hand aesthetics: o g surgery, medicine and art r a...

HAND AESTHETICS: Surgery, Medicine and Art

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2nd MEGA HAND International Symposium

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AGENDAInternational multidisciplinary symposium cove-ring all the surgical, medical and artistic fields of the hand and upper limb aesthetics, from nail to

shoulder.

Open to surgeons (plastic, orthopaedic, hand, vas-cular, pediatric), dermatologists and to any physi-cian, paramedical staff, technician, artist or person having a special interest in the hand or upper limb

aesthetics.

SUrgICAl AND MEDICAl HAND AND UPPEr lIMB rEJUVENATIoN(nails, hand, wrist, forearm, elbow, arm, axilla, shoul-der)

AESTHETIC CoNSIDErATIoNS IN HAND SUrgErY

(traumas and sequelae, burns and sequelae, malfor-mations, tumors, vascular anomalies, arthritis, infec-tions, paralysis, skin incisions, mini-invasive surgery, scars, graft and flap donor sites, etc)

PlASTIC SUrgErY TECHNIQUES APPlIED To THE HAND

(skin and dermal grafts, skin substitutes, skin engi-neering, fat grafting, stem cells, fetal cells, growth factors, liposuction, skin expansion, negative pres-sure therapy, autologous flaps, hand and arm allo-

transplantation, etc)

DErMATologY oF THE HAND

(dermatosis, onychopathies, allergies, systemic di-seases, etc)

DErMATologY AND AESTHETIC MEDE-CINE TECHNIQUES APPlIED To THE HAND

(filler injections, mesotherapy, botulinic toxin injec-tion, dermabrasion, peelings, lasers, lights, photo-

therapy, radiofrequency, etc)

PArAMEDICAl TECHNIQUES APPlIED To THE HAND

(prosthesis, physiotherapy, osteopathy, dermopig-

mentation, medical make-up, etc)

BASIC SCIENCES oF THE HUMAN HAND

(anatomy, physiology, embryology, phylogenesis, histology, imaging, etc)

HAND EMBEllISHMENT

(jewelry, accessories, tattoos, piercings, nail art, manicure, hand make-up, hand massage, thanato-

praxy, etc)

HANDS AND PSYCHologY

HAND SYMBolISM, CHIroMANCY

THE HAND IN SoCIETY

(communication, expression, sign language, televi-sion, press, advertising, etc)

THE HAND AT WorK, THE HAND IN SPorTS

THE HAND IN FINE ArTS

(photography, drawing, painting, shadowgraphy, sculpture, music, poetry, cinema, etc)

TOPICSFriday, February 27, 200907.30: Registration, downloading of speakers’ presentations08.25: Opening of the symposium08.30: SESSION I10.30: Coffee break and exhibits11.00: SESSION II13.00: Lunch and exhibits14.00: SESSION III16.00: Coffee break and exhibits16.30: SESSION IV18.30: Closure of the 1st day21.00: Symposium Dinner

Saturday, February 28, 200907.00: Registration, downloading of speakers’ presentations08.00: SESSION V10.30: Coffee break and exhibits11.00: SESSION VI13.00: Lunch and exhibits14.00: SESSION VII16.00: Coffee break and exhibits16.30: SESSION VIII18.30: Closure of the Symposium

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February 27-28, 2009 - Paris - France

AGENDA FRIDAY, FEBRUARY 27, 200907.�0 Registration

08.�0-10.�0 Session I

PhysiologyandphylogenesisPrehensioninthehumanhand KapandjiA (Orthopaedic Surgeon, France) 15’Pollicidigitalprehensioninprimates KulhmannN(Orthopaedic Surgeon, France) 10’Symbolismandpsychology

What’sbehindholdinghands?Howarefingersintertwined DeBonyJ (Biotypologist, France) 6’

Colorsofskininhumans MilliezPY (Plastic Surgeon, France) 8’Upperlimbandpathomimesis CostagliolaM(Plastic Surgeon, France) 7’HandMake-upProfessionalmake-upofthehand BrunelleH(Make-up Woman, France) 7’Handsandthanatopraxy GraugnardH(Thanatopractor, France) 7’ArtsThehandintheworksofart KapandjiA(Orthopaedic Surgeon, France) 15’Howtodrawahand KapandjiA (Orthopaedic Surgeon, France) 15’Shadowgraphywithhands BeauP (Shadowgrapher, France) 15’Thehandincinema GlicensteinJ(Plastic Surgeon, France) 15’

10.�0 Coffee break and exhibits


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11.00-1�.00 Session II

OrthopaedicdisordersIAestheticaspectsoftherheumatoidhandandwrist AllieuY (Orthopaedic Surgeon, France)(Orthopaedic Surgeon, France) 1�’Madelung’sdeformity MessinaJ (Orthopaedic Surgeon, �taly)(Orthopaedic Surgeon, �taly) 9’

TheLarsThorensprocedurefor1stmetacarpalbonebasefractures

CostagliolaM(Plastic Surgeon, France) 5’

Aestheticamputationoftheringfinger LeVietD(Hand Surgeon, France) 5’Aestheticamputationofthemiddlefinger Beustes-StefanelliM (Plastic Surgeon, Switzerland) 5’HyperhidrosisTreatmentofaxilarhyperhidrosisandosmidrosisbycurettage FournierPF (Plastic Surgeon, France) 8’

Treatmentofaxilarhyperhidrosisbybotulinictoxininjection RomanG(Aesthetic Physician, UK) 6’

Treatmentofpalmarhyperhidrosisbybotulinictoxininjection RomanG(Aesthetic Physician, UK) 6’

BurnsandskinsubstitutesEarlymanagementoftheburnedhand GaucherS(Plastic Surgeon, France) 8’

Aestheticaspectsinthetreatmentofsevereburnsequelaeofthehand

GarciaJ (Plastic Surgeon, Spain) 8’

Integra™for hand burnsforhandburns CasoliV (Plastic Surgeon, France) 8’Matriderm™ for hand dorsum defects™for hand dorsum defectsforhanddorsumdefects BronT,EspinozaD(Plastic Surgeon, Switzerland) 8’

Dermaltemplateforearlygraftingandreconstructionofdeephandburns

DantzerE(Plastic Surgeon, France) 8’

Single layer dermal template and immediate grafting for upperinglelayerdermaltemplateandimmediategraftingforupperlimbdefects

DionyssiouD(Plastic Surgeon, Greece) 8’

Integra™ for traumas and tumors of the hand™ for traumas and tumors of the handfortraumasandtumorsofthehand CasoliV(Plastic Surgeon, France) 8’Thenewdermalsubstitutes:presentandfuture ZakineG(Plastic Surgeon, France) 8’

1�.00 Lunch on site and exhibits

FRIDAY, FEBRUARY 27, 2009 (SUITE)

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1�.00-16.00 Session III

Embryology,anatomyandphysiologyOrganogenesisandfunctionofhandrays MilliezPY(Plastic Surgeon, France) 10’Newideasconcerningslidingtendonssystem GuimberteauJC(Plastic Surgeon, France) 15’Imaging�DimagingofthewristwithCT BlumA(Radiologist, France) 1�’PerspectivesinMRImagingofthewristandhand DrapéJL(Radiologist, France) 1�’

Sonography of the moving hand: from normal anatomy topathology

VuilleminV(Radiologist, France) 1�’

OrthopaedicdisordersIIDIPJarthritis SaffarP(Hand Surgeon, France) 8’DIPJarthrodesisbystabilizationwithsuperlasticintramedullaryimplants

ZajoncH(Plastic Surgeon, Germany) 6’

Malunionsofmetacarpalbonesandphalanx SaffarP(Hand Surgeon, France) 8’Clawnail SaffarP (Hand Surgeon, France) 8’MiscellaneousAesthetic prosthesis after traumatic finger amputationsestheticprosthesisaftertraumaticfingeramputations CrouzetC(Orthopaedic Surgeon, France) 6’

SurgicaltreatmentofkeratosispalmarisinMaldeMeleda MarchacA (Plastic Surgeon, France) �’ArmrejuvenationIBrachioplasty MiglioriF (Plastic Surgeon, �taly) 10’Theposteromedialbrachioplasty SelingerR (Plastic Surgeon, France) 10’

16.00 Coffee break and exhibits


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16.�0-18.�0 Session IVPediatrichandIHandtraumasinchildren EnriquezdeSalamancaJ (Plastic Surgeon, Spain) 10’Handburnsinchildren EnriquezdeSalamancaJ(Plastic Surgeon, Spain) 8’Aestheticsurgeryincongenitalhand MedinaJ,LoreaP (Orthopaedic Surgeon, Spain) 15’Upperlimbvascularanomalies EnriquezdeSalamancaJ(Plastic Surgeon, Spain) 1�’Hypertrophiesandhypothophiesoftheupperlimb EnriquezdeSalamancaJ(Plastic Surgeon, Spain) 8’HandreconstructionICoverageofthedorsalaspectofthehand PivatoG (Plastic Surgeon, �taly)(Plastic Surgeon, �taly) 10’

Freeserratusmuscleflapasreliableoptioninburnedhands

MartinezJR,LovicA (Plastic Surgeon, Spain) 6’

Pedicledperforatorflapsforupperlimbreconstruction GeorgescuA(Plastic Surgeon, Romania) 10’Challenges in aesthetic outcome of complex hand trauma: acasereport

CrainiceanuZ(Plastic Surgeon, Romania) 5’

HandinGlove:VACdressingwithactivemobilisation CheahA(Plastic Surgeon, Singapore) 7’Pollicizacionoflongfingers LoreaP(Plastic Surgeon, France) 15’Bilobedflapsforfingerdefects GeorgescuA (Plastic Surgeon, Romania) 7’

Reconstruction of fingertip amputations with eponychial andlocalflaps

DionyssiouD (Plastic Surgeon, Greece) 7’

�1.00 Symposium Dinner


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07.00 Registration

08.00-10.�0 Session VParamedical

Placeofphysiotherapyintheaestheticsofthetraumatichand LaffargueC (Physiotherapist, France) 8’

Handsandosteopathy BeustesL (Osteopath, France) 8’Medicalmake-upofthehand CrozesP(Make-up woman, Switzerland) 5’PediatrichandIICartoonhands GieleH (Plastic Surgeon, UK) 6’Handaestheticsincongenitalhandanomalies GieleH (Plastic Surgeon, UK) 1�’Aestheticconsiderationsincongenitalupperextremitysurgery LovicA(Plastic Surgeon, Spain) 15’

Aestheticresultsaftersurgicaltreatmentofthumbduplication SalazardB(Plastic Surgeon, France) 7’

Correctionofsyndactylywithoutskingraftforbetteraestheticresults SalazardB(Plastic Surgeon, France) 7’

Skinexpansionintheupperlimb SalazardB (Plastic Surgeon, France) 7’

MiscellaneousFatgraftingforamyotrophicneurologicalhand:acasereport FaccaS(Orthopaedic Surgeon, France) �’Handanatomyduringthe15thcentury LeNenD (Orthopaedic Surgeon, France) 5’Abadhandoraprosthesis:whatisbetter? LeNenD (Orthopaedic Surgeon, France) 5’ProsthesesTheartofanaestheticprosthesis PilletJ(Prosthesist Physician, France) 5’Totalandpartialhandaestheticprostheses PilletJ(Prosthesist Physician, France) 5’Distaldigitalprostheses PilletJ(Prosthesist Physician, France) 5

TheMonestier-Lecoeurhandprosthesis MonestierJ (Sculptor, France) 10’ToetransfersToetransferstothehand DelPiñalF (Hand Surgeon, Spain) �5’Aestheticrefinementsintotalorpartialtoetransfers MaladryD(Plastic Surgeon, France) 7’

Aestheticprosthesesandtoetransfers PilletJ(Prosthesist Physician, France) 5’

10.�0 Coffee break and exhibits

SATURDAY, FEBRUARY 28, 2009


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11.00-1�.00 Session VI

FlapsandgraftsdonorsitesDonorsiteaftertoetransfers DelPiñalF (Hand Surgeon, Spain) 6’Dorsalmetacarpalflaps:aestheticaspects KochH(Plastic Surgeon, Austria) 6’Cross-fingerflaps:aestheticaspectsofthedonor-site KochH(Plastic Surgeon, Austria) 6’PHASTandDHASTflapsfordigitaldefects Beustes-StefanelliM (Plastic Surgeon, Switzerland) 6’Thelateralsideofthe1stphalanxasdonorsiteofskingraft Beustes-StefanelliM (Plastic Surgeon, Switzerland) �’

PlasmaRichinPlatelets(PRP)forsplitthicknessskingraftdonorsites

EspinozaD (Plastic Surgeon, Switzerland) 6’

IntegraTMforflaps’donorsites CasoliV(Plastic Surgeon, France) 6’

HandreconstructionIIAestheticconsiderationsinhandreconstruction CavadasP (Plastic Surgeon, Spain) 15’

Freeflapstothehand DelPiñalF (Hand Surgeon, Spain) �0’

Refinements of free flap coverage for dorsal hand and distalforearminjuries

KehrerA (Plastic Surgeon, Germany)(Plastic Surgeon, Germany) 8’

Thefasciatemporalisfreeflapforcoverageofupperlimb SalazardB(Plastic Surgeon, France) 7’

Crosshandtransfer CavadasP(Plastic Surgeon, Spain) 10’Handandarmallotransplantation:patientsselection BenjoarMD,LantieriL(Plastic Surgeon, France) 6’Handandarmallotransplantation:about�cases CavadasP(Plastic Surgeon, Spain) 15’

1�.00 Lunch on site and exhibits

SATURDAY, FEBRUARY 28, 2009 (SUITE)

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1�.00-16.00 Session VII

Handrejuvenation

Theidealaestheticappearanceofthehand:basicbutcrucial JakubietzR(Plastic Surgeon, Germany) 5’

Theagingprocessofthehand:studyinthecaucasianpopulation

JakubietzR(Plastic Surgeon, Germany 5’

Perceptionoftheaginghandinthemediaandthepublic:isthereamarket?

JakubietzR(Plastic Surgeon, Germany) 5‘

Handrejuvenationbyfatgraftingwithoutcentrifugation FournierP (Plastic Surgeon, France) 9’

Handrejuvenationbycentrifugatedfatgrafting HelmiA (Plastic Surgeon, Saudi Arabia) 9’

HandrejuvenationbycentrifugatedfatgraftingandIPL NiforosF(Plastic Surgeon, France) 9’Handrejuvenationbydermalgrafting JakubietzR (Plastic Surgeon, Germany) �’

Handrejuvenationwithcalciumhydroxyapatite BussoM(Dermatologist, USA) 9’

Handrejuvenationwithcalciumhydroxyapatite PiovanoL(Plastic surgeon, �taly) 9’

Handrejuvenationbyhyaluronicacid RomanG (Aesthetic Physician, UK) 6’

Handrejuvenationbyhyaluronicacid,radiofrequencyandlaser

BeilinG (Aesthetic Physician, France) 10’

Mesorejuvenationofthehands GeorgeF(Aesthetic Physician, France) 9’Phlebectomyofunwantedhandveins:hitsandtraps Lefebvre-VilardeboM (Vascular surgeon, France) 8’Mildsclerotherapyofthehandveins ValsamisM(Vascular surgeon, Greece) 8’ArmrejuvenationIIArmrejuvenationbyradiofrequency BeilinG (Aesthetic Physician, France) �’Internalbrachialupper-limblift:theanti“Bingo-wings”procedure

MaladryD (Plastic Surgeon, France)(Plastic Surgeon, France) 6’

Juridicalriskofplasticsurgeryforhandsurgeons MaladryD (Plastic Surgeon, France) 5’

16.00 Coffee break and exhibits



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16.�0-18.�0 Session VIII

NailReconstructivenailsurgery DelPiñalF(Hand Surgeon, Spain) 15’Cosmeticnailsurgery BaranR(Dermatologist, France) ��’Nailtumours HanekeE (Dermatologist, Germany) 15’Naildystrophies HanekeE (Dermatologist, Germany) 15’Nailbeauty:artandhasard BaranR (Dermatologist, France) ��’Minimalinvasivesurgery

Aestheticinterestofwristarthroscopy LevadouxM (Orthopaedic Surgeon, France) 10’

Wristganglioncyststreatedbyarthroscopy LevadouxM (Orthopaedic Surgeon, France) 6’

Rhizarthrosistreatedbyarthroscopy DesmoineauxP(Orthopaedic Surgeon, France) 5’

Extra-articularendoscopyoftheupperlimb DesmoineauxP(Orthopaedic Surgeon, France) 10’


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REGISTRATIONPlease return the registration form attached, together with your payment, to :

Doctor Matthieu Beustes-StefanelliCHUV, University Hospital of Canton de VaudPlastic and Hand Surgery Unit 1011 Lausanne, Switzerland

Or by fax: +41 21 31 425 31

Or by email : [email protected] (payment at the door possible)

REGISTRATION FEESMedical doctors 100 Euros

Medical residents* ** 50 Euros

Paramedical Staff 50 Euros

Speakers with Free Paper 50 Euros

Faculty Members Invited

Others 40 Euros

*A certificate from the Head of Department confirming residency status is necessary** Residents registered on the Postgraduate Diploma in Hand Surgery of Paris are invited

Payment by check in euros (payable to MEGA Hand) or payment in cash at the doorIf you are attending the symposium dinner, please add 50 Eu.

SYMPOSIUM VENUEFaculté de Médecine Saint-AntoineGrand Amphithéâtre27, rue Chaligny75012 Paris XIIème - France

AccessBy Metro : Line 8Faidherbe-Chaligny station - exit « Rue Chaligny »By Taxi: Taxis Bleus (+33 891 70 10 10) or Taxis G7 (+33 141 276 699)

OFFICIAL LANGUAGESFor speakers: English or French, but prefe-rably English (international audience)For slides: English only

No simultaneous translation

HOTEL SUGGESTIONSFor special rates, specify “M.E.G.A. Hand Sym-posium”COLOR DESIGN HOTEL*** 35 rue de Citeaux 75012 Paris (1’ walking) - +33 1 43 07 77 28 www.colordesign-hotel-paris.com

HOTEL TRIANON GARE DE LYON *** 52 boulevard Diderot 75012 Paris (3’ walking) +33 1 43 43 90 72 www.astotel.com/hotel-trianon-gare-de-lyon-paris.php

MAMA SHELTER HOTEL *** 109 rue de Bagnolet 75020 Paris (5’ by taxi) - +33 1 43 48 48 48 www.mamashelter.com

SYMPOSIUM DINNERA dinner and party for speakers and delegates will be organized on Friday February 27 at 9 pm at the

EXPrESS BAr 31, rue St Maur - 75011 Paris

50 Eu / person. Number of participants limited to 50, so please register quickly.

CME CREDITSMEGA HAND offers to its participants Continuing Medical Education credits (CME).MEGA HAND is accredited in France by the French Society of Reconstructive and Aesthetic Plastic Surgery (SOFCPRE), under the reference NPQSHDSAGQ.For more information, log on www.plasticiens.org

GENERAL INFORMATION

On-line lectures includedEach delegate will be granted a free access code

to the MEGA HAND website allowing visualization of all the symposium lectures (abstract, slides

and sound) in a protected version.

A.Cheah(Plastic Surgeon, Singapore) G. Pivato (Plastic Surgeon, Italy)PY. Milliez (Plastic Surgeon, France)F. Niforos (Plastic Surgeon, France)E. Dantzer (Plastic Surgeon, France)A. Marchac (Plastic Surgeon, France)MD. Benjoar (Plastic Surgeon, France)A. Blum (Radiologist, France)JL. Drapé (Radiologist, France)V. Vuillemin (Radiologist, France)E. Haneke (Dermatologist, Germany)D. Dionyssiou (Plastic Surgeon, Greece)D. Le Viet (Hand Surgeon, France)C. Laffargue (Physiotherapist, France)L. Beustes (Osteopath, France)P. Crozes (Make-up Woman, France)H. Brunelle (Make-up Woman, France)H. Graugnard (Thanatopractor, France)G. Beilin (Aesthetic Physician, France)F. George (Aesthetic Physician, France)G. Roman (Aesthetic Physician, UK)J. De Bony (Biotypologist, France)J. Pillet (Prosthesist Physician, France)J. Monestier (Sculptor, France)G. Zakine (Plastic Surgeon, France)D. Espinoza (Plastic Surgeon, Switzerland)Ph. Beau (Shadowgrapher, France)H. Koch (Plastic Surgeon, Austria)A. Kehrer (Plastic Surgeon, Germany)A. Helmi (Plastic Surgeon, Saudi Arabia)

J. Enríquez de Salamanca (Plastic Surgeon, Spain)J. Medina (Orthopaedic Surgeon, Spain)J. Garcia (Plastic Surgeon, Spain)P. Lorea (Plastic Surgeon, France)H. Giele (Plastic Surgeon, UK)R. Jakubietz (Plastic surgeon, Germany)M. Valsamis (Vascular Surgeon, Greece)M. Lefebvre-Vilardebo (Vascular Surgeon, France)D. Le Nen (Orthopaedic Surgeon, France)P. Desmoineaux (Orthopaedic Surgeon, France)M. Levadoux (Orthopaedic Surgeon, France)C. Crouzet (Orthopaedic Surgeon, France)B. Salazard (Plastic Surgeon, France)D. Maladry (Plastic Surgeon, France)R. Selinger (Plastic Surgeon, France)F. Migliori (Plastic Surgeon, Italy)Z. Crainiceanu (Plastic Surgeon, Romania)A. Georgescu (Plastic Surgeon, Romania)A. Kapandji (Orthopaedic Surgeon, France)N. Kulhmann (Orthopaedic Surgeon, FrancePF. Fournier (Plastic Surgeon, France)J. Glicenstein (Plastic Surgeon, France)Ph. Saffar (Orthopaedic Surgeon, France)Y. Allieu (Orthopaedic Surgeon, France)JC. Guimberteau (Plastic Surgeon, France)S. Gaucher (Plastic Surgeon, France)J. Messi (Orthopaedic Surgeon, Italy)A. Lovic (Plastic Surgeon, Spain)

FACULTY

PARTNER SOCIETIES SPONSORS

HONORARY PRESIDENTSMichel COSTAGLIOLA (Plastic Surgeon, France)Francisco DEL PIÑAL (Hand Surgeon, Spain)

GUESTS OF HONORLuca PIOVANO (Plastic Surgeon, Italy)Mariano BUSSO (Dermatologist, USA)Robert BARAN (Dermatologist, France)Pedro CAVADAS (Plastic Surgeon, Spain)

ORGANIZING COMMITTEEChristian DUMONTIER (Orthopaedic Surgeon, France)Vincent CASOLI (Plastic Surgeon, France)Matthieu BEUSTES-STEFANELLI (Plastic Surgeon, Switzerland)

Information : [email protected]

website : www.megahand.eu

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