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In this column I want to inform you about current and planned activities, about problems which affect our field and inform you about new developments in this area.




7th International Congress of Pan Asian Academy of Facial Plastic Surgery combined with 4th Shiraz Rhinology International Course

From the 11th to the 14th of july I was invited to the international nose congress in Shiraz, the cultural capital of Iran, for the forth time by Dr. Ali Mesbahi. Again over 400 participants took part. This year the congress was combined with the 7th congress for facial plastic surgery of the Asian association. As always the congress was perfectly organized. This congress gave colleagues from the surrounding countries the opportunity to learn about the current techniques in rhinoplasty, without having to visit expensive meetings in Europe or the USA. Dr. Mesbahi knows a lot of leading rhinoplasty colleagues. Because of their friendship to him many of these came to Shiraz to share their experience. Once more this was an excellent and successful congress.

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6th Annual Meeting of the RSE

After founding the RSE in Stuttgart in 2011 with the idea of bringing together colleagues who are interested in the field of rhinoplasty regardless of their background and speciality, we had the plan to organize a Rhinoplasty meeting during a cruise from Moskow to St.Petersburg. It was not easy to organize such a tour, but thanks to the efforts of Konstantin Lipski, a founding member and the current president of the Russian Society of Plastic, Aesthetic and Reconstructive Surgeons, we were able to realize this from June 25th to 30th, also known as the “White Nights”.

This 6th annual meeting of the RSE was just outstanding and unique in each aspect : scientificely, socially and culturally. The faculty with Wolfgang Gubisch, Nazim Cerkes, Enrico Robotti and Konstantin Lipski had prepared an excellent and high leveled scientific program, which also included contributions from the attendants with very interesting aspects. The lecture hall was always full, since there was no chance to escape and the presentations were very appealing.

In addition such a boat trip offers the best setting to come closer in a relaxed athmospere and to understand eachother in a better way. Everyday we stopped once, when passing an important cultural spot of russian history. First we stopped in Uglich, where we not only visited churches and palaces , where the young tsarevich was murdered and the romanov dynasty succeeded to the throne, but we could also listen to a demonstration of the most important a cappella school in Russia. Further on we visited the mighty and impressive monastery of St.Cyril on the white lake. We were fascinated by the open air museum in Kizhi with its wooden architecture going back to the 14th century. On the last day we stopped in Svirstoy, a huge monestary surrounded by a beautiful and picturesque landscape.

Traveling during the White Nights on a boat to St. Peterburg brought unforgettable memories.

All participants were very happy and grateful to Dr. Lipski for this outstanding meeting since this tour included so many highlights. We hope that we will be able to repeat it one day.



















Straight after the 25th anniversary congress in Stuttgart I was invited to the „Masterclass in Rhinoplasty” in London by the British Association of Plastic, Reconstructive and Aesthetic Surgery . Such a congress, focusing on only one single subject, is for sure much more effective than a congress which covers all fields of a discipline and enables the participants to really engage into the subject. For this reason this meeting in London with Nazim Cerkes, the current President, and Enrico Robotti, the President elect of the Rhinoplasty Society of Europe, was so productive for the participants. Present problems in nose surgery were discussed and displayed via video presentations and lectures on the highest level.
 
One week before my course my friend Prof. Peter Hellings invited me to the European Rhinoplasty Course 2017 under the title “Exzellenz in Rhinoplasty” to Brussels. He gathered top-class specialists to discuss current problems in nose surgery. The Panel discussion with video presentations, as well as the live demonstrations of filler treatments and the 3D-models with its possibilities of application in nose surgery gained a lot of interest.



The 25th anniversary Stuttgart Advanced Course for Functional & Aesthetic Rhinoplasty, which I previously mentioned, was undoubtedly this years highlight.


Another congress series, which I startet together with Dr. Dirk Richter and Prof. Feller, is the SOS-Meeting (Secondary Optimizing Aesthetic Surgery). At the first day of this congress, with participants from all over the world, live-surgeries from previsously failed aesthetic procedures are shown by worldwide specialists concering all body regions. At day two the theoretical basics for the concepts of the revision surgeries are discussed and the last years results are shown. As every year Dr. Richter was able to recrute an extraordinary faculty to Cologne. I also operated an elsewhere preoperated Nose. My successor Dr. Haack was moderating, which is as important for understanding the details as the procedure itself. Furthermore we discussed the diffrent concepts for revision surgery in our nose panel.

To advance the Rhinoplasty Society of Europe, which I founded six years ago, and to make it more attractive for its members, my successor as President of the Society Prof. Nazim Cerkes invited to an anatomical Dissection Course in Istanbul. Prof. Robotti from Italy attended as well as Dr. Yves Saban from France. The working conditions in Istanbul where great and the fees were very low, so also young colleagues had the chance to take part at this course.



25 years of rhinoplasty course in Stuttgart

This year 25th Stuttgart Advanced Course for Functional & Aesthetic Rhinoplasty took place from the 25th to the 28th of april in combination with the second Course for Nose Reconstruction. For the last quarter of a century this course has developed to one of the world’s most attractive nose courses. Not only because every year 10 live surgeries are shown in all levels of difficulty with most of the cases being secondary cases, but also because only once surgical concept is shown, the Stuttgart school. All of this is demonstrated with the most modern audiovisual techniques.

A lot of times participants are confused by the many different methods used by the different surgeries during live surgery courses. In Stuttgart the demonstrated techniques and concepts are discussed with invited experts, furthermore the last year’s cases are evaluated together. Additionally new concepts of teaching were introduced: After detailed analysis of form and function the panel participants developed surgical concepts, which then were compared with our concept. This was then shown along the video recordings. This practice related teaching was appreciated by the participants.

As a special highlight for this anniversary course, which was visited by 180 participants from all over the world, was the release of Prof. Gubisch’s new book “Mastering Advanced Rhinoplasty”. At the same time the anniversary course was the ideal moment to pass on the responsibility for this successful course to Prof. Gubisch’s successor Dr. Sebastian Haack.

Dr. Helmut Fischer, longtime Senior Consultant von Prof. Gubisch, with whom he built up the Clinic for Facial Plastic Surgery at the Marienhospital, organized the second Course for Nose Reconstruction following the Advanced Course for Functional & Aesthetic Rhinoplasty. Fred Menick from Tuscon, Arizona, leading surgeon in the field of nasal reconstruction took part as a faculty member. Courses with this topic are very seldom and the discussion held with the experts from Corea and Europe thrilled the many participants.

Stuttgart once more demonstrated its leading role in nasal surgery and many participants are planning on returning next year.


 
Besides my activity in the clinic, where I perform rhinoplasties on three days a week, I am regulary invited to congresses all over the world to report about my experiences, since I have been  dealing with this topic for the last 40 years.

Beside lectures and videopresentations I was asked to operate a patient, who had already been operated five times, in January, 2017 at the "Nose 2017" in Porto. The Patient presented with a too short nose. The difficulty was the very thin skin, so that one could see all irregularities in detail. In this case I reconstructed the nose using autologous rib cartilage. I could extend the length of the nose well, also I was able to smoothen the irregularities using cartilage which was processed to a paste like consistency.

At the beginning of February I excepted an invitation to India with my successor Dr. Haack, where I have been carrying out such advanced trainings for the last 40 years. Our aim for trips like this are not Charity events for single patients, but to educate local colleagues in this demanding surgical area.

One of my students from India, Dr. Virendra Gaishas, organised his international Nose congress in Pune for the forth time and asked Mr. Haack and myself to operate nine very difficult patients. The complexity of these operations is shown by the fact that we had to use rib cartilage grafts in eight cases. This course was organised very well and more than 150 colleagues from India had come to see these live operations. As a special feature of this course a Live-Stream was estabilished, so that colleagues worldwide could see the operations via the Internet. According to the organizer more than 500 participants were logged in worldwide.

Back in Germany the preparations were already running for the next big event, the 25th Stuttgart Advanced Course for Functional & Aesthetic Rhinoplasty. The special feature of this course is that participants see nine live operations of my successor Dr. Haack and myself on two days and that these operations are performed exclusively using techniques developed by us, while in other courses, even though live operations are offered, the operations are mostly performed by different guest surgeons who have different techniques, so that it is often difficult for the participants to decide at the end of a course which techniques work and which are rather problematic. Lectures are becoming fewer every year, since we prefer to analyse cases in Panel discussions together with other experts. For us this seems much more effective than to transmit information by lectures which can be also read up in a book. The nasal course is supported by a preliminary Dissectioncourse in which younger colleagues can make themselves familiar with the anatomy and the special structures of the nose.

 
Furthermore this year my long-standing colleagues Dr. Fischer will be hosting the „2nd Stuttgart Symposium on Nose Reconstruction“. The problems of the nasal reconstruction which reach from a small alar defect up to the complete reconstruction of the whole nose after a tumor operation have many facets and are extremely complicated. Therefore, there are only a few opportunities to deal with this subject and I am very thankful that Dr. Fischer and my successor Dr. Haack offer this course. Tumor excisions on the nose are frequent but the reconstructive results are often dissatisfactory if not performed by specialists. The goal of a operation cannot be that a defect is simply closed, the goal should be that after surgery it is not visible that a defect had been there in the first place.