Breast Reconstruction: State of the Art 2016
Friday- Saturday, November 18-19, 2016
NYU Langone Medical Center
550 First Avenue
Alumni Hall, Classroom B
New York, NY 10016
*After 12 pm on November 16, 2016, only onsite registration is available, provided the course has not reached capacity. Onsite registrants will incur an additional $20 fee. Registration is non-transferable.
Reduced Fee*: $475
The Kimmel Center is located at 60 Washington Square South, Rosenthal Room, New York, NY 10010. For more information please visit: http://www.nyu.edu/life/resources-and-services/kimmel-center.html
Current developments in breast reconstruction surgery, including data/results and safety recommendations are not being disseminated in a single educational activity. There is no course, currently available, that is purely reconstructive and covers topics from A-Z. This course intends to bring experts with a great deal of experience in all areas of breast reconstruction together. The program will address all of the factors relative to surgical indications and selection of appropriate techniques for reconstruction of the breast. The course will discuss all the latest indications and techniques for implant-based breast reconstruction and will include lectures on all commonly performed flaps used for breast reconstruction with extensive discussion of perforator flaps. Fat grafting to the breast will be presented in comprehensive detail. The indications and treatment for upper extremity lymphedema will be discussed as well. We will feature at least one case of a live perforator flap surgery.
Statement of Need
- Nipple-sparing mastectomy is being performed in many breast centers throughout the country. While still a new technique, it is a procedure that warrants serious consideration when mastectomy is needed to treat cancer or desired for risk reduction. In the cancer setting, strict selection criteria should be followed at all times. It is essential that the practicing plastic surgeon be updated on the indications, techniques, and proper execution of nipple-sparing mastectomy with reconstruction.
- Pre-pectoral implant-based breast reconstruction is a new and evolving technique. Surgeons need an introduction to the indications and operative techniques for this procedure.
- Fat injection as an adjunct in breast reconstruction is a new topic that is still controversial. This technique allows fine-tuning and re-contouring of the reconstructed breast. In a breast that has been radiated, fat injection may promote an increase in blood supply to the area and may aid in reversing the effects of radiation damage. Practicing surgeons need to understand the physiology of fat injection, as well as methods for evaluating its use.
- A new surgical option for breast cancer patients combines removal of the cancerous tumor with breast reduction in one surgical procedure, known as oncoplastic surgery. Benefits include improved cosmetic outcome and reduced risk of complications, particularly for large-breasted women. For these women the alternative is either mastectomy or lumpectomy, both of which may result in a significant breast deformity. This procedure allows for a greater margin of resection.
- An ideal reconstructive technique should be safe with no resultant long-term morbidity. Replacing the breast with tissue of similar texture produces a desired aesthetic result. Autologous breast reconstruction is not new, but harvesting flaps with minimal donor site morbidity is an evolving concept that warrants much attention. Perforator flap techniques, flap innervation and optimal aesthetic goals will be emphasized.
- Lymphedema remains a common problem after treatment for breast cancer. Surgeons need to review the science of lymphedema and discuss the surgical strategies available for treatment.
At the conclusion of this activity, participants should be able to:
- Describe the indications for nipple-sparing mastectomy and establish criteria to select patients who will benefit from this technique
- Describe the indications and determine the best techniques of pre-pectoral implant-based breast reconstruction
- Determine the best algorithms for implant and autologous breast reconstruction in the setting of radiation therapy
- Describe the causes and best treatment options for upper extremity lymphedema after treatment for breast cancer
- Determine the appropriate indications and techniques for fat injection after breast reconstruction
- Perform oncoplastic surgery when appropriate to achieve improved cosmetic outcomes and reduce the risk of complications
- Incorporate the use of perforator flaps in breast reconstruction for a result that is living and durable and aesthetic
The NYU Post-Graduate Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
The NYU Post-Graduate Medical School designates this live activity for a maximum of 16.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In order to request a refund, you must email firstname.lastname@example.org no later than 14 days prior to the first day of the course. An administrative fee of $75 will be deducted from your refund. Cancellations or no-shows after this date are not eligible for a refund.
Course Cancellation Policy
If a course is cancelled due to inclement weather, insufficient enrollment, or any other reason, NYU PGMS will refund registration fees in full. NYU PGMS will provide at least two weeks’ advance notice if cancelling due to insufficient enrollment and as soon as possible in all other circumstances. NYU PGMS is not responsible for any airfare, hotel, or other non-cancellable costs incurred by the registrant.