Course Overview: Dear colleagues, After 15 years of providing highly successful educational courses on reconstructive and aesthetic surgery, the BBM has become an international reference for specialists from all around the world to share expertise and build knowledge. The excellent feedback from attendees at previous editions has encouraged us to continue and advance along these lines. This year, the BBM is intended for plastic surgeons and residents wishing to update and advance their knowledge about the current management of complications and problems following reconstructive and aesthetic breast surgery. A distinguished international faculty will present assessment and management decisions in this setting. Live surgery will be performed at Sant Pau Hospital and broadcast to the auditorium. This live broadcast of different new operative procedures allows participants to observe and interact with the surgeons conducting the operations. To make the live surgery session more active we will introduce a few teaching short videos with the best surgical tricks for avoiding problems in some difficult surgical techniques. This year we have added the possibility for the participants to have complicated cases from their consultation commented on by the world renowned faculty. We have implemented a special application tool on our website where you can anonymously present a case, with pictures and text, so that we can select the most interesting cases in advance and decide who should comment on each one. Last year we introduced the Q-interactive, an online tool that allows the audience to make questions on interesting aspects during the panels and discussions. Participants can tailor the meeting at their convenience, building knowledge following their needs. The program will encourage lively discussion and promote interaction with the faculty, resulting in a highly educational experience. It is a great pleasure for us to invite you to come and take part in this exciting and dynamic event in Barcelona.

Wednesday March 5th 2014: 08:00 – 08:30 Registration for BBM2014 and 3rd International Symposium on Lymphedema Surgical Treatment 08.30 – 09:00 Welcome (D. Chang / M.H. Cheng / J. Masia) 09:00 – 10:30 Pathophysiology of lymphedema: current evidences Coordinator: M. H. Cheng Summarizer: K. Van Landyut

Organizing committee Chairmen:

David Chang (USA)

FACULTY:

• X. Alomar (Spain) • M. Amore (Argentina) • R. Baumeister (Germany) • C. Becker (France) • F. Boccardo (Italy) • H. Brorson (Sweden) • C. Campisi (Italy)

Ming-Huei Cheng (Taiwan) • M.H. Cheng (Taiwan) • J.A. Clavero (Spain) • J. Dayan (USA) • G. Felmerer (Germany) • I. Koshima (Japan) • G. Manokaran (India) • S. Moshref (KSA)

Jaume Masià (Spain) • A. Saarikko (Finland) • P. Neligan (USA) • T. Yamamoto (Japan) • H. Suami (USA) • S. Suominen (Finland) • T. Yamamoto (Japan)

• Lymphatic surgical anatomy. M Amore • Lessons to learn from the lymphatic basic research. A. Saarikko • Lipedema and Lymphoedema: similarities and differences. H. Brorson • Breast cancer related lymphedema: pathophysiology. S. Suominen • Filaria related lymphedema: pathophysiology. G. Manokaran 10:30 – 11:00 Coffee break 11:00 – 13:00 Pre-operative planning in lymphedema surgery Coordinator: C. Becker Summarizer: G. Felmerer • Funtional assessment using lymphoscintigraphy. J. Dayan • MR lymphamgiography: what is the value in diagnosis of lymphedema. J.A. Clavero / X. Alomar • The role of indocyanine green lymphography. T. Yamamoto • How to interpret ICG lymphography? H. Suami • Value and limits of preoperative planning in lymphatic surgery. P. Neligan • Measurements and follow-up: searching the objective method to assess our outcomes. H Brorson • Secondary versus primary lymphedema: assessment and making surgical indications. D. Chang

13:00 – 14:30 Lunch Break 14:30 -16:30 Surgical treatment of lymphedema update: Coordinator: D. Chang Summarizer: P. Neligan How I do now and when in 10’: • LVA. I. Koshima • Minimal invasive lymphatic supermicrosurgery (MILS) for early-stage lymphedema. T. Yamamoto • Free lymph node transfer I. C. Becker • Vascularized lymph nodes flaps for lymphedema- Taiwan style. M.H. Cheng • Autologous lymph vessel transplantation. R. Baumeister • Lymph collector transplantation. G. Felmerer • Liposuction for lymphedema. H. Brorson • Fibro-Lipo-Lympho-Aspiration (FLLA): a lymph vessel sparing procedure for advanced stages of lymphedema. C. Campisi • LYMPHA technique in the prevention of secondary lymphedema. F. Boccardo • Multimodalities in treatment of upper and lower extremities lymphedema: 25 years experience. S. Moshref • Filarial lymphedema treatment, a newer technique. G. Manokaran 16:30 – 17:00 Coffee break 17:00 – 18:00 Research in lymphedema treatment Coordinator: R. Baumeister Summarizer: H. Brorson • Lymphosome Concept: Anatomical Studies for Translational Lymphatic Research. H. Suami • Lymphatic vascular regrowth after lymph node transfer. A. Saarikko • Limits on anatomical descriptions in the lymphatic system : the technique to study the morphological lymphatic disorders. M. Amore 18:00 – 18:30 International Framework in Lymphedema Surgical Treatment (IFLST): 4-year working for a surgical consensus

Sharing experience and building knowledge

BARCELONA BREAST MEETING

World-renowned faculty • Christ Andree (Germany) • Claudio angrigiani (Argentina) • Giovanni Botti (Italy) • David Chang (USA)

Organizing committee BBM CHAIRMAN:

BBM 2014 secretary:

Jaume Masià

Susana Lopez

• Julie Park (USA) • Jian Farhadi (UK) • Cristina Garusi (Italy) • Moustapha Hamdi (Belgium) • Stefan O.P. Hofer (Canada) • Roger Khouri (USA) • Nicolas Leymarie (France) • Ernst Magnus Noah (Germany) • Steven McCulLey (UK) • Maurizio Nava (Italy)

Local Organizing Committee:

• Nikolaos Papadopulos (Germany) • Stephano Pompei (Italy)

• Carmen Vega

• Mª Luisa Nardulli

• Alberto Rancati (Argentina)

• Gemma Pons

• Paul Zamora

• Koen Van Landuyt (Belgium)

• Manuel Fernández

• Leyre Olivares

• Eric Santamaria (Mexico)

• Debora Bernardez

• David Jasso

• CarolinA estefam (Spain)

• Lidia Sánchez-Porro

• Elena Rodríguez Bauza

• Benjamin Sarfati (France) • Sinikka Suominen (Finland)

15th years working in education

Secondary Optimizing Reconstructive Breast Surgery Update Thursday 6th March 2014: 07:30 – 08:15 Optional Instructional Course ICG – technology: present and future • Preoperative Assessment on Lymphedema T. Yamamoto. Surgery (real patient assessment) • ICG- angiography in immediate breast reconstruction. G. Pons • I CG- defining perforator vascular boundaries P. Neligan 07:30 - 08:15 Optional Instructional Course • Oncoplastic surgery workshop: how to achieve natural symmetry after breast conservative surgery. N. Leymarie / B. Sarfati (Institut de Cancérologie Gustave Roussy) 08:00 – 08:15 Registration for BBM2014 08:30 - 09:00 Opening keynote lecture: Future and controversies in breast reconstruction. M. Hamdi 09:00 – 10:00 Immediate breast reconstruction: Coordinator: D. Chang Summarizer: E. Santamaria • Mastectomy incision options: best planning for optimal outcome. M. Nava • Crying for help: when mastectomy flaps develop necrosis. J. Farhadi • One stage breast reconstruction: when and what to do for avoiding poor outcomes. C. Andree

10:00 – 12:00 Continuing coffee service in exhibit hall 10:00 – 13:00 LIVE SURGERY SESSION: Moderators: S. Suominen / K. Van Landuyt / J. Farhadi / S. Hofer / S. Mc Culley • Lymph-vibroliposuction for advanced lymphedema. H. Brorson • RAFT (Reverse Abdominoplasty with Fat Transfer) for breast reconstruction. R. Khouri

5’ of surgical tricks for avoiding problems in VIDEO session • SIEA 5’ J. Park • SGAP / IGAP 5’ S. Hofer • TMG 5’ S. Suominen • Lumbar Perforator Flap 5’ K. Landuyt • How to use ADM properly J. Farhadi • Restoration of the IMF in breast reconstructive surgery S. Pompei

Debating the choices in breast surgery 14:30 - 16:00 AUTOLOGOUS BREAST RECONSTRUCTION Coordinator: N. Papadopulos Summarizer: A. Rancati • Management of partial flap necrosis in autologous tissue breast reconstruction. S. Hofer • Morbidity of microsurgical breast reconstruction in patients with co-morbid conditions. C. Andree • Autologous tissue breast reconstruction with insufficient tissue: Algorithms for bipedicled abdominal flaps and implant enhancement. S. Hofer • Suffering DIEP flap: tertiary revision surgery or planning a new flap? D. Chang • Autologous fat grafting: sole means of breast reconstruction or useful adjunct to vascular tissue transfer? R. Khouri • Breast Reshaping Options? Quadrant by quadrant approach. A. Rancati • Cancer recurrence after microsurgical breast reconstruction: what can I do? M. Noah • Human Adipose Stromal Cells for Cell Therapy: Preliminary findings in the Lab. N. Papadopulos 16:00 – 16:30 Coffee break

16:30 – 18:00 IMPLANT BREAST RECONSTRUCTION Coordinator: C. Garusi Summarizer: K. Van Landuyt • Patient’s evaluation and techniques’ indication in secondary breast reconstruction. A. Rancati • Limiting complications in implant based breast reconstruction: What do we need to know? S. Hofer • The use of implants and fat in revisionary autologous breast reconstruction J. Farhadi • The role of polyurethane implants in revisional breast reconstruction. S. Pompei • How to maintain long term result after unilateral breast reconstruction with implants M. Nava • Advantages and Disadvantages of Preoperative Breast Expansion prior to Fat Grafting. R. Khouri • Can synthetic meshes have a role in revisional breast recontouring ? S. Pompei 18:00 -19:00 KEYNOTE Lectures: • Maximizing Aesthetics in Reconstructive Breast Surgery M. Nava • Identical twin breast transplantation J.Park

13:00 – 14:30 Lunch break 21:00 Meeting dinner. (Dress code: smart casual)

Revisional aesthetic breast surgery Friday 7th March 2014: 08:00 – 09:15 Optional Instructional Course: Practice Management: • How to build and manage your e-reputation M. González • How to run a successful aesthetic breast practice G. Botti • Identifying Problematic Patients A. Rancati • 3D Imaging: Enhancing the breast consultation J. Garcia • New perspectives in aesthetic breast market C. Estefam • How to enhance your private practice in breast surgery: crisis period new opportunities C. Estefam

09:30 – 11:30 BREAST ENLARGEMENT Coordinator: S. Suominen Summarizer: S. McCulley • Revising the Deteriorating Breast Augmentation Patient. G. Botti • Implant repositioning in cases of bottoming out. M. Noah • Management of Rippling in Aesthetic Surgery. E. Santamaria • Recurrent capsular contracture. Cl. Angrigiani • Double bubble phenomenon. M. Nava • Use of Asymmetrical Implants for the Correction of Breast Asymmetry. S. Mc Culley • Murphy law in breast augmentation. M. Noah

An international interdisciplinary approach 11:30 – 12:00 Coffee break 12:00 – 13:00 BREAST REDUCTION /MASTOPEXY Coordinator: C. Angrigiani Summarizer: J. Farhadi • New trends in mastopexy. Scarless mastopexy, myth or reality. M. Hamdi • Composite aesthetic breast reconstruction in the ptotic breast: how to combine implant, mastopexy and fat? A. Rancati • Complications after reduction mamoplasty: Tricks to treat suffering nipple areola complex and scar revision. C. Garusi • Mastopexy Augmentation – The Real Requirements for Optimal Patient Outcomes. G. Botti • Loss of projection in mastopexy, how to avoid it. S. McCulley • Nipple areola displacement . M. Hamdi 13:00 – 14:30 Lunch break 14:30 - 16:00 SECONDARY AESTHETIC BREAST SURGERY Coordinator: S. Suominen Summarizer: M Noah • Use of Matrices in revisional aesthetic surgery. J. Farhadi • What to do when you hear: “Gee, I wish I had gone bigger.” E. Santamaria • Silent rupture in breast implants- When does it happen? S. McCulley • RAFT technique: improving outcomes in secondary breast surgery. R. Khouri • Quality of life after breast surgery. N. Papadopulos • Polyurethane conical implants: An uplifting augmentation. G. Georgeu • Negative-pressure wound therapy: the new device to improve final breast scars. S.Lopez

16:00

Coffee service

16:00 – 17:00 Learning from the Masters: how I solve my worst case – tricks and tips to take home S. McCulley, G. Botti, R. Khouri, M. Noah, S.Pompei and J. Farhadi 17:00 – 18:30 PROBLEM CASES and FREE PAPERS from the Audience Coordinator: E. Santamaria Summarizer: J. Masia (PLEASE bring your preop and/or postop

cases to AV prior to Friday on a pendrive)

18:30 – 19:00 “Controversies in breast aesthetic surgery”: Day remarks, final synopsis and potential consensus points. 19:00

Adjournment. J. Masia

BARCELONA BREAST MEETING

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REGISTRATION FEE AND DEADLINE • BBM+ European Conference on Lymphedema Surgical treatment (5th-7th March 2014) Physicians Resident

Early Until 15-12-2013 830 € 530 €

Late From 16-12-2013 870 € 570 €

On site Fee 950 € 650 €

• European Conference on Lymphedema Surgical treatment (5th March 2014) Early Until 15-12-2013 320 €

Physicians Resident

210 €

Late From 16-12-2013 360 €

SPONSORS

On site Fee 400 €

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300 €

• BBM (6th-7th March 2014) Early Until 15-12-2013 630 € 400 €

Physicians Resident

Late From 16-12-2013 670 € 450 €

On site Fee 750 € 500 €

GALA DINNER Attending

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80 €

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FORM OF PAYMENT • Bank transfer ACCOUNT HOLDER NAME: Barcelona Breast Meeting · 2100 0852 010200576661 IBAN ES25 2100 0852 0102 0057 6661 · BIC CAIXESBBXXX

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CANCELLATION POLICY

Registration is 50% refundable only if written cancellation is received before January 15th, 2014. No refunds will be given after this date for any reason.

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