Where do you think we’re going in PlasticSurgery?Dr. Chen: Plastic and Reconstructive Surgery ismore and more needed by the developing countriesin Asia and all over the world. Cosmetic surgery willbe the next one to be needed in the economicallyfast-growing countries. We should pride ourselves inproviding high quality care, which other specialtiescan not reach. We should be “the best” in any field ofPlastic and Reconstructive Surgery by providing thebest clinical results, new innovations, and research.Dr. Biggs: Thank you Dr. ChenEDITOR’S NOTE:It is easy to see why Dr. Yu Ray Chen has beenchosen as this Issue’s Pioneer. His clinical,educational, and research activities have causedeyes from around the world to look toward Asia16 IPRAS Journal www.ipras.org Issue 6

R I S I N G S T A RDr. Ruhong ZhangDr. Biggs: The following is some background of our Rising Star.Dr. Ruhong Zhang got his regular training, including General Plastic Surgery,Microsurgery and Craniofacial Surgery in the Department of Plastic Surgery of the9th People’s Hospital in Shanghai, which is one of the biggest centers of Plastic andReconstructive Surgery in China. This included a PhD in Plastic and ReconstructiveSurgery in 2002. He completed international fellowship training programs under thesupervision of Dr. Daniel Marchac in Paris and Dr. Henry Kawamoto Los Angelesfrom 2001 to 2004.He is currently the Professor of Plastic Surgery of the 9th People’s Hospital inShanghai, School of Medicine, Shanghai Jiao Tong University and also ViceSecretary of the Chinese Society of Plastic Surgeons (CSPS).He has published twenty two papers on Plastic Surgery, including twenty related toear reconstruction. His articles have been presented in PRS, JPRAS, and AestheticPlastic Surgery. Eight years ago he established the Center of Ear Reconstructionand has performed over 1000 cases of microtia reconstruction, with a high ratio offavorable results.In the Vancouver conference last May, as representative of the CSPS, he was thespeaker for the bid presentation for the next IPRAS Congress and was very fortunateto win in the end.Dr. Biggs: Congratulations, Dr. Zhang, for being selected as Rising Star for theIPRAS Journal. With the contributions you have already made, we feel certain that,in the coming years, your star will shine even more brightly and illuminate the pathto greater progress in Plastic Surgery.Issue 6 www.ipras.org IPRAS Journal 17

S E N I O R A M B A S S A D O RDr. Chang TishengDr Biggs: Dr. Chang, our studies reveal an extremelyfull life in Plastic Surgery. You were born in June1916 and are currently a specialist in the fields ofPlastic and Reconstructive Surgery, Microsurgery,Craniofacial Surgery and Lymphology. Yougraduated from the School of Medicine, NationalCentral University (Nanjing) in 1941, and weresent officially by the Chinese government to theUniversity of Pennsylvania in 1946. In the 1960s,you invented the heating and bandage treatment forlymphedema, and in the 1970s, developed the onestagepenile reconstruction technique by use of theforearm flap. You also performed the first surgeriesto correct hyperterolism and sternum cleft-ectocopiain China.We found that you hold the titles of TenuredProfessor of Shanghai Jiao Tong University, Schoolof Medicine and Hononary Director of ShanghaiInstitute of Plastic and Reconstructive Surgery.You were awarded an Honorary Membership in theAmerican Society of Plastic and ReconstructiveSurgeons, the International Association ofCraniofacial Surgery, and International Societyof Lymphology. You hosted the 10th InternationalConference of Microsurgery (1989) and the 3rdAsia-Pacific Conference of Craniofacial Surgery(2007) as Chairperson and Organizer. You wereelected as a member of Chinese Academy ofEngineering in 1996. You received one NationalInvention Prize from the National Government and25 Science and Technology Progress Prizes from theMinistry of Education and Shanghai City, and youwere the winner of “HeLiang-HeLi Fund Award forAdvancement in Science and Technology” (2004),the 7th Guanghua Engineering Award (2008), andShanghai Medical Honorary Award (1999).Prof. Chang, we found you have edited 18monographs, in areas such as Plastic Surgery,Craniofacial Surgery, Practical Cosmetic Surgery,Chang Ti-sheng Plastic Surgery, Clinical Applicationof Microsurgery (English edition), Practice inLymphology, and Diagnosis and Review on Difficult-Complicated Cases: Plastic Surgery Fascicle. Youhave also contributed more than 150 papers indomestic and international journals.This is a very impressive set of contributions. Pleasetell us your personal view of your career and whatyou see for the future in plastic surgery.Dr. Chang: I was thrilled when I entered into theworld of Plastic Surgery. At that time, we mostlydid three things: skin grafting, flap transfer, and flaptubing. They may seem rough and out-dated today,but they helped save the lives of many soldiers intimes of war. For many years they have continuedto play a major role, being modified and refinedover time.Microsurgery is something really innovative, and hasstirred a big revolution in Plastic Surgery and manyother disciplines. Luckily for us Chinese Surgeons,we manage to follow and seize the emerging trend,and have accomplished a lot in this field.Other major changes include the concept of miniinvasion,and the shift of patient spectrum. Inpeace, more concerns are naturally put on cosmeticsurgeries. When the patient doesn’t want bigsurgeries, we don’t either.The future of our discipline, I suppose, dependslargely on the exploit of current techniques andbreakthroughs in fundamental research. Theyrepresent two directions and both deserve relentlesspassion. And only real good things will eventuallyremain and become part of our discipline.Dr. Biggs: Thank you, Dr. Chang, and congratulationsupon being selected our Senior Ambassador for theIPRAS Journal.18 IPRAS Journal www.ipras.org Issue 6

I N L O V I N G M E M O R YJohn Clarke Mustardé(6 June 1916-16 October 2010)Jack Mustardé, pioneer Plastic and Reconstructive Surgeon, was born and educated in Glasgow. He trained inophthalmology and, in 1940, he was posted to Cairo as a lieutenant in the medical corps. When Tobruk fell, he was takenprisoner by the Germans and was then passed on to the Italians. He escaped, but was recaptured. He was sent home in1943 due to ill health and wrote ‘The Sun Stood Still’, a book describing his life as a prisoner of war.He then re-qualified as a Plastic Surgeon, seeing the great need amongst injured servicemen. At the time, he lived inNottingham, but travelled down to Park Prewett Hospital in Basingstoke once a week to train under Sir Harold Gillies.He also sought training under Sir Harold’s cousin, Sir Archibald McIndoe and also Eric Peet in Oxford. In order to travelthe distance, he bought an Auster aeroplane and taught himself to fly, using a road atlas and following main roads. Onone foggy day he force- landed in a field and had to ask the owner of the farm where he was.He was famous for being able to get out of difficult situations. Once, when stopped for speeding, he explained that hehad to perform emergency surgery and continued his journey with a police escort.In 1948 he was appointed to Basingstoke under Sir Harold Gilles. It was after the war and rationing was in force.Showing great initiative, he kept pigs, a cow and chickens and was able to feed his family, and the hospital, with meatand eggs.In 1954 he was appointed to Ballochmyle Hospital in Glasgow, which had been established to treat wounded soldiers.The Plastic Surgery Unit also treated dental and maxillofacial patients, and children with congenital deformities.His main interest was in periorbital surgery and, having moved to the Glasgow Royal Infirmary, he published 40 papersand three books: ‘Repair and Reconstruction in the Orbital Region’ (1966), ‘Ophthalmic Surgery Up to Date’ (1970)and ‘Plastic Surgery in Infancy and Childhood’ (1971). He always emphasised the importance of anatomy, and manyprocedures and instruments bear his name – among them the rotational cheek flap for eyelid reconstruction, theMustardé needle holder, and the Mustardé forceps.He collaborated with Dr Paul Tessier in Paris and was instrumental in developing the subspecialty of craniofacialsurgery. He was a founding member and the first President of the European Society of Ophthalmic Plastic andReconstructive Surgery.Those who knew him well recognised that he was a kind man, but he was not to be trifled with. He was meticulous inpreparing his own case after being involved in a legal battle with the Greater Glasgow Health Board, who accused himof not honouring his contract. His defending counsel commended the thoroughness of Jack’s evidence and, after anignominious defeat, the Chairman of the Health Board resigned.Although he travelled the world and was invited to lecture and operate in many countries, his theatre at home inIssue 6 www.ipras.org IPRAS Journal 19

Canniesburn Hospital was always full of visitors. He was a natural and authoritative teacher and would give the visitorsa running commentary on what he was doing, and why he was doing it. He never raised his voice, always remainingcalm and in control. The most he would say if things were not going his way would be “now wait a minute …”He retired from the National Health Service in 1991, at the age of 75. Even after retirement he continued his research.He spent time dissecting pigs’ eyelids, collected from the slaughter house, and he showed that, in the lower eyelid, itwas the presence of tightly packed glands that conferred rigidity, and not cartilage.At the age of 76 he joined a group of medical members of Rotary, visiting several African countries. In Ghana “therewere lots of congenital deformities, cleft palates, twisted limbs, burns, tropical ulcers, there was work to be done”. Heimmediately began work at Accra Central Hospital, and at the end of the visit he was urged by the President of Ghana,Flight Lieutenant G Rawlings, to return.For the next 10 years he organised volunteer surgeons from Scotland and he himself spent alternate months workingthere. He founded the Scottish charity “The Reconstructive Plastic Surgery and Burns Project, Ghana” raising moneyto train Ghanaian surgeons, and to build a treatment centre in the Korle Bu Teaching Hospital in Accra, followed bya subsidiary service set up Kumaze, north of Accra. There was a close link between Ghana and the Canniesburn unit,and eventually there were eight fully trained surgeons working in both Ghanaian centres, who were able to train morelocal surgeons and also doctors from neighbouring countries in West Africa.He was keen on hunting and fishing, and kept a loaded shotgun in his car in order to deal with any pheasants he foundon his journey. He enjoyed being invited to South America because of the fishing. It was fortunate that the River Doonwas near the bottom of his garden, so that he was able to stroll down and come back with a fine salmon.On his 80th birthday, his son David took him to Russia, where the fishing was exceptionally good but was subject toa “catch and release” policy. After a week, when he had caught and released about eighty salmon, he was temptedto take a couple of the fish home to Scotland and there nearly was an international incident when his luggage wasX-Rayed at the airport and two fish showed up on the screen. He was appointed Officer of the Order of the BritishEmpire in 1995 and awarded the Order of the Volta in 1997, Ghana’s highest civilian honour.He died in October 2010, at the age of 94, being predeceased by his wife Maisie in 2006 and his daughter Patricia. Heis survived by sons Alan and David, daughter Ruth, 12 grandchildren and 18 great grandchildren.He is remembered as an innovator, a great authority on his chosen specialist subject of periorbital Plastic Surgery, andfor his teaching, demonstrating and operating throughout the world.With special acknowledgements to Mr Martyn Webster, his friend and colleague.Dr. Chris KhooMember of the ESPRAS ExCoMember of the IPRAS ExCo as a geographicalrepresentative for EuropePast President of BAPRASChairman of the British Academy of Cosmetic PracticeEDITOR’S NOTE:Dr. Khoo has written an excellent obituary about one of our specialties great men. In it I learned much abouthim I didn’t know but induced me to respect him even more. What he did NOT mention was the item for whichI knew him best, and that was his approach to the prominent ear. I learned it in my training in the early 60’s andincorporated it (along with ancilary manuevers) in all my otoplasties.Neven Olivari provided a touching portrait which he did himself in 1998 when John Clarke Mustardé was awardedthe Dieffenbach Medal of the German Society of Plastischen, Rekonstruktiven und Plastic, Reconstructive andÄsthetischen Chirurgen Aesthetic Surgeons.20 IPRAS Journal www.ipras.org Issue 6

Obituary for Alla LimbergAlla Limberg as a young Plastic Surgeonbuilt Center of Combined Cranio-Facial Trauma inLeningrad, in 1976. At the same time, she becameher father’s successor as Chief of the Department ofMaxillofacial Surgery at the Scientific Institute ofTraumatology and Orthopedics, chaired by ProfessorR.R. Wreden, holoding that position until 1992.Thereafter, she remained an active and well respectedProfessor and member of the faculty of the Universityof St. Petersburg.Alla Limberg was an engaged experimentalsurgeon and scientist, who authored more than 200publications on facial fractures, clefts and burns. Shewas Chairperson of the Plastic Surgery section of theN.N. Pirogov Society and a member of many PlasticSurgery Societies. She enriched all major Europeanand American congresses with her scientific workand her unique personality. Alla Limberg was mostrespected by her peers and the younger generation ofRussian Maxillofacial and Plastic Surgeons. She wasa most charming person, a demanding supervisor andan educator of the new generation of doctors. Thetalented scientist and brilliant surgeon was a worthyrepresentative of the honored dynasty of Limberg.Alla is survived by two daughters, one of which is aAlia Aleksandrovna Limberg, “la Grande Dame” ofRussian Maxillofacial Surgery has passed away in St.Petersburg, on May 19, 2011, at the age of 80. She hasbeen the last member of the famous Limberg dynasty:her grand-father Aleksander Karlovich was the firstRussian Professor of Stomatology in St. Petersburg, inthe late 1800s. Her father, Aleksander Alexandrovitch,was the first Head of a Russian Maxillofacial Surgerydepartment. He introduced autologous bone grafting ofmandibular defects after World War I and described thegeometrics of the rhomboid “Limberg flap” in 1928.His greatest contribution was his handbook on “LocalPlastic Surgery Planning” in 1963, translated intoEnglish by S. Anthony Wolfe in 1984. He died in 1974,at the age of 80.Alla Limberg was born on September 3, 1930, inLeningrad, where she survived the siege during WorldWar II, studied medicine and soon became Head ofthe University’s Facial Surgery Department. After atime of efficient surgical research on bone and dicedcartilage grafts, she was elected chief of the newlyAlla Limberg with her father Aleksander A. Limberg in 1965cardiologist and was buried in the Sredneokhtinskoecemetery in St. Petersburg, next to her father. We willkeep her memory as a wonderful friend and devotedteacher.Oksana Dmitrienko, St. Petersburg, Russiaand Gottfried Lemperle, San Diego, USAIssue 6 www.ipras.org IPRAS Journal 21

H U M A N I T A R I A N W O R K SWomen For Women by IPRAS:2nd Mission - Chilmari BangladeshApril 23-30, 2011In Collaboration with “Friendship”and the Emirates Floating HospitalToni Zhong, MD, FRCSC, MHSAbout the Region of ChilmariBangladesh, a country of “a thousand rivers” with muchof its geography embedded in water, is recognized asthe most densely populated country in the world by theWorld Health Organization. With a surface area of only144,000 square kilometers and an escalating populationof 160 million, diseases of poverty and overcrowding arerampant in the country. Living even below the povertycutoff line for Bangladesh are the inhabitants of thenorthern riverbank of the Ganges-Brahmaputra delta.The people of this region are nomadic in nature and dwellon semi-permanent islands known in Bengali as “Chars”.(Figure 1) These islets, formed from the melting snows ofthe Himalayas, undergo constant formation and erosionfrom its powerful currents, and typically have a lifespanof only months to a few years. Due to its vulnerableposition at the northernmost tip of Bangladesh, Chilmari,in the district of Kurigram, is a frequent victim of naturaldisasters, such as flooding and cyclones. This was thelocation of the ninth mission for WomenForWomen by theInternational Confederation for Plastic Reconstructive &Aesthetic Surgery (IPRAS).About the bond betweenWomenForWomen and FriendshipThe inhabitants of the northern riverbank and char areasof Bangladesh are amongst some of the most vulnerableand marginalized people in the world. Recognizingthe serious deficiencies in food supply, running water,electricity, basic sanitation and living infrastructurewithin the chars, WomenForWomen and Friendshipteamed up for a second successful surgical missionbetween April 23rd to 30th. The local planning and onsite organization in anticipation for our mission werecoordinated by Friendship, a value-based Bangladeshiorganization established in 1998 under the leadershipof Mrs. Runa Khan. To fulfill its aim of providingessential basic services to the most inaccessible areasof the country, Friendship delivers both primary andsecondary healthcare to the people living on the shiftingislands through its floating hospital at the mouth ofthe Brahmaputra River. Through a generous startupdonation and sustained funding from the EmiratesAirlines, the Emirates Floating Hospital (EFH) hasprovided essential medical care to around 4 millionpeople of the chars since November of 2008. (Figure 2)The ability of the EFH to be self-contained and mobileaffords the hospital the unique ability to relocate everyfew months to serve a different char, in addition tosurviving natural disasters, common to this region.The EFH is a suitably equipped hospital with one fulltimeonsite medical doctor, one optometrist, 4 wardnurses, 2 OR nurses, 2 operating rooms, a pharmacy anda radiology department. (Figure 3) In addition, with theinvitation of Friendship, there is a regular roster of foreignmissionary teams that provide specialized medical andsurgical care a few times a year, ranging from gynecology,orthopedics, cleft lip and palate and, finally, plastic andreconstructive surgery by Women For Women.About Mission Chilmari BangladeshIn Bangladesh and other developing countries ofthe world, it is not uncommon for women to sufferfrom disfiguring physical injuries as a result of ethnic,Photo from the Emirates Floating Hospital22 IPRAS Journal www.ipras.org Issue 6

The Emirates Floating Hospital on the bank of the Ganges-Brahmaputra Riverthat provides medical service to 4 million people of the Char region.social, marital, and other domestic disputes. Furthercompounding the issue of inadequate prevention andtreatment of these avoidable injuries, it is known thatfemale victims generally do not actively travel away fromhome to seek medical attention. As a result, they furtherexclude themselves from society and spend the rest oftheir lives hiding their physical deformities and toleratingthe shame inflicted upon them by their perpetrators.The mission of Women For Women, therefore, aims to“help women suffering from physical injuries as a resultof domestic abuse, war, or other socio-cultural reasons inthird-world countries”. Women For Women (WFW) isa charity program, supported by IPRAS, and its missionsare carried out by an international core group of sociallyconscious female plastic surgeons, who share a commonvision to restore the skin and the lives of female victimsof war and social crimes.The most common crime of female domestic violencein Bangladesh and other parts of South East Asia areburns, particularly acid burns to the face. This viciousform of attack is an unconscionable act that aims todisfigure the most presentable element of the femalebody. This is a large-scale problem that has afflictedBangladeshi women for generations, from young to old,and from north to south. Only recently has it receivedits much-needed corrective attention, and today thereis a national society based in Dhaka, the capital ofBangladesh, known as the Acid Survivors Foundation.(http://www.acidsurvivors.org)During this mission 6 months ago, the WomenForWomenteam met with ASF Founder Mrs. Monira Raman andher team to evaluate synergies and visited the ASFcenterand the surgical facilities.About the WFW Team to ChilmariTeam WFW arrived in Chilmari on April 23rd andbegan screening potential patients the same day on theEFH. The surgical team consisted of two senior plasticsurgeons, Dr. Connie Neuhann-Lorenz (President ofWFW, Munich, Germany), Dr. Toni Zhong (Plastic,Reconstructive and Microsurgeon, University ofToronto, Canada), and junior plastic surgeon was Dr.Michelle Locke from Auckland, New Zealand currentlycompleting her fellowship training at the University ofToronto. All three other members of the surgical teamcame from Munich, Germany, and consisted of Drs.Carola Stenzel and Christina Frey (anesthesiologists)and Mrs. Gabi Kerlstetter, a senior OR nurse. Inaddition, our team was privileged to have the companyof Ms. Ann Christine Woehrl during the entire mission,an acclaimed photographer and journalist who wasworking on an exposé of acid burn victims of Asia.Issue 6 www.ipras.org IPRAS Journal 23

able to provide personal hygiene care for herself, a rightthat should be basic to any adult human being.The Operating Theatre on the EFHAbout the PatientsFor five consecutive days, from April 24th to April 28th,our team performed approximately 61 procedures in 32patients. Many of these patients had multiple sites of burninjuries. The ages of the patients ranged from 2 to 70,and the most commonly performed procedure was burncontracture release and reconstruction using a full thicknessskin graft. Since the intent of the WFW is not to be anexclusionary program embedded in feministic ideology, wealso performed upper extremity burn contracture releasesfor two little boys who presented to EFH.Case 1:Accidental Soot Burns to the PerineumThe most complex and demanding procedure of thismission involved the release of a severe full thicknesssoot burn to the perineum of a 17 year-old girl. Shehad an extensive burn contracture of the perineum thatresulted in webbing of the proximal 1/3 of her inner thighskin. (Figure 4a) Preoperatively, she had approximately25 degrees of abduction between her proximal legs.Functionally, due to the distal extent of the webbingin her groin and both inner thighs, she was unable toprovide independent perineal care. As a result, she wasrendered to an infantile status where she had to haveher basic personal hygiene needs provided by her familymembers. After reviewing her surgical options whichwere limited due to the presence of full thickness burnsto both her thighs and the difficult nature of healingin the perineal region, we decided to reconstruct theanticipated large perineum defect caused by release ofthe contracture using a pedicled right vertical rectusabdominus myocutaneous flap (VRAM). (Figure 4b)Since the EFH ORs are not equipped with ventilatorswhich excluded the option of providing generalanesthesia and paralysis to the patient, we wererelegated to performing the entire surgery underregional anesthesia and conscious sedation. (Figure4c) In addition, to maximize the safety of the surgeryand minimize OR duration, the three surgeons workedin concert and completed the entire surgery within anacceptable time frame with minimal blood loss. Thepatient was ambulating with assistance by postoperativeday 1 and tolerating solid foods by postoperative day 3.Most importantly, for the first time in 3 years, she wasCase 2:Dowry Dispute - Burns to the Face and NeckA 22-year-old girl was attacked by her mother-in-lawand sister-in-law the day after her wedding, by settingfire to her veiled face and sari, as a result of an unsettleddowry dispute. As a result, she sustained third degreeburns to her face, neck, chest and arms. After barelysurviving the initial extensive burns, she was finallyrepatriated by her own family for the remainder ofher recovery. Feeling ashamed and worthless with herphysical scars, her family had taken her to the EFHto seek our reconstructive expertise. (Figure 5a,b)She underwent release of severe burn contractures tothe right side of neck with local flaps and FTSG, earreconstruction using a superiorly based pedicled tubedflap, and release of flexion contracture of her indexfinger. (Figure 6a,b) Despite our reconstructive effortsat restoring some semblance of normalcy to her faceand hand, she will likely remain a woman who will bepermanently physically and emotionally scarred by thistragic and preventable assault.The FutureIn a society built on thousands of traditional ritualsand customs, intentional burn attacks on women isone ritualistic practice that must be eliminated. Eventoday, one Bangladeshi woman is attacked with acidevery two days. Especially in the “char” regions ofNorthern Bangladesh, where its residents have beencompletely neglected by the government and foreignnon-government organizations (NGO), WFW intendsto strengthen its loco-regional presence in assistingmarginalized female patients who have nowhere elseto turn. With the support of local organizations suchas Friendship, and continued funding from EmiratesAirlines and other sponsors, WFW team aims establishsustainability by educating, preventing, treating, and reintegratingfemale victims of burn injuries.Toni Zhong, MD, FRCSC, MHSPlastic and Reconstructive Surgeon,Surgical Oncologist, Staff SurgeonAssistant Professor, Division of Plastic& Reconstructive Surgery,Dept. of Surgery, University of TorontoEDITOR’S NOTE:We would like to report on a typographic error in theprevious edition (5th) of the IPRAS Journal “Women ForWomen” article entitled “2nd Mission - The Chilmari,Bangladesh”. It was incorrectly attributed to the Presidentof the Women For Women effort when the author was Dr.Toni Zhong. We are reprinting the article under the nameof its appropriate author with our sincere apologies.24 IPRAS Journal www.ipras.org Issue 6

The WomenForWomen NamastePendant StoryChristine GroganGroMarketShare LLCThe Namaste pendant was inspired by a beautiful youngwoman, Sri Lakshmi, who suffered severe burns on herhands and face. A team of IPRAS WomenForWomenReconstructive Surgeons operated torelease her scar contractures, so thatshe might regain function and resumea more normal life. Following surgery,she expressed her gratitude to the teamwith the graceful gesture of Namaste, asshown below. Ashley Bennett Stoddard(ashleybennettstoddard.com), an artistin Salt Lake City, Utah, who is wellknownfor sculptures and other pieces shedonates to non-profit causes, providedher time and amazing talent to designthis eloquent and delicate piece of art.She quoted that this piece represents“The collaboration and evolution of thispendant was very special. It was an honorworking on this idea with this amazing group, who havesuch heart and dedication to their mission. The Namastependant brings to life the spirit of the female form withgrace, strength and gratitude, from one human to another,not placing identity, only unity, through gesture and form.May this continue to be a gesture to help restore the futurefor those in need.”Drs. Marita Eisenmann-Klein, Constance Neuhann-Lorenz, Andrea Pusic, Sydney Coleman and LakshmiSaleem worked with Ashley through the development ofthe pendant. The artwork crossed over several continentsand cultures to ensure that it would fully convey a globalembracement, so that Plastic Surgeons around the worldcould proudly wear, offer to patientsto purchase and give to friends to say“Namaste.” With every pendant sold, weare able to provide more surgical care towomen in need.By purchasing a pendant you are conveyingthis message:“Thank you for being a friend toWomenForWomen. I give you a gift thatwill help transform the lives of others.”If you would like to buy a pendant andgive the gift of transformation, pleasecontact maria.petsa@iprasmanagement.com. Sale proceeds will go directly tosupport future IPRAS WomenForWomenReconstructive Surgery missions.For more information about IPRAS WomenForWomenReconstructive Surgery, please visit our website at www.womenforwomen-ipras.orgA video of a recent surgical mission can be viewed at http://vimeo.com/23305727(Christine Grogan works for ThePlasticSurgeryChannel.com, which is a Plastic Surgery Organization made up ofBoard Certified Plastic Surgeons and founded by WilliamP. Adams Jr. M.D. A video of WomenForWomen can beviewed at http://www.theplasticsurgerychannel.com/gives/)Prof. Marita Eisenmann-Klein(IPRAS President)Dr. Constance Neuhann-Lorenz(President WomenforWomen)Dr. Andrea Pusic(WomenforWomen Member)Issue 6 www.ipras.org IPRAS Journal 25

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S U R V E Y SConsiderations for Presentations:How to Become a More EffectivePublic SpeakerMr. Julian KleinContrary to popular belief, a great communicatoris never born as such, but is cultivated throughstudy, experience, and training. Experienced publicspeakers and professional orators incorporatespecial tools and techniques to communicate moreeffectively, but nearly anyone can learn to use orincorporate their methods. The more practice andthought one dedicates to learning these tools, andtechniques, the more sophisticated the speakerwill become. The goal of this article is to help thereader hone her or his ability to get a point acrossin public speaking scenarios and explain some ofthe basic methods effective speakers use in publiccommunication.When preparing a speech, professional communicatorsgenerally consider Lasswell’s maxim: “Whois saying what to whom, using what medium, withwhat effects?” This means the speaker must first givethought to her or his relationship with the audienceand define what exactly has to be communicated.The communicator then needs to consider who theaudience is and why the subject should matter tothem. Finally, the orator must determine the beststrategy for convincing the audience and the mosteffective means for doing so.When the speaker begins a presentation, sheor he should connect with the audience on apersonal level. Great communicators try to builda bridge between existing perceptions and the newperspective they hope to convey. In simple terms,the effective speaker seeks common ground andasks: What do the speaker and the listener havein common? The answer to this question helps theaudience feel connected to the speaker and alsoreduces the orator’s fear of speaking to them. In anideal scenario, the speaker should feel as if she orhe is talking to a group of friends. In contrast, ifthe speaker perceives the audience as hostile, it willalmost certainly have a devastating effect on his orher ability to deliver an effective speech. It is goodpractice to smile, make eye contact, and sometimesaddress individuals by name; for example with arhetorical question that demands confirmation,like “Don’t you agree Tom?” Many professionalspeakers try to break the ice with humor, sometimesas part of their introduction to the speech. After all,humor unites all cultures and coaxing a smile froman audience is half the sympathy-battle.The ideal public speaker will dress slightly up orbetter than her or his audience. The presentershould signify honor and respect for the audienceand the audience will be more likely to reciprocaterespect for the speaker and the presentation.Appearing underdressed will communicate a lackof regard and being way overdressed a lack ofsensitivity to the occasion. An experienced speakershould keep in mind that the outer appearance isthe first impression and the initial chance to set thetone for communication.Many skilled speakers eliminate physical barriersand do not allow objects like a podium to separatethem from their audience. Although it might feelsafer to hide behind an object, physical barrierscreate a psychological impression of separation.When experienced speakers are given a choice, theygenerally use a wireless microphone. Why be on aleash when one can move freely? Skilled oratorslike Steve Jobs deliberately eliminate both physicalbarriers and leashes. As a result, these speakerscan communicate with their entire bodies. Thisallows the communicator to tie gestures into thepresentation and highlight important points withIssue 6 www.ipras.org IPRAS Journal 27

powerful impressions. These energetic gesturesbecome more memorable when contrasted with calmmovement; so the speaker has to be cautious not tooveruse gestures as an outlet for nervousness.On a strategic level, moving from place to placecan be used as a stylistic device to help physicallyseparate one point or concept from another; a subtlebut powerful tool. For example, the speaker maypresent the pros of an argument standing left of thecenter, the cons on the right, and then move to themiddle for a conclusion. Of course this assumes thatthe speaker is not blocking a PowerPoint slide showor other visual aid. It is important to rememberthat the audience expects to see and hear a liveperformance and not just read PowerPoint slides.A monotone speaker is a great sleep aid and somevariance in pitch is the best antidote. A skilledcommunicator not only varies the cadence andpitch within a talk to engage the audience, but alsoadjusts voice and tempo to emphasize the importantpoints. On this note, great speakers pronounceevery syllable. What sounds like slightly exaggeratedpronunciation to a novice orator, will come acrossjust right when presented to an audience.Unless a teleprompter is used, experiencedcommunicators generally avoid reading, especiallyif it is directly from their own slides. While it isacceptable to occasionally glance at the screen tocheck the presentation’s progress, good orators keepin mind not to turn their backs to the audience.Public speakers who read a script to their audienceusually assume a posture that appears hunchedoverand this will likely communicate a sense ofdiffidence and insecurity. Moreover, a hunchedoverpose often has a negative impact on theorator’s speech, cadence, and pitch. Similar to overpronouncingvery syllable in a speech, the uprightposture, including chin up and chest out, shouldfeel slightly exaggerated to the novice speaker.One of the speaker’s objectives is to project voicewhen working without microphones. The oratorshould be loud enough to be clearly audible toall audience members. To ensure good audioprojection, experienced speakers often imagine thatthey are talking to a person in the last row. Anotherobjective is to give an audience the impression thateveryone in the room is being addressed directly.Trained communicators commonly select four facesin different areas of the room with whom to connect.The idea is to select people at the left, right, front,and back with whom they can sporadically butsystematically make eye contact with throughoutthe presentation.A good speaker prepares for an audience, knowswho the constituents are, and why they have come tothe venue. Great communicators try to understandtheir audience’s level of sophistication and itslimitations. For example, is everyone in the audiencespecialized in the same field as the speaker or aremost of them laymen? Does the audience care moreabout the process or the results? An experiencedcommunicator will strategically use social events,like coffee breaks, to get to know individuals in anaudience. Making friends among listeners early willaid communication on several levels. For example,the speaker might get a chance to find out why theconstituents have come and what they hope to getout of being there. Obviously this opportunity lendsitself to identifying proponents and supporters. Asmentioned earlier, one of the speaker’s initial goalsis to get to know an audience and find commonground.It has been shown that a speaker will be mostmemorable when presenting either first or last in aseries of talks. The first presentation generally setsthe bar and is perceived with the least amount ofprejudice. Moreover, presenting first circumventsthe possibility that someone else may touch on thesame subject and beat the speaker to the punch.On the other hand, being the last speaker will havethe advantage that one can address the ideas offoregoing presentations. According to the serialposition effect, both the first and the last speakerwill be most memorable for different reasons. Inmany cases the first-versus-last preference comesdown to how confident the speaker is in her orhis own knowledge and skill. If the communicatorfeels very much in charge of the subject matter,presenting last is probably most desirable.When experienced communicators providehandouts, they generally do so after they have endedtheir talk. It is a good idea to let the audiences knowbefore the presentation that there will be handoutnotesor brochures, but the material should not bedistributed until the presentation is over. Providingthe handout too early will likely result in a room fullof lowered heads, as the audience will be readingwhile the speaker presents.28 IPRAS Journal www.ipras.org Issue 6

Great communicators will understand the values ofthe culture they are speaking to. Although it may beimpossible to truly know each audience member’sculture in detail, it is important to understand thebasic philosophies behind cultural differences.For example, collectivist cultures – commonlyrepresented in Asian countries – value teamwork overindividual achievements. Subsequently, announcingindividual accomplishments is generally perceivedas arrogant and egocentric within collectivistsocieties. Conversely, individualistic cultures valuepersonal accomplishments and prefer to knowwhat someone achieved individually as opposed towhat a team undertook collectively. Speakers whoare culturally sensitive will keep this in mind whenphrasing who accomplished something. Anotherbasic example of cultural sensitivity involves theexpression of emotions. While emotional expressionmay be endearing in Latin-American countries,many Asian cultures may perceive such expressionsas a sign of lacking discipline and self-control. Aswith many of these tips, these are not rules set instone, but considerations a speaker should keep inmind when evaluating cultural values.A final example of cultural adaptation relates tothe way an audience or its subculture thinks. Greatcommunicators keep in mind how technicallyoriented or pragmatic an audience’s subculturemay be. For example, when speaking to softwareengineers the balance should appeal to theaudience’s logic instead of their emotions or, inGreek terms, emphasize logos instead of pathos.In this situation, the speaker should communicatefrom knowledge and reason, not from emotion orsimply a desire to entertain.It should go without saying that the speaker mustknow the subject matter. However, it never hurts toprobe the most common public resources and findout what additional information is readily availableto your audience. In the age of mobile smartdevices,anyone and everyone in a given audiencemight access Wikipedia or google the subject athand. An experienced speaker will understandthe problem she or he plans to discuss, know howto define it clearly, and anticipate the audience’sinformational resources. Identifying, sharing, andcorrecting definitions or conceptualizations are keyto establishing a common language and rapportwith an audience.Experienced communicators commonly identifya suitable theme for their talk; a simple messagethey can open with and repeat or revisit severaltimes. For example, if the theme is awareness, theymight repeat the sentence: “Be aware!” severaltimes throughout the presentation. A hallmark ofgreat orators is to “take it home” and return to thetheme at the end of the speech. When preparing atalk, one should try to think of no more than threethings that the audience must remember after thepresentation. It is acceptable for speakers to telltheir audience when something is important and,given that the message is concise enough, an oratorshould take the liberty to ask that listeners writesomething down when it seems appropriate.Great orators structure their presentation carefullyand meticulously consider each structural elementwithin a presentation, like the introduction, thebody, and the conclusion. The body is commonlydivided into at least three points, but ideally nomore than seven. Experienced speakers make surethat each of these points follows a similar algorithm.For instance, they make a statement, explain thestatement, provide an argument to support it, andfinally they give at least one example that sustainstheir point. This process is then repeated andapplied to the presentation as a whole. Structurewill make it easier to establish a reasonablealgorithm or process. In great presentations thearguments evolve through a dramatic progressionand arrive at a knockout point; the conclusion. Thisstructure facilitates the audience’s ability to followthe logic and understand the progression. Wheneverything is structured well, it should be very clearhow the speaker arrived at her or his conclusion.Great communicators also keep in mind that theconclusion should consist of no more than threepoints and that an ideal presentation ends with aconclusion that supports the theme.Similar to focusing each argument, a goodcommunicator will ensure that each and everyexample supports the concept. An experiencedspeaker uses as many relevant examples asnecessary and it is common practice to put thestrongest example last. Sometimes orators even usenegative examples as long as the instance supportsthe concept. Any example that does not relate tothe theme or concept is irrelevant.The most common mistake laymen make inIssue 6 www.ipras.org IPRAS Journal 29

PowerPoint design is inconsistency. A well-designedpresentation does not introduce new fonts or colorsmid-presentation without an important and clearreason to do so. The variety of choices makes ittempting to change the font, the background andthe colors from slide to slide, but consistency isa commonly overlooked factor in the design ofPowerPoints. The background of a presentationshould be homogenous and plain to permit consistentcontrast between fonts and background color acrossall slides. Some presentations use dark font on lightbackground and others reverse the contrast by usinglight font on dark background. In any case, a sharpcontrast between font and background is crucial.Experienced presentation designers keep thepsychological effects of colors in mind when theycreate a presentation. When making design choices,the designer should understand how a particularcolor might affect an audience. It has long beenknown that an exciting color like red will help getattention and blue or green tones will tend to have asoothing effect ïn an average audience. Experiencedcommunicators select the right color depending onwhat kind of idea and emotion they are trying convey.For example, a car commercial will incorporatesoothing colors, whereas a pen or a notepad will sellmuch faster if the colors are exciting.Well-designed presentations also make it easy to findrelevant information at a glance. If a presentationcontains slides that are too busy, it makes moresense to create an additional page or slide to dividethe content. The number of slides is not going todetermine the length of a talk. In fact, the speakerwill be more likely to keep to the time limit bysaying less per slide and having more slides to helpkeep track of time. While adding media can helpspice up a PowerPoint, experienced communicatorsavoid overusing audio and visual effects. Especiallysound effects can become annoying to an audiencevery quickly and can take up valuable time.The font should adhere to both the subject matterand the feel of the presentation. Sans-serif fonts likeArial are easier to read on slides than serif fontslike Times New Roman. The latter generally lendthemselves for longer printed texts like newspaperarticles. Good presentations use cursive fonts, italics,bold letters, and uppercase spelling sparingly. Eachof these stylistic devices highlights or emphasizestext, but its overuse only makes it more difficult tofind the important points.Admen know that the most memorable sentencesconsist of short words. If a speaker must use longwords, they generally try to use fewer words in thesame sentence. Similarly, if experienced oratorsdecide to incorporate a quote, they focus on the mostrelevant words and avoid pasting large paragraphsonto the slides.The key to a good PowerPoint or slide-presentationis consistency and balance. The trick to becomingan effective communicator is to imagine that one istalking to an individual, regardless of how large anaudience might be.I hope that this article is informative and helpscommunicators feel more comfortable when theyspeak to their audiences. The elements discussedabove are a few tips to help make presentations alittle more effective and they will hopefully lead tobetter experiences for both audiences and speakers.I also hope to learn from you and if you have tips toshare, please email me at: presenter@ellaendeavors.com.Julian KleinGraduated from the University of Southern California AnnenbergSchool with a Bachelor of Arts in Communication and a Masterof Arts in Communication Management. During his time therehe received two student achievement awards, a student leadershipaward, and the opportunity to design a study that would later bepublished in an academic journal. After graduating, Mr. Klein wenton to work with companies like Google and eventually launched EllaEndeavors – a small business that specializes in communication andmedia services.EDITOR’S NOTE:The comments by the author are parts of someconversations he and I have had over the past year.Although neither a physician nor a plastic surgeon hehas deep roots in the fields and a sound grip on thesubject, and I have many years’ experience listening toexcellent surgeons demean their persona by assaultingsome common sense in relating to an otherwisededicated and eager audience.The entire concept of the relationship between speakerand audience should be one uppermost in the former’smind and be the pivotal factor between a large body ofinformation and a waiting audiencePowerPoint and Keynote are powerful tools, but likeall machinery can be used in a faulty manner. I shallencourage the author to return to our pages withsome more prescient thoughts regarding their use, andreminding us that “one can’t read and listen at the sametime” and “the image is your background music…youare the singer. Don’t let yourself be drowned out”.30 IPRAS Journal www.ipras.org Issue 6

Issue 6 www.ipras.org IPRAS Journal 31

Response to the “Lunch Time”Suture Suspension Liftingof Drs. Atiyeh, Costagliola, Dibo and HayekDr. Javier de Benito M.D.Congratulations to Drs. Atiyeh, Costagliola, Dibo and Hayekfor their prescient condemnation of the so-called “Lunch timeface lift”. Theirs has been the experience of many others, aswell as our own, but it has also prompted me to respond withour thoughts about the topic, as well as a few words regardingthe continuing evolution of a satisfactory way to accomplishwhat has eluded us, as described by those authors.In the world of medicine, Plastic Surgery is the specialtythat is evolving the most, along with the changes that aretaking place in society over time.Accordingly, the modern philosophy of life - possibly drivenby new technologies, such as the Internet, the mobile phonesand so forth, in which everything should be achieved in theshortest possible time - has influenced the developmentof procedures and techniques, which can adapt to thesechanging patients’ needs.The most recent of these trends has been the demand forfacial rejuvenation with minimal recovery time, in order toprotect one’s professional and social lives. The challengingeconomic times we are facing require everyone to lookhis (or her) best, without withdrawing from the world forseveral weeks.These minimally and non-invasive techniques include the useof suspension sutures, which can tighten the skin of the facewith hardly any scar or undermining, unlike in a traditionalface lift. Initially, these threads enjoyed a huge success, asthey attracted a vast demand from patients. Unfortunately,the success was short lived, as the results often proved verydisappointing. The threads did tighten the skin momentarilybut the results did not last more than 6 to 9 months.Besides, as, in many cases, the threads extruded through theepidermis, they needed to be removed.However, a lot of important data was gathered throughthis experience. In the first place, the technique raisedexpectations among patients and medical doctors.It also demonstrated that a proper system was required, onewhich would not only tighten the skin but also the deeptissue and not carry the deficits attached to the barbs.Five years ago, sutures with knots and bio-absorbable conescame to the market. The Silhouette Sutures enable elevationof the malar fat pad and the jaw line, along with lifting andreducing the jowls.In addition, the passage of time offers the opportunity to usethe fibrotic tissue formed inside the cones and around theknots to retighten sutures in order to increase the longevityof the lift for many years.The sutures are made of polypropylene; the cones are hollowand made with an L-lactic acid and glycolide copolymer.Each of the six cones is located between two knots.They are the only suspension sutures that have been approvedby the Food and Drug Administration and obtained the CEmark.The sutures are placed in the subcutaneous tissue, abovethe SMAS and are anchored in the temporal area to themuscle and the deep temporal fascia by means of a smallpolypropylene mesh.Our experience is based on five years of using these suturesfor the midface, as published in the Annals of PlasticSurgery- ISSN 0148-7043/09/6205-0001, Volume 62,Number 5, Date: May 2009, Start page: 478, # of pages : 3- and in Aesthetic and Plastic Surgery Journal - ISSN: 0364-216X, Vol: 35, Issue: 2, Date: 2011-03-01, Start page: 248,# of pages: 6.To date these sutures have been used in over16,000 cases in fifty three countries and over 1,000 surgeonshave been trained. The simple concept of using absorbablecones instead of barbs has made the technique successfulWe performed a retightening in 27 % of the cases, more thantwo years after the initial procedure.This procedure can be carried out on its own in onehour, under local anesthesia or in adjunction with otherrejuvenation protocols such as an endoscopic brow lift, aneye lid correction or a neck lift.Also, the “Global Face Lift Pack” is the only non-invasiverejuvenation system that consists of applying the sutures,combining them with botulinum toxin in the area betweenthe eyes and the crow’s feet and, if required, to lift the edgeof the eyebrow, as well as remodeling with hyaluronic acidin patients who need greater volume in their facial tissue.This procedure is not indicated for patients with atrophicor very thin skin, neither for patients with abundant facialflaccidity who would require skin resection. The presenceof permanent fillers in the areas where the sutures are placedis also a contraindication.Post operatively, a soft food diet is recommended for threeto five days. During this period of time, it is also importantto avoid dynamic movements of the jaw and to sleep on theback. This will prevent the cones from moving away fromtheir anchoring position.Surgery is in a state of evolution. We feel the sutures withabsorbable cones will be a step forward in the armamentariumof Plastic Surgeons in pursuit of facial rejuvenation inspecific cases.Javier de Benito M.D.Director of Institute de Benito USPDexeus Barcelona32 IPRAS Journal www.ipras.org Issue 6

A Plastic Surgeon’s EvolutionDr. Sherrell J. Aston, MD FACSThe importance of change and evolution with thepassage of time in a plastic surgeon’s thinking,concepts and techniques is Darwinian. Those whoare amenable to change and adaption will not onlysurvive but also thrive. Those who continue topractice what they were taught in their residency,or cling to techniques and procedures just becausethey have done it that way for a number of years willbecome obsolete at best. The only way a practicingplastic surgeon can avoid making changes is to dieor to cease being relevant in our great specialty.As the years pass, a surgeon has the opportunity tolearn from the experience of his own practice, and heor she has the opportunity for shared wisdom fromdirect contact with colleagues, symposia, books,journals, videos etc. Every surgeon learns a greatdeal from his patients, who voice their experienceswhile under his care. A plastic surgeon mustaccommodate the requests and desires of patients,and be adaptable to the influence of trends. In manyinstances, patients request smaller procedures withfaster healing times, even when they are informedthat it is not possible to get the same result that canbe achieved with a more extensive procedure.The experience I have gained from colleagues andpatients has helped me evaluate my own surgicaltechniques and results. Over the years, I havespent a great deal of time in the late evening hoursstudying pre and post operative photographs ofmy patients, critically evaluating the results I haveachieved and trying to figure out how to make thembetter. In doing so I have been able to formulatemodifications in my thinking and procedures, whichhave helped bring about a variety of changes. Forinstance, I perform more short incision faceliftstoday than earlier years. Also, I perform moreimbrication of the underlying foundation than yearsago. I still perform SMAS flaps and extended SMASflaps in patients whose anatomy, I feel, warrantssuch. I am more conservative in fat removal duringboth upper and lower lid blepharoplasty; while, inmy practice, coronal forehead browlifts are rarenowadays. Endoscopic browlifts are more frequentand, in some patients, I use a trampoline browliftwith only 4 incisions of approximately 5 milliliterseach in length. Essentially all of my rhinoplastiesare performed closed, but I have modified mytechniques to where spreader grafts, strut grafts, andsuture contouring of the alar cartilages are routine,just as in open rhinoplasties performed by others.Although somewhat resistant years ago, I haveembraced fillers and neurotoxins and I use them tocompliment surgical procedures, or to treat patientswho do not need a surgical procedure. I could listall the operations I perform, and note modifications Ihave made, but that is not the purpose of this editorial.The real purpose is to remind us that a surgeon’sevolution is never finished. He or she can neverrest on their laurels or their recent great results. Weneed to constantly evaluate new information, newideas, and new technology. While some of it willwind up in the pile labeled, “bad ideas”, a portionwill become time proven for delivering benefits forsurgeons and their patients. There is little questionabout the fact that, the science of stem cell biologyand autologous fat grafting is producing a paradigmshift in both aesthetic and reconstructive plasticsurgery in all areas of the body.In addition, some of the new non-invasive andminimally invasive procedures for facial rejuvenationand body contouring are showing promising results.Sculpting individual anatomic regions, including thebuttocks and genitalia are areas that patients are nowrequesting to have improved. A practicing plasticsurgeon must have extensive knowledge in treatingthese sites.Issue 6 www.ipras.org IPRAS Journal 33

With this in mind, my colleague Dr. Daniel C.Baker and I have organized our 31st Cutting EdgeAesthetic Surgery Symposium which covers, in acomprehensive fashion, autologous fat grafting andminimally invasive and non-invasive procedures forsculpting the entire body. Equally important for thepracticing surgeon is to have complete knowledgeof the spectrum of fillers and neuromodulators, newand old, including choice, safety, longevity andcomplications. It is necessary to critically examinethe most up to date science and clinical applicationsof all of these “need to know” frontiers. I think itis appropriate to say that most colleagues regardDr. Baker and me as “operating surgeons”. I doubtthat even five years ago we would have organized asymposium, which emphasizes the content stressedin the upcoming December 2011 meeting.Change is good and necessary. A surgeon’s evolutioncan never be finished. And to quote Dr. ThomasBiggs, “Youth is the capacity to adapt to change”. Ilike getting younger!Sherrell J. Aston, MD FACSCourse Co-ChairmanThe Cutting Edge Aesthetic Surgery Symposium 2011December 1-3, 2011 “Waldorf Astoria, Grand Ballroom”New York, New YorkEDITOR’S NOTE:This small essay by Dr. Aston is one that should be read by all plastic surgeons, especially those in charge of teachingprograms. Residents should be encouraged, through the curiosity of their mentors, to be free to challenge the traditional andopen new doors in all that they do. I’ve said many times that if a resident ten years away from our teaching program comesto me and says, “I did that operation just like you taught me” I would be pleased by his respect but saddened that he had nottaken what he had learned with me and made it better. All surgical techniques can be improved. I’ve also said, “the highestincidence of complications occur the first week after a major meeting” so a prudent surgeon will not rush into somethingbecause it’s new but give it strong consideration, allowing his scepticism to monitor his enthusiasm to change….but aftersuitable study take the bold step…and CHANGE.As Patrick Maxwell once told me, “all things new are not good, but all things good were once new”.The Cutting Edge Symposium in New York (1-3 December) will be one with the largest and most respected faculty of anynon Society meeting in my memory and each of the members are surgeons who have embraced the concept of change.www.aestheticsurgeryny.com34 IPRAS Journal www.ipras.org Issue 6

NATIONAL ASSOCIATIONS & PLASTIC SURGERY ORGANIZATIONS’ NEWSJohn D. Constable Traveling Fellowship AwardJohn D. Constable Traveling Fellowship AwardFor the fifth consecutive year, the American Association CANDIDATE of Plastic APPLICATION Surgeons ispleased to announce the John D. Constable International All candidates Traveling will be required Fellowship to submit: inPlastic Surgery. True to its original mission, the award provides a unique opportunityfor an international plastic surgeon to study and train program with and AAPS academic/educational members and interestsleaders in American plastic surgery.For the fifth consecutive year, the American Associationof Plastic Surgeons is pleased to announce the John D.Constable International Traveling Fellowship in PlasticSurgery. True to its original mission, the award providesa unique opportunity for an international plastic surgeonto study and train with AAPS members and leaders inAmerican plastic surgery.Over the past four years, plastic surgeons from Iraq, China,Egypt and Malaysia have been selected as recipients andhave benefited from this exceptional experience. In theirfinal reports, they have all expressed a profound gratitudefor the knowledge and experience gained and the sensethat the experience has indeed, changed the course of theirlives and careers. They have returned to their respectivecountries with an enhanced ability to treat patients andtrain their colleagues.The fellowship invites an international plastic surgeon toAmerica under the auspices of the American Associationof Plastic Surgeons. The goal is to improve the fellow’sunderstanding of American plastic surgery and topromote good will and academic interchange amongthe international and American surgical communities.The chosen fellow will be in the United States asan observer for a period of 6-12 weeks under thesponsorship of members of the American Associationof Plastic Surgeons.The Association is proud to have established anendowment supporting an international plastic surgeryfellowship in honor of Dr. Constable, who has madeOver the past four years, plastic surgeons from Iraq, China, Egypt and Malaysia havebeen selected as recipients and have benefited from APPLICATION this exceptional FROM experience. Intheir final reports, they have all expressed a profound HOST gratitude INSTITUTIONS for the knowledge andexperience gained and the sense that the experience has indeed, changed the course oftheir lives and careers. They have returned to their respective countries with anenhanced ability to treat patients and train their colleagues.The fellowship invites an international plastic surgeon to America under the auspicesof the American Association of Plastic Surgeons. The goal is to improve the fellow’sunderstanding of American plastic surgery and to promote good will and academicinterchange among the international and American surgical communities. The chosenfellow will be in the United States as an observer for a period of 6-12 weeks under thebe submitted no later than January 27, 2012.sponsorship of members of the American Association of Plastic Surgeons.The Association is proud to have established an endowment supporting aninternational plastic surgery fellowship in honor of Dr. Constable, who has madesignificant contributions to plastic surgery education in India, Egypt, Vietnam andNewfoundland.ELIGIBILITYsignificant contributions to plastic surgery education inCandidates must be fully trained in their respective JOHN country D. CONSTABLE in plastic surgery, aIndia, Egypt, Vietnam and Newfoundland.member in good standing of their national society, FELLOWSHIP and have been COMMITTEEin practice in theirELIGIBILITY country for a minimum of 5 years. They must be Michael able Moses, to communicate MD, Chair well in bothCandidates written must and spoken be fully English trained in and their must respective be sponsoredScott Bartlett,by twoMDmembers of their nationalRiccardo Mazzola, MD David Chiu, MDsociety where appropriate.country in plastic surgery, a member in good standing oftheir national society, and have been in practice in theircountry CANDIDATE for a minimum APPLICATIONof 5 years. They must be ableto communicateAll candidateswell inwillbothbewrittenrequiredand spokento submit:Englishand must be sponsored by two members of their nationalsociety where appropriate.1. A letter from the candidate describing their proposed2. A Current Curriculum Vitae3. Two letters of recommendation from surgeons in thecandidate’s national societyInstitutions interested in hosting a Constable InternationalTraveling Fellow will be required to submit: A plannedcurriculum for the visiting fellow Availability of personalsupport (housing/food) during the visit One fellowshipin the amount of $7,500 per year will be awarded. Thefunds provided are intended to cover the internationaland national transportation obligations for a successfulfellowship. The Chair of the Constable Committee willmake notification of acceptance of the fellowship to theapplicant and to the host institutions. Applications shouldThe recipient will be required to provide a writtenreport at the conclusion of the fellowship that will besubmitted to the Board of the American Association ofPlastic Surgeons. The content of this report will not onlyoutline the details of the learning process and contentbut also suggestions to the committee as to how to betterthe educational and social opportunity for the futurefellows.John D. Constable, MDJames W. May, Jr., MDCandidate and Institution required documentationshould be submitted to:American Association of Plastic Surgeons500 Cummings Center, Suite 4550Beverly, MA 01915 USA1. A letter from the candidate describing their www.aaps1921.orgproposed program andacademic/educational interests2. A Current Curriculum Vitae3. Two letters of recommendation from surgeons in the candidate’s national societyIssue 6 www.ipras.org IPRAS Journal 35

BAPRAS 20117th Congress of the Balkans Association of Plastic, Reconstructive and Aesthetic SurgeonsThe 7th Congress of BAPRAS (the BalkansAssociation of Plastic, Reconstructive and AestheticSurgeons) was held from 14th to 17th of September2011 in Sarajevo, Bosnia and Herzegovina.The Congress consisted of four main events:1) The first event was the Live Surgery, held onSeptember 14th, during which eminent experts in thefield of Plastic Surgery performed two surgeries.2) The second event was the ISAPS Symposium,held on September 14th. The Symposium was ofgreat importance to this Congress, because it wasorganized under the auspices of the InternationalSociety of Aesthetic Plastic Surgery and was attendedby some of the greatest authorities of Plastic Surgerytoday, headed by the President of IPRAS, Prof. MaritaEisenmann-Klein, who made oral presentations.The Organizing Committee was deeply honoredby their presence. I owe special thanks to ProfessorMiodrag Colic for his considerable assistance in theorganization of the Symposium (Program availableat www.bapras2011.com)3) The third event was the BAPRAS Congress,which lasted for three days, with a program coveringvarious scientific topics, including more than 190presentations. It is important to underline that twocongress halls were used simultaneously. (Allinformation available at: www.bapras2011.com)4) Work shopsThe Balkans have become a unified space in termsof medicine, thanks to Plastic Reconstructiveand Aesthetic Surgeons, who have the vision oftogetherness and mutual cooperation for the benefitof our patients. Thus, we may well refer to ourCongress as “the Balkans Congress with globalparticipation”, held in Sarajevo from 14th to 17thSeptember, 2011.This was the 7th BAPRAS Congress, during whichwe wished to do something new, attractive and moreinteresting, compared to the previous six congresses.We decided to do a highly demanding transmissionof image via video-link, from the operating rooms ofthe Clinical Center of the University of Sarajevo toa hotel 7 km away, where the Congress was takingProf. Marita Eisenmann-Klein during theOpening ceremony at the National TheatreFrom the Opening ceremony at the National Theatre from the left:Dr. Reuf Karabeg, Prof. Marita Eisenmann-Klein, Prof. Alija Behmen36 IPRAS Journal www.ipras.org Issue 6

Among other members of the Org.Committee and ISAPS lecturers: Dr. Reuf Karabeg, Dr. Nazim Cerkez, Dr. Vakis Kontoes,Dr. Ruth Graf, Dr. Apostolos Mandrekas, Dr. Marita Eisenmann-Klein, Dr. Rado Zic, Dr. I.Illouz, Dr. Miodrag Colicplace. It was a complete success. Attendees of theCongress were able to enjoy following two livesurgical procedures. One patient underwent a breastaugmentation procedure and another an augmentationwith a breast lift. Plastic and Reconstructive Surgeonsfrom 5 continents and 18 countries got together inSarajevo. Each session was attended by at least threeworld famous authorities in specific subfields of PlasticSurgery, which added an international dimension tothe Congress, for which it will be remembered.The Congress garnered a response of 90% of thelecturers initially invited. We are more than happyto have been given the opportunity to host suchauthorities as Prof. Dr. Marita Eismann-Klein fromGermany, President of IPRAS, Prof. Dr. NazimČerkez from Turkey, President of ISAPS EducationBoard, ISAPS Secretary Prof. Dr. Miodrag Colićfrom Serbia, Prof. Ruth Graf from Brazil, Prof.Roger Wixtrom form the USA, Prof. Neven Olivarifrom Germany, Prof. Ive Illouz from France, Prof.Marijan Novaković from Serbia, Prof. Dr Uroš Ahčanfrom Slovenia, Prof. Dr Zdenko Stanec from Croatia,Dr. Mandrekas Apostolos from Greece and manyothers, whose presence enhanced our gathering. Itis needless to say that we are particularly pleased tohave had the opportunity to meet them in Sarajevoand to attend their presentations. During the threedayCongress, simultaneous presentations took placein two congress halls, covering 195 topics in variousfields of Plastic Surgery, such as burns, tumors, handinjuries, microsurgery etc.We were greatly honored to have Mr. Željko Komšić,President of the Presidency of BiH as a patron ofOpening ceremony at the National Theatrethe Congress. Prof. Miodrag Colić lent his generoussupport to the organization of a part of the Congress,the ISAPS Symposium. We have been fellowworkers and friends for long, but this Congress hasstrengthened our cooperation and friendship.More information available atwww.bapras2011.comReuf KarabegPresident of BAPRASChairman of Organizing Committeeand President of the CongressIssue 6 www.ipras.org IPRAS Journal 37

CEN MeetingRimini, Italy, September 23 -24, 2011Another CEN meeting of the TC403 took place, this time in Rimini Italyon Sept. 23 -24, 2011. The process for Standardization of Aesthetic SurgeryServices in the European Union Countries was further discussed in these twolaborious days. More refinements have been made in the document which willbe released soon for public consideration. The chairman of these proceedingsis Dr Johann Umschaden (Austria) and the Secretary is Mr Karl Gruen(CEN Brussels). IPRAS and ESPRAS as well as UEMS Sections of PRSwere represented by President Prof Andreas Yiacoumettis. The Secretary ofEBOPRAS Prof Outi Kaarela and the UEMS Group II chair Prof Guido Molea(Italy) were also present. IPRAS members of the ExCo and subcommitteesincluded Prof Pallua (Parliamentarian), Prof Gursu (IPRAS Trustee),theChairman of the IPRAS Quality Management Sub Committee Dr Ivar vanHeijningen (Belgium), the President of IQUAM Prof Constance Neuhann-Lorenz (Germany), the president of ISAPS Prof Jan Poell (Switzerland), thechairman of the IPRAS Specialty Protection Sub Committee Dr Claude LeLouarn (France), the Deputy Chair of the Nominating Sub Committee ProfDimitri Evtatiev (Bulgaria), the Secretary of EASAPS Prof Toma Mugea(Romania) and others.Prof Andreas YiacoumettisDep General Secretary IPRAS38 IPRAS Journal www.ipras.org Issue 6

International Society of Aesthetic Plastic Surgery (ISAPS)Symposium, Urumqi, ChinaThe ISAPS Symposium was held on August 18th, 2011,in Wu Lu Mu Qi (Urumqi), China.The Symposium washeld on the first day of the National Congress of theChinese Society of Plastic Surgery and was organizedby Susumu Takayanagi, the Course Director of theISAPS Symposium, and Zuoliang Qi, the President ofthe Chinese Society of Plastic Surgery.The invited faculty members were Marita Eisenmann-Klein (Germany), Constance Neuhann-Lorenz(Germany), Hiroko Yanaga (Japan), KenichiroImagawa (Japan), Miodrag Colic (Serbia), SanguanKunaporn (Thailand), Erhan Eryilmaz (Turkey), RehaYavuzer (Turkey), Brian Kinney (USA) and SusumuTakayanagi (Japan).The Symposium included sessions on facialrejuvenation, rhinoplasty, mammoplasty, hairtransplantation, fat grafting, eyelid surgery and genderreassignment surgery. We had 283 attendants, most ofwhich were Chinese doctors who posed many questionsduring the discussion sessions.I believe most of the attendants learned many thingsfrom the faculty members, as most of the lectures werevery informative and educational.The organization of the symposium was also wonderfuland I would like to convey my deep appreciation toYilin Cao, Guo Shuzhong, Li Yu, Zuoliang Qi and allour Chinese colleagues for their warm hospitality andsuccessful preparation of the Symposium.The invited faculty members enjoyed the tour to Turpan,where we were able to see the Old Palace in the desert,and also our visit to Tianshan Heavenly Lake in themountains, fittingly dubbed “the Switzerland of China”.Prof Marita Eisenmann-Klein (IPRAS President),Dr. Susumu Takayanagi (1st Vice President ISAPS)The view was amazing, as we could see the desert andsnow in the mountains at the same time.In the welcome reception, the faculty members enjoyeddinner with Chinese doctors enjoying beautiful musicand dance. As this part of China is very close to theArabic world, food and music were very different fromother areas of China.I think all the faculty members enjoyed staying in WuLu Mu Qi.I also hope that the knowledge gained from all thelectures will contribute to our patients’ safety.Among Others: Dr. Reha Yavuzer (National Delegate ofTurkey), Dr. Brian Kinney (IPRAS Deputy General Secretary),Dr. Miodrag Colic (ISAPS Secretary General, IPRAS Member ofthe Cooperation with other Societies Committee) Dr. ConstanceNeuhann-Lorenz (President WomenforWomen, PresidentIQUAM), Prof. Marita Eisenmann-Klein (IPRAS President),Dr. Susumu Takayanagi (1st Vice President ISAPS)Susumu Takayanagi MD1st Vice President, ISAPSIssue 6 www.ipras.org IPRAS Journal 39

Dear participants,The 20th European Board in Plastic Surgery is taking place in Marseilles at the Université de laMéditerranée in the gardens of the Palais du Pharo.The Course are scheduled:- from Wednesday, November 2nd to Friday, November 4th, 2011at Université de la Méditerranée in the gardens of the Palais du Pharo,58 Boulevard Charles Livon, 13007 Marseille.As for the Examination:- on Saturday 5th November, 2011at the Sofitel Hotel, on the Vieux-Port in Marseilles:36, boulevard Charles Livon - 13007 MARSEILLERoom of examination: room Pinque in the 7th floor.All information about examination on the website:www.ebopras.orgFor more information do not hesitate to call or email us.Best regardsProfessor Guy MAGALONFor more information you may visit:http://www.plastie-aphm.fr/Evenements/European-Course40 IPRAS Journal www.ipras.org Issue 6

9th Annual Meeting of the Hellenic Society of PlasticReconstructive and Aesthetic Surgery (29-31 August 2011)and2nd International Meeting on Aesthetic and ReconstructiveFacial Surgery (1-3 September 2011)Venue: Iberostar Kypriotis Panorama Hotel and Suites, Island of Kos, GreeceThe 9th Annual Meeting of the Hellenic Societyof Plastic, Reconstructive and Aesthetic Surgery(HESPRAS), under the chairmanship of Dr.Demosthenes Tsoutsos, comprised of several roundtables, composed of distinguished Greek PlasticSurgeons, and covered most aspects of Aestheticand Reconstructive Surgery. The chairman of thescientific committee, Dr. Petros Palmos, along with adistinguished panel of Plastic Surgeons coming fromhospital and professorial units around the countryand many privately practicing colleagues, mostlyfrom the aesthetic world, arranged for a number ofdistinguished colleagues from around the world topresent their experiences. Dr. Marita Eisenmann-Klein, President of IPRAS, Nelson Piccolo, GeneralSecretary of IPRAS, along with Julia Terzis, MimisCohen, Phillip Blondeel, Jan Poell, Patrick Tonnard,Milomir Ninkovic, Peter Neligan and Julian Pribazpresented the latest developments on all aspects ofPlastic, Reconstructive and Aesthetic surgery. Theprogram was complimented by a large number oforal presentations and posters, in which mainly theyounger members of the Plastic Surgery familyPress Conference of 9th HESPRAS Congress. From the left:Dr. Theodora Petrakopoulou (HESPRAS Secretary General),Dr. Dimosthenis Tsoutsos (Council of Burns of HESPRAS),Dr. Andreas Foustanos (HESPRAS Past President)presented interesting clinical and research papersfrom the Hellenic Plastic Surgery Departments. ItRepresentation of the Hippocratic Oath on 31st of August (9th Panhellenic Congress)Issue 6 www.ipras.org IPRAS Journal 41

was very interesting to note that most of the currentresidents working in the Greek Hospitals took anactive part in the scientific program. The OrganizingCommittee, along with the congress organizers, underthe Executive Director of IPRAS and President of ZitaCongress Mr. Zacharias Kaplanidis, had prepared anexciting social program, which was duly appreciatedby all participants. The scientific exhibition includedmany national and international companies. TheCongress participants had the opportunity to visit theirbooths and be updated on the latest developments of2nd IMAFR Congress. From the left: Dr. Daniel C. Baker,Dr. Gerald H. Pitman, Dr. Patrick Tonnard, Dr. Zissis Boukouvalasthe industry. The Congress ended with visit of theparticipants of the 9th HESPRAS and those of the 2ndIMAFR to the Kos Asclepieion, where Hippocratespracticed medicine in the first ever organizedancient hospital. The visit was accompanied by therepresentation of the Hippocratic Oath given frommembers of the Hippocrates Foundation.The 2nd International Meeting on Aesthetic andReconstructive Facial Surgery (IMAFR) followedthe 9th HESPRAS from 1-3 September 2011 underthe co-chairmanship of Apostolos D. Mandrekas andAlexander D. Rapidis. Almost 300 participants fromaround the world attended the meeting, who had asHonorary President the President of IPRAS Dr. MaritaEisenmann-Klein. An exciting international faculty ofover 30 distinguished and renowned colleagues fromaround the world took part in a carefully prepared andbalanced scientific program, which included the latestdevelopments in both Aesthetic and ReconstructiveFacial Surgery. Binding aesthetics with reconstructionwas again the theme of the congress as with the 1stIMAFR which took place in 2009 on the island ofMykonos. The faculty included many members ofthe first faculty and several new ones, so we wereable to meet old friends and make many new ones.The lessons learned from the organization of the 1stIMAFR in Mykonos in 2009, certainly helped usto provide an even better academic program, thatcovered all aspects of Aesthetic and ReconstructiveFacial Surgery, from Fillers and Botulin Toxin Ato the most sophisticated approaches for facialrejuvenation, rhinoplasty, facial implants, fat transferand endoscopy, as well as microsurgery, aestheticfacial reconstruction, head and neck cancer and facialallotransplantation. The main scientific programof the congress included six keynote addresses,presented by world leaders in their respective fieldsand these included Facial Allotransplantation by JulianPribaz, USA, The Science Behind The Technique OfStructural Fat Grafting by Sydney Coleman, USA,Facial Paralysis Reanimation by Julia Terzis, USA,Endomidface: Nuisances And Refinements by OscarRamirez, USA, History & Evolution of Rhytidectomyfrom the 20th to 21st Century by Daniel Baker, USA,and Volumetric Rejuvenation of the Orbit, withOrbicularis Hitch and Lowering of the Nasal Browby William Little, USA.Two equivocal and contradictory subjects werediscussed in two sessions of grand debates. The firstGrand Debate was focused on Short Scar Faceliftvs. Deep Plane facelift, where Patrick Tonnard andGerald H. Pitman presented their clinical experienceand defended their techniques. Daniel Bakermoderated the session and, with his comments,helped the audience to understand the hidden detailsof both techniques. The second Debate was targetedat Mandibular reconstruction – fibula vs. otherosseous flaps – where Peter Cordeiro and PeterNeligan presented the latest developments in theuse of osseous free flaps. During the closing of themeeting, Apostolos Mandrekas asked Daniel Baker,William Little, Oscar Ramirez, and Giovanni Bottito present some of the Aesthetic Nightmares andDr. Jan Poell (ISAPS President)42 IPRAS Journal www.ipras.org Issue 6

IMAFR Main Conference Hallthey all responded wonderfully. The meeting wascomplemented with 9 Panel Discussions, 5 Symposiaand 7 sessions of Oral Presentations, whereas forthe residents and not only, Daniel Baker, WolfgangGubisch, Sydney Coleman, Giovanni Botti, WilliamLittle and Patrick Tonnard gave Masterclasses onmany interesting aesthetic topics, in which personalexperience counts immensely for the provision ofimproved results. The social program was carefullyselected by the congress organizers and especially bythe IPRAS Executive Director Zacharias Kaplanidesand was enjoyed by both faculty and participants.The Congress Venue, Iberostar Kypriotis PanoramaHotel and Suites, proved excellent in covering allrequirements for an international meeting of thehighest standards and the personal attention of theproprietors Kostas and Maria Kypriotis added aspecial touch to the entire endeavour.In the two and a half days of the Congress, apartfrom the concentrated scientific knowledge, oldfriendships were strengthened and new ones weremade. The scientific importance of the meeting wasalso reflected on the high standards of the submittedpapers, and the Awards Committee had a difficult taskin deciding the winners of the oral and poster awards.We all left beautiful Kos with the promise to meeteach other again in two years in another beautiful andenchanting Greek island for the 3rd IMAFR.Dr. Apostolos MandrekasHESPRAS PresidentArtion Plastic Surgery CenterAthens, GreeceDr. Alexander RapidisAgios SavvasAnti-Cancer HospitalAthens, GreeceIssue 6 www.ipras.org IPRAS Journal 43

IPRAS Newsletter report from ISAPSPatient Safety, Quality,Education, ControlPatient Safety is of concern to all of us. The questionis, how can we improve it? Through improved quality ofour work! This is where IPRAS and ISAPS come in.Quality is reached through education. We are doinga lot to improve the quality of the work of ourmembers. In ISAPS they are all handpicked only onthe recommendation of two of our members and of theNS of their country. In IPRAS they have to be membersof their National Society, which means that they musthave a Board Certificate in Plastic Surgery. But this isnot enough. Continuous education is necessary.Quality also means that we all need to be aware of thepossible negative influence that our treatment couldhave on our patients. Fat injections to the breast forreconstruction or augmentation are very popular now.But do we know enough about what the stem cellsare doing to the breast? There are many unansweredquestions that should find an answer before the methodis recommended widely. Colleagues that work in thisfield should exchange their knowledge, in order tobe able to give answers to these questions as soon aspossible.Other problems might be new machines and applicationsrecommended to us by the industry. Some can bedangerous in the wrong hands. Every method is as goodas the Surgeon behind it. To do things right, you needtraining. Don’t use them until they are proven to be safeand all risks and possible complications are known.Together with other societies, we should try to influencethe industry on what to do for us, instead of letting themimplement on us what they think is right. We need a closecollaboration between the industry and us physicians.Without the industry, it would be impossible for us tofinance our great meetings. I would like to thank themfor their highly appreciated contribution.Another way to improve quality is EBM (evidencebased medicine), a word well known to all of us, butrarely implemented in our work. Although it might notbe so suitable for our kind of Surgery, as every Surgeonhas his own methods, it is at least of importance in allthat surrounds our Surgery like medications, facilities,anesthesia and so on.Education is of great importance and that is where ourEC’s come in. We have members all over the world thatwould welcome whoever is interested to come and visitthem. This makes our societies so unique.One big educational event is our biennial Meeting. Thenext one, organized by ISAPS, will be held in Geneva,from September 4th to September 8th, 2012. There,all the mentioned problems will be discussed and I amsure we will know much more about fat transplantsafter that. You are all welcome to present free papers.A fantastic faculty has been put together. You can see iton our website (www.isaps.org).To complement a scientifically supreme program withan unforgettable stay in Geneva and its surroundingsfor all participants, we will have an extraordinary socialprogram.We need members that are interested in being the bestPlastic Surgeons but this doesn’t come by itself. Thisneeds continuous education that involves all of us. Weare glad for every contribution. Don’t do operationsthat you don’t feel well with. There are always othermembers that you can ask or even send your patient toif you don’t feel safe about an operation.I hope to see many of you in Geneva September 2012Dr. Jan G. PoëllISAPS president44 IPRAS Journal www.ipras.org Issue 6

ESPRAS Appointed 33rd annual congress of theTurkish Society of Plastic Reconstructiveand Aesthetic SurgeonsThe 33rd National Congress of the Turkish Societyof Plastic Reconstructive and Aesthetic Surgeonstook place at the Sheraton Hotel, Çeşme, İzmiron September 14-18, 2011, under the auspices ofthe Turkish Society of Plastic Reconstructive andAesthetic Surgeons (TSPRAS), and the EuropeanSociety of Plastic Reconstructive Aesthetic Surgery(ESPRAS). This year’s congress was organizedas a European appointed event and hosted manyinvaluable local and international speakersmeticulously selected by the Scientific committeefollowing the suggestions of our Society TaskGroups. The congress provided a mutual discussionplatform among speakers with a vast experienceand knowledge on both the practices in plastic,reconstructive and aesthetic surgery and the teachingand research activities with a view to updated anddiverse approaches and ideas. General Assembliesof the National Board and the Task Groups Boardwas also convened during the Congress.As a special occasion for the 50th anniversaryof the Society, a dedicated “50th AnniversarySession” was held with attendance of our foundingmembers for a review of the last 50 years. Duringthis session, a short film was shown, which includedshort interviews with founding members, the storiesbehind the foundation of the society and the designof the logo. After the presentation by Prof. Dr.Ibrahim Yıldırım about the history of the plasticsurgery in Turkey, this session ended with theceremony of gratitude to the senior members of thesociety.ORGANIZING COMMITTEESCongress Chair: Ramazan Kahveci, M.D.Vice-Chair: İsmail Kuran, M.D.Congress Secretary: Derya Özçelik, M.D.Scientific Committee Chair: Sühan Ayhan, M.D.Treasurer: Hüseyin Borman, M.D.Sponsors: Reha Yavuzer, M.D.Member relations and registration: Eksal Kargı, M.D.Social Events: Murat Topalan, M.D.Congress Web Page and Local Relations: MustafaYılmaz, M.D.The organizational service, including financial issues,relations with sponsors, stage, technical issues,printed material and travel organizations wereprovided by Ms. Nur Bilen, Ms. Deniz Yıldırım andMs. Eda Bektöre from Figur Congress Agency.INTERNATIONAL ANDLOCAL FACULTYThe International Faculty included Dr. JuliusFew and Dr. Michel Saint-Cyr from USA, Dr.Charles Malata and Dr. Patrick Malucci (invitedby Allergan) from UK, Dr. Andreas Yiacoummetisand Dr. Othon Papadopoulos from Greece, Dr.Jaume Masia from Spain, Dr. Maija KolehmainenFrom Finland, Dr. Mark Moore from Australia, Dr.Musa Mateev from Kyrgizstan, Dr. Aref Alsoufi(invited by Adoderm) from Germany, Dr. Roy deVita (invited by Mentor) from Italy.The Scientific Committee was composed of thechairs and the secretaries of the task groups, andwas led by Dr. Sühan Ayhan, Ex-Co memberfor Scientific Tasks. Task groups were asked todetermine the topics of panels and conferences,names of the international and national speakers,and the referees for abstract evaluation.SCIENTIFIC PROGRAMWe received 432 abstracts for oral and posterpresentations until the deadline of July 15, 2011.The abstracts were sent to the members of thescientific committee and at the end of theirevaluation, 124 papers were selected for 6-minuteoral presentation, 41 papers were selected for 4-minute oral presentation, and 231 papers wereselected as poster presentation. 24 papers wererefused.On Wednesday, there were pre-congress courses inthe morning session and industry-based courses inthe afternoon. In the morning session there were six3-hour long scientific courses, which were plannedIssue 6 www.ipras.org IPRAS Journal 45

Photo from the Opening Ceremonyand run by the Task groups. In the afternon session,there were six elective industry-based courses,running four times, 45 minutes each, that enabledthe participants to select more than one course in aperiod of 3 hours.From Thursday till Sunday morning, 18 instructionalcourses, 24 conferences, 7 panels, 12 free papersessions, 1 Specialists Best Paper session, 1Residents Best Presentation session was held.On the other hand, the 6th National Congress ofPlastic Surgery Nurses were held simultaneouslyon Wednesday and Thursday, with the participationof approximately 30 nurses.AWARDSDuring the Congress, awards were given in twomajor categories. Plastic Surgery Specalists BestPaper and Residents Best Presentation. In bothcategories the awards were given both in clinicaland experimental subcategories.SPECIALISTS BEST PAPER -EXPERIMENTAL1. Effect of adipose derived adult stem cells onprimary wound healing in radiotherapy applied skin.Koray Urgu, Can Karaca, Mustafa Yılmaz, CenkDemirdöver, Haluk Vayvada, Adnan Menderes,Neşe Atabey, İmge Kunter, Rıza Çetingöz, ZümreArıcan, Zafer Karagüler, Bekir Uğur Ergür, SerapÇilakar Mıcılı, Bora Uzun. Dokuzeylül University,Faculty of Medicine, Department of Plastic,Reconstructive and Aesthetic Surgery, Izmir2. Nerve graft prefabrication with vascular endothelialgrowth factor loaded PLGA microspheres.Hüseyin Karagöz, Ersin Ülkür, Oya Sipahigil,Emine Alarçin, Cihan Şahin, Dilek Bangır, MuratTürkoğlu, Betül Dortunç. Gülhane MilitaryAcademy of Medicine, Haydarpaşa TeachingHospital, Department of Plastic, Reconstructiveand Aesthetic Surgery, IstanbulSPECIALISTS BEST PAPER - CLINICAL1. The impact of breast reduction surgery onvertebral column.Kemal Fındıkçıoğlu, Fulya Fındıkçıoğlu, HakanBulam, Selahattin Özmen. Gazi University, Facultyof Medicine, Department of Plastic, Reconstructiveand Aesthetic Surgery, Ankara2. Use of combined demineralized bone matrix andbone graft in the management of alveolar clefts: Avolumetric analysis.Umut Sinan Ersoy, Figen Özgür. HacettepeUniversity, Faculty of Medicine, Department ofPlastic, Reconstructive and Aesthetic Surgery,AnkaraRESIDENTS BEST PRESENTATION -EXPERIMENTAL1. Xenopreservation of the composite tissuetransplant: A New in-vivo Tissue Bank.Rezarta Kapaj, Fatih Zor, Yıldırım Karslıoğlu,Selçuk Işık. Gülhane Military Academy of46 IPRAS Journal www.ipras.org Issue 6

Medicine, Department of Plastic, Reconstructiveand Aesthetic Surgery, Ankara2. The effect of perineurotomy on nerve repair afternerve injuries in diabetic rats.Cihan Şahin, Hüseyin Karagöz, Fuat Yüksel, DilekAkakın, Nükhet Dağbaşı, Ersin Ülkür. GülhaneMilitary Academy of Medicine, HaydarpaşaTeaching Hospital, Department of Plastic,Reconstructive and Aesthetic Surgery, IstanbulRESIDENTS BEST PRESENTATION -CLINICAL1. Experience with Functional Gracilis Muscle FlapIn Lower Lip Reconstruction.From the awards of Plastic Surgery Specalists Best Paper and Residents Best PresentationIssue 6 www.ipras.org IPRAS Journal 47

Dr. Andreas Yiacoummetis, Dr. Güler Gürsu andmembers from the Board of Directors of the TurkishSociety, Dr. Ramazan Kahveci, Dr. Murat Topalan,Dr. Derya Özçelik and Dr. Hüseyin Borman, Dr.Reha Yavuzer, Dr. Sühan Ayhan.On Wednesday evening, after the special program forthe 50th anniversary of TSPRAS, we had a welcomecocktail at the Sheraton Hotel. On Thursday evening,we had a dinner for the faculty members at CanbabaFish Restaurant. Friday evening was reserved free forthe participants to spare some time to explore Çeşmeevenings. Our gala dinner on Saturday evening wasat the Sheraton Hotel.Dr. Ramazan Kahveci, M.D (Congress Chair) and Prof. AndreasYiacoumettis (President ESPRAS, IPRAS Deputy General Secretary)Gamze Bektaş, Koray Coşkunfırat, Anı Çinpolat,Kerim Ünal. Akdeniz University, Faculty ofMedicine, Department of Plastic, Reconstructiveand Aesthetic Surgery, Antalya2. Percutaneous Needle Aponeurotomy and FatInjection for treatment of Dupuytren’s Contracture:A New Era in Dupuytren SurgeryAli Rıza Öreroğlu, İlker Üsçetin, Tolga Aksan,Suzan Deniz Önol, Mithat Akan, Necmettin Kutlu.Okmeydanı Teaching and Research Hospital,Department of Plastic, Reconstructive and AestheticSurgery, IstanbulSOCIAL PROGRAMOn Tuesday evening, we had an official dinner withthe participation of IPRAS Executive DirectorMr. Zacharias Kaplanidis, President of ESPRASATTENDANCE OF THE CONGRESSWe had 225 specialist, 120 residents, 30 nurses, 110company representatives registered to the congress.225 of the participants had registered before thecongress and 150 participants have registered onsite.The total number of participants including thefaculty members was about 400.CONCLUSIONGenerally speaking, it was a succesful meeting.The scientific level was high, social program wasenjoyable and financial status was sound.On behalf of the organizing committee, I thank allthe faculty members, sponsors, participants and allcontributors for making this congress possible.Sincerely,Dr. Sühan AyhanScientific Chair33rd Annual Congress of TSPRAS48 IPRAS Journal www.ipras.org Issue 6

IPRAS is happy to announce a new section in the ever-developingIPRAS Journal.“IPRAS Member Association Profiles”Starting from this issueand in each forthcoming issue,you will be able to read very interesting historical accountsof our Member National or Regional Associations.Watch this space for a section worth reading andkeeping in your archives!Each new IPRAS Journal will open a windowto the past, current and future work of our Colleagues globally,allowing the family of Plastic Surgery to strengthen its ties even moreand allow each surgeon to map the world presence of our specialties.For each National or Regional Association Member of IPRASyou will be able to follow:important milestone eventsdistinct scientific achievementsinspired and gifted colleaguesendeavors for the profession's developmentpast and future eventsefforts to promote educationhumanitarian initiativesand much more, accompanied by rare photographic material…More Profiles in January 2012!Issue 6 www.ipras.org IPRAS Journal 49

Issue 6 www.ipras.org IPRAS Journal 50

H I S T O R I C A L A C C O U N T SAmerican Society of Plastic Surgeon (ASPS)ASPRSDespite the great leaps forward in Plastic Surgeryafter World War I, the profession was still ratherill-defined in the American medical establishmentin the 1920s.Physicians specializing in this area had no formalmeans to share their new knowledge and innovationswith like-minded physicians across the country.What was needed was a professional organization.Two Founding FathersLike most great American institutions, theAmerican Society of Plastic Surgeons (ASPS)– known until 1999 as the American Society ofPlastic and Reconstructive Surgeons (ASPRS)– developed mainly through the sweat and toil ofimmigrants. In this case, it was two surgeons fromEurope who came to the United States after WorldWar I, Jacques Maliniac and Gustave Aufricht.The two doctors were as unalike as any two mencould be, except for their dedication to their craft.Despite his French-sounding name, Dr. Maliniacwas born in 1889 in Warsaw, Poland. After studyingwith the leading Plastic Surgeons on the continentbefore the war, he was called into the Russian Armyat the outbreak of hostilities. A small, intense man,Dr. Maliniac, who was Jewish, came to the UnitedStates in 1923 and decided to stay, as anti-Semitismwas on the rise in Europe in the 1920s. Settling inNew York City in 1925, he opened a thriving privatepractice and convinced the administrators of theCity Hospital system to establish the first divisionof Plastic Surgery at a public hospital.Dr. Aufricht, born in 1894, was a native ofBudapest, Hungary. Like Dr. Maliniac, he treatedwounded soldiers during the war, studied withthe leading practitioners in Europe and arrivedin New York in 1923. And like Dr. Maliniac, heIssue 6 www.ipras.org IPRAS Journal 51

was Jewish and decided to stay here when thingsbecame inhospitable in the Old World. However,the similarities ended there.Where Dr. Maliniac was considered bombasticand dictatorial with his students and residents, Dr.Aufricht, who went by the nickname “Gusti,” wasgenial and outgoing, but no less a commandingfigure, loved and revered by his charges.ASPS is BornThe seeds of ASPS could be found in theestablishment of another Plastic Surgeryorganization, the American Association of OralSurgeons in 1921, which only accepted physicianswith both medical and dental degrees and severelylimited the number of members. Despite theirreputations, Drs. Maliniac and Aufricht were notinvited to join.This rebuff was answered by informal meetings ofDr. Aufricht and his colleagues, including ClarenceStraatsma and Lyon Peer, who plotted the formationof their own organization. Meanwhile, the decisiveDr. Maliniac acted, while his colleagues talked. Dr.Maliniac met with physicians in many fields touchedby Plastic Surgery, including Dr. Straatsma, in October1931, and invited them to join him in founding anew organization. With 10 charter members, theAmerican Society of Plastic Surgeons was launched,with Dr. Aufricht and others joining soon after.Board CertificationInitial ASPS meetings were held in New York,usually in Dr. Maliniac’s office, and consisted of thepresentation of a handful of scientific papers, oftenby the founder himself. An early concern of PlasticSurgeons was the fact that the specialty, while growingrapidly, was not recognized by the American Board ofSurgeons, the medical certifying organization of thetime. ASPS members were board-certified in otherrelated specialties, such as otolaryngology (ear, noseand throat - ENT - specialists). A group of ASPSmembers, led by Dr. Blair of St. Louis, convinced theAmerican Board of Surgery to establish an AmericanBoard of Plastic Surgery (ABPS) in the late 1930s.The board conducted an exam for physicians toqualify as Plastic Surgeons. In 1941, the ABPS cameunder the jurisdiction of the American Board ofMedical Specialties.The 1940’sIn the 1940s, many Plastic Surgeons served theircountry during the Second World War, andexpanded Plastic Surgery procedures through theunique circumstances of treating wounded soldiers,sailors and airmen.The Plastic Surgery FoundationAs the 1940s moved to a close, ASPS steadily grewin membership and by 1949 had more than 150surgeons. These new members had been trained bysurgeons other than Dr. Maliniac, who concentratedon his private practice, rather than teaching. Withall the new blood in the organization, Dr. Maliniacgradually lost control of his own creation. However,rather than sulking at losing his power, Dr. Maliniacmoved quickly and decisively as he had done 20years earlier in founding ASPS: in 1948, he formedthe Educational Foundation of ASPS, now knownas the Plastic Surgery Foundation (PSF) and servedas its President until 1955.The Foundation’s mission was to support researchpertaining to congenital and acquired deformities,52 IPRAS Journal www.ipras.org Issue 6

promote high standards of training, practice andresearch in Plastic Surgery; confer scholarships andprizes; and promote lectures, seminars and medicaland public meetings to educate the public in PlasticSurgery matters.The Foundation also took American PlasticSurgery to the rest of the world by establishingexchange and fellowship programs with physiciansin other nations. The PSF has been especiallyactive since its inception in sending Americansurgeons to Third World nations, to help trainphysicians in Plastic Surgery techniques and treatcitizens of those countries, who would otherwisenot have access to advanced surgical techniques.The Foundation also sponsors educationalsymposia, to allow surgeons to demonstrate theirinnovations to colleagues.The JournalWhile Dr. Maliniac was launching the PSF, Dr.Aufricht was initiating another important educationaltool as well – a scientific journal targeted specificallyfor Plastic Surgeons. With the help of Williams &Wilkins, a publishing house specializing in medicalperiodicals, the Journal of Plastic and ReconstructiveSurgery, the official organ of ASPS, debuted in July1946. The journal has served continuously as a forumfor Plastic Surgeons to disseminate their knowledgeand discoveries to medical colleagues for the benefitof Plastic Surgery patients.The 1950’sWith board certification and its own scientificjournal, Plastic Surgery was fully integrated into themedical establishment by 1950. It next moved intothe public consciousness.Improving Communicationswith the PublicIn a foreshadowing of a concern that would reemerge44 years later, ASPS President Leon Sutton,MD, called for better communication with the public,during the 1950 Annual Meeting, as President HarryTruman was pushing a national health care plan.Answering the call of Dr. Sutton, Plastic Surgeonsbegan to appear on a new medium, television.New InnovationsThere was much good news to report to theAmerican people in those post-war days. As withother areas of science and medicine, Plastic Surgerydiscoveries were happening at a break-neck pace,often derived from innovations tested in the rearareahospitals of Korea. Internal wiring for facialfractures, rotation flaps for skin deformities and abevy of other new techniques were developed byplastic surgeons in the 1950s.The 1960’sAs the 1960s began, Plastic Surgery became evenmore prominent in the minds of the Americanpublic, as the scope of procedures performed bysurgeons increased.DiscoveriesThere were many scientific developments in the1960s. A new substance, silicone, began to emergeas a tool for Plastic Surgeons. Silicone was initiallyused to treat skin imperfections, then ThomasCronin, MD, of Houston, utilized it in a breastimplant device, which he unveiled in 1962.A Big Year for Plastic SurgeryDespite the wars on both the home front and inVietnam, 1969 was a big year for plastic surgery.ASPS member Hal B. Jennings, MD, of SanAntonio, Texas, was appointed Surgeon General ofthe United States by President Nixon, the first andonly Plastic Surgeon to date to achieve this publicservice honorThe 1970’sThe 1970s began with plastic surgeons moving tothe forefront of the medical profession. All parts ofthe human body, it seemed, could benefit from theskill of a plastic surgeon and ASPS members madelandmark contributions in areas not previouslyconsidered within their sphere.A Nobel LaureateIn the early 1970s, ASPS member Joseph Murray,MD, of Boston, performed the first successfulkidney transplant, an achievement that would earnhim the Nobel Prize. Another ASPS member,George Crikelair, MD, of Florida, developed flameretardantchildren’s clothing, saving thousands oflives, and thousands more from agonizing pain anddisfigurement.The Passing of a Founding FatherIn 1976, ASPS founder Jacques Maliniac passedaway. In the 45 years since he founded the Society,he had seen it grow from a handful of his east coastNew York colleagues to nearly 2,000 membersspread across the country.Conflict with Uncle SamThe Federal Trade Commission (FTC) gave ASPSa different sort of bad news a few months later. TheFTC informed the Society that it had to surrendercertain records to the government.Issue 6 www.ipras.org IPRAS Journal 53

The Commission was on an anti-medicine kick. Ithad already strong-armed the AMA into allowingdoctors to advertise and had now turned itsattention to Plastic Surgery, which was a relativelysmall specialty, but prominent in the public eye.FTC Commissioner Michael Pertschek consideredmedical boards and board certification self-servingand anti-competitive, although they generallyassured patients of the best quality physicians.He hoped to sweep out the system and initiateadvertising and price-wars among medicalprofessionals. However, after a long battle with theSociety, the FTC eventually backed down.The 1980’sAlthough the FTC lost the battle, Plastic Surgery gotthe message: Operate more like a regular businessfor the good of the patient.Keeping the Patient InformedThe 1980s saw Plastic Surgery expand its effortsto bring knowledge and information to the public.Studies indicated that patients wanted informationto take home and read, so ASPS began producinga host of brochures on the specialty and individualPlastic Surgery procedures.Another Pillar FallsThe other founding pillar of the ASPS, GustaveAufricht, passed away in April 1980, one year shortof the organization’s 50th anniversary.The 1990’sThe 1990s began on a high note of growth,cooperation and continued innovations in the fieldof Plastic Surgery. More than 5,000 board-certifiedPlastic Surgeons were active in the United States.Many were engaged in research or volunteered intheir communities or overseas.The InternetIn 1995, ASPRS unveiled “Plastic Surgeons Online,”a subscription-Web service where Plastic Surgeonswere able to post questions about difficult cases andreceive responses from their peers around the world.It also hosted its first cyberspace surgical conference(on rhinoplasty). These tools were nothing short ofrevolutionary at the time, but merely the tip of theiceberg of what was to come.In 1996, the Society launched its first public Website www.plasticsurgery.org, while the World WideWeb was still in its infancy. The Society offeredthe largest library of Plastic Surgery proceduralinformation on the Internet, and included listings ofits members in the ASPS “Find a Plastic Surgeon”online referral service.Public Perceptions Need ImprovementDespite the contributions Plastic Surgeons make,both in their own communities and the worldcommunity, the profession suffered from anidentity problem, as consumers didn’t recognize thebroad spectrum of work Plastic Surgeons perform.A survey conducted by ASPS in the early ‘90sindicated that the American people did not realizePlastic Surgeons perform reconstructive work,instead equating “Plastic Surgeon” with “CosmeticSurgeon.”In 1994, ASPS President Elvin G. Zook, MD, ofSpringfield, IL, made changing this perception oneof the top priorities of his tenure. He promotedchanging the name of the Society from AmericanSociety of Plastic and Reconstructive Surgeons(ASPRS) to American Society of Plastic Surgeons(ASPS) in an effort to convince people that PlasticSurgeons and Reconstructive Surgeons are one andthe same, not two different types of Surgeon, as theold name of the society seemed to imply.His initiative took five years to win enough supportto pass, but in 1999, the society officially becamethe American Society of Plastic Surgeons.Silicone Implants Come to Crisisin the ‘90sIn 1976 the Food and Drug Administration (FDA)was given the authority by Congress to regulatemedical devices. That same year, the FDA’s Generaland Plastic Surgery Devices Panel recommendedthat breast implants be classified as class II medicaldevices, requiring general controls and performancestandards.Throughout the 1980s, the issue went largelyunnoticed by the public. However, in 1988, theFDA announced classification of breast implants asclass III devices and indicated that the agency couldrequire manufacturers to submit studies on implantsafety and effectiveness.In early 1989, an unpublished study on polyurethanefoam-covered implants raised FDA concern aboutthe product’s safety, and the manufacturer removedthe device from the market.In December 1990, the questions of implant safetyexploded nationally when “Face-to-Face withConnie Chung” detailed the “horrors” of breastimplants. Her report sparked a wave of concernamong women with breast implants and increasedpressure on government officials to act.Plastic Surgeons sought to reassure breast implant54 IPRAS Journal www.ipras.org Issue 6

patients and the public. ASPS and PSF providedthe FDA with much information on the positiveclinical experience of Plastic Surgeons and theirpatients, including a survey that indicated morethan 90 percent of implant patients were satisfiedwith their devices. ASPS set up a toll-free hotlinefor physicians and patients with questions aboutimplants.Despite the efforts of the Society and Foundation toaddress growing fears scientifically, the FDA calledfor a temporary moratorium on the use of siliconegel breast implants in January 1992. In April ofthat year, the agency announced that silicone gelimplants would only be available to women forreconstruction under clinical studies, in essenceremoving them from the open market.While ASPS and PSF continued to fund research toprovide patients with the answers they deserved onthe safety and efficacy of their implants, a $4 billionplus global litigation settlement was unveiled inSeptember 1993. The settlement was created by themanufacturers of silicone breast implants to addressa class action suit brought by women plaintiffs whoalleged the implants caused them illness.The Federal Court gave approval to the settlementin September 1994. By the fall of 1995, however, thesettlement, as originally proposed, had collapseddue to underfunding following the bankruptcy filingof Dow Corning Corp.Despite a growing volume of studies published inthe scientific literature, an extensive governmentfundedstudy conducted by the prestigious Instituteof Medicine on the safety of breast implantsreleased in June 1999, and a late 1998 report fromthe federal court-appointed National Science Panel,all of which found no connection between theimplants and illness in women, a revised settlementwas eventually agreed upon.In 2000, the fund began issuing checks to womenwho had registered for the settlement allegingsickness as a result of their implants.Health Care ReformThe other great challenge of the 1990s was health carereform. Plastic Surgeons were active in advocatingfor coverage for reconstructive procedures in anynew health plan and ensuring patient choice andaccess to specialists.In 1998, after an extensive lobbying effort, PresidentClinton signed a budget bill which included along sought-after provision requiring insurancecompanies to cover the cost of reconstructivebreast surgery for women who have undergone amastectomy.The 2000’sThe 2000s have seen unusually rapid growth andchange in Plastic Surgery. This pace reflected theincreasing speed of communication, but manyinnovations were reactions to decisions made bystate and federal governments.Decreasing Insurance ReimbursementLeads to Increasing Focuson Cosmetic ProceduresBy performing more Cosmetic Surgery andbecoming less dependent on insurance payments,Plastic Surgery remained uniquely independent. By2005, the most popular procedure of the specialtywas the use of injectable substances to address theeffects of aging, as patients sought less invasive,simpler operations to reduce wrinkles.Following the FDA’s approval of Botox® in 2002,ASPS members performed an average of 1.1 millionsuch injections a year through 2006.By the mid-2000s, surgeons were still losing groundon the critical issue of reimbursement. Paymentfrom third-party payers reached such low levels thatmany established surgeons rejected the premise theycould ever again maintain a practice based solely onreimbursement from reconstructive cases.The national news resounded with stories aboutthe flight of many surgical specialists from specificlocales due to the combination of exorbitantmalpractice premiums coupled with steadilydecreasing insurance reimbursement.Shift to Proactive Involvement in PoliticsIf the prolonged controversy over breast implantswas not lesson enough, other pressures taught PlasticSurgeons they could no longer avoid participationin politics. In response to newspaper reports in1999 on the deaths of 10 patients who underwentcosmetic procedures in the offices of surgeons inFlorida, the state’s Board of Medicine declared a90-day moratorium on office-based surgery.In 2000, the ASPS convened the Task Force onPatient Safety and Office-Based Surgery Facilitiesto review, among other areas, identification andevaluation of risk factors. The same year thesociety’s Board of Directors amended its bylaws torequire that by July 1, 2002, all members performingsurgery under anesthesia do so in only accredited,licensed or Medicare-certified surgical facilities.The ASPS Government Affairs Committee createdregional, fly-in meetings to the nation’s capitol in2001 and the Society opened an office in Washington,D.C., in 2004 to increase Plastic Surgery’svisibility and ability to build coalitions on the Hill.Issue 6 www.ipras.org IPRAS Journal 55

Through necessity and experience, ASPS developedthe ability to respond immediately – in any of the50 states or the nation’s capital – to new mandatesor regulations unfriendly to Plastic Surgery and itspatients.During 2002, the Society also began to emphasizeparticipation in advocacy for members, byidentifying two or three people in every state whocould monitor problems and act as the “frontpeople”, should problems arise. The specialty knewthat, if it was going to be able to continue to servepatients in the future, it had to become more awareof what medical discussions were occurring in thelegislature.One of the themes of both the ‘90s and 2000s hasbeen the increased need for legislative monitoringof bills that impact the practice of medicine,whether they address scope of practice or physiciantaxation.In 2004, New Jersey enacted the first-ever tax oncosmetic surgery. For years government had cutreimbursement for reconstructive procedures,and now it sought to reduce payment for electiveprocedure – the very thing that had allowed manyplastic surgeons to stay in practice and pay their bills.Over the following months, ASPS led a coalition thatsuccessfully blocked similar bills in six other states.Within two years, New Jersey’s lawmakers realizedthat their bill had been ill-advised, and beganinvestigating how to repeal their disappointinglylow-revenue tax.Public Perceptions ImproveIn 1996, ASPRS launched the Plastic SurgeryEducation Campaign – a national public awarenesscampaign that sought to educate the public onthe importance of choosing a Plastic Surgeoncertified by the American Board of Plastic Surgery.At the time, the Society’s leaders could not haveenvisioned the transformation in public image thatPlastic Surgery would undergo in the followingdecade, thanks to an escalating amount of mediaattention.In 2000, W magazine compiled a list of thespecialty’s 41 “surgery superstars.” ASPS membersappeared on television, were quoted increasinglyin all the major health and beauty magazines,and even provided data for National Geographic.In 2003, ABC-TV asked ASPS to allow its membersto participate in the reality series “ExtremeMakeover.”The request raised a substantial ethical debate amongPlastic Surgeons, but ultimately, after reviewing thepatient selection process of the show, the Society’sExecutive Committee agreed to cooperate with theproducer and network, so long as the importance ofthe doctor-patient relationship was not lost and thatthe show’s patient selection process did not devolveinto a contest.The series’ instant popularity opened the floodgatesto a flurry of TV shows about Plastic Surgery, mostof which did not live up to the high standardsor positive Plastic Surgery image of “ExtremeMakeover.”Not surprisingly, thanks to the combination ofmagazine coverage, the ASPS public educationcampaign and the television saturation of showsrevolving around Plastic Surgery, interest in thespecialty and what it offered the general publicgrew exponentially.In 2003, more than 8.7 million cosmetic procedureswere performed, 32 percent more than in 2002. Overthe same time period, ASPS members performed64 percent more procedures involving injectables.By 2004, 14.8 million plastic surgery procedureswere performed in the U.S. And by 2006, thatnumber had risen to 16.2 million.FDA Approves Reintroductionof Silicone Breast ImplantsOn Nov. 17, 2006, some 14 years after the start of themoratorium on silicone gel-filled breast implants,the FDA approved the return of silicone implantsto the market for general patient use. This was theculmination of an ongoing study and review processthat began in the early ‘90s.During this period, the FDA also reviewed salineimplants, which remained on the market duringthe moratorium on silicone. In 1999, following theregulatory process laid out years earlier, the FDAcalled for a review of safety and effectiveness dataon saline-filled breast implants.In 2000, following hearings and clinical studyreview, the FDA approved the study data submittedby two saline implant manufacturers, recognizingthat saline-filled breast implants earned highsatisfaction ratings by implant recipients, despitelocal complications.Hearings and discussions on the safety of siliconegel-filled breast implants were held throughoutthe first half of the decade, and in 2005, the FDAgranted silicone implants the status of “approvablewith conditions.”It would take another year, but finally, at the endof 2006, silicone implants were returned to themarket. More than a decade of inquiry, testimonyand an expansive body of science all supported thesafety of the implants, which will continue to bemonitored by clinical studies in the years ahead.56 IPRAS Journal www.ipras.org Issue 6

Future ChallengesPlastic Surgeons were able to get Congress tosupport mandatory insurance coverage for breastreconstruction patients in the ‘90s and are currentlyworking to ensure that reconstructive surgery fortreatment of children’s deformities will also becovered by insurance plans.Meanwhile, Plastic Surgery – always a specialty thathas thrived on innovation – continues to push aheadwith new clinical breakthroughs, refining currenttechniques and discovering new ones.Plastic Surgeons are researching methods to reducesurgical scarring and patient recovery time. Theyare devising new outcomes studies to prove withcomprehensive data the quality of life improvementsthat Plastic Surgery provides via its vast array ofprocedures.And some researchers are now trying to unlock thesecrets of the growth-factor environment of thewomb, where scarless healing takes place, so thatthis knowledge can be applied to wounds in childrenand adults.The future of Plastic Surgery continues to unfold,with the promise of amazing new things to come, inthe humanitarian pursuit to help patients look andfeel their best!ASPS PAST PRESIDENTS LISTJacques W. Maliniac, MD* ..............................1932Jacques W. Maliniac, MD* ..............................1933John W. Wheeler, MD* ....................................1934John W. Wheeler, MD* ....................................1935Warren B. Davis, MD* ....................................1936Warren B. Davis, MD* ....................................1937Clarence R. Straatsma, MD* ...........................1938Clarence R. Straatsma, MD* ...........................1939Arthur Palmer, MD* ........................................1940Arthur Palmer, MD* ........................................1941Lyndon A. Peer, MD* ......................................1942Lyndon A. Peer, MD* ......................................1943Gustave Aufricht, MD* ....................................1944Gustave Aufricht, MD* ....................................1945Edward Kitlowski, MD* ..................................1946Edward Kitlowski, MD* ..................................1947Neal Owens, MD* ...........................................1948Neal Owens, MD* ...........................................1949Leon E. Sutton, MD* .......................................1950Paul W. Greeley, MD* .....................................1951Albert D. Davis, MD* ......................................1952James T. Mills, MD* ........................................1953William Milton Adams, MD* ..........................1954William G. Hamm, MD* .................................1955Fredrick A. Figi, MD* .....................................1956S. Milton Dupertius, MD* ...............................1957Wallace H. Steffenson, MD* ...........................1958Louis T. Byars, MD* ........................................1959Kenneth L. Pickrell, MD* ................................1960James B. Johnson, MD* ..................................1961Charles W. Tennison, MD* ..............................1962William L. White, MD* ...................................1963Reed O. Dingman, MD* ..................................1964George V. Webster, MD* .................................1965E. Horace Klabunde, MD* ...............................1966Richard B. Stark, MD* ....................................1966David W. Robinson, MD* ................................1967Francis X. Paletta, MD* ...................................1968T. Ray Broadbent, MD* ...................................1969Paul P. Pickering, MD* ....................................1970Stephan R. Lewis, MD* ...................................1971George F. Crikelair, MD* ................................1972Michael M. Gurdin, MD* ................................1973James H. Hendrix, Jr., MD* .............................1974Ross H. Musgrave, MD ...................................1975Frederick J. McCoy, MD* ...............................1976Rex A. Peterson, MD .......................................1977Peter Randall, MD ...........................................1978Verner V. Lindgren, MD* ................................1979Frank W. Masters, MD* ...................................1980Jerome E. Adamson, MD .................................1981H. William Porterfield, MD .............................1982Mark Gorney, MD ............................................1983John B. Lynch, MD ..........................................1984John M. Goin, MD* .........................................1985William E. Huger, Jr., MD* .............................1986Robert C. Reeder, MD* ...................................1987Norman E. Hugo, MD ......................................1988Issue 6 www.ipras.org IPRAS Journal 57

George Reading, MD .......................................1989John R. Jarrett, MD* ........................................1990H. Bruce Williams, MD ...................................1991Norman M. Cole, MD ......................................1992James G. Hoehn, MD .......................................1993Elvin G. Zook, MD ..........................................1994William B. Riley, MD ......................................1995Garry S. Brody, MD .........................................1996Ronald E. Iverson, MD ....................................1997Dennis J. Lynch, MD .......................................1998Paul L. Schnur, MD .........................................1999C. Lin Puckett, MD ..........................................2000Walter L. Erhardt, Jr., MD ...............................2001Edward A. Luce, MD .......................................2002James H. Wells, MD ........................................2003Rod J. Rohrich, MD ........................................2004Scott L. Spear, MD ..........................................2005Bruce L. Cunningham, MD .............................2006Roxanne J. Guy, MD ........................................2007Richard A. D’Amico, MD ................................2008John W. Canady, MD .......................................2009Michael F. McGuire, MD .................................2010Phillip C. Haeck, MD .......................................2011PSEF PAST PRESIDENTSJacques Maliniac, MD* ......................... 1948-1955Clarence R. Straatsma, MD* ................. 1955-1960Herbert Conway, MD* ........................... 1960-1961Richard B. Stark, MD* .......................... 1961-1965Reed O. Dingman, MD* ........................ 1965-1966Clifford L. Kiehn, MD* ......................... 1966-1968Charles E. Horton, MD* ........................ 1968-1970D. Ralph Millard, Jr., MD* .................... 1970-1972Peter Randall, MD ...........................................1973James W. Smith, MD* .....................................1974William C. Grabb, MD* ..................................1975Lester M. Cramer, MD .....................................1976H. Bruce Williams, MD ...................................1977Robert Pool, MD ..............................................1978George W. Hoffman, MD* ...............................1979Donald Laub, MD ............................................1980Simon Fredricks, MD*.....................................1981Hale Tolleth, MD .............................................1982Ruedi P. Gingrass, MD ....................................1983Garry S. Brody, MD .........................................1984John E. Woods, MD .........................................1985Frederic Rueckert, MD ....................................1986Ronald B. Berggren, MD .................................1987Stephen H. Miller, MD ....................................1988Frank L. Thorne, MD .......................................1989R. Barrett Noone, MD ......................................1990William D. Morain, MD ..................................1991Malcolm A. Lesavoy, MD ................................1992Fritz E. Barton, Jr., MD ....................................1993Edward A. Luce, MD .......................................1994Mary H. McGrath, MD ....................................1995J. William Little, MD .......................................1996David J. Smith Jr., MD ....................................1997Robert C. Russell, MD .....................................1998Kenna S. Given, MD ........................................1999Bruce M. Achauer, MD* ..................................2000Robert L. Ruberg, MD .....................................2001David L. Larson, MD .......................................2002Stephen J. Mathes, MD* ..................................2003Allen L. Van Beek, MD ..................................2004Thomas R. Stevenson, MD ..............................2005Brian M. Kinney, MD ......................................2006Carolyn L. Kerrigan, MD .................................2007Linda G. Phillips, MD ......................................2008Peter C. Neligan, MB .......................................2009William M. Kuzon, Jr., MD .............................2010John Persing, MD ............................................2011* Deceased58 IPRAS Journal www.ipras.org Issue 6

The year the association was created.The Sociedade Brasileira de Cirurgia Plastica (SBCP)was founded in 1948 by a group of Brazilian PlasticSurgeons led by Dr. Jose Rebello NetoThe location where it was createdSao Paulo, in the State of Sao Paulo, Brazil.Who were the founding Members?The proceedings of the Society`s first meeting are datedDecember 7, 1948 and were signed by the followingBrazilian doctors: José Rebello Netto, Antonio Prudente,Souza Cunha, Lauro Barros de Abreu, Alípio Pernet,Antonio Duarte Cardoso, Victor Spina, Georges Arié,Roberto Farina, Carlos Caldas Cortes and Paulo deCastro Correa, the latter being the only one still living.Society´s National Board of Brazilian Society Plastic Surgery, fromleft to right, José Teixeira Gama, Sebastião Nelsom Edy Guerraand Fernando de Almeida Prado.Was there any special eventthat triggered its creation?As a medical field explored by surgeons of differentspecialties, during the first three decades of theTwentieth Century, Plastic Surgery was called by some“no man`s land”.In the 1930s, the first Plastic Surgery Clinic in Brazil wasopened in the City of Sao Paulo, founded by Dr. JoseRebello Neto, as part of the Santa Casa de MisericordiaHospital.This is considered to be the initial event of the specialtyin Brazil, as it marked the beginning of training of newPlastic Surgery specialists in Brazil.By the end of the 1930s, the Brazilian Plastic Surgeryhad already gained recognition and respectability inother countries.In the beginning, emphasis was put on ReconstructiveSurgery, with Aesthetic Surgery being consideredsecondary, as it did not bring great benefit to patientsand treated exclusively the area of vanity.In 1939, Ernest Malbec, from Argentina, met with theBrazilian doctor Antonio Prudente, suggesting thecreation of a Society with the object of congregatingspecialists in Plastic Surgery from all of Latin America.On the 6th of July, 1940, a meeting was held, bringingtogether 11 Latin American specialists, including 4Brazilians.The same month, July, 1940, the Latin American Societyof Plastic Surgery (SLACP) held its first meeting, with11 Latin American participants, all 11 from Brazil.In 1948, Jose Rebello Neto, together with a group ofPlastic Surgeons, had the idea of creating the BrazilianSociety of Plastic Surgeons. Its first meeting was held onthe 7th of December, 1948. It was at that meeting thatReconstructive and Aesthetic Surgery were united.The Brazilian Society of Plastic Surgeons was officiallyfounded on that date, with Rebello Neto as its firstPresident, for the 1948 to 1950 term. The secondPresident of SLACP was Antonio Prudente, from 1950to1952.First Meeting of the Brazilian Society ofPLASTIC Surgery.The board of the Brazilian Society of Plastic Surgery hadits first meeting in January 1961, 50 years ago.It is composed of ex-presidents and the nationalpresidents of our current regional of each Brazilianstate.Important milestone events have occurred inthe Society`s longand short historyThe history of Brazilian Plastic Surgery is marked bynumerous important victories. Many contributions in thedevelopment and advancement of surgical techniquesand scientific works have been made by its associates,who received international recognition.Issue 6 www.ipras.org IPRAS Journal 59

From left: Drs. Carlos Alberto Komatsu, Antonio carlos Vieira,Benjamim de Souza Gomes, Prof. Ivo Pitanguy, Sebastião NelsonEdy Guerra-President of Brazilian Society Of Plastic Surgery eCarlos Oscar Uebel, in Rio de Janeiro on the last day 05 August.A rough account of the numberof your membersAt present, the Brazilian Society of Plastic Surgeryhas 5014 active members, including the correspondingmembers, Plastic Surgeons from various countriesaround the world.Educational Programs supportedby your National AssociationFor the training of young Plastic Surgeons, the BrazilianSociety of Plastic Surgery supervises 84 accrediteddepartments of Plastic Surgery within importanthospitals and clinics throughout the nation.The Brazilian Society of Plastic Surgery is responsible forthe Final Examination of the trainees and dispensationof the title of Specialization in Plastic Surgery to thefuture professionals.The Society continually helps in the advancement ofthe specialty of Plastic Surgery through its Program ofContinued Education, presented by and overseen bywell known professionals.Humanitarian ActivitiesIn the past, programs in the social arena were undertakenby members of the Society, such as attending the victimsof serious accidents and, when necessary, working inunison with Surgeons of other specialties to provide thebest care to those patients.During the last administration, with the collaborationwith the various Plastic Surgery departments of theSociety, the Social Action Department (DAS) wascreated. Before even beginning its official activities,DAS organized the Humanitarian Action “Multirãoof Plastic Surgery”. In that event, a group of PlasticSurgeons acted together with volunteers to attend to alarge number of poor people.Until now, 13 such events have been held, with threemore already planned.Innovations and New techniquesBrazilian Plastic Surgery boasts a vast compilation ofscientific literature, with the invention and development ofvarious techniques in several areas of Plastic Surgery. Thisscientific content is what has favored the publication ofthe Scientific Magazine of the SBCP, presently printed intwo languages (Portuguese/English) and the organizationof 8 annual Scientific Events, especially the sponsorshipof the annual Brazilian Congress of Plastic Surgery, anevent with national and international repercussions.Upcoming eventsStill to come on this year`s SBCP scientific eventscalendar: the 26th North-Northeast Jornada of PlasticSurgery, in the city of Belem, state of Parà (September2011), the 15th Minas Jornada de Plastic Surgery, in thecity of Belo Horizonte, state of Minas Gerais (October2011), the 48th Brazilian Congress of Plastic Surgery, inthe city of Goiania, state of Goias (November 2011) andthe II Congresso do Cone Sul in the city of Florianopolis,state of Santa Catarina (December 2011).The Current National Board of DirectorsThe Current National Board of Directors for the 2 yearterm 2010 – 2011, is composed of the following doctors:Sebastião Nelson Edy Guerra – President, José TeixeiraGama – General Secretary and Fernando de AlmeidaPrado – General Treasurer.Sebastião Nelson Edy Guerra-President of Brazilian Society PlasticSurgery e Prof. Ivo Pitanguy-Patron of Brazilian Plastic SurgerySebastian Nelson Edy GuerraPresident of the Brazilian Societyof Plastic SurgeryandRaul KuryJournalist of the Brazilian SocietyOf Plastic Surgery60 IPRAS Journal www.ipras.org Issue 6

Netherlands Society for Plastic SurgeryBrief HistoryThe history of Dutch Plastic Surgery actually startslong before the Netherlands Society for PlasticSurgery was founded. Johannes F.S. Esser (1877-1946), a general practitioner in Amsterdam, gotinterested in Reconstructive Surgery after beinga mentor in dentistry for his sister’s studies inUtrecht. After his training in General Surgery inUtrecht, Rotterdam, and Paris, he started to workas a Reconstructive Surgeon in 1915, during WorldKoch-Raadsveld-McIndoewas appointed as Honorary President of the firstEuropean Congress for Reconstructive Surgeryin Brussels, which was attended by almost all thepioneering Plastic Surgeons from Europe andthe United States of America. This importantinternational meeting was supposed to be heldevery year in a different European city, beginningin London in 1937. Unfortunately, the threat ofthe Second World War violently interrupted thisschedule and Esser fled to the USA, where hedid not play an important role anymore in PlasticSurgery. He died in 1946 in Chicago and was buriedthere. He and his contributions to modern PlasticSurgery were long forgotten and were only recentlyrediscovered.The Netherlands Society for Plastic Surgery wasfounded on January 1 st , 1950 by C.F. Koch, J.C.Raadsveld, and C.A. Honig. The first scientificmeeting was held on October 7 th , 1950 in Amsterdam.Sir Archibald McIndoe and Rainsford Mowlem,who were invited to attend this meeting, receivedKoch in USA WWIIWar I. Because his medical services were turneddown by the allied forces, he decided to work for theAustrian-Hungarian governments, as he wanted totreat the many mutilated casualties of war. He andhis team first worked at a large 3600-bed militaryhospital in Brünn, but later moved to Vienna,Budapest, and Berlin.During these war years, Esser proved to be anoriginal thinker and was one of the first to realisethat you need a pedicle with an intact blood supplyfor a transposition flap to survive. Apart from these“arterial” or “biological” flaps, as he called them,he also introduced the cheek rotation flap, the bilobedflap, island flaps, and intraoral inlay skingrafts, which are still known today as Esser-inlays.In 1934, Esser joined the editorial board of the firstEuropean Journal for Plastic Surgery - “Revue deChirurgie Plastique” - together with the BelgianPlastic Surgeon Coelst, as editor-in-chief. At therequest of Esser, the journal was later renamed“Revue de Chirurgie Structive” and in 1936 heIssue 6 www.ipras.org IPRAS Journal 61

Raadsveld at Coolsingel hospital Rotterdaman honorary membership.One could say that the foundation of theNetherlands Society for Plastic Surgery was actuallythe result of a coincidental encounter of Koch, aGeneral Surgeon and Gynaecologist, with McIndoein London in 1940, at the beginning of WorldWar II. Koch was afterwards trained by McIndoeto become a Plastic Surgeon in 1943. When Kochreturned to The Netherlands - he was an honorarymember of McIndoe’s famous “Guinea Pig Club”by then – he managed to convince the establishedGeneral Surgeons of the necessity of this novelspecialty. Raadsveld and Honig supported him andthe former subsequently joined him in 1945 foranother trip to the United Kingdom, where theywere again trained by McIndoe. Honig travelled tothe UK in 1948, where he was trained by Mowlemto become Plastic Surgeon. After their return tothe Netherlands, they practiced independently asPlastic Surgeons; Koch in Amsterdam, Raadsveldin Rotterdam, and Honig in Utrecht. These earlyyears of Plastic Surgery were tough, as they had tofight for their rights and independence as PlasticSurgeons against the established order of GeneralSurgeons and other surgical specialties. Eventually,after successful lobbying, they managed to becomean officially recognised surgical speciality in theNetherlands. Together, they formed the Board ofDirectors of the Netherlands Society for PlasticSurgery during the first 12 years of its existence.In 1954, Honig in Utrecht and Raadsveld inRotterdam were officially allowed by the DutchMedical Specialist Registration Committee tostart a training centre for Plastic Surgery. In 1960,Plastic Surgery training centres were also started inGroningen, led by Huffstadt, who became the firstofficial Dutch professor of Plastic Surgery in 1970,and by Piers in Amsterdam. In 1974 Raadsveld wassucceeded by JC van der Meulen, who became aprofessor of Plastic Surgery in 1979.ReferencesHaeseker B. The History of Plastic Surgery in TheNetherlands 1950-2000. In: 50 Years Dutch Societyfor Plastic Surgery, Ed. A.B. Mink van der Molen,pp. 45-55, 2000.Haeseker B. Dr. J.F.S. Esser and his Contributionsto Plastic and Reconstructive Surgery. Thesis,Erasmus University Rotterdam, 1983.Present SituationCurrently, in the Netherlands there are 10 chairsin Plastic Surgery, in Amsterdam, Groningen,Maastricht, Nijmegen, Rotterdam, and Utrecht. Inaddition, there are Plastic Surgery training centres inEindhoven, Leeuwarden, and Zwolle. The trainingin Plastic Surgery consists of two years of GeneralSurgery and four years of Plastic Surgery. Duringthese four years residents have to attend a coursein Microsurgery, a flap dissection course, and thebasic AO courses on the treatment of fractures, aswell as hand and wrist fractures. Additionally, tobecome officially registered as Plastic Surgeons,they have to pass six out of eight examinationswhich are held twice a year, they have to give atJFS Esser and wife 191662 IPRAS Journal www.ipras.org Issue 6

least one oral presentation at a scientific meeting,they have to write at least one paper in a peerreviewed journal, and they have to pass the Dutchoral examination in Plastic Surgery during the finalyear of their training. Alternatively, Dutch residentsare encouraged to sit the EBOPRAS examination,the successful outcome of which releases them fromthe Dutch examination.Fellowships and Sister SocietiesThere is an International Facial Plastic SurgeryFellowship and a Dutch Fellowship in Hand andWrist Surgery. The Netherlands Society for PlasticSurgery has two sister societies: the NetherlandsSociety for Aesthetic Surgery and the NetherlandsSociety for Hand Surgery.Historical Milestones for the NetherlandsSociety for Plastic SurgeryJanuary 1 st , 1950: Foundation of the NetherlandsSociety for Plastic Surgery.Groningen, 1970: A.J.C. Huffstadt is appointed asthe first Dutch professor in plastic surgery.Amsterdam, May 26 th -27 th , 2000: 50 th AnniversaryNSPC.November 18 th , 2010: Official collaboration withthe American Society of Plastic Surgeons.November 25 th , 2011: National Day of PlasticSurgery.Current Board of DirectorsMs. I.M.J. Mathijssen, MD, PhD, PresidentM. Kreulen, MD, PhD, Vice-PresidentH.A. Rakorst, MD, PhD, Secretary-GeneralR. Feitz, MD, SecretaryMs. M.A.J. Meesters-Caberg, MD, TreasurerH.A.H. Winters, MD, PhD, MemberNumber of MembersThe Netherlands Society for Plastic Surgery has 255members and 78 aspirant members.Humanitarian ActivitiesThe Netherlands Society for Plastic Surgeryhas joined forces with ESPRAS SHARE, whichcoordinates the dispatch of European PlasticSurgeons to third world countries, according totheir needs.Contact InformationSecretary Netherlands Society for Plastic SurgeryMercatorlaan 12003528 BL UtrechtTelephone: +31-30-2823900E-mail: secretariaat@nvpc.nlWebsite: www.nvpc.nlAcknowledgementsB Haeseker, MD, PhD and Ms. I.M.J. Mathijssen,MD, PhD are kindly thanked for their helpfulcomments on this manuscript.All photographs are courtesy of Dr. B. Haeseker.Issue 6 www.ipras.org IPRAS Journal 63

The Society of Plastic and ReconstructiveSurgeons of ThailandThe year the association was created.The Society of Plastic and Reconstructive Surgeons ofThailand (TSPRS) was founded on 1976 and is based inBangkok, Thailand.Who were the founding Members?Professor Lim Kunvisal was the founding member of theassociation.Was there any special event that triggeredits creation?The TSPRS has been founded based on the will of thelocal medical community. No other special event urgedits creation.Important milestone events in its longor short history.Since 1989, the Annual Scientific Meeting of the Societyof Plastic and Reconstructive Surgeons of Thailandtakes place in order for members to exchange ideas andpromote humanitarian work.On 2004, the 9th Conference of the Oriental Societyof Aesthetic Plastic Surgery (OSAPS), took place inBangkok, Thailand, between 6 and 10 December, 2004.Two years later, the 13th ASEAN Congress of PlasticSurgery was held at the Sheraton Chaing Mai Hotel,Chiang Mai, Thailand, on October 16 - 18, 2006.On 2010, the Annual scientific meeting of Thai PlasticSurgeons combines with TST (Thailand-Singapore-Taiwan).A rough account of the number of yourmembers.Over 50 Thailand plastic surgeons are already membersof TSPRS. Our membership is dynamically increasing.Educational Programs supported by yourNational AssociationNo educational programs are yet supported by theTSPRS.Humanitarian ActivitiesThe TSPRS supports “Cleft Lip-Palate for ChildrenProject”. This project provides essential reconstructivesurgery to children worldwide.Innovations and New techniquesInnovations and new techniques are currently studied bythe members of the TSPRS.Upcoming eventsThe TSPRS will be the host of The Conference of theOriental Society of Aesthetic Plastic Surgery.The Current Board of DirectorsProf. Apirag ChuangsuwanichPresidentDr. Sukit MekruksawanichVice PresidentDr. Kamol WattankraiSecretary GeneralDr. Sirichai KamnerdnaktaAssistant Secretary GeneralDr. Yingyos SantidhananonTreasureDr. Lek KanjanakomutAssistant TreasureDr. Vichai SrimuninnimitScientific ChairmanDr. Apichai AngspattScientific CommitteeDr. Chalermpong ChatdokmaipraiPublicationDr. Sakuna SajjaissariyawutAssistant of PublicationProf. Sriprasit BoonvisutInternational RelationshipDr. Prayuth ChokrungvaranontMember RelationDr. Nond RojvachiranontRegistrationDr. Somboon ChaisrisawadisukRepresentative of NorthernProf. Bawornsilp ChowchuenRepresentative of North-EasternDr. Kriengsak SirirukRepresentative of EasternDr. Sanguan KunapornRepresentative of SouthernDr. Sukit VorathumrongRepresentative of Private HospitalContact information for the AssociationThe Society of Plastic and Reconstructive Surgeons ofThailandOffice: Royal Golden Jubilee Building (9 th Floor),Soi Soonvijai, New Petchburi Road, Bangkok 10310,Thailand.Tel: 662 7166214 Fax 662 7166966Website: www.plasticsurgery.or.thE-mail: info@plasticsurgery.or.th64 IPRAS Journal www.ipras.org Issue 6

I S P R E SDear friendsAs the first president of the International society of plastic andregenerativesurgery, I send you my greetings and best wishes. As you know,this newly formed society is a fledgling of the mighty parent the IPRAS.This society was founded at the last IPRAS congress in Vancouver with theaim of having an exclusive society dedicated to the regenerative aspect ofplasticsurgery.Since eons, we plastic surgeons have dedicated our minds and our skills indeveloping methods and techniques to replicate and substitute tissue loss. Ithas always been our endeavour to correct, modify and improve both functionas well as form as the situation demanded. However, now the aims and objectives for eachone ofusistaking a new dimension which had never seemed possible earlier. From an era of replication weare now getting geared to recreate the tissue lost due to disease, deformity or ageing.Untill now, the source of stem cells for tissue regeneration, in conditions involving damaged anddegenerated nerve tissue, bone or the cardiac muscle had been restricted to the embryonic tissuesand the marrow. However, with the recent knowledge of adipose tissue being the biggest and themost easily accessible source of stemcells, regenerating tissue is now literally a tour fingertips.Thus,we are now in the process of becoming treatment providers to a huge spectrum of conditions thatwere beyond our premise as well as imaginaton. The opportunity is waiting for all of us so that infuture we shall be able to redefine treatment options.The membership to this society is free to all board certified plastic surgeons practising anywherein the world. I therefore urge all of you to join hands with me as members of ISPRES in orders todiscover newer frontiers and horizons in the field of tissue regeneration.The documents necessary for a membership submission are:- Application Form- CV (Not More than one page)- Copy of board certificationYou may download the application form though www.ispres-ipras.org on “How to become amember” section.Cordially,Gino RigottiISPRES PresidentISPRES Management OfficeContact Person: Maria PetsaEmail Address: maria.petsa@iprasmanagement.comTelephone: +30 211 100 1787Issue 6 www.ipras.org IPRAS Journal 65

I S P R E S B Y - L A W SINTERNATIONAL SOCIETY OFPLASTIC REGENERATIVE SURGERY(ISPRES)Article 1. NameThe name of the organization shall be theInternational Society of Plastic RegenerativeSurgery (ISPRES). The Logo is a round emblemwith a sketch of an amputated starfish in the centreand the full title of the Society at the periphery ofthe circle.Article 2. Mission and PurposeThe purpose of ISPRES shall be: a) to promote theart and science of Regenerative Plastic Surgery; b) tofurther programs, knowledge, education, research anddevelopment; c) to evaluate medical techniques relatedto Regenerative Plastic Surgery and d) to promote andencourage the highest ethical standards of personaland professional conduct among Plastic Surgeons andother scientists with an interest in this field;Article 3. MembershipMembership in the Society shall be at the discretionof the Society. Election of Members is effected bythe Executive Committee following applicationand a CV. The types of Membership are: 1) ActiveMembers 2) Founding Members 3) AssociateMembers 4) Candidate Members and 5) HonoraryMembers1. Active Members – Shall be Plastic SurgeonsMembers of National Societies affiliated tothe International Confederation of PlasticReconstructive and Aesthetic Surgery (IPRAS)who must provide evidence of special interest inRegenerative Plastic Surgery.2. Founding Members – Are members who foundedthis Society and shall enjoy all the rights andprivileges of active membership for life.3. Associate Members – Shall be Scientists holdinga University Degree, non Plastic Surgeons, whomust provide evidence of special interest inRegenerative Plastic Surgery.4. Candidate Members – Shall be Plastic Surgeonsor other Scientists who have demonstrated interestin Regenerative Plastic Surgery.5. Honorary Members - Honorary Membershipmay be conferred upon eminent physicians or otherindividuals whom the Society desires to honorbecause of their achievements and contributions.Non-members elected to Honorary Membershipby the Society may not hold office, vote, serve onCommittees, or attend Business Meetings of thesociety. Honorary Members attending ScientificMeetings subsequent to the one at which they arehonored shall be charged a reduced fee.Applications for membership shall not be rejectedon the basis of religious beliefs or political ideals.The ExCo however is not under obligation to giveexplanation of the reasons for which an applicationis rejected and there is no appeal procedure.Article 4. Organization and GovermentThe Society is governed by 1) The ExecutiveCommittee and 2) The General Assembly1. The Executive Committee (ExCo)The General Assembly elects among their Membersat the recommendation of the President the officersof the ExCo who shall be as follows:a) President – Elected for a two (2) year tenurerenewable only once.b) Vice President - Elected for a two (2) yeartenure renewable only oncec) Secretary General - Elected for a three (3) yeartenure non renewable.d) Assistant General Secretary - Elected for a three(3) year tenure non renewablee) Treasurer - Elected for a three (3) year tenurerenewable once66 IPRAS Journal www.ipras.org Issue 6

f) Parliamentarian – Appointed by the Presidentand approved by the General Assembly –reappointment at the discretion of the Presidentg) Two Members - Elected for a two (2) yeartenure non renewable.The ExCo appoints an Executive Manager whoparticipate in all functions of the Society as a nonvotingex officio member.2. The General Assemblya) Members of the General Assembly with theright to vote are all the Active and FoundingMembers of the Society provided that they arenot in arrears of their annual membership duesto the Society.b) The General Assembly convenes at least oncea year.c) Elects the officers of the ExCo by simplemajority of the members present and eligible tovoted) Approves revision of the Bylaws by simplemajority at the recommendation of the ExCoby simple majority of the members present andeligible to votee) Electronic vote at the discretion of the Presidentis allowable for urgent and important mattersArticle 5. TREASURYThe Society is a “non profit” organization – Thefinancial situation (balance) is audited annually bytwo non ExCo members elected by the GeneralAssembly for a particular year. The annual financialreport is subject to approval by the GeneralAssembly.The Societies assets come from:a) The annual membership dues which aredetermined by the General Assemblyb) Donations from various sources approved bythe ExCoc) Income from scientific events.Article 6 COMMITTEESAd-hoc committees can be formed for any matter atthe recommendation of the President and approvedby the ExCo.Article 7 DISSOLUTION AND LIQUIDATIONA decision to dissolve the Society requires aresolution by the General Assembly adopted by atwo thirds majority of the members in a meeting inwhich more than half of the members are present.The Society will continue to exist after its dissolutioninsofar as this is necessary for the liquidation of itscapital.Liquidation will be effected by the ExecutiveCommittee.For the time of the liquidation these Articles ofAssociation apply as much as possible.Any credit balance of the dissolved Foundation willbe spent as much as possible in accordance with theFoundation’s objectives.After the liquidation the Foundation’s accounts anddocuments will rest for thirty years with he whowas the Foundation’s Secretary at the time of thedissolution.Article 8. Temporary administrationUntil these Bylaws become a legal document andthe first election of ExCo Officers takes place, thetemporary administration of this Society will bewith Prof Marita Eisenmann-Klein, Prof GinoRigotti, Prof Sydney Coleman and Prof AndreasYiacoumettisIssue 6 www.ipras.org IPRAS Journal 67

Organized by the:beijing, chinaCo-organized by the: ChineseEuropeanCongressof PlasticReconstructiveand AestheticSurgery27-30 October 2011Dear Colleagues,S p o n s o r s :Despite belonging in an ever expanding front of themedical world that always advances to new achievementsand exciting challenges, we do not get the chance towitness many “first time” events as often as the sum ofour personal scientific contributions actually deserves.We are proud to announce that, “for the first time”European Plastic Surgeons join their Chinese Colleaguesin organizing a major Congress, the 1st ChineseEuropean Congress of Plastic, Reconstructiveand Aesthetic Surgery taking place in Beijing, China,from October 27th to 30th, 2011. We invite you to bepresent in the first of many Congresses to link the world of plastic surgery with a view of thecombined Chino-European Perspective. A combination that already captured theimagination and gained the support of the most esteemed international plastic surgery andanti-ageing organizations globally.BesidesThe European Society of Plastic, Reconstructive and Aesthetic Surgery ( ESPRAS -the European Section) and the Chinese Society of Plastic Surgeons ( CSPS) this event is coorganizedby the International Confederation for Plastic, Reconstructive and AestheticSurgery ( IPRAS - the Global Organization of our Specialty), the International Society ofAesthetic Plastic Surgery ( ISAPS), the European Society of Preventive, Regenerative andAnti-Aging Medicine (ESAAM), the American Society of Plastic Surgeons ( ASPS) and theBrazilian Society of Plastic Surgery ( SBCP).Marita Eisenmann-KleinIPRAS President'This has never happened before’Contact details: Chrysa Kontololi Tel: +30 211 100 17 83 Fax: +30 210 664 21 16 Email: chrysa.kontololi@zita-congress.grMusculoskeletalTransplantFoundationTMT H E A L L O G R A F T L E A D E RAndreas YiacoumettisESPRAS President &IPRAS Deputy General SecretaryPOLYTECHHealth & AestheticsYilin CaoCongress President,President of the CSPSAP MEDICAL68 IPRAS Journal www.ipras.org Issue 6

Chinese European Congress ofOpen new channels of communicationin the country of 1.340.000.000 people,China... the fastest growing countryworldwide!Participate in the biggest ScientificEvent of the year!Get the opportunity to visit theunique Beijing in the most beautifulseason!Preliminary Program TopicsBioengineeringStem Cell ResearchComposite Tissue TransplantationInnovations - Materials & DevicesWound Healing & Wound ManagementCongenital AnomaliesHand SurgeryBurnsPediatric Plastic SurgeryInnovations in MicrosurgeryManagement of Malignant tumors and postOncologic ReconstructionTrauma Management & ReconstructionBreast Aesthetic & Reconstructive SurgeryLiability Issues and MalpracticeFat Graft WorkshopAesthetic SurgeryBody ContouringSet up of a Successful Plastic Surgery PracticeOptimizing Internet Representation27-30 October 2011beijing, chinawww.china-europe2011.com· Open new Horizons!· Don't miss this chance!BE THERE FOR THE LATEST NEWS &DEVELOPMENTS ON· PLASTIC RECONSTRUCTIVE &AESTHETIC Surgery· ANTIAGING & LASER Techniques· FOOD SUPPLEMENT ProspectsPreventive, Regenerativeand Anti-Aging MedicineNon-Invasive facialRejuvenationBiotechnology and Human AgingBiology and Genetics of Age Related Skin DisordersGlycation and Aging of the Cardiovascular SystemHuman Myoblasts in Regeneration of Post - InfarctionheartCommon AgeingAssociated Bone & Joint Diseases and their TreatmentBrains & Skin Aging: A Common Molecular approach?Ageing of Immune SystemMacula Degeneration - a Progressive, Ageing AssociatedOcular DiseaseNew Frontiers in the Management of Chronic DiseasePrevention and Treatment of Prostate CancerPrevention and Treatment of Kidney StonesTestosterone and PDE5 Inhibitors in the Aging MaleThe Dialectic Role of Hormones in the Prevention andFemale HealthNew Cosmetic Approaches for the Ageing SkinElastic Fibres, Skin Scarring and PhytocosmetologyCan Aging be delayed?Lessons from CentenariansIPRAS / ESAAM cooperation: A Futuristic picture ofPreventive, Regenerative and Anti-Aging MedicineHolistic Medicine.Issue 6 www.ipras.org IPRAS Journal 69

Plastic Reconstructive and Aesthetic SurgeryINVITED FACULTYWe are happy to announce an Invited outstanding faculty from all over the world, comprised oftop specialists and researchers and an impressive International and Scientific Committeeunder the chairmanship of Professor Daniel Marchac (France) and Professor Lan Mu (China) willcover the whole spectrum of the Plastic,Reconstructive andAesthetic Surgery.Chinese Invited FacultyFan Jincai, Fan Xianqun , Guo Shuzhong , Huang Luping, Ju Qiang , Lan Mu , Lan Xiao , Lin Xiaoxi , LiuWei , LiuYuanbo , Luan Jie, Mu Xiongzheng , Peng Luying , RongyaYang , Shen Guofan, Shen Zun Li , Xin Xing, Yi Lin Cao, YinNimbei , Zhang Jufang , Zhang Ruhong , ZhangYixin, Zhang ZhiyongInternational Invited FacultyAl Hoqail Rola, Saudi Arabia - Ali Al Numairy, United Arab Emirates - Auclair Eric , France - Berrocal Manuela, Columbia - BiggsTom, USA - Blondeel Phillip, Belgium - Borsche Andre, Germany - Boukouvalas Zisis, Greece - Bundugji Nadiah, Saudi Arabia -Calderhead R Glen, Korea - ChonaThomas*, Oman - Chung Kevin C., USA - Cunha Leonardo , Brazil - Cunningham Bruce, USA -Daeh-Wan Park David, Korea - Daher Jose Carlos , Brazil - Dahmen-Zimmer Katharina , Germany - DeAssis Carvalho Francisco,Brazil - De Benito Javier, Spain - De Mey Albert, Belgium - Del Pino Roxo Carlos, Brazil - Delay Emmanuel, France - DornelasMarilho, Brazil - Dornelas Marilia, Brazil - Echinard Christian, France - Eed Mohamed, Saudi Arabia - Eisenmann-Klein Marita,Germany - Enescu Dan, Romania - Evans Gregory , USA - Fantozzi Fabio, Italy - Fedeles Josef, Slovakia - Filho Alfredo Gragnani,Brazil - Filho Pericles, Brazil - FoustanosAndreas, Greece - FrotaAntonio, Brazil - Frota Priscila, Brazil - Ganss Christoph, Germany -GarciaVelasco Manuel, Mexico - Gigliofiorito Pierluigi, Italy - Gursu Guler, Turkey - Heijningen IvarVan, Belgium - Heine Norbert,Germany - Holle Jürgen, Austria - Horch Raymund, Germany - Jianu Dana, Romania - Jianu Stefan, Romania - Kim JeongTae, Korea -Kahoro Loise, Kenya - Kinney Brian, USA - Klentze Michael, Thailand - Klinger Marco, Italy - Knobloch Karsten, Germany - KottiBouraoui, Tunisia - Lamblet Herbert, Brazil - Lascar Ioan, Romania - Lee Pu, USA - Lipski Konstantin B., Russia - Lokesh Kumar,India - Lucero Florencio, Philippines - Malcolm Roth, USA - Marchac Daniel, France - Massako Ferreira Lydia, Brazil - MazzolaRiccardo, Italy - Mercer Nigel , United Kingdom - Miodrag Colic, Serbia - Mugea T. Thoma, Romania - Murod Jafarov, Uzbekistan -Neuhann-Lorenz Constance, Germany - Neumeister Michael M., USA - Ninkovic Milomir, Germany - Niveo Steffen, Brazil - PalluaNorbert, Germany - Noreldin Ahmed, Egypt - Palmos Petros, Greece - Passos Piassi Alexandre, Brazil - Perez Jorge A., USA -Persichetti Paolo, Italy - Pessoa Salustiano, Brazil - Piccolo Monica, Brazil - Piccolo Nelson, Brazil - Piccolo Thereza, Brazil -Pitanguy Ivo, Brazil - Pittet Brigitte, Switzerland - Portincasa Aurelio, Italy - PrasetyonoTheddeus O.H. , Indonesia - PshenisnovKirill, Russia - Roncevic Radmilo, Serbia - Schaefer Johannes Dirk, Switzerland - Schantz Jan-Thorsten, Germany - Sharnagl Erwin,Austria - StasievichAleh, Belarus - Sucupira Eduardo, Brazil - Sukwha Kim, Korea - Tai Paul Ling, USA - Takayanagi Susumu, Japan -Toyosi Nishimura Paulo, Brazil - Triana Lina, Colombia - Tsoutsos Demosthenis, Greece - Vinícius Alves Ribeiro Carlos , Brazil -Vinzenz Kurt, Austria - Viterbo Fausto, Brazil - VoukidisTheodoros, Greece - Wanda Correa Elizabeth, Brazil - Winters Henri,Netherlands - Yavuzer Reha , Turkey - YiacoumettisAndreas, Greece - Yoshimura Kotaro, Japan - Zaki Mohammed SobhiAhmed,Egypt - Zic Rado, Croatia - Zouboulis Christos, Germany - Zulmira BadinAna, BrazilSpeakersAbboud Marwan, Belgium - Alves Saulo, Brazil - Amore Roberto, Italy - Annacontini L., Italy - Armand Paranque, France - ArranzJose L, Spain - Arrunategui-Carvallo Cesar, Brazil - Athayde Manuel, Arab Emirates - Bite Uldis, USA - Borsky Jiri, Czech Republic -Chang Chia Ning, Taiwan - Cihantimur Bulent, Turkey - Correa Livia D., Brazil - Debski Tomasz, Poland - Del Frari Barbara,Austria - DemirYavuz, Turkey - D'onofrio Crescenzo, Italy - Enescu Mihaela, Romania - Eng John, USA - FelicioYhelda, Brazil -Ferreira Da Silva Luis Gustavo, Angola - Forster Natasha, Switzerland - Goisis Mario, Italy - Hadzhiyski Ognyan, Bulgaria -Hatamipour Ebrahim, Iran - Ho Quoc Christophe, France - Hong Sung Bum, Korea - Hoyos Alfredo, Spain - Huemer Georg,Austria - Jacques Alexandre Zufferey, Switzerland - Jaeger Marcos Ricardo de Oliveira, Brazil - Jomah Jamal, Saudi Arabia -Jovanovic Milan, Serbia - Kamble Krishnamurti, India - KimYoung Soo, South Korea - Koay Jack, USA - Koay Mary Ellen, USA -Kremer MichaelAndreas, Germany - Larcher Lorenz, Austria - Lars-Peter Kamolz, Austria - Lauritzen Lucena Evando, Brazil -Lee Anna, South Korea - Lee Charles Sung-Chull, USA - Lee Hong Ki, Korea - Liesbeth Vandermeeren, Belgium - LinXiaoxi , China - LohYuenYung Charles, United Kingdom - Lumenta David B, Austria - Mandour Elsyed MandourEldib, Egypt - Marcon Guilherme M., Brazil - Meza Britez, Paraguay - Miachkovsky Sergey, Belarus - MoklineA., Tunisia - Moreira Dini Gal, Brazil - Mu David, China - Nassimizadeh Mohammad, United Kingdom -Omranifard Mahmood, Iran - PadhaiskiVladzimir, Belarus - PallaraTiziano, Italy - Park Dong Man,Korea - Park JaeWoo, South Korea - QaderAri Raheem, Iraq - Qaryoute Salah, Jordan - RaheemQader Ari, Iraq - Rauso Raffaele, Italy - Reshetov Igor, Russian Federation - RichtrPatrik, Czech Republic - Roddi Roberto, Belgium - Rubinstein Leonard, USA - Saadallah M.Al-Zako, Iraq - Saedi Farid, United Kingdom - Segreto Francesco, Italy - Senna-Fernandes Vasco, Brazil - Sharobaro Valentin, Russian Federation - Siddiky SayeedAhmed, Bangladesh - Song Ping, China - Spirito Daniele, Italy - Stasevich Aleh,Belarus - Stepankin Sergey, Russian Federation - Sun Jeremy, Singapore -Szemerey Istvan, Hungary - Tatineni Lakshmi Saleem, India - Treskova Inka,Czech Republic - Tutino Matteo, Italy - Verega Grigore, Moldova - VindigniVincenzo, Italy - Viterbo Fausto, Brazil - Wieslander Jan B, Sweden -Wong Michael S, USA - Wu Chao-I, Taiwan - Wu Yan, China - XiangLeihong Flora, China - Yadav Prabha, India - Yang Yu-Li, Taiwan -Yongho Shin, Korea - Zhang Xuejing, China - Zhang Ziyang, Germany- Ziccardi Pasquale, Italy - Zufferey JacquesAlexandre, Switzerland70 IPRAS Journal www.ipras.org Issue 6

INTERNATIONALSOCIETYOFPLASTICREGENERATIVEI S P R E S - I P R A SSURGERYst1 ISPRES MeetingRome 9-11 March 2012www.ispresrome2012.comINTERNATIONALSOCIETY OFPLASTICREGENERATIVESURGERY(ISPRES)A new Society is born andwill function within IPRAS. It isnamed International Society of Plastic RegenerativeSurgery(ISPRES).All those interested in this particular field of science, plastic surgeons andcollaborating scientists, will find a forum and a group of colleagues with whom they will shareknowledgeandinterestsinthistypeofSurgery.Plastic Surgeons have been practicing fat injections for over a century but it was only recently that werealized that this procedure involved more than augmenting soft tissue in the various parts of the body.“StemCells”,“Pre-adipocytecells”andotherrelatedtermsareenteringnotonlyourvocabularybutalsoareinfluencingoureverydaypractice.A golden future is ahead of us and this topic needs to be studied in depth. In our perpetual efforts forimprovingourresults,newapplicationswillbeevolvedanditisexpectedthatourmethodsandtechniqueswillbesignificantlyenriched.Dear friends,IThis year the International Society of Plastic Regenerative Surgery, ISPRES, was founded as a co-opted society of IPRAS. We felt thatthere was an urgent need for the promotion of science, treatment options and safety issues of this exciting new field.The near future will see tremendous progress in the versatility of lipoaspirate to solve many problems, from the simple to the mostcomplex, and we will be fortunate to be a part of this exciting journey.We therefore appeal to all of you to join the society and empower it with all of your experience, knowledge and skill. Legends in thisfield have already laid the path for all who wish to participate in, contribute to and enrich these pages of history.stFor all these reasons we also encourage all of you to participate to the 1 ISPRES Meeting that will be held in Rome on March 9-11, 2012.The 1st ISPRES Meeting will cover a wide spectrum of topics related to the benefits and versatility of fat and fat grafting and itsinnumerable applications both in aesthetic as well as reconstructive surgery, Stem cell research and its possible applications tovarious chronic and practically untreatable conditions, the ability of lipoaspirate becoming not merely s volume filler but thefaithful aand reliable workhorse in most difficult situations where treatment options are seldom present and of course the safety inimparting these treatments without causing aany change in the patient condition for the worse.Rome for many people one of the most beautiful cities in Europe is ready to welcome us. The sight is spectacular, enchanting andbreathtaking, transforming the Roman nights to unforgettable memories of a life time.Art and culture remain intact, an endless chain in time, connecting past with future, Roman ruins with Michelangelo's sculptures,Bernini Baroque with Christian Catacombs, Fontana di Trevi with the Colosseum, and the street painters of Piazza Navona with theSistine Chapel.With the kind support of the German Speaking Pilgrims Office we were able to prepare for you visits to the Vatican Gardens, St.Peter's grave in the Scavi Vaticani and your participation in an audience with Pope Benedikt XVI.Due to limited availability of rooms, venue space and social program capacities we advise you to register very soon!We are going to enjoy an unforgettable event in 'Rome!Cordially yoursExperience a walk through the Vatican Gardens with us!Be with us in the Necropolis under the Cathedral where St. Peter's grave was detected!Come along for an audience with Pope Benedikt XVI orjoin us for the Angelus Prayer with the Pope!Marita Eisenmann-KleinCongress PresidentGino RigottiISPRES PresidentRoger KhouriISPRES Vice PresidentSydney ColemanISPRES Secretary GeneralIssue 6 www.ipras.org IPRAS Journal 71

Registration feesUntil 30th November 2011 From 1st December 2011Members450 € 550 €Non members 500 €600 €Registration fees include:Participation in the scientific programCongress material (bag, final program, abstract CD)Coffee breaksBusiness lunchesParticipation to Opening Ceremony and CocktailISPRES Management OfficeContact Person: Maria PetsaEmail Address: maria.petsa@iprasmanagement.com • Telephone: +30 211 100 1787In order to apply for membership please visit IPRAS website (www.ipras.org) at Latest news sectionin order to download the application form and send it to the above mentioned address with your CV.You may also visit the NEW ISPRES website www.ispres-ipras.orgMeeting Contact DetailsMrs. Chrysa Kontololi / ZITA CONGRESS S.A.1st Km Peanias Markopoulou Av. P.O. Box 155, Zip Code 19002 Peania Attica GreeceTel: +30 2111001783 • Fax: +30 210 6642116 • Email: chrysa.kontololi@zita-congress.grRomeRome (Roma) means history. And amidst all this history, a modern city lives, breathes, and buzzes with life.It's hard to say what you will find most breathtaking about the eternal citythe opulence of the Vatican, thetimelessness of the Forum, the top speed of a Fiat Bambino, or the millions of cats in the Colosseum.Whatever your interests are, Rome (Roma) has something special for you.Visit the Piazza Navona, the most beautiful square in the capital, and the Capitoline Museums, home tosome of Roma's best ancient art and sculpture. Renaissance buildings cluster around the historic centerbetween the Via del Corso and the River Tiber. And, of course, you'll want to visit the Trevi Fountain (where acoin and a wish will ensure your eventual return to the city) and the Spanish Steps.Hotel Columbuswww.ispresrome2012.comISPRESst1 MeetingRome 9-11 March 2012Since 1950, the Palazzo Della Rovere houses the Hotel Columbus.At the ground floor level, on both sides of the portal are found two small 17th century fountains; the righthandside one is decorated with an eagle and the Borghese family emblem, the dragon, whereas the lefthandside one only features a dragon pouring water in the underlying basing; all is encased in a heavilyrestored small aedicula. The wing of the palace housing the headquarters of the Order of the HolySepulchre, on the piano nobile still features some of the most impressive and magnificent rooms in thewhole building: five large rooms decorated by Pinturicchio and his school.The latter is probably the most beautiful and best preserved one in the whole Palazzo, and features a goldpaintedwood panelled ceiling covered with a mock-mosaic painting by Pinturicchio and his school, madein 1490. Figures were distempered on sheets of paper glued to supports which were then nailed into thepanels, resorting to a technique close to illuminating.Last but not least comes Cardinal Francesco Alidosi's small chapel, with a magnificent lacunar ceilingdecorated with figures from the cardinal's coat of arms: eagles, oaks, and the motto “Agite mortales ociaquos cibus et umbra quercus alit” (Enjoy, thou mortals, leisure time, made sweeter by food and the oak'sshade) on the two lunettes on the furthest walls.The second floor of the Palazzo features two rooms with ceilings frescoed by Francesco Salviati around thefirst half of the 16th century for cardinal Giovanni Salviati. The first room, whose entrance is encased in abeautiful 15th century marble frame, is today used as the dining room; it still features a magnificent mirrorceiling wholly covered with fresco and stucco decorations reaching the trabeation, with four masks on thecorners of the ceiling, candelabra, and the Salviati's coat of arms. In the middle, Apollo leads the Sun'shorses.The hotel is situated not far from the Rome historical center, nearby the Vatican City and the Tevere river.From our hotel, walking along "Via della Conciliazione" you may reach eastwards St.Peter's Dom orwestwards St. Angel Castle. You get to the rest of the city center if you go through the bridge "VittorioEmanuele II" on the Tiber river"Some rooms overlook the inside garden of Palazzo della Rovere, and some rooms overlook the main streetvia della ConciliazioneINTERNATIONALSOCIETYOFPLASTICREGENERATIVEI S P R E S - I P R A SSURGERYINTERNATIONALSOCIETY OFPLASTICREGENERATIVESURGERY(ISPRES)SINGLE 160€ per room per nightDOUBLE 200€ per room per nightmin. 3 NIGHTS ACCOMMODATIONBREAKFAST INCLUDED72 IPRAS Journal www.ipras.org Issue 6

www.ispresrome2012.comst1 ISPRES MeetingRome 9-11 March 2012Organizing CommitteeChairmanPiccolo Nelson, BrazilMembersSalzberg C. Andrew, USAWanda Elizabeth Correa,BrazilPestalardo Carlos, ArgentinaRigotti Gino, ItalyKhouri Roger, USAColeman Sydney, USAMarchi Alessandra, ItalyEvans Gregory, USAYiacoumettis Andreas, GreeceKinney Brian, USAPu Lee, USAKaplanidis Zacharias, GreeceTopicsHorizon in fat usageResearchCurrent legislationRegenerative apart from plastic surgeryChronic woundsBankingBiomaterialAnatomical regionstPresident of 1 ISPRES MeetingProf. Marita Eisenmann-Klein, GermanyScientific CommitteeChairmanSydney Coleman, USAMembersBaker Tom, USABiggs Tom, USABolivar de Souza Pinto Ewaldo, BrazilCorrea Wanda Elizabeth , BrazilChajchir Abel, ArgentinaChristos Zouboulis, GermanyCorrea Wanda Elizabeth, BrazilDel Vecchio Dan, USADelay Emanuel, FranceEisenmann Klein Marita, GermanyGrisotti Andrea, ItalyGuerrerosantos Jos é,MexicoMagalon Guy, FranceMarkowicz Marta, GermanyMarten Tim, USAMazzola Riccardo, ItalyMichael Klentze, ThailandNava Maurizio, ItalyPallua Norbert, GermanyPatel Neeta, IndiaPiccolo Nelson, BrazilPoell Jan, SwitzerlandRohrich Rod, USARubin Peter, USASchneider Michael, NorwayVoukidis Theodoros, GreeceYoshimura Kotaro, JapanHonorary CommitteeBuccher Stefania, ItalyDe Vita Roy, ItalyFarallo Eugenio, ItalyMario Zama, ItalyNiccolóScuderi, ItalyPalombo Paolo, ItalyPersichetti Paolo, ItalyPompei Stefano, ItalySantanelli Fabio, ItalyValeriani Maurizio, ItalySocial ProgramExperience a walk through theVatican Gardens with us!Be with us in the Necropolis under the Cathedral where St.Peter's grave was detected!Come along for an audience with Pope Benedikt XVI or join us for the Angelus Prayer with the Pope!Due to limited availability please register if you are interested in these 3 programs as early as possibleIssue 6 www.ipras.org IPRAS Journal 73

TASHKENT, UZBEKISTANRD3 CENTRAL ASIANPLASTIC SURGERYCONFERENCE (CAPSC)M A Y 3 - 5 , 2 0 1 2Dear Professors, Colleagues and Guests,It is our sincere pleasure to welcome you to the 3rd Central AsianPlastic Surgery Conference (CAPSC) to be held in Tashkent fromth ththe 3 to 5 of May 2012.The CAPSC is under-going a renaissance, with an infusion ofenergy and excitement from all areas of our specialty. 2008 yearwas the first time that the program was expanded to include adedicated section on clinical outcomes, and this change wasgreeted with a record attendance at the 1st Central Asian PlasticSurgery Conference. The expanded program continues, providinga forum for all best research in plastic surgery across the fullbreadth of topics.CAPRS is young meeting in Central Asian region. And all possibleimprovements in Plastic Surgery in this region will depend on yourcontributions. Moreover, many other Uzbek subspecialty societiesas ENT, general and pediatric surgery, orthopedic surgery andothers will contribute to the scientific program. As a consequence,this Conference will provide top-level education and state of the artinformation, particularly aimed for pediatric plastic surgery.Tashkent is the ideal location for this Conference, a beautiful citywith many tourists' attractions and perfect conference facilities. Wehope to show you the legendary Uzbek hospitality you hear somuch about. You will have chance to visit old cities Samarqand,Bukhara and Khiva. Each has a history more than 2000 years.Also2009 years dedicated to 2200 years Tashkent.The social program with various cultural and artistic events, incombination with the excellent scientific program will offer you andyour partner all possibilities to further and renew friendships,strengthen scientific collaboration and enjoy the splendid beauty ofUzbekistan.Taking this chance, we thank you in advance for participation in theconference that will not be a success without your presence. Wehope that you will never forget hospitality of Uzbek people.Finally, we look forward to welcome youSUPPORTED BYORGANIZED BYCO-OORGANIZED BYInternational Societyof AestheticPlastic SurgeryMurod M. Jafarov MD, PhDChairman of 3rd CAPSC President of SPRASUuzjmps@gmail.com74 IPRAS Journal www.ipras.org Issue 6

RD3 CENTRAL ASIANPLASTIC SURGERYCONFERENCE (CAPSC)INTERNATIONALORGANIZING COMMITTEEHonorary Presidentof the ConferenceMarita Eisenmann-Klein,IPRAS President (Germany)Chairman:Miodrag Colic,ISAPS General Secretary (Serbia)Members:Be-young Yun Park (Korea)Zacharias Kaplanidis,IPRAS Executive Director(Greece)Chairman of the ConferenceMurod M. Jafarov,SPRASU President (Uzbekistan)Scientific CommitteeChairman of the Scientific CommitteeDaniel Marchac (France)Members:A.M. Borovikov (Russia) James Chang (USA)Abror Shermatov (Uzbekistan) Khamidulla AsadovAlijon T. Hisamov (Uzbekistan)(Uzbekistan)Alisher Kasimov (Uzbekistan) Laurent Lantieri (France)Andreas Yiacoumettis (Greece) Mamur Yunusov(Uzbekistan)Bakyt Omurzakov (Kirgizia)Michael F. McGuireBarry Jones (United Kingdom)(USA)Brent Seagle (USA)Michael J. YaremchukBrian M. Kinney (USA)(USA)Burt Brent (USA)Miguel Chamosa (Spain)Cao Yilin (China)Murod S. NigmanovCarlos Oscar Uebel (Brazil)(Uzbekistan)Daniel Labbé (France) Nazim Cerkes (Turkey)Emmanuel Delay (France) Nodir A. Alimov (Uzbekistan)Eric Arnaud (France)Nurlan A. BeysebaevEric Auclair (France)(Kazakhstan)Francoise Firmin (France)Peter G. Cordeiro (USA)Gafur KhodjamuratovPeter Neligan (USA)(Tajikistan)Ralph Gilbert (USA)Gulnar G. JumatovaShakhob Shamsiev(Kazakhstan(Uzbekistan)I.B. Kraynik (Russia) Temur Islamov (Uzbekistan)Isken K. KachkinbaevVladimir Mitz (France)(Kirgizia)LOCAL ORGANIZING COMMITTEEChairman of theLocal Organizing CommitteeAbdurashid Kayumkhodjaev, (Uzbekistan)T O P I C SHAND SURGERYFREE FLAPMICROSURGERYCRANIOFACIAL SURGERYCLEFT LIP & PALATEGENITAL SURGERY FOR AESTHETIC& FUNCTIONAL INDICATIONLASER, TOXINS AND FILLERSOTOPLASTYHAIR TRANSPLANTATIONBODY CONTOURINGETHICS AND PATIENT SAFETY ISSUESFACIAL REJUVENATIONRHINOPLASTYBREAST SURGERYABDOMINOPLASTYASIAN AESTHETIC SURGERYFACIAL RECONSTRUCTIONINDICATION FOR FACE TRANSPLANTSImportant DatesDEADLINE SUBMISSION OF ABSTRACTSTH12 OF JANUARY 2012NOTIFICATION OF ABSTRACT ACCEPTANCEST1 OF FEBRUARY 2012DEADLINE FOR HOTEL RESERVATIONST1 OF MARCH 2012Organizational SupportContact Person:Mr. George KoliopoulosTel: + 30 2111001781 Fax: + 30 210 6642116Email: george.koliopoulos@zita-congress.grIssue 6 www.ipras.org IPRAS Journal 75

TASHKENT, UZBEKISTAN M A Y 3 - 5 , 2 0 1 2Registration FeesDOCTORSRESIDENTSSTUDENTSACCOMPANYINGEARLYUP TO 20 JANUARYAFTER21 JANUARYON SITE€ 200,00 € 300,00 € 450,00€ 100,00 € 150,00 € 200,00€ 50,00 € 50,00 € 50,00€ 100,00 € 100,00 € 100,00Registration fees for all PARTICIPANTSinclude the following:Entry to all scientific conference sessionsAccess to Exhibition AreaConference Bag (including all conferencematerial and final program)Opening Ceremony ParticipationOpening Ceremony Cocktail ParticipationCoffee BreaksBusiness LunchesTASHKENTAlthough Tashkent was probably first settledaround the 1st century BC, written records datethe city to its Arab occupation in the 8th centuryAD. The 13th-century defeat to Genghis Khanand his Mongolian forces threw Tashkent into anera of turmoil. The Mongols lost the city in the14th century when the Timurids Empire seizedcontrol. The Timurids Empire ruled Tashkent untilthe late 15th century, when the Sheibanids sweptthrough the region. Today, Tashkent is the capitalof Uzbekistan.HOTEL INTERCONTINENTALTASHKENT - CONGRESS VENUEThe InterContinental Tashkent is convenientlylocated in a business park near the National Bankof Uzbekistan, shopping arcades and theTelecommunication Center, a 20 minute drivefrom the airport and 5 minutes from the citycenter. The only five-star hotel in Uzbekistan,Accommodation FeesSingle Room : 125€ per room, per nightDouble Room: 135€per room, per nightBreakfast includedRegistration fees for ACCOMPANYINGPERSONS include the following:Access to Exhibition AreaOpening Ceremony ParticipationOpening Ceremony Cocktail ParticipationCity Tour* The Conference Dinner is not included in theregistration fees there is an additional charge** Registration fees do not include insurance ofparticipants against cancellation, accidents, theftor property loss. Participants should arrange fortheir own insurance.UZBEKISTANUzbekistan has well preserved its past whenCentral Asia was the centre of Tamerlane’sempire. Cities of today’s Uzbekistan, includingSamarkand, Bukhara, Khiva, Tashkent andShakhrisabz are symbols of oriental beauty andmystery.During ancient times the Silk Road passedthrough these cities and their advantageousgeographical location made them attractive toconquerors.The territory of modern Uzbekistan wasoccupied many times by various kings andwarlords, including Alexander the Great.Alexander founded at least 8 cities in CentralAsia between 334 - 323 years BC.From 484 to 1150 AD the region was invaded bythe western tribes: The Huns, the Turks and theArabs.The latter brought a new religion - Islam.Many cities were totally destroyed during theinvasion of Genghis Khan in 1220. Later, thegreat conqueror Timur, known in the West underthe name of Tamerlane, revived the destroyedcities using slaves and builders who had beencaptured during Timir’s successful militarycampaigns. The majority of the architecturalbuildings that are located in Samarkand today,were built by Tamerlane and his grandsonUlugbek.76 IPRAS Journal www.ipras.org Issue 6

800 participants expected!!!More than 12 specialties involved!!!3rd European Congresson Preventive, Regenerative& Anti Aging MedicineHARBIYE MILITARY MUSEUM29-31/5/2012www.ecopram2012.comOrganising CommitteePresident of the 3 rdECOPRAM CongressChairwoman of the LocalOrganizing CommitteeVice-ChairmanSupported byInternational Confederationfor Plastic, Reconstructive andAesthetic SurgeryInternational Societyof Plastic, RegenerativeSurgeryProf. Dr. Christos C. Zouboulis,President of ESAAM , GermanyProf. Çimen Karasu,President of AAAMS, TurkeyProf. Damiano Galimberti,General Secretary of ESAAM, ItalyCo-Organized byLocal Organising CommitteeÇimen Karasu Nuray Arıİhsan Kara Merih BayramAli Sazcı Murat KartalAhmet Başaran Irma ManjavidzeScientific CommitteeChairman:Prof. Dr. Christos C. Zouboulis, GermanyVice Chairmen:Prof. Damiano Galimberti, ItalyProf. Dr. Johannes Huber, GermanyVice – ChairwomanProf. Çimen Karasu, TurkeyOrganizationalSupport:Issue 6 www.ipras.org IPRAS Journal 77

ECOPRAM20123rdEuropeanCongresson3rdEuropeanCongressonPreventive,RegenerativeandAntiAgingMedicinePreventive,RegenerativeandAntiAgingMedicineTOPICS:Preventive,longevityandregenerativemedicine Practicalantiaging&wellagingsessionsAESTHETICPROCEDURESINAGINGRejuvenationofneckandnecklineRejuvenationofarmsandhandsBiostimulationtechniquesandfillingPREVENTIVE– LONGEVITY–REGENERATIVEMEDICINECanagingbedelayed?BiomarkersofAgingProcessesCanagingbedelayed?RegenerativeandRestorativeTherapiesCanagingbedelayed?ThenewpreventivemedicineandthenewgeneticapproachCanagingbedelayed?Nutrition,nutraceuticals,dietsCanagingbedelayed?PhysicalactivityCanagingbedelayed?SexualdisordersandtreatmentsCanagingbedelayed?ConceptsofdiagnosticsandtreatmentinpreventivemedicineREGISTRATIONFEESRegistrations Early until30/02/2012Late from01/03/2012Members 295 445Non members 395 545Accompanyingpersons120 120RegistrationfeesforallParticipantsinclude:• Entrytoallscientificconferencesessions• AccesstotheExhibition&PosterArea• ConferenceBag(includingallconferencematerialandfinalprogram)• OpeningCeremony&OpeningCocktailParticipation• CoffeeBreaks• BusinessLunchesRegistrationfeesforAccompanyingPersonsinclude:• AccesstoExhibition&PosterArea• OpeningCeremony&OpeningCocktailParticipation• HalfDayCityTourDATESTOREMEMBERJANUARY 10, 2012JANUARY 31, 2012ABSTRACTS SUBMISSION DEADLINELAST DAY FOR EARLY REGISTRATIONSMAY 20, 2012LAST DAY FOR LATE REGISTRATION78 IPRAS Journal www.ipras.org Issue 6

ECOPRAM20123rdEuropeanCongresson3rdEuropeanCongressonPreventive,RegenerativeandAntiAgingMedicinePreventive,RegenerativeandAntiAgingMedicineACCOMMODATIONHOTEL 4starSINGLERATE/DAYFERONYA 135€ 160€GRAND135€ 150€OZTANIKLARES PARK 170€ 190€DOUBLERATE/DAYPOINT HOTEL 180€ 200€HOTEL 5starSINGLERATE/DAYRAMADA PLAZA 220€ 245€DOUBLERATE/DAYCONGRESS VENUE HARBIYEMILITARYMUSEUMTheMilitaryMuseumislocatedinHarbiye,Istanbul.DuringthelastperiodoftheOttomanEmpire,itisthesiteoftheOttomanImperialMilitaryAcademy.ItiscomposedofthehistoricalbuildingsofMilitaryMuseum&CultureCenter” and“TheChiefofStaffMilitaryHistoryandStrategicResearchMinistry(ATASE).” Theadjacentbuildingswereaddedtothemainstructurelater.TheMilitaryMuseum,whichpresentsahistoryofmilitarychange anddevelopmentfromthepasttothepresentandshowcasesawiderangingcollectionofsome55,000objects,includingmedals,militaryuniforms,flags,emblems,armouredshirts,shields,paintings,andvarioustypesofguns.Theonly5000objectsaredisplayedforthevisitors.ISTANBULIstanbul,afascinatingcitybuiltontwoContinents,dividedby theBosporusStrait.Thisisoneofthegreatestcitiesintheworldwhereyoucanseeamodernwesterncitycombinedwithatraditionaleasterncity,ameltingpotofmanycivilizationsanddifferentpeople.FromthefoundationofByzantiuminthe7thcenturyBCuntiltoday,Istanbulalwaysheldanimportantroleinthehistoryofhumanityinthispartoftheworld,duetoitsstrategiclocation;Empireswerebornhereontheashesofpreviousones.SincetheRepublicin1923,Istanbulcontinuedtogrowandtoday itboosteditspopulationataround13millionpeoplelivinginthisspreadoutcity.ThismakesIstanbulthelargestcityofTurkeyandoneofthebiggestcitiesintheworld.Issue 6 www.ipras.org IPRAS Journal 79

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SUPPORT LETTER FROM BOARD OF TRUSTEES MEMBERDear colleagues and friends of IPRAS,I have always been certain that the only way forward is to have our eyes looking to thefuture, confident that plastic surgery will carry on thriving, absorbing new technologies andtechniques. I have accompanied our society since its first steps, and I am glad to see visionstransformed to reality! It has been my hope that IPRAS and its national societies willcontinue to be the forums where innovation will be presented, where the inquisitive mindwill find others equally curious, so that plastic surgery may evolve within the framework oftwo principal objectives: to generously pass on knowledge to the next generation, and toassure safety to our patients.I am particularly happy that the upcoming IPRAS World Congress is to be held in beautifulChile, in our continent of South America, where plastic surgery has made giant steps ofdevelopment. I invite you all to add this important event to your plans for 2013 and to takeadvantage of the opportunity to attend one of the most important scientific gatherings forplastic surgery.Ivo PITANGUYHead-Professor of the Plastic Surgery Departments of the Pontifical Catholic Universityof Rio de Janeiro and the Carlos Chagas Institute of Post-Graduate Medical StudiesMember (and patron) of the Brazilian Society of Plastic Surgery, the National Academyof Medicine, and the Brazilian Academy of LettersVisiting Professor, I.S.A.P.S. FICS, FACSIssue 6 www.ipras.org IPRAS Journal 81

PLASTICINTERNATIONALRECONSTRUCTIVEInternational Confederation for Plastic,Reconstructive & Aesthetic Surgerythst24 February - 1 March 2013S A N T I A G O C H I L ESURGERYAESTHETICw w w. i p r a s c h i l e . c lIPRASth17 World Congress of the InternationalConfederation for Plastic,Reconstructive and Aesthetic Surgerythst24 February - 1 March 2013S A N T I A G O , C H I L EDear colleagues,Santiago de Chile is the destination for our World Congress 2013. Santiagorecently, without even being noticed by the rest of the world, has changed intoa vibrating city with an incredible spirit. It is considered now to be theManhattan of South America. And it is surrounded by a breathtaking beautifullandscape between endless beaches and eternal snow, volcanos and rainforests, deserts and penguins!Our colleagues there are eagerly awaiting us with the unique hospitality ofSouth America. Together we shall prepare an outstanding scientific program,but also unforgettable social events and unique pre- and post- congress tours.You all have noticed the dynamic development of our Confederation into asociety that is eager to serve its individual members more efficiently and toincrease the benefits for its members continuously.Our next world congress in Santiago de Chile will define another turning point.From now on, IPRAS will organize all world congresses with its ownmanagement staff and PCO. You will have the same familiar pattern ofinformation and the same familiar persons will accompany you to destinationsall around the world.Chile is a particularly exciting one. We promise to make this trip anunforgettable experience for you.We look forward to meet you there!IPRASth17 World Congress ofthe InternationalConfederation forPlastic, Reconstructiveand Aesthetic SurgeryMarita Eisenmann-KleinPresident of IPRASPatricio LénizPresident of the congressPresident of ChileanSociety of Plastic SurgeryDaniel MarchacChairman of the ScientificBoard of IPRASwww.ipraschile.clSANTIAGO, CHILE 201382 IPRAS Journal www.ipras.org Issue 6ZITAC O N G R E S SISO 9001ISO 14001O r g a n i z a t i o n a l S u p p o r t :ZITA CONGRESS S.A.Contact details: Maria Petsa Tel: +30 211 100 17 87 Fax: +30 210 664 21 16 Email: maria.petsa@zita-congress.gr

ChileChile is a country of startling contrasts andextreme beauty, with attractions rangingfrom the towering volcanic peaks of theAndes to the ancient forests of the LakeDistrict. Spindly Chile stretches 4300kmover half the continent from the driestdesert in the world (near San Pedro deAtacama) to massive glacial fields. Filling upthe in-between are volcanoes, geysers,beaches, lakes, rivers, steppe and countlessislands. Slenderness gives Chile the intimacyof a backyard (albeit one fenced betweenthe Andes and the Pacific).Espacio RiescoToday, Chile is one of South America'smost stable and prosperous nations anda recognized middle power. It leads LatinAmerican nations in humandevelopment, competitiveness, incomeper capita, globalization, economicfreedom, low perception of corruptionand state of peace.Resting on an inland plain, with theAndes glimmering in the distance,Santiago, the capital of Chile, is the fifthlargest city in South America. Santiago isa city that seems destined for growth.Espacio Riesco Convention Center isa highly innovative exhibition venuein Santiago and spans over more2than 130,000 m of land.The Center provides meeting rooms2of 10,000 m that can easily holdaround 6,500 guests as well as an2indoor expocenter of 17,000 m2and an outdoor expocenter of 28,000 m . Providing a parking facility for around 2,000vehicles, the Espacio Riesco Convention Center is internationally deemed fit to meetall the requirements of global exhibitors as well. This notable convention forum strivestowards creating an out of the worldexperience for its clients byproviding them with the right space,the latest technology and excellentservice for the enablement of highlyeffective and successful tradeshows, events and conferences.Espacio Riesco is the place thatdenotes confidence and promotescreative development.w w w. i p r a s c h i l e . c lContact details: Maria Petsa Tel: +30 211 100 17 87 Fax: +30 210 664 21 16 Email: maria.petsa@zita-congress.grPLASTICINTERNATIONALRECONSTRUCTIVEInternational Confederation for Plastic,Reconstructive & Aesthetic Surgerythst24 February - 1 March 2013S A N T I A G O C H I L ESURGERYAESTHETICIPRASth17 World Congress ofthe InternationalConfederation forPlastic, Reconstructiveand Aesthetic SurgeryOrganizational SupportZITA Congress S.A. guaranteeshighest quality accommodation and unique delegate ratesZITAC O N G R E S SISO 9001ISO 14001ZITA CONGRESS S.A.SANTIAGO, CHILE 2013Issue 6 www.ipras.org IPRAS Journal 83

NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS07 - 09 October2011The 3rd Asian Symposium of Breast Plastic and Reconstructive SurgeryLocation: Seoul, Korea - Venue: Seoul St. Mary’s Hospital /The Catholic University of KoreaE-mail: psyskim@gmail.com - URL: http://www.asbprs2011.or.kr/14 - 15 October 2011Symposium on Recent advances and new conceptsin Plastic Surgery & Fat Grafting CourseLocation: Limassol, Cyprus - Venue: Dt. Raphael HotelContact: George Koliopoulos - Telephone: +30 211 100 1781 - Fax: +30 210 6642116E-mail: george.koliopoulos@zita-congress.gr - URL: www.cyprusfatgraft2011.comOctober 14-17, 201114th International Course of Perforator FlapsLocation: Seoul, Korea, Venue: Asan Medical CenterTelephone: +82 2 3452 1855E-mail: info@icpf2011.org - URL: www.icpf2011.org14 - 17 October2011APRSSA congress(Association of Plastic and Reconstructive Surgeons of Southern Africa)Location: Spier Wine Estate, Cape Town27 - 30 October20111st Chinese European Congress of Plastic, Reconstructive and Aesthetic SurgeryLocation: Beijing, China - Venue: China National Convention CentreContact: Chrysa Kontololi - Telephone: +30 211 100 1783 - Fax: +30 210 6642116E-mail: chrysa.kontololi@zita-congress.gr - URL: http://www.china-europe2011.com02 - 05 November201120th European Course in Plastic SurgeryLocation: Marseille, France - E-mail: stephcalvino@gmail.com - URL: http://www.plastie-aphm.fr04 - 05 November 2011International Education Symposium:«Esthetic Surgery and Cosmetology for Face and Periorbital Rejuvenescense»Location: Institute of Surgery n.a. - A.Vyshevsky, B. Serpukhovskaya, 27E-mail: info@plastickafedra.com - URL: http://www.plastickafedra.com/84 IPRAS Journal www.ipras.org Issue 6

NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS11 - 13 November201169th Annual Conference of the Korean Societyof Plastic and Reconstructive SurgeonsLocation: Seoul, KoreaContact: Dr. Dae Hyun Lew - Telephone: 822 - 2228 - 2217 - E-mail: dhlew@yuhs.ac01 - 03 December201131st Aesthetic Surgery Symposium: “The Cutting Edge 2011”Location: New York, USA - Venue: The Waldorf Astoria HotelContact: Lauren Fishman - Telephone: 001 212 355 5702E-mail: registration@astonbakersymposium.com - URL: http://www.aestheticsurgeryny.com14 - 16 December 2011Third International Conference Regenerative surgeryLocation: Rome, Italy- Venue: Eurostars Roma Aeterna HotelTelephone: (+39) 01042064090 - E-mail: mail@eurotraining.it - URL: www.regenerativesurgery.it20 - 22 January 2012ISAPS Course 2012Location: Goa, India - Venue: Hotel Grand HyattContact: Dr. Nazim Cerkes - Telephone: 011 29228349 - E-mail: ncerkes@hotmail.com17 - 19 February 201217th Annual Pakistan Association Of Plastic Surgeon MeetingLocation: Bahawalpur, Pakistan - Venue: Quaid-e-Azam Medical CollegeContact: Dr M. Mughese Amin - E-mail: mughese@yahoo.com - URL: http://www.papscon2012.com06 - 11 March 2012XLIII National Congress Of Plastic, Aesthetic and Reconstructive SurgeryLocation: Merida, Yucatan. Mexico - Venue: Convention Center Merida.URL: http://www.cirugiaplastuca.org.mx09 - 11 March 20121st Meeting of the International Society of Plastic Regenerative Surgery (ISPRES)Location: Rome, Italy - Venue: Hotel ColumbusContact: Chrysa Kontololi - Telephone: +30 2111001783 - E-mail: chrysa.kontololi@zita-congress.gr11 - 14 March 201216th ASEAN Congress of Plastic SurgeryLocation: Boracay Island, Aklan, PhilippinesVenue: Boracay Regency Beach Resort & Convention Center - URL: http://www.papras.org/Issue 6 www.ipras.org IPRAS Journal 85

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((((((I N D U S T R Y N E W SSince 25 years, Laboratoires Sebbin creates, develops, manufactures and markets a widerange of high quality implants and skin expanders for aesthetic and reconstructivesurgery. Many innovative solutions proposed to surgeons for offering their patients theopportunity of being in harmony with their body.Recreating harmonious bodies for a new vision of rebirth.PVP - SAS 39, Parc d’Activités des Quatre Vents, 95650 - Boissy l’Aillerie, FranceT é l . : + 3 3 1 3 4 4 2 1 3 2 8 - F a x : + 3 3 1 3 4 4 2 1 6 8 8 - w w w. s e b b i n . c o m

Organized by the:beijing, chinaCo-organized by the: ChineseEuropeanCongressof PlasticReconstructiveand AestheticSurgery27-30 October 2011'This has neverhappened before’N U M B E R S :400 International participants 500 Chinese participants140 International & Chinese Invited Faculty 120 International SpeakersContact details: Gerasimos Kouloumpis Tel: +30 211 100 1780 Fax: +30 210 664 21 16 Email: gerasimos.kouloumpis@zita-congress.grS p o n s o r s :Go beyond physical boundaries to ensure your company's welfare!Expand your business limits and expectations!Empower your commercial connections worldwide!Realize your corporate challenges to meet desired success!LET'S DO BUSINESS IN THE FASTEST GROWINGCOUNTRY OF 1,3 BILLION PEOPLE !!MusculoskeletalTransplantFoundationTMT H E A L L O G R A F T L E A D E RPOLYTECHHealth & AestheticsAP MEDICAL88 IPRAS Journal www.ipras.org Issue 6

C E R T I F I C A T E O F M E M B E R S H I PTo All Plastic SurgeonsMembers of IPRASDear Colleagues,We are proud to present the“Certificate of Membership” toall members of IPRAS, which isthe only Global Plastic SurgeryOrganization incorporating allNational Societies of the world.Members of National Societies, whoare at the same time members ofIPRAS, are Plastic Reconstructiveand Aesthetic Surgeons of goodstanding and with high ethicalprinciples.For many years since the foundingof IPRAS, many of our membershave requested repeatedly a proofof membership and now is the timeto fulfill their wish in the best andmost official way. This “certificate”can be proudly displayed whereveryou wish as a proof of belongingto our largest Organization of theworld. It may be hung on the wallof your office or used as an extradocument in your CurriculumVitae.In order to send your applicationfor the certificate you shouldget in touch with the ExecutiveManagement Office at: Maria Petsa- IPRAS Executive Office (maria.petsa@iprasmanagement.com) andpay the 100 € fee which coversthe cost of design, shipping &management. Once your NationalSociety has verified your activemembership, it will be sent to youby post (express). A complementary“lapel pin” bearing the IPRAS logo,will also be sent to you at no extracharge.To send your application pleasevisit http://www.ipras.org and clickon the IPRAS certificate banner.It is important to all of us to display our Specialty to the public at large,promoting at the same time the image of Plastic Surgery worldwide.With our most sincere regards,Marita Eisenmann-KleinPresidentNelson PiccoloGeneral SecretaryDaniel MarchacChair of the Scientific Advisory BoardIssue 6 www.ipras.org IPRAS Journal 89

I P R A S W E B S I T EJOIN YOUR COLLEAGUESThe first website that gives you the opportunityto upload your scientific profile for free!!www.ipras.orgNow it is very simple to upload your scientificprofile and gain the benefits of being under theIPRAS umbrella.Try it…!!Sign up on www.ipras.org and follow the followingsteps:1. Create an account by clicking “Member’slogin” on the top right-hand corner and thenselect 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, completethe following”.4. Once all account details have been added, clickon “Create new account” button.Then you click on “EDIT” and then on “DOCTORPROFILE”.This is the section where all the information ofyour scientific profile can be uploaded.You may complete the fields with the informationthat you prefer such us: Personal Picture, HospitalPosition, Affiliation, Special Field of Interest,Contact Details, Memberships, Topics of SpecialInterest, Publications etc.At the “EDIT” section you may proceed to theappropriate corrections at your account such usto change your password or to update personalinformation.When you complete the aforementioned stepsthere will be one last step remaining for yourdetails to be uploaded on the IPRAS website. Theapplication must be approved by the NationalAssociation you are a member. The application willbe sent at the Association of the country that youhave declared, ensuring that only IPRAS membersof good standing and high ethical principles areable to upload their personal details.As soon as your Association verifies you asa member, your profile will automatically beuploaded at the website’s, “Find a doctor” optionin the “Members”section.It is also up to you to decide whether your profilewill be classified as “private” or visible to allvisitors of the IPRAS webpage. Our aim, besidesfacilitating communication among colleagues,expands to allowing patients to verify the goodstanding and high ethical principles of the doctors’profiles hosted, allowing them to choose qualifiedIPRAS members for needed procedures.In conclusion, I want to emphasize the usefulnessof the IPRAS website FORUM. A section youwill gain access to, as soon as your profile hasbeen accepted and uploaded. Only verifiedplastic surgeons can use it and read its contents.Therefore, you will have the opportunity toexchange ideas, news regarding plastic surgerytechniques, news from your National Association,alerts and all other information you would like toshare with your peers.Don’t miss the opportunity to make the IPRASwebsite twice as useful to you!If you face any difficulties please do not hesitateto contact me at: maria.petsa@iprasmanagement.com .Always at your disposal!Maria PetsaIPRAS Assistant Executive Director90 IPRAS Journal www.ipras.org Issue 6

Board of DirectorsPresident: Marita Eisenmann-Klein (Germany)m.eisenmann-klein@web.deGeneral Secretary: Nelson Piccolo (Brazil)nelsonpiccolo@bol.com.brTreasurer: Bruce Cunningham (USA)cunni001@umn.eduDep. General Secretary: Yi Lin Cao (China)yilincao@yahoo.comDep. General Secretary: Brian Kinney (USA)brian@briankinneymd.comDep. General Secretary: Ahmed Adel Noreldin (Egypt)esprs@hotmail.comDep. General Secretary: Andreas Yiacoumettis (Greece)yiacoume@otenet.grParliamentarian: Norbert Pallua (Germany)npallua@ukaachen.deExec. Director: Zacharias Kaplanidis - Ex Off (Greece)Zacharias.Kaplanidis@iprasmanagement.comBoard of TrusteesAwarded in Vancouver May 23rd, 2011Garry Brody (US/Canada)gsbmd@aol.comGuler Gursu (Turkey)yagiz@cnidus.comDaniel Marchac (France)danielmarchac@hotmail.comPaulino Morales (Argentina)pmorales@intramed.net.arAwarded in Yerevan June 28th, 2011Jean-Philippe Nicolai (Netherlands)jpnicolai@kpnplanet.nlMohamed Ahmed Zaki (Egypt)msobhi2000@yahoo.comGeographic RepresentativesAfrica & Middle EastMohamed Kadry (Egypt)mkadrymd@gmail.comAsia-PacificSaug Tae Ahu (Korea)kprs@chollian.netMurod Jafarov (Uzbekistan)uzjmps@gmail.comSuk Wah Kim (Korea)kprs@chollian.netHideki Nakanishi (Japan)nhideki@clin.med.tokushima-u.ac.jpTakashi Nakatsuka (Japan)nakatsuk@saitama-med.ac.jpI P R A S O F F I C E R S F O R 2 0 1 1 - 2 0 1 5Theddeus O.H. Prasetyono (Indonesia)teddyohp@yahoo.comZunli Shen (China)ZLShen@public1.sta.net.cnEuropeMiodrag Colic (Serbia)drcolic@eunet.yuChris Khoo (UK)tkkhoo@bakersbarn.netDaniel Marchac (France)danielmarchac@hotmail.comJavier de Salamanca (Spain)jedesalamanca@yahoo.comNorth AmericaGregory Evans (USA)gevans@uci.eduBryan Gamble (USA)wmbgamble@aol.comMary MacGrath(USA)mcgrathm@surgery.ucsf.eduJohn Persing (USA)john-persing@quickmail.yale.edujohn.persing@yale.eduAndrea Pusic (USA)PusicA@mskcc.orgDeborah Reilly-Culver (USA)dareilly@unmc.eduBryant Toth (USA)tothbryant@aol.comSouth & Central AmericaClaudio Angrigiani (Argentina)claudioa@yahoo.com.arAlejandro Duarte Y Sanchez (Mexico)amcper@cirugiaplastica.org.mxSebastiao Nelson Edy Guerra (Brazil)sneg@terra.com.brOsvaldo Saldanha (Brazil)clinica@clinicasaldanha.com.brCarlos Uebel (Brazil)carlos@uebel.com.brRepresentatives of SectionsAfrican SectionAhmed Adel Noreldin (Egypt)esprs@hotmail.comRajeev Ahuja (India)rbahuja@gmail.comAsian-Pacific SectionIssue 6 www.ipras.org IPRAS Journal 91

European Section (ESPRAS)Andreas Yiacoumettis (Greece)yiacoume@otenet.grJosTariki (Brazil)jytariki@originet.com.brIbero-Latino American SectionPan-Arab SectionMohammed Rida Franka (Libya)rfranka@hotmail.comRepresentatives of Co-Opted SocietiesInternational Federation of Societiesfor Surgery of the Hand (IFSSH)Francisco Del Pinal (Spain)drpinal@ono.comInternational Societyof Aesthetic Plastic Surgery (ISAPS)Jan Poell (Switzerland)jpoell@bluewin.chInternational Society for Burn Injuries (ISBI)Nelson Piccolo (Brazil)nelsonpiccolo@bol.com.brInternational Society of Craniofacial Surgery (ISCFS)Anil Madaree (South Africa)madaree@ukzn.ac.zaWorld Society of Reconstructive Microsurgeons (WSRM)Julia Terzis (USA)mrc1@erols.comOther Elected PositionsChairperson of the Council of National DelegatesMohamed Ahmed Zaki (Egypt)msobhi2000@yahoo.comDeputy Chairperson of the Council of National DelegatesAlbert de Mey (Belgium)albert.demey@chu-brugmann.beEx officio MembersEditor of IPRAS JournalThomas M. Biggs (USA)tbiggsmd2@aol.comPresident of IPRAS Congress 2013 (Chile)Patricio Lniz (Chile)drpatricioleniz@gmail.comChairman Organizing Committeeof IPRAS congress 2013 (Chile)Wilfredo Calderon (Chile)wcalderon@hts.clHistorianRiccardo Mazzola (Italy)riccardo.mazzola@fastwebnet.itlQUAM(International Committee of Quality Assuranceand Medical Devices in Plastic Surgery)President: Constance Neuhann-Lorenz (Germany)dr.neuhann-lorenz@t-online.deVice President: Manuel Garcia Velasco (Mexico)mgvelasco@mexis.comSecretary: Daniel Marchac (France)danielmarchac@hotmail.comParliamentarian: Andreas Yiacoumettis (Greece)yiacoume@otenet.grMembersDimitre Evstatiev (Bulgaria)d_evstat@gmail.comJosef Fedeles (Slovakia)josef.fedeles@gmail.comSub CommitteesSTANDING SUB-COMMITTEESBy-laws Sub CommitteeChair: Andreas Yiacoumettis (Greece)yiacoume@otenet.grDeputy Chair: Petros Palmos (Greece)petrospalmos@hol.grMembers:Yi Lin Cao (China)yilincao@yahoo.comMarta Markowicz (Germany)mmarkowicz@ukaachen.deMotohiro Nozaki (Japan)mnozaki@prs.twmu.ac.jpNominating Sub CommitteeChair: Nobuyuki Shioya (Japan)shioya@josaiclinic.comDeputy Chair: Dimitre Evtatiev (Bulgaria)drevstat@gmail.comMembers:Krysztof Drzewiecki (Denmark)krzysztof.tadeusz.drzewiecki@rh.regionh.dkSebastiao Nelson Guerra (Brazil)sneg@terra.com.brIoan Lascar (Romania)ilascar@chirurgie-plastica.roCommunication Sub CommitteeChair: Thomas Biggs (USA)tbiggsmd2@aol.comDeputy Chair: Roxanne Guy (USA)rguy@drguyplasticsurgery.com92 IPRAS Journal www.ipras.org Issue 6

Zacharias Kaplanidis (Greece)Zacharias.Kaplanidis@iprasmanagement.comMembers:Brian Kinney (USA)brian@briankinneymd.comBryan Mendelson (Australia)bcm@bmendelson.comAndrea Pusic (USA)pusica@mskcc.orgMaria Simionow (USA)siemiom@ccf.orgAndreas Yiacoumettis (Greece)yiacoume@otenet.grIPRAS Foundation - IPRAFChair: Christian Echinard (France)echinard@club-internet.frDeputy Chair: Constance Neuhann-Lorenz (Germany)dr.neuhann-lorenz@t-online.deMembers:Josef Fedeles (Slovakia)josef.fedeles@gmail.comAlexes Hazen (USA)Alexes.Hazen@nyumc.orgElsa Maria Meza Britez (Paraguay)mplastic@pla.net.pyLakshmi Saleem (India)Lakshmi.saleem@gmail.comBudget & Finance Sub CommitteeChair: Bruce Cunningham (USA)cunni001@umn.eduDeputy Chair: Guillermo Vasquez (Argentina)info@cirurgiaplastica.gr.comMembers:Nadiah Bundugji (Saudi Arabia)nbundugji@hotmail.comPeter Kompatscher (Austria)peter.kompatscher@lkhf.atTeddy Prasetyono (Indonesia)teddyohp@yahoo.comAPPOINTED SUB-COMMITTEESScientific Advisory BoardChair: Daniel Marchac (France)danielmarchac@hotmail.comMembers:Rajeev Ahuja, (India)rbahuja@vsnl.comBishara Atiyeh (Lebanon)batiyeh@terra.net.lbAndrej Banic (Switzerland)andrej.banic@insel.chPhilippe Blondeel (Belgium)phillip.blondeel@ugent.beKrzysztof Drzewiecki (Denmark)rh02156@rh.dkGreg Evans (USA)gevans@uci.eduPericles Filho (Brazil)periclesfilho@gmail.comManuel Garcia Velasco (Mexico)mgvelasco@mexis.comAlbert de May (Belgium)albert.demey@huderf.beXiongzheng Mu (China)craniomu@gmail.complastic_mu6666@yahoo.comPeter Neligan (Canada)pneligan@u.washington.eduAhmed Noreldin (Egypt)esprs@hotmail.comLydia Masako Ferreira (Brazil)lydiamferreira@gmail.comCoordination of HumanitarianProjects Sub CommitteeChair: Chanjiv Singh (India)chanjivsingh@rediffmail.comCo-Chair: Christian Echinard (France)echinard@club-internet.frMembers:Andre Borsche (Germany)borsche@interplast-germany.deLouis Kahoro (Kenya)lnkahoro@yahoo.comMarta Markowicz (Germany)m.markowicz@t-online.deDeborah Reilly (USA)dareilly@unmc.eduDimitris Synodinos (Greece)dimitris.synodinos@zita-congress.grIPRAS Emergency Task ForceChair: Christian Echinard (France)echinard@club-internet.frCo-Chair: Jan Poell (Switzerland)jpoell@bluewin.chMembers:Bud Alpert (USA)balpertmd@aol.comZacharias Kaplanidis (Greece)Zacharias.Kaplanidis@iprasmanagement.comBouraoui Kotti (Tunisia)bouraouikotti@yahoo.comSami Otman (Libya-France)samiotaman@yahoo.frIssue 6 www.ipras.org IPRAS Journal 93

Women for Women Sub CommitteeChair: Constance Neuhann-Lorenz (Germany)dr.neuhann-lorenz@t-online.deCo-Chair Deborah Reilly (USA)dareilly@unmc.eduMembers:Vanessa Brbant (Germany)vanessa.brebant@gmx.netMarta Markowicz (Germany)m.markowicz@t-online.deAndrea Pusic (USA)pusica@mskcc.orgNancy Van Laeken (Canada)nvanlaeken@providencehealth.bc.caGuidelines Sub-CommitteeChair: Guenter Germann (Germany)guenter.germann@urz.uni-heidelberg.deCo-Chair Othon Papadopoulos (Greece)othon@otenet.grMembers:Pericles Filho (Brazil)periclesfilho@gmail.comHarald Kubiena (Austria)harald.kubiena@meduniwien.ac.atDeuk Oh (Korea)ohdeuk1234@hanmail.netReha Yavuzer (Turkey)ryavuzer@amerikanhastanesi.orgKarsten Knobloch (Germany)kknobi@yahoo.comSpecialty Protection Sub CommitteeChair: Claude Le Louarn (France)lelouarn@lelouarn.euCo-Chair: Guido Molea (Italy)molea@unina.itMembers:Kirill Pshenisnov (Russia)kpshenisnov@plasticsurgeon.ruEberhard Schaller (Germany)schaller@bgu.tuebingen.deIo Sofianou (Greece)iosof@otenet.grBryant Toth (USA)tothbryant@aol.comTraining & Accreditation Sub CommitteeChair: Bishara Atiyeh, (Lebanon)batiyeh@terra.net.lbCo-Chair: Jens Elberg (Denmark)rh01378@rh.dkMembers:Dimitre Evstatiev (Bulgaria)drevstat@gmail.comRaymund Horch (Germany)Raymund.Horch@chir.imed.uni-erlangen.deZun Li Shen (China)ZLShen@public1.sta.net.cnJosef Fedeles (Slovakia)josef.fedeles@gmail.comQuality Management Sub CommitteeChair: Ivar van Heijningen (Belgium)ivar.van.heijningen@gmail.comCo-Chair: Lee Roy Young (USA)leroyyoungmd@bodyaesthetic.comMembers:Mohammed Eed (Saudi Arabia)prof_eed@yahoo.comLanhu Mu (China)lanhua_mu@yahoo.comToma Mugea (Romania)drmugea@medestet.roClaude Oppikofer (USA)claude@oppikofer.comBoard Certification Sub CommitteeChair: John Boorman (UK)john@boorman.myzen.co.ukCo-Chair John Persing (USA)john-persing@quickmail.yale.eduMembers:Lars Lahoda (Germany)lulahoda@arcor.deAnil Madaree (South Africa)madaree@ukzn.ac.za, madaree@nu.ac.zaHilal Nahel (Syria)dr_nahelhilal@hotmail.com, nahel_hilal@hotmail.comCooperation with Other Societies Sub CommitteeChair: Manfred Frey (Austria)manfred.frey@meduniwien.ac.atCo-Chair: Susumu Takayanagi (Japan)misakotakayanagi@yahoo.co.jpMembers:Miodrag Colic (Serbia)drcolic@eunet.yuPaolo Persichetti (Italy)P.Persichetti@unicampus.itPeter Vogt (Germany)vogt.peter@mh-hannover.de94 IPRAS Journal www.ipras.org Issue 6

International Confederationfor Plastic Reconstuctiveand Aesthetic SurgeryInternational Confederationfor Plastic Reconstuctiveand Aesthetic SurgeryIPRAS BENEFITSFOR INDIVIDUAL MEMBERS• Immediate information about safetywarnings on devices, drugs and procedures• Information regarding the proper use ofall materials, substances and techniquesrelated to Plastic, Reconstructive andAesthetic Surgery through IQUAM(the International Committee of QualityAssurance and Medical Devices in PlasticSurgery) General Consensus statement,with an update every 2 years• Free electronic receipt of the IPRASJOURNAL• Information regarding harmonization oftraining• Information regarding accreditation ofPlastic Surgery Units• Promotion of Patient Safety and QualityManagement (in cooperation with WHO)• Protection of the Specialty and Promotionof its image world-wide• Promotion of Individual Members ofNational Associations by uploading theirscientific profile on the IPRAS website• Exchange of ideas, views, thoughts andproposals though the IPRAS website andits FORUM section• Certificate for Individual Members todisplay their IPRAS Membership• Regular updates on necessary informationand the right to participate in all eventsorganized by National Societies andIPRAS• Strengthening ties of professionalcooperation and friendship with colleaguesbeyond national borders all over the world• Information regarding the developments ofplastic surgery worldwideIPRAS BENEFITSFOR NATIONAL ASSOCIATIONS• Association support for educational andresearch purposes• Association legal & ethical adviceaccording to international law andpractices and assistance with crisismanagement• Promotion of local or regional eventsthrough the official IPRAS managementoffice• Promotion of local or regional news anda Historical Account for the Associationthrough the IPRAS Journal• Free shipment of copies and electronicreceipt of the IPRAS Journal• Immediate information and advice aboutsafety warnings on devices, drugs andprocedures• Information regarding the proper use ofall materials, substances and techniquesrelated to Plastic, Reconstructive andAesthetic Surgery through IQUAM(the International Committee of QualityAssurance and Medical Devices in PlasticSurgery) General Consensus statement,with an update every 2 years• Promotion of Patient Safety and QualityManagement (in cooperation with theWorld Health Organization - WHO)• Information regarding harmonization oftraining• Information regarding accreditation ofPlastic Surgery Units• Protection of the Specialty and Promotionof its image world-wide• Information and reports about eventsorganized by other National Societies andIPRASIssue 6 www.ipras.org IPRAS Journal 95

6th Issue October 2011IPRAS Journal ManagementEditor:Editor-in-Chief:Editorial Board:Page Layout:E-mail:Post Editing:IPRASThomas Biggs, MDMarita Eisenmann - Klein, MDAndreas Yiacoumettis, MDChristian Echinard, MDConstance Neuhann-Lorenz, MDZacharias Kaplanidis, Economist“In Tempo” Athens Greecepanos@intempo.grAthena Spanou, MDIPRAS Management OfficeZITA CONGRESS SA1st km Peanias Markopoulou AveP.O BOX 155, 190 02Peania Attica, GreeceTel: (+30) 211 100 1770-1, Fax: (+30) 210 664 2216URL: www.ipras.org • E-mail: zita@iprasmanagement.comExecutive Director: Zacharias KaplanidisE-mail: zacharias.kaplanidis@iprasmanagement.comAssistant Executive Director: Maria PetsaE-mail: maria.petsa@iprasmanagement.comAccounting Director: George PanagiotouE-mail: george.panagiotou@zita-congress.grCongress Organizer: Yannis LioliosE-mail: yannis.liolios@zita-congress.grAssociations Management Director: Dimitris SynodinosE-mail: dimitris.synodinos@zita-congress.grCommercial Director: Gerasimos KouloumpisE-mail: gerasimos.kouloumpis@zita-congress.grNext issue: January 2012DISCLAIMER:IPRAS journal is published by IPRAS. IPRAS and IPRASManagement Office, its staff, editors authors and contributors donot recommend, endorse or make any representation about theefficacy, appropriateness or suitability of any specific tests, products,procedures, treatments, services, opinions, health care providers orother information that may be contained on or available through thisjournal. The information provided on the IPRAS JOURNAL is notintended or implied to be a substitute for professional medical advice,diagnosis or treatment. All content, including text, graphics, imagesand information, contained on this journal is for general informationpurposes only. IPRAS, IPRAS Management Office and its staff,editors, contributors and authors ARE NOT RESPONSIBLE NORLIABLE FOR ANY ADVICE, COURSE OF TREATMENT,DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES ORPRODUCTS THAT YOU OBTAIN THROUGH THIS JOURNAL.NEVER DISREGARD PROFESSIONAL MEDICAL ADVICEOR DELAY SEEKING MEDICAL TREATMENT BECAUSEOF SOMETHING YOU HAVE READ ON OR ACCESSEDTHROUGH THIS JOURNAL.While every effort has been made to ensure accuracy, neither thepublisher, IPRAS, IPRAS Management Office and its staff, editors,authors and or contributors shall have any liability for errors and/oromissions. Readers should always consult with their doctors beforeany course of treatment.©Copywright 2010 by the International Confederation of Plastic,Reconstructive and Aesthetic Surgery. All rights reserved. Contentsmay not be reproduced in whole or in part without written permissionof IPRAS.