New Surgery Spotlight Now Available

In the September Surgery Spotlight, Bradley Bengtson, MD performs an Augmentation Mastopexy with the use of SERI® Surgical Scaffold on a patient to support the lower pole of the breast to mitigate against nipple-to-fold increase in distance, increased lower pole stretch and a bottomed out appearance of the breast. In this case, Dr. Bengtson explains a novel approach to placing a scaffold in the lower pole and position in the breast to support the lower breast pole. Dr. Bengtson also performs a breast augmentation bilaterally followed by a circumvertical mastopexy.
The challenge is to ease the load off of the breast skin and soft tissues and to work with a shorter nipple to fold distance  One of the benefits that Dr. Bengtson suggests that the use of SERI® Surgical Scaffold brings to the procedure is that it can increase predictability for the outcome by minimizing postoperative  soft tissue stretching, since it eases the load on the lower pole skin.  Dr. Bengtson also discusses the benefits of doing augmentation and mastopexy as a combined procedure, and is studying the impact of the use of SERI Surgical Scaffold with the theory that its use will reduce the rate of revisions in Augmentation Mastopexy patients due to the minimization of postoperative stretching and resultant malposition, particularly those patients with stretchy, elastic skin, large breast volumes and in the massive weight-loss population.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

Surgery Spotlight Now on Blu-Ray

JUST RELEASED, Surgery Spotlight: Breast Compilation, Vol. 1 on Blu-ray. The 2-disc compilation features six popular videos from the Surgery Spotlight library. They include:

Disc 1:
SPAIR Mammaplasty
Dennis Hammond, MD

Breast Reduction with Medial Pedicle Wise Pattern
Scot Bradley Glasberg, MD

Nipple-Sparing Mastectomy
Arthur Salibian, MD and Jay Harness, MD

Disc 2:
SIEA Flap Breast Reconstruction
David Song, MD

DIEP Flap Breast Reconstruction
Maurice Nahabedian, MD

Fat Grafting Reconstruction with BRAVA
Peter Neligan, MD

Purchase the Blu-ray for $99. The Compilation is also available on DVD for $79.

Surgery Spotlight is a monthly series of surgical videos produced and hosted on PSEN that aim to put you in the operating room with the demonstrating surgeon. A new program featuring a different surgical technique launches every month, and can be streamed freely on PSEN or viewed at a charged within a PSEN CME course.

Surgery Spotlight looks at Inframammary Fold Subpectoral Breast Augmentation

IN THIS VIDEO, Rod Rohrich, MD performs a breast augmentation using silicone gel implants on a woman who wishes to regain the upper pole fullness she had prior to pregnancy. In this video, Dr. Rohrich discusses the benefits of using the inframammary fold, subpectoral approach with a smooth, round silicone gel implant. He demonstrates the markings for the operation and the rationale behind them, and discusses how breast diameter, base dimension and ptosis play into decision-making for proper implant sizing. During the operation, he demonstrates the elevation of the pectoralis major and the importance of not “over-releasing” the muscle in patients without a lot of breast tissue. He shows the aureolar plane dissection, and discusses his preference in placing implant sizers prior to final implant placement. He also discusses the importance of establishing hemostasis to prevent capsular contracture, his procedure in using triple antibiotic solution after hemostasis has been achieved, and his methodology for closure and post-surgical care.

Dr. Rohrich is a Professor and Chairman of the Department of Plastic Surgery at The University of Texas Southwestern Medical Center. He is a past president of ASPS and former director of the American Board of Plastic Surgery. Dr. Rohrich currently serves as the Editor-in-Chief of the journal Plastic and Reconstructive Surgery, as well as an editor for Selected Readings in Plastic Surgery. In the past ten years, he has been recognized many times as a top doctor in America and Dallas. Dr. Rohrich has a clinical practice at Zale Lipshy University Hospital/UT Southwestern Medical Center and the Tom Landry Sports Center/Baylor University Medical Center in Dallas, Texas.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).


New Surgery Spotlight: DIEP Flap Breast Reconstruction

Take a look at August’s Surgery Spotlight featuring Maurice Nahabedian, MD performing a delayed left breast reconstruction using a deep inferior epigastric perforator (DIEP) flap reconstruction on a 43-year-old woman who has had prior radiation therapy. DIEP flaps are frequently chosen for autologous reconstruction because they can be harvested with no muscle and minimal fascial sacrifice. In this video, observe how Dr. Nahabedian marks the surgical site and begins his dissection. Once the internal mammary artery and vein are exposed, and the DIEP flap has been elevated watch Dr. Nahabedian’s microsurgery technique as the new breast is reconstructed. The video is now streaming for free on PSEN, or can be purchased as part of an online course to receive CME credit.

Dr. Nahabedian‘s primary areas of interest are breast reconstruction with perforator flaps that include DIEP, SGAP, and SIEA flaps. He has performed over 1,000 breast reconstructions using flaps, as well as over 600 reconstructions using implants. He has also conducted numerous research projects on breast reconstruction, breast reduction and microsurgery, which have been published and presented in journals and at meetings around the world. Dr. Nahabedian is a Professor of Plastic Surgery at Georgetown University and Associate Professor of Plastic Surgery at John Hopkins University. He is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, American College of Surgeons, American Association of Plastic Surgeons, and the American Society for Reconstructive Microsurgery.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

PSEN at Plastic Surgery 2012

PSEN recorded more than 60 hours of panels and lectures at Plastic Surgery The Meeting in New Orleans at the end of October. We were also on site with a booth in the exhibit hall and video news crew. (You can see our news coverage in the video above).

Some of the clinical panels and lectures recorded are being turned into online CME courses, but most of them will be made available on PSEN for free to members. We’ll be rolling these out on the site in batches over the coming month. The first batch —  covering blepharoplasty and fat grafting in facial and breast procedures are online to watch now!

Plastic Surgery 2012 also marked the debut of the PSEN app for iPad/iPhone®. The app allows users to view videos and presentations, read case reports and complete CME courses in one user-friendly app. The app also features the International Clearinghouse of Meetings with an option to add an event to your device’s calendar. Attendees of Plastic Surgery The Meeting test drove the app at the PSEN booth in the exhibit hall. Each tester was also entered to win an iPad. Learn who won by watching the video below. The app is available for download in the app store. Search PSEN or click here.