March 2014 FPT - Pan Asia Academy of Facial Plastic and
Transcription
March 2014 FPT - Pan Asia Academy of Facial Plastic and
March 2014 Vol. 35, No. 2 JOAO MANIGLIA, MD, OF BRAZIL, RECEIVES DISTINGUISHED AWARD. Eye, Ear, and Nose Hospital in N.Y. He then returned to Curitiva, Brazil, to serve as assistant professor of ear, nose, and throat at the Hospital de Clinicas-Universidade federal do Parana-Curitva, Brazil, in 1980 and has been since, residency ENT preceptor. Dr. Maniglia received the Honor Award from the American Academy of Otolaryngology-Head and Neck Surgery in 2001. As author and editor, he published Rhinoplasty: Aesthetic Functional and Reconstructive Surgery, in 2002. He served as president of the Brazilian Academy of Facial Plastic Surgery from 2006 to 2008. Then in 2004, he became board certified in facial plastic and reconstructive surgery through the International Federation of Facial Plastic Surgery Society (IFFPSS). He served as the Brazilian representative, IFFPSS, from 2000 to 2010, where he was paramount in making the presence of facial plastic surgery stronger in ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T he Efrain Davalos Award is named in honor of a talented, Mexican otolaryngologist, who pioneered the teaching of facial plastic surgery in Latin America. Dr. Davalos organized and directed many facial plastic surgery courses in Morelia, where colleagues from Mexico and all of Latin America attended to learn the techniques from expert international faculty. The courses included live surgery and in depth lectures, giving birth to the practice of the subspecialty among the Latin American otolaryngologists. The Efrain Davalos Award is given every four years and was established by J. Regan Thomas, MD, a close friend of the Davalos family and frequent lecturer at the Morelia courses. This year, the prestigious award will be given to Joao Maniglia, MD, of Brazil, during the 11th International Symposium in New York City. Dr. Maniglia graduated from medical school at the University de Sao Paolo in 1964. He fulfilled a residency in general surgery at Brasilia, Hospital Sao-Paolo and earned his United States medical license in 1965. He then completed a general internship at Queen Hospital, N.Y., and a general surgery residency at Kings Hospital, Brooklyn, N.Y. From 1969 to 1970, he was a resident in otolaryngology at Brooklyn Eye and Ear Hospital, N.Y., and served as clinical assisMARCH 2014 at the Manhattan tant professor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ JOAO MANIGLIA, MD, BESTOWED EFRAIN DAVALOS AWARD AT THE 11TH INTERNATIONAL SYMPOSIUM Brazil. He has been a substantial contributor through his involvement and hard work in the IFFPSS. We invite you to come to New York and help us recognize and congratulate this wonderful man, who has made numerous contributions to the field of facial plastic surgery in so many different ways. M Editor’s Note: This article was submitted by Jose Juan Montes, MD, current president of the IFFPSS. NEW DVDS FEATURING LASERS T wo new videos have been added to our John T. Dickinson Memorial Library. Lasers in Facial Plastic Surgery (cat. no. 1116, R/T approximately one hour and 45 minutes) is a compilation of various laser procedures. The video starts with Andrew C. Campbell, MD, using an ablative full field 2940 nm Erbium:YAG laser to treat skin laxity and rhytids in the perioral and periorbital regions of the first patient. This is performed in a medical spa setting using local anesthetic. The placement of corneal shields is demonstrated and discussed. By adjusting the scanner and depth of the ablation, as well as adjusting the amount of Facial Plastic Times See One Aesthetic Unit, page 141 BOARD OF DIRECTORS Edward H. Farrior, MD* President Robert M. Kellman, MD* Immediate Past President Stephen S. Park, MD+ President-elect Minas Constantinides, MD* Secretary William H. Truswell, MD* Treasurer Fred G. Fedok, MD+ Group VP for Education Theda C. Kontis, MD* Group VP for Membership & Society Relations Edwin F. Williams, III, MD* Group VP for Public & Regulatory Affairs Craig S. Murakami, MD+ Group VP for Research, Development, and Humanitarian Programs Wm. Russell Ries, MD+ Group VP for Public & Regulatory Affairs-elect Harvey D. Strecker, MD Canadian Regional Director Patrick J. Byrne, MD Eastern Regional Director J. David Kriet, MD Midwestern Regional Director Richard E. Davis, MD Southern Regional Director David W. Kim, MD Western Regional Director Andres Gantous, MD Canadian Regional Director-elect John S. Rhee, MD Midwestern Regional Director-elect Phillip R. Langsdon, MD Southern Regional Director-elect Anthony P. Sclafani, MD Director-at-Large Grant S. Hamilton, MD Young Physician Representative Stephen C. Duffy+ Executive Vice President *Member of the Executive Committee + Ex-officio member of the Executive Committee Executive Editor: Stephen C. Duffy Medical Editor: David Reiter, MD, DMD Managing Editor: Rita Chua Magness Freelance Writer: Lynnette Simpson Contributor: Ann Holton Jenne Facial Plastic Times is published by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 310 S. Henry St., Alexandria, VA 22314; Phone: (703) 299-9291; Fax: (703) 299-8898 E-mail: [email protected]; www.aafprs.org. Articles signed by their authors express the views of those authors only and do not necessarily express official policy of the Academy. The Academy does not necessarily endorse the products, programs, and services that appear in paid, non-AAFPRS advertisements. 2 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ March 2014 Vol. 35, No. 2 PRESIDENT’S MESSAGE: I s it a meaningful thought to ponder or just a catchy phrase for marketing the 50th year since we were founded? Well it is indeed a catchy phrase—The Changing Face of 50—but we all know it is much more than that. It is the foundation for the future of facial plastic surgery. Our practices must change to compete, remain relevant and persist in the present market. As we approach our 50th anniversary, I wonder is it a birthday or an anniversary? Well it is both since they are synonymous; however, most of us perceive them as being a little different. Each carries their own connotation of maturity, experiences, challenges and relationships. With a birthday, we live as an individual making choices that, with our altruistic nature, will likely be for the good of our community while still being a reflection of our independence and self-reliance. With an anniversary, I perceive it more as a committed relationship where decisions are interdependent. Our Academy has done just that, turning 50 as an independent organization that is having the 28th anniversary of a committed relationship with the American Board of Faial Plastic and Reconstructive Surgery (ABFPRS). Both groups have grown more respected, recognized, and acknowledged every year. Some of the growth took place as independent organizations and some has taken place as a joint effort. This occurred because of those leaders that pitched in and worked for the interest of the whole not their self-interest, and a staff that believes in our mission. There are a great number of us that are well beyond the “big 5-0” that the Academy is approaching. Some have reached and exceeded that age with grace and maturity; others go kicking and screaming. Your Academy is turning 50 with grace and maturity; and like a benevolent parent, is dedicated to the well-being of its offspring. We have been quite prolific with members in every state of the union and almost every inhabited continent on the globe. I could not find a member in Antarctica as hard as I tried. This did not occur because of reckless abandon and irresponsible behavior, but rather because of a calculated plan to educate and share the knowledge that has made us the leader in facial plastic surgery. This dissemination of information is one of our founding purposes. It is an active process requiring the willingness of the experienced to share their wisdom, the eagerness of our young members to learn, and the imperative that we all stay current to compete. Because of our inclusiveness and eagerness to share information, we have been able to accomplish and maintain our first stated purposes. 1) To promote the highest quality facial plastic surgery through education, dissemination of professional information, and the establishment of professional standards. As we age, there are certain inevitabilities: the greying of the hair or the loss of most of it, the expanding of the waistline, the need for a little magnification to read. These let us know that the process is taking place and although there is little we can do to stop it, there is a great deal we can do to control it. As the Academy has faced the inevitability of aging, it has achieved its second purpose. 2) To achieve understanding and recognition of the specialty of facial plastic surgery by the medical profession, hospitals, and other medical care entities, legislative and regulatory bodies, and the public at large. It is in this second purpose that the ABFPRS became so important and integral. Without the development of a certifying examination, some of the recognition that we deserved would not have been achieved. It is now 28 MARCH 2014 OF 50 FACE program and Faces of Honor; the development of evidence-based medicine programs; and the Web portal for education LEARN (Lifelong Education and Research Network), which "provides members access to training and information when they need it." For all of these programs to be successful, membership involvement is imperative. To see how you can help and to have a complete understanding of these programs, visit the Academy Web site. Our slogan for public education and marketing, Trust Your Face to a Facial Plastic Surgeon, could not have been more successful and continues to be relevant. How often does a patient come into your office and state that "I have seen other surgeons for consultation but I wanted a specialist that only works in the face"? For me, it is at least several times a week. This is a testament to the fourth described purpose. 4) To serve as the public's information source on facial plastic surgery. Our public relations firm, Kelz Communications, has done a great job with more exposure than I can remember us ever having. The We need your help! The development office needs your assistance this anniversary year! Our goal is to have 200 "1887" members by December 31, 2014. We thank the following for taking the lead and becoming 1887 members so early in the year! (The list is as of February 4, 2014.) Gregory H. Branham, MD Ted A. Cook, MD Jeffrey S. Epstein, MD Albert J. Fox, MD Paul E. Goco, MD Andrew A. Jacono, MD Robert M. Kellman, MD Jon Mendelsohn, MD Philip J. Miller, MD Amir Moradi, MD Craig S. Murakami, MD Cumulative cash gifts (between January 1 - December 31) that total $1,000+ automatically enrolls you as an 1887 member. In 1887, the first credited intranasal rhinoplasty was performed in the United States. All current 1887 members will be recognized for their commitment to the AAFPRS during a reception at the Annual Fall Meeting in Orlando, Florida, September 18-21, 2014. Please contact Ann H. Jenne to enroll today at [email protected] or (703) 299-9291 ext. 229. MARCH 2014 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ years since the ABFPRS was founded and 22 years since the first certificate was given. The relationship between the AAFPRS and the ABFPRS has been an unstoppable force for the recognition of facial plastic surgery. In every state that our legitimacy has been challenged, we have been able to gain the recognition we deserve—not a small feat considering the obstacles that have been placed in our path. The subsequent three purposes of our Academy are somewhat more subjective in our ability to quantify how successful they have been, but they are no less important. 3) To define facial plastic surgery as a specialty that requires intensive training and competence, embodies high ethical standards, holds artistic ideals, commits to humanitarian service, and desires to enhance the quality of human life. This purpose is manifested in many areas, none more evident than the Many Faces of Generosity campaign. The donations that have been made here are committed to education and humanitarian efforts; funding for the FACE TO ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ THE CHANGING FACE 11th International Symposium in New York City will be an excellent opportunity for even more. The more attendance we have from our members, the greater the exposure for our specialty and us on this international stage. The last stated purpose is no less important than the first four. 5) To assist members in the practice of facial plastic and reconstructive surgery, guiding them in the delivery of high quality, cost-effective medicine and surgery. The resources of the Academy office, its leaders, and staff are available to all members. This includes advocacy in public policy making. The Academy represents the members when it comes to truth in advertising and sustainable growth legislation and scope of practice issues. The purposes of our Academy were laudable in 1964 and they remain laudable today. They do not mean that we cannot or should not be willing to change or adapt to meet new challenges as they present themselves to us, as long as any change we consider remains within the principles that are the founding purposes of the Academy. To conclude, I will leave you with the thoughts of much greater minds than my own. From Sir Winston Churchill, "To improve is to change; to be perfect is to change often." From Henri Bergson the French philosopher, "To exist is to change, to change is to mature, to mature is to go on creating oneself endlessly." We have continued to mature and create ourselves endlessly. In order to mature, there will occasionally be the need for change. If that change is kept in the intention of our purpose, it will strengthen the Academy. Edward H. Farrior, MD Facial Plastic Times 3 4 Facial Plastic Times FACE incurred during AAFPRS trips. This information has all been assembled in a FACE TO FACE project guide, which will soon be accessible on the updated AAFPRS Foundation Web site. In addition, we have received approval to begin the design and development of a database to store information for all three programs. The purpose of capturing this information is to be able to: 1) Automate the proposed FACE TO FACE: International trip/patient information forms. 2) Track critical information provided to patients through the FACE TO FACE: The National Domestic Violence Project and the FACES OF HONOR Program. 3) Offer physicians a repository of historical information to better prepare for upcoming international trips or to better serve the domestic violence and military individuals that apply for assistance through the FACE TO FACE programs. 4) Provide a Web-based interactive site for members to learn more about the FACE TO FACE programs, view upcoming trips and other program needs, and apply to participate. 5) Implement the capability to analyze and report data necessary to apply for grants and financial support needed to sustain the three programs. 6) Supply a venue for participants and potential participants in the FACE TO FACE programs to communicate and discuss how to better serve patients. Dr. Constantinides has agreed to chair this sub-committee. If you are interested in learning more about how you can become involved in the humanitarian programs, or need information on data capture for an upcoming AAFPRS FACE TO FACE: International mission, please contact Ann Jenne at [email protected] or by phone at (703) 299-9291, ext. 229. M ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ TO ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ S everal years ago, the leadership of the Academy outlined a vision that included providing members with new and exciting opportunities to advance their professional careers. Their insight resulted in the Board of Directors approving a capital campaign, The Many Faces of Generosity; 229 members and 11 companies generously contributed over $4.1 million. Those contributions are now being put to work. The Foundation is excited to announce that efforts to take the three FACE TO FACE programs to the next level are underway. Last year, a committee, chaired by Ted A. Cook, MD (AAFPRS past president), was formed to help realize the vision to provide physicians with the operational support and leadership for focused trips and to encourage them to participate in one or more of the FACE TO FACE programs. This committee, consisting of members John Charles Finn, MD; Harrison C. Putman, III, MD; Craig S. Murakami, MD; John M. Hodges, MD; Minas Constantinides, MD; and William H. Truswell, MD, met throughout the year to determine how to achieve four objectives: O Organize and provide processes for the programs O Build relationships with host hospitals and physicians O Coordinate activities to assist doctors O Improve public awareness of programs through various outlets To-date, the committee has reviewed and updated the protocols for the three FACE TO FACE programs: FACE TO FACE: International, FACES OF HONOR, and FACE TO FACE: The National Domestic Violence Project. This includes developing forms to capture critical data surrounding the FACE TO FACE: International missions and outlining a process for participants to apply for a stipend to assist with expenses ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ NEWLY ENHANCED FACE PROGRAM GUIDELINES ANNUAL FALL MEETING JUST AROUND THE CORNER Orlando is the site of our next Annual Fall Meeting, September 18-21, 2014. Co-chairs Phillip R. Langsdon, MD, and Anthony E. Brissett, MD, are currently working on a program that promises to be extensive and valuable to every facial plastic surgeon. Below is a preliminary schedule to help you plan your trip to Orlando. Wednesday, September 17, 2014 7:30 a.m. - 3:30 p.m. Committee Meetings 3:30 p.m. - 10:00 p.m. Board Meetings Thursday, September 18, 2014 7:30 a.m. - 6:30 p.m. Plenary Sessions Instruction Courses and Panels ABFPRS Awards Jack Anderson Lectureship 6:30 p.m. - 8:00 p.m. Welcome Reception 7:30 p.m. - 11:00 p.m. Past President’s Dinner Friday, September 19, 2014 7:30 a.m. - 6:30 p.m. Plenary Sessions Instruction Courses and Panels John Conley Lectureship 7:00 p.m. - 7:30 p.m 1887 Reception 8:00 p.m. - 11:00 p.m. IFFPSS Dinner Saturday, September 20, 2014 7:30 a.m. - 6:30 p.m. Plenary Sessions Instruction Courses and Panels Research Awards Business Meeting & Elections Gene Tardy Lectureship Essentials in FPS 1:00 p.m. - 6:00 p.m. IBCFPRS Board Meeting IFFPSS Board Meeting 7:30 p.m. - 11:00 p.m. Founders' Club Dinner MARCH 2014 MARCH 2014 Facial Plastic Times 5 HAS A RIPPLE EFFECT her laurels. When she learned about Vitality Institute Medical Products' generous donation in October, she responded with, "What a great idea—it's AAFPRS 50th anniversary in 2014 and CCD wants to celebrate the Academy's milestone. The AAFPRS has supported CCD throughout the years, T he Academy provides members with an excellent marketing vehicle for their practice—Facial Plastic Surgery Today (FPST). This quarterly, consumer newsletter offers informative, easy-to-understand articles that are appropriate to include with promotional material, to post on your Web site, and to present in your waiting room. The upcoming spring issue will be a hit with your clientele, covering 2013 trends in facial plastic surgery, cheek augmentation, forehead sloping, full-face resurfacing, financing programs, and allergies versus nasal difficulties. The AAFPRS survey results are shared through numerous media outlets every year because consumers want to know the latest trends in facial plastic surgery. The cover article, Facial Plastic Trends of 2013, captures readers' attention and prompts them to start thinking about their next procedure. The inside spread on cheek augmentation reviews temporary fillers and cheek implants. The goal is to educate patients regarding all possibilities, so they feel comfortable coming in for a consultation and committing to a treatment plan. Page three begins with Ask the Expert and a question about a sloping, recessive forehead. Augmentation is presented as a solution. A new prefabrication/overexpansion technique that may allow surgeons to perform full-face 6 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ FPST DISCUSSES TRENDS AND AUGMENTATION OPTIONS resurfacing on patients with severe facial burns using one large skin flap is in the What's New? section. The Health Tip section discusses how to approach financing your procedure. Finally, Spring Fever: Is it Allergies or Nasal Issues?, is the back cover article and covers common ailments, causes, and treatment options. Take advantage of FPST; you can customize the digital file with your practice information, photographs, and more. Your patients will appreciate your dedication to ensuring they have current and stimulating information. Please refer to the enclosed order form to start your subscription with the spring issue. M ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ C andace Crowe Design (CCD) was one of 11 companies who generously supported The Many Faces of Generosity Capital Campaign, which raised more than $4M for the AAFPRS Foundation. Candace Crowe, president and founder of CCD, does not rest on ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ UNEXPECTED KINDNESS and we at CCD are taking this opportunity to show our gratitude." In celebration of the Academy's 50th anniversary, from January 1, 2014, through the last day of the International Symposium, May 31, 2014, Candace Crowe Design (CCD) will donate five percent of all REVENEZ® 1 sales to the AAFPRS Foundation. In 2002, CCD released the original REVENEZ touchscreen patient education system. They believe that well-designed, interactive education benefits the patient and the practice. Over the years, REVENEZ has evolved, and in the spring of 2012, it was re-released for the iPad. The system includes educational materials, before and after images, pre-op quizzes, a sketch tool, and more. All content is accessed from a single dashboard, and can be displayed on many different devices and platforms. To preview REVENEZ 1 on your iPad, go to Safari and type in www.revenez1.com/rev/nassifmd and touch go. Follow the balloon instructions and add it to your HOME screen. Then from your HOME screen, touch the icon with the letters Nassif MD under it. You will be taken to the app where you can check out all of its features. Thank you, Ms. Crowe, for showing your support of the AAFPRS’ 50th anniversary! If you have any questions, please feel free to contact Candace Crowe at (877) 384-7676 or send her an e-mail, [email protected]. M For Your Information The AAFPRS will not be part of the Combined Otolaryngological Spring Meetings (COSM) this year—May 14-18 in Las Vegas—due to our own 11th International Symposium in May. We will resume participation in COSM next year, April 22–26, 2015, in Boston. MARCH 2014 MARCH 2014 Facial Plastic Times 7 S ocial media is changing how we do, see, and interpret everything; and this cultural zeitgeist shows no signs of letting up. If anything, the current is getting stronger and new channels seem to be gaining momentum each day. The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2012 statistics showed that social media channels were driving patients to your offices in droves because they didn't like how they saw themselves on Facebook, Instagram, and the like. Expect this to continue as existing social media entities continue to grow in popularity and new ones emerge. Social video sites may even up the ante as more and more patients will see themselves in motion and in real time. Social media is also changing how doctors promote their practices, interact with peers, and engage with patients. The AAFPRS incorporates social media wherever possible; members should take advantage of these efforts. The Academy is active on Facebook, Twitter, LinkedIn, YouTube, and Pinterest, and provides easy ways for members like you to like, follow, and share the fresh content. Partnering with the Academy will help expand your online footprint, which will increase exposure to both new patients and media. This, in turn, will increase your Klout score. Klout ranks your digital influence by weighing such variables as your number of followers, frequency of updates, how your friends (like the Academy) rank, and the number of likes, retweets, and shares that your posts receive. Connecting with the Academy on social media also enhances your practice's off-line credibility and clout. Many physicians call themselves cosmetic surgeons, but are not board certified. Let current and future patients know that you are an AAFPRS member, and post information on what this means, 8 Facial Plastic Times AND GET SOCIAL why it is important, and how they should trust their face to a facial plastic surgeon. The Academy makes it easy to offer this type of content and protect patient safety. Our newest online venture, Pinterest, allows users to find and curate images and videos from others and post them on virtual corkboards. We invite you to find inspiration in our pins and repin them frequently. Following the AAFPRS on all of our social media channels will also keep you on top of exciting Academy initiatives and developments, such as our upcoming 50th anniversary in New York City. Personalizing our posts can help you populate your own pages. Try to post once or twice a day on all of your social media channels. We also encourage you to use our hashtags and keep the conversation flowing. M Hashtags: #AAFPRSMeeting #Facialplasticsurgeon #AAFPRS Follow us online! www.facebook.com/AAFPRS twitter.com/AAFPRS www.pinterest.com/aafprs www.youtube.com/user/aafprs ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ By Melissa Kelz Communications ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ PR COLUMN: C’MON WITH #AAFPRS Thank you to everyone who participated in the annual Trend Survey. Our rate of response almost doubled from previous years. Our statistics help make our Academy more relevant in the eyes of the media and the other associations. Here's a quick glance at the 2013 outcomes which will officially be announced in the April issue of Facial Plastic Times: O The 2013 survey generated a notable rise in men's hair transplantation. O We earned traction from the rising trends including more women under 35 seeking out surgery, more plastic surgery in the colder months, and patients of all ages turning to plastic surgery to look better in selfies. O There was a 58 percent increase in cosmetic surgery or injectables in patients under age 30. O Finally, the fact that the husband/wife patient duo is the relationship most likely to seek out surgery together. Trend Survey Winners Announced As promised, members who participated in the annual PR trend survey earlier this year were entered into a prize drawing. Out of 132 respondents, we are happy to announce the winners. O Grand Prize—FREE REGISTRATION to the 11th International Symposium of Facial Plastic Surgery or the 2014 Annual Fall Meeting: Stephen S. Park, MD, Charlottesville, Va. O A complete set of patient brochures (50 per pack): Eric Joseph, MD, West Orange, N.J. O A set of any five DVDs from the Video Library: Theda Kontis, MD, Baltimore. O A copy of The Face Book: Five winners include Jill Hessler, MD, Palo Alto, Calif.; Preston Ward, MD, Salt Lake City, Utah; Janet Lee, MD, Tampa, Fla.; William James Hall, MD, Morehead City, N.C.; and Jennifer Porter, MD, Chevy Chase, Md. O A $100 gift card to Amazon.com: Five winners include Sheldon Kabaker, MD, Oakland, Calif.; Christian Stallworth, MD, San Antonio, Texas; Jay Lucas, MD, Florence, S.C.; Elbert Cheng, MD, Saratoga, Calif.; and Gary Nishioka, MD, Salem, Ore. Congratulations to all. Please contact Rita Chua Magness at the Academy office at (703) 299-9291, ext. 227 or by e-mail at [email protected], to claim your prize. MARCH 2014 MARCH 2014 OF THE NEW RESEARCH CENTER 3) The AAFPRS Clinical Investigation Award will be presented for smaller projects to be awarded to those surgeons who don't normally participate in research projects but have smaller, meaningful projects that could contribute to facial plastic surgery. These grants are meant to foster continued contribution from members to the field of facial plastic surgery. A grant of $2,500 is available. Committee chair Dr. Most; Lisa Ishii, MD, chair of the clinical research trials and training subcommittee; and Benjamin Marcus, MD, chair of the academic awards and grants subcommittee are pleased to announce the recipients of two awards. The Facial Plastic Clinical Research Scholarship is awarded to David A. Shaye, MD. Dr. Shaye is seeking his degree through the Harvard School of Public Health with an ultimate goal of applying ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ L ast fall, Sam P. Most, MD, announced three new opportunities for members who have an interest in furthering research in facial plastic and reconstructive surgery. As such, two new grants and a scholarship have been established. Their goals are: to support academic training in the principles of clinical research design, research management and statistical analysis; and to expand capacity to conduct clinical and basic science research to provide scientifically based evidence to support treatment decisions and recommendations. The goal of the AAFPRS Foundation is to provide a first-class Research Center for its members by furthering their training in conducting research, providing funds to expand research efforts, and offering opportunities for members and industry to collaborate while discovering gateways to improve patient care. These grants include: 1) The Research Scholar Award is a $30,000 grant presented annually and renewable for an additional two years. The Research Scholar Award will be given to the candidates that demonstrate the potential to make a significant contribution to the profession of facial plastic and reconstructive surgery and will make meaningful contributions to the field. 2) The Facial Plastic Clinical Research Scholarship is a $15,000 contribution intended to provide financial support to AAFPRS members to pursue academic training in the principles of clinical research design, data management, statistical analysis, and manuscript and grant preparation. It is the intent of the Foundation and the Academy to expand clinical and basic science research to provide high quality evidence to identify best practice. The committee may approve more than one scholarship based on the approved annual budget for the Research Center. An individual may receive the scholarship for two years in a row if it is a two-year degree program. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ AWARD RECIPIENTS the skills to the field of global surgery research. The recipient of the AAFPRS Clinical Investigation Award is Travis T. Tollefson, MD. The award will support his research project, "The Impact of Secondary Speech Surgery on Children with Cleft Palate: A Quality of Life Assessment." Dr. Shaye and Dr. Tollefson will formally be presented their awards at the Annual Fall Meeting in Orlando. In addition to the above two awards, four individuals have applied for the Research Scholar Award. These applications are reviewed as a part of the CORE process to be held in Dallas, Texas, at the end of March. If you would like additional information about grants and award opportunities, please visit the AAFPRS Web site, Foundation, www.aafprs.org/research/ or e-mail Karen Sloat at [email protected]. M Facial Plastic Times 9 The Specialty of it All, Part 1 By Robert L. Simons, MD This story begins in the early 1980s, a time when otolaryngologists were divided in their support of subspecialization and/or further certification. Surgeons interested in facial plastic surgery felt a growing need for greater identification and recognition. The ensuing two decades would be filled with difficult decisions and courageous, albeit controversial, actions to help achieve these goals. "The Specialty of it All" is an attempt to remember those individuals and the events responsible for today's unfurled banner of facial plastic surgery! No one understood the value of a banner or name better than Jack Anderson. As secretary of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) in its early years (1964-1969) and then as its eighth president (1971-1972), Jack never failed to recognize the merit and worth in those three little words: facial plastic surgery. Dr. Anderson—when in 1980 he became the first president of the American Academy of Otolaryngology (AAO) in a contested election—stated, "I went into that election because I believed it would enable me to further the cause of facial plastic surgery in otolaryngology. Specifically, my goal was to try and get support from the establishment; many of the AAO members were as vehemently opposed to us at that time as were the general plastic surgeons. My primary aim was to get the AAO's name changed to the American Academy of Head and Neck Specialists, because I considered the name ‘otolaryngology’ an albatross around our necks, and still do. I wasn't entirely successful, but it was changed to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) in a compromise. It's an abomination, but you can't push people too fast!" To further promote and popularize the transformation that was occurring in otolaryngology, Dr. Anderson explained why the Academy needed a new name in his article, "An Old Medical Specialty Puts on a New Face…and Head…and Neck," published in August 1980 in the widely read Southern Medical Journal. Advising Dr. Anderson on publication of his article was Alfred K. Walters, a brilliant strategist who was both the public relations consultant and the executive director of the Pennsylvania Academy of Ophthalmology and Otolaryngology in 1963, the year before the AAFPRS was founded. Al Walters was enticed to help the incipient organization shape its message by John T. Dickinson, MD, then president of the American Otorhinologic Society for Plastic Surgery, which merged with the American Society 10 Facial Plastic Times of Facial Plastic Surgery in 1964 to become the AAFPRS. It was Mr. Walters and Dr. Anderson who identified the Southern Medical Journal because its circulation was only second to the Journal of the American Medical Association (JAMA). Also assisting with the publication was Dr. Anderson's former fellow and now secretary of the AAFPRS, E. Gaylon McCollough, MD. He encouraged local placement of the message. A summary of the article appeared in the Journal of the Medical Association of Georgia in 1981, jointly bylined by Dr. Anderson and William E. Silver, MD, a long time loyalist to the AAFPRS. The article prompted a response ostensibly written by two Georgia general plastic surgeons as a position statement for the Georgia Society of Plastic Surgeons, Inc. The article was published in 1982 entitled, "Things Are Never What They Seem, Skim Milk Masquerades as Cream." Stated in the article was the fact that otolaryngologists were untrained and threatened "surgical errors based on incompetence." Part of the "skim milk" article, with an identical headline, was taken verbatim from an article in an April 1975 publication of the Pima County (Arizona) Medical Society—seven years later and 2,000 miles apart. Dr. McCollough saw this as evidence of a concerted organized effort of discreditation. The printed words, plus the refusal of the plastic surgeons to entertain any settlement based on a letter of apology, led to a difficult decision to sue medical colleagues. It was a close vote at the AAFPRS Board of Directors meeting—decided by a majority of one. After years of depositions, the trial lasted two weeks in Atlanta, Georgia, in December of 1986. Dr. Anderson; Dr. McCollough; and Richard C. Webster, MD, a Boston general plastic surgeon, testified as well as William Beeson, MD, who had done a fellowship with Dr. McCollough. Leading the prosecution team was a young astute Atlanta attorney, Tom Rhodes. Following extensive testimony regarding the general plastic surgeons' history of disparagement, the jury awarded Anderson 1.5 million dollars. In a later decision, the Georgia Supreme Court affirmed that award, making it one of the largest libel awards ever affirmed on appeal. In early 1988, Dr. Anderson donated his portion of the judgement to the Educational and Research Foundation of Seen here is Dr. Anderson (left) with AAFPRS president (1987-1988) John R. Hilger, MD. MARCH 2014 the AAFPRS. Some money was set aside for the annual Jack Anderson Lectureship. The majority was directed to advance the examination in facial plastic and reconstructive surgery—money derived from general plastic surgery to promote the subspecialty of facial plastic surgery. What irony! However, we are getting ahead of ourselves in this story of, "The Specialty of it All." Back in 1982, the newly formed AAO-HNS decided to establish the Academy Board of Governors (BOG), comprised of representatives from all states, regions, and otolaryngologic societies. The purpose was to create better communication between the "grassroots" and leadership. The strength and appeal of otolaryngology for many rested in its varied interests and opportunities for patient care. The second oldest medical board established in 1924, otolaryngology, offered societal participation in otology, allergy, rhinology, laryngology, broncho-esophagology, facial plastic and reconstructive surgery, head and neck surgery, and pediatric otolaryngology. The largest of these groups was the AAFRPS (approximately 3,000 members) with the allergy organization second in numbers. Each one of these groups had a representative to the BOG. Wearing two hats as the designated governor from the AAFPRS and one of several from the state of Florida, I attended the first BOG meeting in New Orleans in 1982. It was a wonderful opportunity to let others know of facial plastic surgeons’ concerns regarding public disparagement, hospital privileges, and credentialing issues. To his credit, the man most responsible for the creation of the BOG, Loring W. Pratt, MD (AAO-HNS president, 1982, pictured here), in his opening remarks to the group alluded to the subspecialty need of two of the otolaryngologic societies, namely allergy and facial plastic surgery. For the allergists, Dr. Pratt suggested equivalency and recognition would occur with increased emphasis on training and education. For facial plastic surgeons, he felt, because of the schism created by the general plastic surgeons, resolution was far away. He encouraged evidence of the conflict to be shared with the BOG so that further action, not excluding a law suit, might be entertained. The BOG, representing the majority of otolaryngologists, however, were not supportive of certifying subspecialties. At the first meeting in 1982, when I requested sub-certification endorsement for facial plastic surgery, the motion was defeated 83-1. Persistent resistance to the idea was reemphasized at the next meeting in 1983, when a resolution introduced by the governor from the New Jersey Academy of Ophthalmology and Otolaryngology requesting that the BOG go on record as being emphatically opposed to sub-certification MARCH 2014 by the ABO passed unanimously. Aware of these background events, one can better appreciate the communications that ensued between AAFPRS president Howard W. Smith, MD, and his peer at the AAO-HNS in 1983, president Charles W. Gross, MD (pictured here). "Whether this [certification] is a complete board or a form of special competency or sub-certification will depend on how the AAO-HNS feels and how it acts during your term," wrote Dr. Smith to Dr. Gross. Dr. Smith expressed his openness to close cooperation with the AAO-HNS, but also announced the formation of an ad hoc committee "to explore acquiring board certification of our members in cosmetic facial plastic surgery with or without the blessing of organized medicine." In response, Dr. Gross noted that it was not the AAOHNS, but the American Board of Otolaryngology (ABO) that issued certificates. "Be that as it may," said Dr. Gross, "the AAO-HNS Board of Governors has looked at the area of competency and sub-certification in detail and at its meeting on April 11, 1983, unanimously passed a resolution opposed to sub-certification and requested the Board of Directors of the AAO-HNS to adopt this position. Consequently, as you can see, I am not sure that otolaryngology in general wishes certificates of special competency or sub-certification." Dr. Gross further stated that he had "much input" from members of the AAFPRS opposed to sub-certification and questioned whether Dr. Smith's representation of interest in sub-certification truly represented the majority of AAFPRS membership interests. Dr. Gross' letter reflected the strong concern within otolaryngology that subspecialty recognition of any sort would fragment a small specialty (only 10,000 otolaryngologists among 600,000 physicians in the U.S.) and disenfranchise the fully qualified general otolaryngologist from doing the work endorsed by subspecialty certification. Potential increased liability for the nonsubspecialist was another concerning consideration. By appealing to the AAO-HNS Board of Governors, the AAFPRS had hoped to generate grassroots interest in and support for subspecialty recognition, which in time might compel the ABO to act favorably to support subspecialty recognition in some form. Clearly, this did not happen! Twenty years later, in August 2006, the ABO announced that it was authorized by the ABMS to issue subspecialty certificates in neuro-otology, pediatric otolaryngology, sleep medicine, and plastic surgery within the head and neck. Regarding certification in plastic surgery within the head and neck (a title specified but unwanted), "It would not be pursued until there are a sufficient number of ACGME-approved residencies in facial plastic surgery." The ABO further concluded, "A subspecialty certifying process should go forward only if there is sufficient support from the subspecialty itself. So, for this reason, the only active process at this time is neuro-otology and sleep medicine." Again, facial plastic surgery would have to control its Facial Plastic Times 11 own destiny. OF THE LEGACY T he AAFPRS Archival Center is now well under way. We have hired an archivist, installed our shelving, received our supplies, and selected our archival management software. We are now waiting for you! Become part of the legacy of facial plastic and reconstructive surgery by donating material from its first 50 years. We want to tell the story of the AAFPRS and the recognition of the specialty of facial plastic and reconstructive surgery. We are looking for the following types of material: O Photographs O Personal letters O Scrapbooks O AAFPRS material O Brochures from earlier events O Artifacts O Early surgical equipment O Conferences/meetings memorabilia O Awards O Artwork O Books and Papers Every contribution, no matter how small, helps to build and document our history. Please e-mail Linda Rothbart, AAFPRS archivist, at [email protected] with questions or you can send your archival submissions to: AAFPRS, Attn: Linda Rothbart, 310 S. Henry St. Alexandria, VA 22314. M CLASSIFIED AD Plastic surgery trained surgeon with interest in facial and laser assisted liposuction procedures needed to join a well established aesthetic practice in a rapidly growing southeastern city. Located one hour to the mountains and three hours to the coast, this practice is physician owned with an ideal location and excellent demographics. No hospital call is required. Potential to be busy from day one. Generous productivity based compensation. Interested candidates send contact information to [email protected] or call (864) 423-5807. 12 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ BE PART Submissions for Archival Center Jack Anderson Portrait by Eugene Bortnick, MD Wm. Russell Ries, MD Historical documents E. Gaylon McCollough, MD Photograph of Irving B. Goldman, MD Frank I. Marlowe, MD 1950s drawings/paintings by Jerome A. Hilger, MD Peter A. Hilger, MD Candid photographs through the years William H. Truswell, MD "Best Memories of Wuerzburg" photographs, certificates Prof. Claus Walter, MD "Paint the Town" invitations, auction books, and slides Dr. and Mrs. Thomas Romo Legal material from 1986 William E. Silver, MD Historic photos Robert L. Simons, MD Various photos from Goldman’s Theater Mark E. Krugman, MD Various watercolors of our past leaders and a rhinoplasty course at Mt. Sinai, N.Y. Eugene Bortnick, MD We are looking for more submissions. Please e-mail your questions to Linda Rothbart, AAFPRS archivist, at [email protected]. MARCH 2014 11TH INTERNATIONAL SYMPOSIUM BURSTING WITH OPPORTUNITIES, UP TO EIGHT TRACKS, OPTIONAL LABS MARCH 2014 THIS IS WHERE IT WILL ALL HAPPEN IN MAY—TIMES SQUARE. PLAN YOUR TRIP TO NEW YORK TODAY. the techniques of fat grafting used in combination with other procedures. Minimally Invasive Treatments: Salvation or Curse? will undoubtedly cause a stir as speakers give their varying opinions on the different fillers. A tribute to the Academy’s 50th anniversary will be given by Robert L. Simons, MD, and Donn R. Chatham, MD, on Tuesday as they present, “A Family Forever Young.” (And make sure you attend the anniverary party on Thursday, May 29, from 6:00 p.m. to 9:00 p.m. There were will food, drinks, and lots of surprises.) Let’s not forget, Wednesday afternoon at the movies! Technique-based and problem-based videos will focus primarily on rhinoplasty. The practice management tracks on Friday and Saturday will wow you with topics that you will not want to miss and invited speakers from the industry. Several panels and nearly 100 instruction courses will be taught by experts, so make sure you pick and choose wisely. Did you register for any optional labs? Space is limited. Stephen W. Perkins, MD; Jose Patrocinio, MD; and Rami Batniji, MD, will moderate the Facelift Dissection Lab, Thursday morning. In the after ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T he 11th International Symposium, May 27 – 31, 2014, in New York City, is fast approaching and is one educational experience that should not be missed. The countless opportunities for learning and collaborating are unlike any previous symposium. The format has been updated and expanded for more talks, more lectures, more panels, more labs, and more workshops. Symposium chair Jonathan M. Sykes, MD, and program chair Anthony P. Sclafani, MD, have coordinated a remarkable program in the heart of Times Square—you will not be disappointed. The concurrent tracks (called “trains”) will allow attendees to pick and choose applicable topics and courses to meet individual interests and needs. Be sure to check the daily schedules ahead of time. For example, one train may have panels and lectures occurring, while at the same time, instruction courses and free papers are happening in a different train. The lectures and courses are well spread out so that there is something of interest to everyone in each track. Speakers from other specialties such as plastic surgery, dermatology, and oculoplastic surgery have been invited to share their own personal experiences and unique perspectives in facial plastic surgery. Some of the special sessions to note include Titans in Facial Plastic Surgery, where 12 giants in our field will give their personal and historical perspectives in topics such as global facial beauty, facelift longevity, pushing the limits in rhinoplasty, and robotic head and neck reconstruction. There will be a laser and light technology symposium that will unveil the different types of lasers and how they are used in facial plastic surgery. Making Fat Work will address noon, choose between the Blepharoplasty and Ptosis Repair Lab, with Tom D. Wang, MD; Jill Foster, MD; Alan Putterman, MD; Edward Buckingham, MD; and Dawn Buckingham, or the Microtia Lab, moderated by Vito C. Quatela, MD; Thomas Romo, III, MD; and Tessa A. Hadlock, MD. On Friday morning, Steven J. Pearlman, MD, and Randall Capone, MD, will moderate the Rhinoplasty Lab. The Endobrow and Midface Lab will be in the afternoon with Edwin F. Williams, III, MD, and Allison Pontius, MD. If polishing your PR skills is in order, then you need to make plans to attend the media workshop led by Emmy Award winner Jane Hanson, which will take place on Friday, May 30, 2014, from 5:30 p.m. to 7:30 p.m. Participants will have several occasions to interact with the distinguished speakers and faculty, as well as their colleagues from around the globe during panel discussions, daily cocktail receptions, and the exhibition. The exhibition will be immense, featuring nearly 100 exhibiting companies with several new exhibitors. The AAFPRS booth will showcase the new Archival Center with interactive touch screen trivia games and amazing memorabilia. Make sure you come visit the hall during breaks and interact with exhibitors who support the Academy meetings yearly. New York City in May is the perfect time to visit. The spring weather will bring you temperate daytime and cool nights. There are plenty of shows to catch and dining is top-notch. Take your family along; there are sites to see and museums to visit. Don’t delay in registering for this exceptional event. Come to New York City for the education and celebration of the Academy’s 50th anniversary. M Facial Plastic Times 13 14 Facial Plastic Times décolleté, and hands are included. The technique of combining fat grafting and laser resurfacing with deep plane facelift are discussed and several examples of before and after photos are included. Treating the Brow, Upper Eyelid, Lateral Canthus, Lower Eyelid and Midface as One Aesthetic Unit (cat. no. 125, R/T one hour and 10 minutes) is performed by Richard L. Anderson, MD. Whenever indicated, Dr. Anderson encourages his patients to improve the brow to the midface via the upper blepharoplasty incision. A simple upper blepharoplasty actually lowers the brow. This video demonstrates Dr. Anderson’s technique for this one aesthetic unit surgery. The AAFPRS Foundation would like to thank Dr. Campbell; Dr. Duplechain; and Dr. Anderson, for contributing their time, their expertise, and their patients in the production and completion of these two excellent additions to our video library. To order these DVDs, please complete the form below. M ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ From Cover Story, page 1 "coag," the resurfacing procedure is customized for the patient's needs. For the second patient, the same ablative full field 2940 nm Erbium:YAG laser is used to treat skin laxity and rhytids of the entire face. This is performed as part of a comprehensive rejuvenation in the operating room using general anesthetic. The entire procedure includes an endoscopic brow lift, upper and lower blepharoplasty, and facelift prior to the laser procedure. The various subunits of the face are treated in a customized manner by adjusting the depth of ablation and the "coag" of the laser. For the third patient, Dr. Campbell uses a fractionated ablative 2940 nm Erbium:YAG laser (ProFractional laser) to treat acne scarring of the cheeks. This laser vaporizes small tunnels in the skin; and in this particular example, used coag-3 to add heat, and therefore some necrosis to the ablative injury. This increased the amount of damage to the deep dermis, thereby improving the overall result. It was performed in the medical spa setting using local anesthetic. The video concludes with a combined deep plane facelift and fat grafting with ablative and fractional resurfacing of the face, neck, and décolleté by J. Kevin Duplechain, MD. Dr. Duplechain demonstrates a complete facial rejuvenation of a 58-year-old female. Surgical procedures include an endoscopic brow lift, upper and lower lid blepharoplasty with lateral retinaculum suspension, and a deep plane facelift combined with fat grafting and fully ablative and fractional C02 resurfacing. Dr. Duplechain discusses his technique of deep plane facelift including a high SMAS mobilization and endoscopic release of the orbital retinaculum. Facial fat grafting is performed to the lips, cheek, jawline, and several other areas. C02 resurfacing of the face, neck, ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ BROW, EYELIDS, LATERAL CANTHUS MIDFACE... ONE AESTHETIC UNIT IN BRIEF Jeffrey S. Epstein, MD, of Miami, was voted the top-ranked hair transplant clinic in Miami and New York City by Hairsite.com—one of the Internet’s two largest hair restoration communities. This award is earned as a result of the highest patient reviews. Also, in a piece on beard hair transplants that went viral, Dr. Epstein was featured in the New York Post, Yahoo, MSN, Inside Edition, UPI, GloboTV (Brazil), and Reuters. M The AAFPRS Foundation wishes to thank the following companies for their support of the recent Rejuvenation of the Aging Face Meeting. 8 New DVD Order Form Please send me the DVD(s) noted below at the discounted price of $110. ( ) Lasers in Facial Plastic Surgery (cat. 1116) $130 $110 ( ) Blepharoplasty: One Aesthetic Unit (cat. 125) $130 $110 Ship to: Name __________________________________________________________________ Address ________________________________________________________________ __________________________________________________________________________ Phone: __________________________ E-mail: _______________________________ Please add shipping charges: U.S. $8; Canada $10; all others $15. ( ) Check enclosed made out to the AAFPRS Foundation for $__________ ( ) Visa ( ) Mastercard ( ) American Express Card No. __________________________________________________ Exp. ________ Name on Card ___________________________ Signature _____________________ Please send check to: AAFPRS Foundation, P.O. Box 759033, Baltimore, MD 21275-9033. Credit card orders may be sent to Glenda Shugars at the AAFPRS office by fax to (703) 299-8898; by e-mail to [email protected]; or mail it to AAFPRS 310 S. Henry Street, Alexandria, VA 22314. MARCH 2014 PCA Ad MARCH 2014 Facial Plastic Times 15 SEEN HERE WITH THE PLASTIC SURGERY TEAM AT HOSPITAL ESCUELA, IN TEGUCEGALPA, HONDURAS, ARE DR. KIENSTRA (LEFT MOST) FOLLOWED BY DR. AMBRO; AND DR. SHERRIS (SECOND FROM THE RIGHT). 16 Facial Plastic Times TO HONDURAS skin cancer resection and reconstruction, facial and sinus tumor resection and reconstruction, sinus surgery, and machete wound repair. The neurosurgeons assisted in resecting tumors of the sinuses that abutted the skull base, while the local otolaryngology and plastic surgeons treated the bulk of the other disorders. The visiting team especially focused on teaching the local doctors, residents, and medical students how to treat these complex disorders that they face in a diverse population. Lectures were interspersed with the clinical experience. Dr. Perry had been to the same teaching hospital on prior otolaryngology surgical missions, but commented that the collaboration achieved will serve the Honduran doctors well in the future. He also facilitated the logistics. Matthew Sherris was able to assist the surgical teams in the operating room and on the floors during preoperative and postoperative care. The mission was highly successful and cumulated in an invitation to the Honduran doctors to visit UB this past fall for a continuing medical education course focused on treating the same types of nasal and sinus disorders. Three Honduran doctors were sponsored by UB department of otolaryngology and joined Dr. Sherris, Kofi Boahene, MD, from Baltimore, and other international faculty for the course, Rhinofest 2013, September 19-22, 2013. They joined 75 doctors from around the world in attending a world-class lecture series that included cadaver dissection. The Honduran delegation enjoyed a fantastic week of education in both medicine and the sights of Western New York. All parties involved look forward to continuing this collaboration in the future. If anyone has interest in participating in future missions, feel free to contact Dr. Sherris at [email protected]. Dr. Sherris is presently planning a surgical ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T his past June 23 through June 29, 2013, David A. Sherris, MD, chairman of the department of otolaryngology at the University at Buffalo (UB), led a facial plastic surgery mission to Tegucigalpa, Honduras. The team consisted of Matthew Kienstra, MD, of Springfield, Mo.; Bryan Ambro, MD, of Baltimore; Christopher Perry, DO, of Akron, Ohio; and Matthew Sherris, Dr. Sherris' son. The group worked with local physicians, resident doctors, and medical students at Hospital Escuela in the capital city. Howard W. Smith, MD, had been to the same hospital years before to work with the department of plastic surgery. The surgical mission represented the first time surgeons in otolaryngology, plastic surgery, and neurosurgery collaborated at the largest public teaching hospital in Honduras. Honduran doctors from all disciplines were needed to treat complex facial deformities, tumors, and reconstructive issues. The group screened over 100 patients and performed 36 facial plastic and reconstructive procedures over five days. The operations included facial fracture repair, microtia reconstruction, ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ SURGICAL MISSION Prepare for the upcoming 11th International Symposium! Make sure you know your AAFPRS login ID and password! At the 11th International Symposium of Facial Plastic Surgery, May 27 - 31, 2014, you will be able to complete meeting evaluations online, access personalized transcripts, and print CME certificates from your office or home. If you do not have, or do not remember your AAFPRS login ID and password, please contact Karen Sloat at the Academy office via e-mail at [email protected], prior to the meeting to make sure you are able to complete your evaluation in a timely manner. Please do not wait until you get on-site; this will cause a delay and may prevent you from getting your credits when you want them. mission to Chongquing, China, August 16-22, 2014. We are looking for AAFPRS members and fellows to participate. M Editor’s Note: This article was submitted by (right) Matthew Sherris, son of David Sherris, MD, who was delighted to be a part of this humanitarian mission. MARCH 2014 MARCH 2014 Facial Plastic Times 17 18 Facial Plastic Times MARCH 2014 Enclosed in this issue of Facial Plastic Times is an OFPSA member appplication for your completion. Do not delay! Turn in your application today. If you have questions about membership or the OFPSA program, please contact Regina Simo by e-mail at [email protected]. CLASSIFIED ADS Wonderful opportunity for a facial plastic surgeon to take over a practice for transition as current surgeon prepares for retirement. Economically priced in a great location within the Atlanta metro area with an in-office surgery center and beautifully designed and decorated large office space. Interested candidates please reply to Anna Paulk at (404) 252-9991; [email protected]. Outstanding practice opportunity: Massachusetts established private practice in ENT/facial plastic and reconstuctive surgery is for sale in beautiful Cape Cod area. Gross receipts average $1.2 million with physician net income averaging $400,000. Large modern office fully staffed and equipped with operating room on premises and new EMR system; 6,600 sq. ft. professional condominium available, which includes 2,400 sq. ft. income-producing tenant. Doctor will stay to introduce. For further information, contact: Gary N. Wiessen (631) 281-2810 or send an e-mail via the Web site: buysellpractices.com. MARCH 2014 FACIAL PLASTIC TIMES MARCH 2014 2014 MARCH 3-7 *3RD BIENNIAL CARIBBEAN FACIAL PLASTIC SURGERY UPDATE Nassau, Bahamas Course Directors: Stephen W. Perkins, MD; Capi Wever, MD; and Rami Batniji, MD APRIL 6-12 *FACIAL SCULPTURE FOR SURGEONS--ONE-WEEK BOOT CAMP New York, NY Course Director: Steven Neal, MD MAY 27-31 11TH INTERNATIONAL SYMPOSIUM CELEBRATING OUR 50TH ANNIVERSARY New York, NY Symposium Chair: Jonathan M. Sykes, MD Program Chair: Anthony P. Sclafani, MD ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ In order to attend the Organization of Facial Plastic Surgery Assistants (OFPSA) meeting in New York City this coming May (see left), you will need to become an OFPSA member. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Attention All Facial Plastic Surgery Assistants JUNE 14-15 ABFPRS Examination Washington, DC SEPTEMBER 17 COMMITTEE AND BOARD MEETINGS Orlando, FL SEPTEMBER 18-21 FALL MEETING Orlando, FL Co-chairs: Phillip R. Langsdon, MD and Anthony E. Brissett, MD 2015 MAY 14-17 ADVANCES IN RHINOPLASTY Chicago, IL Course Directors: Tom D. Wang, MD; David W. Kim, MD and J. David Kriet MD *These meetings are endorsed by the AAFPRS Foundation. All the others listed are hosted and sponsored by the AAFPRS Foundation. 50th Anniversary Committee Robert L. Simons, MD, Chair Peter A. Adamson, MD Donn R. Chatham, MD Fred G. Fedok, MD Grant S. Gillman, MD Grant S. Hamilton, III, MD Samuel M. Lam, MD E. Gaylon McCollough, MD William E. Silver, MD Fred J. Stucker, MD Ivan Wayne, MD Enclosed in this issue of Facial Plastic Times are the 11th International Symposium of Facial Plastic Surgery Brochure; FPST Order Form; OFPSA Member Application; and Annual Fund Envelope. Facial Plastic Times 19 Canfield July 2013 pick up 20 Facial Plastic Times MARCH 2014