I recently attended the first Asian Breast Aesthetic Symposium, with the theme “Taking it to the Next Level” held at the Gleneagles Intan Medical Centre in Kuala Lumpur, Malaysia last November 5 to 7, 2009. I had the honor to be one of three Filipino plastic surgeons to participate in this ‘by-invitation only’ event which focused primarily on aesthetic surgery of the breast. The symposium included various lectures as well as live surgery on closed circuit video. Participants from Malaysia, Thailand, Vietnam, Japan, Hongkong, China, India, New Zealand, Korea and the Philippines attended the event.
During the live surgery sessions, Dr. Charles Randquist (Sweden), Dr. Marco Faria Correa (Brazil and Singapore), Dr. Luan Jie (China), and Dr. Yoshinori Nagumo (Japan) demontrated a variety of surgical techniques in breast augmentation. Dr. Charles Randquist performed breast augmentation using the latest form stable cohesive silicone gel implants, using inframammary fold incisions. Dr. Marco Faria Correa used polyurethane breast implants with periareolar incisions. Dr. Luan Jie performed transaxillary dual plane breast augmentation with the use of an endoscope while Dr. Yoshinori Nagumo also used transaxillary incisions, but without the endoscope. Dr. Steven Teitelbaum and Dr. Arthur Swift were moderators as we participants were given the opportunity to interact with the surgeons while they performed these live operations.
Watching other surgeons perform their surgeries showed that there is not just one perfect way to do surgical procedures, and there are advantages and disadvantages for each of the various techniques. There were variations in the way the surgeons approach implant selection, patient markings, location of incisions, plane of dissection, dissection, equipment/instruments, antibiotics irrigation, use of drains, ways to help prevent complications. Each surgeon had his own technique which from experience gives him the least complications.
Aesthetic breast surgery is one of the most popular procedures in aesthetic surgery today and the symposium aimed to give participants a venue to learn the latest advances in this particular procedure. Among the topics covered were the aesthetics of the breast, factors in implant selection, advantages and disadvantages of the various techniques, cultural differences, minimizing scarring, ways to lower complication and reoperation rates, evidence based medicine and best practices for safe and predictable short and long term results with the least complications. The event allowed for discussion which concentrated on the many details of aesthetic breast surgery which otherwise cannot be covered by a less focused event which covers many other procedures.
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