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METHODS OF PAYMENT Only credit cards (Visa, MasterCard) will be accepted. Once payment has been confirmed, a summary of the registration will be sent to you via email. CANCELLATION All cancellations must be notified in writing (by email) to the Registration Secretariat (2024wsls@gmail.com ). The following rules will apply: • Cancellations received in writing within 31st March, 2024 are entitled to 100% refund • Cancellations received in writing between 31st March and 15th April 2024 are entitled to 50% refund • Cancellations received from 15th April, 2023 - no refunds • All refunds will be made within 3 months after the end of the event. Requests submitted after this period will not be considered. This Cancellation Policy is also applicable to Social Events payments. FOREIGN VISAS For information on what to expect if you are applying for review the Visa Application Guidelines, please visit https://www.boca.gov.tw/cp-149-4486-7785a-2.html . The 2024WSLS can provide documents that will document your participation in the 10th World Symposium for Lymphedema Surgery. Please note that the 2024 WSLS cannot interact with Embassies or State Departments on behalf of any participant. Official Letter of Invitation for Meeting Attendees: To request a personalized letter of invitation for the 10th WSLS, please send an email to 2024wsls@gmail.com and include "2024 WSLS Visa Request" in the subject line.

鄭明輝教授時常受邀至世界各地的教育和醫療機構演講，分享有關淋巴水腫和乳房重建的專業手術技術及研究結果。 Presentations Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! Dec 17, 2024 Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. Dec 10, 2024 Gratitude from Canada — A Patient's Kindness Warms Our Hearts Sep 26, 2024

了解更多有關術後照顧的重點，患者不再需要穿戴壓力袖套、襪，但建議患者在術後接受3~6個月的復健，需要積極治療。 Post-Operative Care Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Post-Operative Rehabilitation The A+ Surgery Clinic provides comprehensive and extensive medical services before and after surgery. It is recommended that lymphedema patients receive post-operative rehabilitation for a period of 3- 6 months. It is most noteworthy that patients no longer need to wear compression garments after Dr. Cheng’s Side-to-End Lymphovenous anastomosis and vascularized submental lymph node flap transfer to distal recipient site for post-operative rehabilitation. It is recommended to massage from the proximal limb to the distal site for 15 minutes 3 times a day one month post-operatively for 3 to 6 months to further improve lymphatic drainage. Post-Operative Follow-Up The lymphedema of both upper and lower extremities can cause pain, discomfort, fibrosis, cosmetic problems, and mobility restraints for patients. It is common that lymphedema patients develop various degrees of depression due to physical discomfort, disfiguration, and emotional distress. With an average of a 2-year follow up after undergoing microsurgical microsurgery including Side-to-End Lymphovenous anastomosis and vascularized lymph node flap transfer to distal recipient site, the affected limb become softer overtime. 90% of lymphedema patients have seen size improvement with a mean circumferential difference of 50%. With the physical improvement, patients are subjectively pleased to resume daily activities and life styles they used to have. After vascularized submental lymph node flap transfer, you are asked to comply with the rehabilitation program, which includes progressive lower limb muscle strength training and reverse manual proximal (groin) to distal (ankle) lymphatic drainage. You are encouraged to gradually massage the flap, scar, and control body weight control starting after discharge. Reverse manual lymph drainage and flap massage are performed for 15 minutes/time, 3 times daily. You are advised to return to normal activity gradually as tolerated, and all other physiotherapy and compression wrapping are discontinued. Vascularized submental lymph node flap is placed on the wrist in accordance with the “pump” mechanism and effects of gravity. You do not need to wear a compression garment or bandaging after surgery but are allowed to wear a wrist brace or wrist support to hide the scar on the wrist after the wound complete healed. Another revision surgery to remove the skin paddle and superficial fat of the transferred flap to improve the cosmetic appearance and simultaneous liposuction of the thigh to decrease the production of lymph is recommended after 1 year of vascularized submental lymph node flap transfer. 1. Reverse manual lymph drainage: Time: Performed for 15 minutes/time, 3 times a day, from groin to flap. Method: Medium strength massage that compresses the skin, subcutaneous, fat and muscle in proximal (groin) to distal (flap) direction. This helps encourage drainage of the lymph drainage through the lymph flap and appropriate channels. 2. Flap massage: For increasing the venous drainage of lymph node flap pumping Time: Performed for 15 minutes/time, each 3 times daily. Method: Medium strength massage to pump lymph node flap and the scar around flap. 3. Body weight control: Time: Check body weight every day. Lighten your weight if your Body Mass Index(BMI) over 25. 4. Infection/cellulitis prevention and control: Most healthcare-associated infections are preventable through good hand hygiene. It’s important to identify and treat cellulitis early because the condition can spread rapidly throughout your body. Red area or “New red spots” of skin that tends to extend from distal to proximal Swelling Tenderness Pain Fever over 38.5℃ After the initial postoperative period, you are seen on a monthly basis by sending images. You may use any communication apps, such as Line, WhatsApp, Skype, e-mail or WhatsApp. Surgical outcomes are evaluated by your subjective improvement, circumferential measurements, the frequency of cellulitis, and via patient reported health-related quality of life outcome metrics. We will arrange ultrasonography, CT, and lymphoscintigraphy for checking the number of the lymph node on the flap, lymph node function and volume of the arm after one year.

Primary Lymphedema 淋巴管靜脈吻合術：​安德森的專業技術， 您的安心選擇及​案例分享 Partial Mastectomy with Breast Reconstruction Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Treatment Instructions With the advancement of nipple-sparing mastectomy, the number of such patients has significantly increased. The original intent of breast-conserving surgery is to preserve healthy breast tissue and the nipple without compromising the principles and safety of cancer treatment, minimizing the emotional impact of losing a breast. This approach is supplemented with chemotherapy and radiation therapy to reduce the likelihood of recurrence. In recent years, as breast reconstruction has become widely accepted, nipple- and skin-sparing mastectomy combined with immediate breast reconstruction has gained popularity among patients. If the condition meets the surgical criteria, breast surgeons, in collaboration with reconstructive surgeons, can offer this option to patients. Anderson, Your safe choice Medical Center Specifications and Equipment The operating room is equipped with Mitaka microscopes, of which there are only four in Taiwan. They have a resolution of up to 16 million pixels and can magnify 42 times optically. They are very suitable for the anastomosis of lymphatic vessels and veins of 0.5 mm and are often used in lymphatic venous anastomosis, such as preoperative evaluation and intraoperative evaluation of the permeability of sutures, making the operation more stable and safe. What Conditions Are Suitable for Nipple-Sparing Mastectomy? In the past, nipple-sparing mastectomy was limited to patients with small tumors located far from the nipple. However, with the aid of intraoperative nipple radiation therapy, patients with tumors located within 2 centimeters of the nipple may now be considered for this procedure. This decision depends on a preoperative evaluation by the breast surgeon using ultrasound to assess suitability. If deemed appropriate, intraoperative nipple radiation therapy can be used to enhance the safety of preserving the nipple. Additionally, a critical safeguard during the surgery is the frozen section biopsy of the nipple tissue. This ensures that the nipple is free of malignant tumor invasion before it is preserved. For patients with tumors closer to the nipple, intraoperative nipple radiation therapy is essential to maximize safety and ensure optimal outcomes. Does Preserving the Nipple Increase the Risk of Recurrence? The preoperative evaluation process is highly rigorous, yet some patients still feel uneasy, primarily due to concerns about tumor recurrence in the nipple area and complications associated with nipple preservation. In fact, nipple-sparing surgery has been performed for many years, and when performed under suitable conditions, the risk of tumor recurrence after surgery is very low. Studies have shown that the recurrence rate is comparable to that of traditional mastectomy. Are There Any Complications with Nipple Preservation? Another common concern is whether the preserved nipple will maintain adequate blood circulation or if it might become necrotic. This largely depends on the surgeon's skill. Experienced surgeons can typically achieve excellent outcomes, but complications may still occur. For example, poor blood circulation in the nipple could lead to partial or complete necrosis, requiring nipple removal. To enhance surgical safety, specialized imaging devices are used during the procedure to monitor and evaluate blood flow. If any issues are detected, a single-stage reconstruction may be adjusted to a two-stage reconstruction to balance the goals of reconstruction and surgical safety. Contact Dr. Cheng For A Consultation If you have Breast Cancer Related Lymphedema and would like to know more about the most advanced treatments, contact Dr. Cheng. Internationally recognized as a leading lymphedema specialist, Dr. Cheng can discuss treatment options, based on your individual case. Dr. Cheng is a member of the American Society of Reconstructive Microsurgery and has performed numerous VLN surgeries on breast cancer survivors and other lymphedema patients. Learn more

Advanced Diagnostic Technology 淋巴管攝影檢查： 循血綠 Indocyanine Green（ICG）淋巴管攝影、ADRONIC ICG 螢光攝影機、Mitaka顯微鏡 Advanced Diagnostic Technology Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Indocyanine Green (ICG) Lymphography Indocyanine green (ICG) is a green colored dye. It binds to albumin (a kind of protein), which is transported within the lymph fluid. ICG has been used to test blood flow after being injected intravenously and has also been used to show lymphatics after low dose injection to the subcutaneous tissue. ICG lymphography uses a specialist infra-red camera to detect low dose injected ICG dye in the subcutaneous tissue with the depth of 10 mm. The lymphatic function can be checked on a screen during the scan. What does ICG lymphography image look like? Normal function of lymphatic system: After ICG is injected, it will quickly be taken by the lymphatics and transported in the lymphatic tubular duct as a linear lymphatic vessel (linear fluorescence). When functioning normally, the fluid and dye will rhythmically push up the lymph proximally. In lymphedema limb: In lymphedema limb, the one-way perfusion may be stuck. The lymphatic fluid remains in lymphatics, and the structure of the lymphatic duct will gradually be dilated, fibrotic then obstructed. As lymphedema progresses, the fluid will leak into subcutaneous tissue, causing dermal backflow (star-like fluorescence). ”ADRONIC” ICG “ADRONIC” Fluorescence Imaging System is a fluorescent image photography device, so that the surgeon can shoot, review, store high-quality fluorescent image device. “ADRONIC” Fluorescence Imaging System is used with fluorescent developer “Indocyanine Green” (Indocyanine Green). Including lymphatic vessels and blood vessels, as well as related applications during a variety of surgical procedures. Infrared transmitter can be controlled by the professional staff to adjust the distance or set up in the top of the camera to facilitate the operation, video recording can be immediately after the completion of the replay to review. Model: Adronic ICG Independent imaging with 3.5 inch screen Able to snapshot and record video Provides doctors with accurate location of vessel and lymph Case Sharing Breast cancer is a very common malignant tumor that women often experience. The number of cases is increasing over the years. In addition, it can seriously threaten women’s physical and mental health. Surgery and operation are still the common treatment that doctors use. However, it can cause detrimental complications to the human body. For example, upper limb lymphedema, bring great pain to the patient and seriously affects the quality of life of the patient. Doctor Cheng Ming-Huei, authority in plastic surgeon and ex-director of A+ Surgery Clinic, metioned that the fluorescence spectrum lymphangiography of ICG Video Scope can be used in breast cancer, breast augmentation and breast reduction. It brings applications to future clinical studies and reduces the recovery time needed after surgery. It also avoids the waste of medical resources due to the lower possibility of relapse. Features of ICG Video Scope Monitors edema of lymph in flaps Monitors the Lymphatic reconstruction and the recanalization Distinguishes different lymph drainage of breast and upper limb to decrease the possibility of Lymphedema after surgery Monitors the different pathological changes of muscle by the patients with Lymphedema The Fluorescence Imagining system is highly sensitive and provides reliability to the examination of Vessel Lymphedema Mitaka Microscope & Zeiss Pentero 900-Microscope The Mitaka Surgical Microscope is high resolution at 160 line-pairs per millimeter and 42x, making it ideal for working in the sub-1mm environment. Spy Elite SPY Elite, a fluorescent imaging system, may be used by surgeons to help determine whether certain tissues in the body have a strong enough blood supply for transplant purposes. Analyzing the blood circulation of tissues throughout the body may help our surgeons identify healthy donor tissue that may be harvested for such purposes, or compare the viability of various donor sites they are considering.

鄭明輝醫師完成了近千例淋巴水腫治療手術，是透過顯微淋巴結皮瓣移植手術及淋巴靜脈吻合術，成功治療最多淋巴水腫患者的醫師。他創新、獨特的手術方法及成果發表在許多國際知名期刊，贏得全球顯微重建外科界的認可和讚譽，吸引了無數的整形外科學者前來學習、交流，同時也有來自美國、加拿大、馬來西亞、大陸、瑞 典、澳洲、杜拜、沙烏地阿拉伯及坦尚尼亞等國家的病人前來接受治療。 Diagnosis of Lymphedema Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 淋巴水腫的診斷 Diagnosis of Lymphedema 腹股溝淋巴結皮瓣移植及受體部位的限制、選擇、適應症。VGLN，腹股溝淋巴結; ISL，國際淋巴水腫學會; Tc-99，鎝-99。 資料來源： Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes. Plast Reconstr Surg. 2013 Jun;131(6):1286-98.

安德森整形外科使用通過衛福部檢驗，來自於人類臍帶幹細胞分泌的外泌體。這些外泌體具有分子小、純度高的特點，免疫排斥反應的風險較低，安全性更高。 革新醫療： 外泌體讓你健康與美麗兼得 Exosomes 外泌體的廣泛應用 再生醫學：外泌體在促進組織修復和再生方面具有巨大的潛力，已廣泛應用於創傷修復、骨再生和心臟修復等領域。 抗衰老：外泌體含有豐富的生物活性分子，能夠促進皮膚細胞更新和修復，改善皮膚質量，減少皺紋，延緩衰老。 免疫調節：外泌體能調節免疫系統，對抗炎症反應，有助於治療自體免疫疾病和慢性炎症性疾病。 安德森整形外科的 外泌體優勢 安德森整形外科使用通過衛福部檢驗，這些外泌體具有分子小、純度高的特點，免疫排斥反應的風險較低，安全性更高。 邀請您體驗外泌體的奇蹟 外泌體，這一細胞間通信的微小信使，正帶領我們進入醫療科技的新時代。安德森整形外科邀請您共同來體驗外泌體帶來的健康與美麗，見證更多奇蹟與希望。

Primary Lymphedema 淋巴管靜脈吻合術：​安德森的專業技術， 您的安心選擇及​案例分享 Delayed Reconstruction Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Treatment Instructions Delayed breast reconstruction refers to a situation where breast cancer patients do not choose to undergo breast reconstruction at the time of mastectomy, or they miss the opportunity for immediate reconstruction due to a lack of information. Some patients may temporarily decline reconstruction surgery due to fear of cancer, concerns about the success rate of the surgery, or other reasons. After completing breast cancer treatment, including chemotherapy and/or radiation therapy, they undergo breast reconstruction at a later time. This second surgery is known as delayed breast reconstruction. Regain beauty and confidence. DIEP Flap (1) DIEP Flap (2) Anderson, Your safe choice Medical Center Specifications and Equipment The operating room is equipped with Mitaka microscopes, of which there are only four in Taiwan. They have a resolution of up to 16 million pixels and can magnify 42 times optically. They are very suitable for the anastomosis of lymphatic vessels and veins of 0.5 mm and are often used in lymphatic venous anastomosis, such as preoperative evaluation and intraoperative evaluation of the permeability of sutures, making the operation more stable and safe. Is delayed reconstruction more difficult? Delayed breast reconstruction is slightly more challenging compared to immediate breast reconstruction. Factors such as insufficient skin, scar tissue from previous surgery, and underarm depressions after lymph node clearance are additional considerations. First, during a total mastectomy, if immediate reconstruction is not planned, the breast surgeon will remove excess skin and close the wound with a straight line. Therefore, in autologous tissue breast reconstruction, not only is fat from areas like the abdomen, back, buttocks, or thighs important, but the skin covering the area is also crucial. If the patient opts for implant reconstruction or desires scar placement similar to immediate reconstruction (limited to a smaller area), an additional step is required: inserting a tissue expander to stretch the skin. The second challenge is the scar tissue adhesions or fibrosis within the entire chest area. During the reconstruction surgery, the surgeon must carefully release these scars to create a well-shaped breast. The third issue is the noticeable depression in the underarm, caused by the removal of most lymph nodes. If this depression can be filled during reconstruction, the result will be much more satisfying, particularly improving clothing options and comfort, especially in summer. Another technical challenge arises with free flap breast reconstruction. The surgeon must find a healthy set of blood vessels in the chest to supply blood to the flap. In delayed reconstruction, the thoracodorsal artery may sometimes be unusable due to damage from the first surgery or because severe scarring makes dissection difficult. However, this issue is not the most difficult for experienced surgeons. Most skilled and up-to-date surgeons now use the internal mammary vessels for anastomosis. Although the internal mammary technique is more complex than using the thoracodorsal artery and less experienced surgeons may be hesitant to use it, it yields better results. The fat in the flap survives well due to the abundant blood supply. While delayed reconstruction presents certain challenges, these can be overcome by experienced surgeons. Delayed breast reconstruction can still achieve a natural and beautiful result, making it a highly recommended procedure. Breast cancer survival rates have significantly improved, and we sincerely believe that patients should not have to endure ongoing inconvenience or lifelong feelings of loss and regret due to the absence of a breast. When can delayed reconstruction be done? According to research from the world’s leading cancer hospitals, it is now widely accepted that breast reconstruction can be performed at the same time as mastectomy without increasing the risk of breast cancer recurrence or interfering with the detection of any potential recurrence. As a result, this is not just a trend but the reason why every breast cancer patient, once diagnosed, is immediately referred to a plastic surgeon to discuss reconstruction options. Therefore, the best time for breast reconstruction is whenever the patient expresses a desire to undergo the procedure. In the past, doctors used to advise patients not to undergo reconstruction within two years of a mastectomy, as most breast cancer recurrences happen within this period. However, in recent years, this restriction has been lifted. In Taiwan, particularly at Chang Gung Memorial Hospital, the recurrence rate is 4-5%, while in the U.S. it is 2-3%. Considering the 4-5% recurrence rate versus the 95% of patients whose quality of life and psychological well-being can be improved, such advice now seems unreasonable and unfair. Helping patients feel truly free from breast cancer as soon as possible is the greatest mission and source of fulfillment for reconstructive surgeons. The current consensus is that if chemotherapy or radiation therapy is required after mastectomy, breast reconstruction can be done once these treatments are completed. It is generally recommended to wait about one month after chemotherapy and 3 to 6 months after radiation therapy before proceeding with breast reconstruction surgery. What methods can be used for delayed breast reconstruction? The first method we need to mention is using implants, which can be saline or silicone gel implants. As previously mentioned, in delayed breast reconstruction, there is typically insufficient skin on the chest. Therefore, if implants are used for reconstruction, a tissue expander will be needed as a transitional phase. As the name suggests, a tissue expander is used to stretch the skin or tissue. It requires an initial surgery to place the expander under the skin. Typically, the skin is expanded to be slightly larger than the other breast. After about three months, once the skin has stabilized, a second surgery is performed to remove the expander and replace it with a permanent implant. The second method involves using local autologous tissue or performing breast reconstruction surgery with a free flap. Contact Dr. Cheng For A Consultation If you have Breast Cancer Related Lymphedema and would like to know more about the most advanced treatments, contact Dr. Cheng. Internationally recognized as a leading lymphedema specialist, Dr. Cheng can discuss treatment options, based on your individual case. Dr. Cheng is a member of the American Society of Reconstructive Microsurgery and has performed numerous VLN surgeries on breast cancer survivors and other lymphedema patients. Learn more

鄭明輝院長投入內視鏡乳房重建領域20多年，至今已幫助超過1000多名失去乳房的女性重建乳房、找回自信。 台灣的乳癌患者切除乳房後，有1/4罹患憂鬱症，感謝勇敢的乳癌姐妹們，給自己一次機會找回人生希望，希望透過她們的分享，鼓勵乳癌姊妹們勇敢重建。 五星好評推薦 感謝每一位來到安德森的朋友 你們的回饋是我們前進的動力，我們會持續將最好的醫療服務帶給各位 素人美麗見證 選擇安德森後，她們都重新蛻變 希望與大家分享這份喜悅 隆乳＋縮乳頭 案例分享 從小就是個小胸人，一直到懷孕哺乳，才體會到什麼叫胸🤣。 產後為了減肥，把剩餘僅存的胸(脂肪)都減掉了(哭哭)。 看著自己的身材慘不忍睹，進而開始尋求中醫豐胸，花了不少錢。 精神睡眠是有好一點，但胸部一點進展都沒有😭。 意外從網路得知一些隆乳的資訊，就開始做些功課。 除了上網查些相關資料，還有Line的社群可以詢問。 從開始諮詢到決定手術時間很快，因為我怕我後悔就不敢做了 既然有想法就趕快速速決定。 預防性切除＋義乳重建案例分享 18歲時知道自己有BRCA1,就一直周旋醫院 每年都要去和信治癌中心追蹤 照波 粗針切片 這一來一回的好多年就這樣過去 原本其實一直想著40歲再切除 隆乳案例分享 鄭教授的淋巴顯微手術，術後不需再穿壓力衣 淋巴水腫案例分享 自然、永久、美觀，健康窈窕再現 乳房重建案例分享

為維護良好的醫療品質與看診舒適，本院採預約制，您可先以電話、電子郵件、LINE或填寫線上表單等方式預約，我們會盡快與您聯繫！ Let's Connect How to Make an Appointment? To ensure high-quality medical care and a comfortable consultation experience, our clinic operates on an appointment-only basis. You can schedule an appointment via phone, email, LINE, or by filling out the online form. We will contact you as soon as possible! Business Hours: Monday to Friday, 8:00 AM to 6:00 PM. Closed on weekends. Notice Please download and complete the Client Information Form from our website. The information you provide will allow the A+ Surgery Clinic to select the most suitable team of specialists to assist you with your medical or personal needs. On the form, please clearly specify your preferred appointment dates as well as any special requests or personal needs that you may have. We will try our best to make you feel as close to home as possible. Please provide all detailed medical reports at least from the past 3 months, including lab or pathology reports and imaging files (X-rays, CT, MRI, Ultrasounds, Lymphoscintigraphy, etc.). If you have medical information, please provide it. Please send (1) and (2)to A+ surgery clinic at aplussurgery@gmail.com and Miffy Lin. Within two business days, A+ surgery clinic or Miffy Lin will contact you by email with further appointment details or medical questions once we receive and review your application form. Any information you provide will be kept strictly confidential under the Medical and Personal Data Protection Laws in Taiwan. Treatment Plan After gaining understanding of your medical background, our medical team will draft and present to you a treatment schedule specifically tailored to your personal needs. At the same time, a detailed statement describing the treatment process and estimated costs will be sent to you by email. Appointment Confirmation Once you have confirmed and accepted Dr. Cheng’s treatment plan, your medical coordinator will proceed to set up, double check, and confirm your previously made appointment date, as well as make the necessary travel visa preparations, airport pickup, and hotel accommodations for you, to make your stay with us carefree. Address 3rd Floor, No. 337, Fuxing North Road, Songshan District, Taipei City (MRT Zhongshan Junior High School Station) Map Phone (+886) 02-2712-3373 Phone (+886) 0966-523-737 Phone Email aplussurgery@gmail.com Social Media LINE Name Gender * Male Female Other Email Region * Taiwan Others Phone Convenient contact time 選擇一個時段 Remark Send Appointment successful ！