ABSTRACTS EXPERIMENTAL/SPECIAL TOPICS Selected Abstracts from The Voice of Europe Session of the 4th Annual Congress of the EASAPS (Editorial Coordinator: Cristino Sua´rez Lo´pez de Vergara) Marketa Duskova • Salvatore Giordano • Asko Salmi • Delmar Henry • Dirk F. Richter • Csaba Viczian • Huba Bajusz • Mario Pelle Ceravolo • Georges J. Ghanime´ • Marisa Marques • D. Jianu • M. Filipescu • S. Adetu • Teresa Bernabeu • Selahattin O ¨ zmen • Cristino Sua´rez Lo´pez de Vergara Ó Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2012 Metamorphosis Marketa Duskova (Department of Plastic Surgery, Charles University, Srobarova 50, 10034 Prague, Czech Republic, email: duskova@fnkv.cz) The main aim of the aesthetic surgery is to improve quality of life. It is known that less attractive people find it harder to obtain a good personal and professional position in the society. The main point of interest and the most important aspect is the face because human attractiveness is specifically connected with facial appearance. In considering correction of the facial visage with a great change, the surgeon must pay attention, prepare meticulously with analysis of the situation, and choose a suitable approach according to the circum- stances as a whole. Then surgery must be performed with perfect surgical technique, and the postoperative care must be carried out in close cooperation with patient, perhaps also with other specialities or even nonmedical experts. The concrete process is shown in the case of a woman who underwent complete profiloplasty (rhinoplasty, chin reduction), teeth reconstruction, upper and lower blepharoplasty, augmentation of both lips by synthetic implant, and application of injectable fillers into facial wrinkles and rhytides. In addition, the beautician, hairdresser, image consultant, and stylist put the last touches on the outcome. Only such complex treatment may increase the patient’s mental stability, self-confidence, and quality of life. The more perfect the elimination of functional problems and stigmatizing disharmony, the better are the preconditions for patients’ success and their assertion in society. Capsular Contracture After Cosmetic Breast Augmentation: Do Topical Antibiotics Matter? Salvatore Giordano (Department of Plastic Surgery, Turku University Hospital, Turku, Finland), Asko Salmi (Department of Plastic Surgery, KL Hospital, Helsinki, Finland) Introduction: Antibacterial lavage with topical antibiotics may reduce the occurrence of capsular contracture in breast implant surgery. A retrospective analysis was performed to investigate this effect. Materials and Methods: The study participants included 308 women who underwent cosmetic breast augmentation during two different periods: 2004–2008 (n = 168, group A) and 2009–2010 (n = 140, group B). The same surgeon performed the surgery for all the women using the inframammary approach and the dual-plane pocket. All the patients had McGhan/Allergan 410 form stable textured implants. The group A patients received antibiotics as a single perioperative intra- venous dose of cephalothin 1.5 g and cephalexin 750 mg as an oral course twice a day for 1 week after discharge. In the group B, peri- operatively, 750 mg of cefuroxime was administrated intravenously. Implants and pockets were irrigated with 10 ml of 10 % povidone– iodine solution mixed with 750 mg of cefuroxime and 40 mg of gentamicin. After discharge, 500 mg of levofloxacin was adminis- tered as an oral course once a day for 10 days. The postoperative complications included occurrence of infection, seroma, and capsular contracture. We considered capsular contracture significant when it was graded Baker 3 or 4. Results: The average postoperative follow-up period was 11 ± 13 months for group A and 3 ± 8 months for group B. No postoperative infections or seroma were detected. Group B had no capsular con- traction cases. The capsular contraction rate was significantly higher in group A (5.9 vs. 0 %; p = 0.003). Conclusions: The use of topical antibiotics in cosmetic breast surgery is recommended because a significant increase in capsular contracture was observed in patients not treated with topical antibiotics. The Middle Third of the Face: Analysis, Techniques, and Indications Henry Delmar (90 Boulevard Du Cap, 06160 Cap D’Antibes, France, email: info@henry-delmar.com) The Aging Process: The aging process of the face acts in many modes including squeletization, ptosis, and desequilibrium of muscular M. Duskova Á S. Giordano Á A. Salmi Á D. Henry Á D. F. Richter Á C. Viczian Á H. Bajusz Á M. P. Ceravolo Á G. J. Ghanime´ Á M. Marques Á D. Jianu Á M. Filipescu Á S. Adetu Á T. Bernabeu Á S. O ¨ zmen Á C. S. L. de Vergara (&) Cirugı ´a Pla´stica y Este´tica, Av. La Asuncio´n, 30–28° izq., Santa Cruz, Tenerife, Spain e-mail: cristinosuarez@gmail.com 123 Aesth Plast Surg (2012) 36:996–999 DOI 10.1007/s00266-012-9907-0