London Breast Meeting 2019

On Demand

Welcome and introduction

Jian Farhadi, Jaume Masia

Session 1

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

Session 2

Best practice in chemo and radiation therapy related to reconstruction
Chairs: Jana de Boniface & Jean-Franϛois Honart
  • What is the safe timeline between mastectomy and chemotherapy?
    Hartmut Kristeleit & Mihye Choi
  • Variations in adjuvant radiotherapy
    Maurice Nahabedian & Günther Gruber
  • Live poll

Session 3

Roundtable Discussion 1: Adjuvant radiotherapy – options for reconstruction and timing following surgery
Chairs: Michael Scheflan & Maurice Nahabedian
Günther Gruber, Luis Fernando Perin
Benjamin Sarfati, Joan Lipa

Session 4

SOS Session - your challenging cases discussed
Chairs: Mark Ho-Asjoe & Gemma Pons

Session 5

Keynote Lecture - back to basics
Chair: Jian Farhadi
Mark Ashton

Session 6

Sponsored Symposium: ICG use in lymphatic surgery: prevention, treatment and surveillance, kindly supported by Stryker UK
Francesco Boccardo (invited by Stryker UK)

Session 7

Roundtable Discussion 2: Should we offer reconstruction in metastatic breast cancer?
Chairs: Zoe Winters & Eric Santamaria
Hartmut Kristeleit, Venkat Ramakrishnan
Federica Chiesa, Günther Gruber

Session 8

LBM Free Paper Session: Surgical pearls in aesthetic and reconstructive surgery
Chairs: Benjamin Sarfati & Nigel Mercer
  • Review of my LBM travel prize: a visit with Mr Venkat Ramakrishnan
    Suhail Kanchwala
  • Augmented reality in breast reconstructive surgery: projecting the pre-operative DIEP flap planning onto patients in a randomised controlled trial
    Stefan Hummelink
  • Extended supramedial flap: an excellent option for oncoplastic repair of large breast defects in outer quadrants
    Abdolali Assarian
  • Micro-autologous fat transplantation (MAFT) for primary augmentation
    Yu-Hao Huang
  • How to effectively eliminate seroma in two-stage pre-pectoral breast reconstruction?
    Marta Duarte
  • A simple treatment for capsular contracture in augmented women undergoing breast conservation can help avoid mastectomy and enhance overall cosmesis
    David Lesniak
  • A possibility of PAP flap neurotisation for a sensate small breast reconstruction
    Tamoyuki Yano
  • Autologous breast reconstruction in low BMI patients: strategies for maximising skin envelope and breast volume
    Anita Mohan

Session 9

Best practice in lymphoedema/lipoedema
Chairs: Filip Stillaert & Claudio Angrigiani
  • What is the algorithm in lymphatic surgery and rehabilitation?
    Sinikka Suominen
  • Current best practice in lipoedema
    Gemma Pons
  • Discussion

Session 10

IBSA Session: Best practice in breast surgery: defining the roles
Chairs: Jaume Masia & Jian Farhadi
  • Who can or should be doing risk reducing mastectomies?
    Douglas MacMillan
  • Should there be a minimum number of microsurgical cases per year for a surgeon?
    Phillip Blondeel
  • Should there be regulation regarding training qualifications for placing prosthetic devices in the breast?
    Maurice Nahabedian
  • Do plastic surgeons need to be certified in preoperative imaging?
    Steven Allen
  • Discussion and live poll

Session 11

Sponsored Symposium: Pre-pec positioning with meshed ECM in breast reconstruction, Ideal Medical Solutions
Marcello Pozzi (invited by Ideal Medical Solutions)

Breast Reconstruction

Session 1A (Wolfson Theatre)

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

Session 2A (Wolfson Theatre)

The weird and wonderful in autologous reconstruction
Chairs: Claudio Angrigiani & Mark Ashton
  • Autologous breast reconstruction and complex chest wall reconstruction in the Asian population
    Dajiang Song
  • Breast augmentation with free flaps
    Filip Stillaert
  • Multiple free flaps and their vascular configurations
    Phillip Blondeel
  • Mini DIEP for breast symmetrisation in unilateral reconstruction
    Eric Santamaria
  • Live poll

Session 1B (Seligman Theatre)

Best practice in breast surgical oncology
Chairs: Douglas MacMillan & Federica Chiesa
  • Sentinel node biopsy without isotope
    Adnane Afifi
  • Incomplete margins: re-excision or mastectomy
    Jana de Boniface
  • Multiple ipsilateral cancers: therapeutic mammoplasty vs mastectomy
    Zoe Winters
  • Nipple sparing mastectomy in the previous irradiated breast
    Andrew Baildam
  • Nipple sparing mastectomy in the difficult breast shape
    Michael Scheflan
  • Neoadjuvant chemotherapy in BCS
    Michael Gnant

Session 2B (Seligman Theatre)

Best practice in oncoplastic surgery
Chairs: Andrew Baildam & Michael Gnant
  • Volume displacement
    Federica Chiesa & Jean-Franϛois Honart
  • Volume displacement
    Douglas MacMillan & Moustapha Hamdi
  • Management of retroareolar tumours
    Jana de Boniface
  • Timing and contraindications for lipofilling after BCS
    Mihye Choi

Session 3

Sponsored Symposium: Study results of usage of a single use Negative Pressure Device reducing breast implant loss and complication rates. Clinical experience and market adoption, kindly supported by Smith and Nephew
Chair: Jaume Masia
John Murphy (invited by Smith & Nephew)

Session 4

Keynote Lecture: Best practice in autologous reconstruction over the decades
Chair: Jaume Masia
Venkat Ramakrishnan

Session 5

Summary of St Gallen/Vienna 2019 Consensus
Chair: Andrew Baildam
Michael Gnant

Session 6

Keynote Lecture: How to define the bra cup size – in conversation with Sarah Shotton
Chairs: Sarah Shotton, Creative Director, Agent Provocateur

Session 7

Lunchtime Symposium: Use of closed incision pressure therapy in oncological breast surgery, kindly supported by KCI
Pietro Ferrando (invited by KCI)

Session 8

Keynote Lecture: Best practice in implant reconstruction over the decades
Chair: Jaume Masia
Peter Cordeiro

Session 9

Best practice in pre-pectoral implant reconstruction
Chairs: Mark Ho Asjoe & Jana de Boniface
  • Pre-pectoral vs sub-pectoral
    Maurice Nahabedian
  • Implant options: fixed volume vs tissue expander
    Benjamin Sarfati
  • The matrix stepladder: None vs wrap around vs tent technique
    Gemma Pons
  • How to prevent rippling and implant visibility
    Douglas MacMillan
  • Mesh options: biological vs synthetic
    Michael Scheflan
  • Discussion and live poll

Session 10

Implant technology and related issues
Chairs: Peter Cordeiro & Brad Calobrace
  • The impact of implant surface on capsular contracture
    Ardeshir Bayat
  • What is the life span of an implant?
    Roger Wixtrom
  • Special topic: Breast implant illness
    Steven Teitelbaum
  • Discussion and live poll

Session 11

Managing complications and the unexpected in implant-based reconstruction
Chairs: Michael Scheflan & Benjamin Sarfati
  • Correction of animation deformity associated with subpectoral reconstruction
    Cristina Garusi
  • Management of infected implants
    Mark Ho Asjoe
  • Local flaps as substitutes for implants
    Claudio Angrigiani
  • Management of breast cancer in breast augmentation patients
    Andrew Baildam
  • Timepoint of conversion to autologous reconstruction
    Eric Santamaria
  • Live poll

Aesthetic Breast Surgery

Session 1

Best practice in breast augmentation
Chairs: Moustapha Hamdi & Paul Harris

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

Session 2

Best practice in managing complications from breast augmentation
Chairs: Michael Scheflan & Mark Ho-Asjoe

  • The triad deformity from the periareolar incision for augmentation
    Steven Teitelbaum
  • Management of the problematic inframammary fold
    Charles Volpei
  • Mini forum for other complications of breast augmentation
    Whole panel

Session 3

Sponsored Symposium: New generation smooth implants: A study of the inflammatory response of different surfaces, kindly supported by GC Aesthetics
Michail Sorotos (invited by GC Aesthetics)

Session 4

Best practice in mastopexy and reduction
Chairs: Phillip Blondeel & Charles Volpei

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

Session 5

Keynote Lecture: Best practice in lipofilling of the breast over the decades
Chair: Steve Teitelbaum
Roger Khouri

Session 6

Best practice in lipofilling of the breast
Chairs: Roger Khouri & Brad Calobrace

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

Session 7

Sponsored Symposium: The importance of compression bras after mastopexy surgery, kindly supported by macom®
Chair: Jian Farhadi
Marc Pacifico (invited by macom®)

Session 8

The media eye: inside tips every surgeon should know
Chair: Jian Farhadi
Francesca White, Editor, Tatler Beauty & Cosmetic Surgery Guide

Session 9

Update on ALCL
Chairs: Luis Fernando Perin & Nigel Mercer

  • The current knowledge on aetiology
    Roger Wixtrom

Session 10

Joint live session with the Sao Paulo Breast Symposium: The ALCL debate: scientific evidence vs pragmatism
Chairs: Luis Fernando Perin & Nigel Mercer

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

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

Session 1

Chair: Kerri Larnach

  • Patient assessment and selection for breast reconstruction
    Cristina Garusi
  • Updates on autologous breast reconstruction
    Mark Ho Asjoe
  • Updates on implant-based breast reconstruction
    Jean-Franϛois Honart
  • Intra-operative and post-operative pain management
    Kate Cheesman

Session 2

Chair: Billie Coomber

  • Genetic counselling for hereditary breast cancer
    Vishakha Tripathi
  • Post-operative care and the role of outreach nurses in breast reconstruction
    Kerri Larnach
  • Patient-focused resources for breast cancer
    Louise Grimsdell
  • Coping with breast cancer: a patient’s perspective
    Stephanie Haladner & Alice Dvorakova