NovDec 2011 FPT.pmd - European Academy of Facial Plastic Surgery
Transcription
NovDec 2011 FPT.pmd - European Academy of Facial Plastic Surgery
November/December 2011 Vol. 32, No. 8 MANY FACES OF GENEROSITY CAMPAIGN LAUNCHED FACING THE FUTURE AND BEYOND T National Leadership Committee (pictured above): Campaign Co-Chairs: Vito C. Quatela, MD Jonathan M. Sykes, MD Honorary Co-Chairs: M. Eugene Tardy, Jr., MD Ted A. Cook, MD President's Club Chair: Keith A. LaFerriere, MD Leadership Committee Co-Chairs: Andrew C. Campbell, MD Neil A. Gordon, MD Andrew A. Jacono, MD Corporate Co-Chairs: Edwin F. Williams, III, MD Mr. Richard Linder, President and CEO of PCA SKIN Member Co-Chairs: Daniel E. Rousso, MD William H. Truswell, MD Sub-committee Chairs: Harrison C. Putman, III, MD Cynthia M. Gregg, MD Shan R. Baker, MD ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ O Providing excellence in education for our members O Ensuring that relevant and evidencebased research is conducted on behalf of the specialty O Launching our FACE TO FACE humanitarian programs to new heights The Educational and Research Foundation for the American Academy of Facial Plastic See Donors, page 7 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ he Annual Fall Meeting in San Francisco was a success on many levels. The educational component was exemplary; a memorable “Night on the Town" at Forbes Island for young physicians and residents, hosted by PCA SKIN; an innovative OFPSA meeting; a jazzy Founders Club event; and a creative art exhibition and auction. What stands out the most, however, is the announcement and achievement of the "quiet phase" of the Many Faces of Generosity campaign. A medical specialty such as ours needs to continually challenge its constituency to rise to greater heights. We must excel in our educational offerings, ensure that relevant research is being conducted by our members, and, as an organization, continue to offer our skills and expertise to those individuals around the globe who, through no fault of their own, have suffered injuries or deformities that affect their ability to lead a full and satisfying life. Just a little over a year ago, the AAFPRS sought feedback from our members, through a feasibility study, as to what the focus of the future of the Academy should be. Three pillars emerged. They are: NOVEMBER/DECEMBER 2011 AAFPRS Elections Results President-elect Robert M. Kellman, MD Group VP for Education-elect Fred G. Fedok, MD Group VP for Research, Awards and Development-elect Craig S. Murakami, MD Young Physician Representative Grant S. Hamilton, MD Nominating Committee Edward H. Farrior, MD Peter A. Hilger, MD Craig S. Murakami, MD Audit Committee Ira D. Papel, MD Western Region Credentials Committee Craig S. Murakami, Facial PlasticMD Times 1 BOARD OF DIRECTORS Tom D. Wang, MD* President Jonathan M. Sykes, MD* Immediate Past President Robert M. Kellman, MD+ President-elect Stephen S. Park, MD* Secretary Paul J. Carniol, MD* T reasurer John L. Frodel, Jr., MD+ Group VP for Education Mary Lynn Moran, MD* Group VP for Membership & Society Relations Edwin F. Williams, III, MD* Group VP for Public & Regulatory Affairs Minas Constantinides, MD+ Group VP for Research, Development, and Humanitarian Programs Fred G. Fedok, MD+ Group VP for Education-elect Craig S. Murakami, MD+ Group VP for Research, Development, and Humanitarian Programs Scott A. Tatum, MD Director-at-Large Harvey D. Strecker, MD Canadian Regional Director David A. Sherris, MD Eastern Regional Director Harrison C. Putman, III, MD Midwestern Regional Director Richard E. Davis, MD Southern Regional Director Sam P. Most, MD Western Regional Director Grant S. Hamilton, MD Young Physician Representative J. David Kriet, MD Midwestern Regional Director-elect 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 H. Jenne Facial Plastic T imes 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 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ November/December 2011 Vol. 32, No. 8 PRESIDENT’S MESSAGE: PRESIDENTIAL INAUGURAL I am immensely honored and privileged to accept this gavel symbolizing the presidency of our Academy. Before looking ahead to what I believe will be an exciting and productive year, I'd like to acknowledge a few of the many past leaders who have influenced and guided me, as well as our specialty. Leaders like M. Eugene Tardy, Jr., MD, and Calvin M. Johnson, Jr., MD, who were among my early teachers and role models, and Ted A. Cook, MD, who I was fortunate to have as my fellowship preceptor and proud to have as my practice partner and close personal friend. More recently, I applaud Daniel E. Rousso, MD, and Jonathan M. Sykes, MD, as they skillfully guided the Academy through a combination of their dedication and hard work. I am fortunate to be able to work with them and follow them as leaders. And, of course, I could never have gotten here without my loving and supportive wife, Alisha, by my side. As we look forward to the goals and challenges in front of us, we cannot forget the past hurdles we have had to overcome to arrive where we are today. The history of our Academy has been one of surmounting obstacles; and, in prevailing through this process, the AAFPRS has achieved its deserved recognition of global excellence. We have much to be proud of today. Our fellowship and educational programs serve as standards for other organizations. Our certification process through the ABFPRS, celebrating its 25th anniversary this year, maintains the benchmark of clinical excellence of our diplomates. Our financial health has been stable, even during the recent economic downturn. Many challenges remain, and we must be ready to deal with them effectively in order to continue to thrive. Toward this end, I have a number of goals and objectives to share with you for the upcoming year. One of the key components of being president is serving as spokesperson for the Academy. I will be an active advocate of our members, with the help of our public relations firm, the Green Room. I will convey the message of our expertise and excellence in the specialty of facial plastic surgery. These traits are derived from our advanced training and the high quality of our educational endeavors. This message will be brought to the medical community, the media, and the public so that we may protect, promote, and advance the rights of our members. Speaking of members, having a strong membership is the life blood of our Academy. Sustaining and expanding our membership is crucial to improving the strength and effectiveness of the AAFPRS. As an organization, we will be carefully listening to the needs and desires of our membership. We need to continue to develop programs and services to better serve our current members and attract new ones. In this regard, we need to maintain strong efforts to generate interest among resident members. One of my main goals this next year is to increase new member enrollment in our organization. There is no question the vast majority of our membership is derived from residents graduating from otolaryngology-head and neck surgery programs from around the country. While our meetings and courses are open to all of them, many residents find it hard to attend due to time constraints and limited overlap with the main otolaryngology meetings. Our bridge day activities and the popular NOVEMBER/DECEMBER 2011 INCOMING PRESIDENT TOM D. E WANG, MD (RIGHT) PRESENTS CERTIFICATE TO IMMEDIATE PAST PRESIDENT JONATHAN M. SYKES, MD. THIS EXCHANGE TOOK PLACE DURING THE ACADEMY’S BUSINESS MEETING IN SAN FRANCISCO, SEPTEMBER 10, 2011, WHERE DR. WANG ALSO TOOK OVER THE PRESIDENTIAL GAVEL FOR 20112012. NOVEMBER/DECEMBER 2011 2011: MY GOALS Quatela, MD; Mary Lynn Moran, MD; and David W. Kim, MD, and the Advances in Rhinoplasty course held in Chicago in May, under the direction of Stephen W. Perkins, MD; Dr. Park; and Minas Constantinides, MD. Both meetings showcased diverse and multi-disciplinary faculties and both were successful in attracting large numbers of domestic and international attendees. Of course, this current Fall Meeting here in San Francisco has been another outstanding example of educational excellence. I'd like to congratulate and thank our meeting co-directors Steven J. Pearlman, MD, and Richard E. Davis, MD, for their wonderful program and organization. Looking ahead, we will be back in San Diego for the 2012 Rejuvenation of the Aging Face, chaired by Dr. Moran and Sam P. Most, MD, again with the always sold-out cadaver dissection workshop to augment the panels and didactic presentations. And, as I mentioned, our return to the COSM is in April of next year, also being held in San Diego. While I have no doubt the courses I have just outlined will be world-class, our challenge moving forward is to create new ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Essentials Course, chaired by Stephen S. Park, MD, have been helpful in getting our message out to interested residents. But, we are only reaching a fraction of them. One of the meetings boasting the highest resident attendance is the Combined Otolaryngology Spring Meeting (COSM). We have not had a presence there since 2005. There were valid reasons for the AAFPRS to leave COSM at that time. However, those reasons, mainly financial, appear to have been resolved. Accordingly, I have strongly supported our Board's recent decision to return to COSM, on a two-year trial basis, starting next spring. I have appointed Scott A. Tatum, MD, and Ben Marcus, MD, as meeting co-directors and they are well along with crafting a program designed to highlight our specialty and entice resident interest and participation. Education remains one of the primary pillars of our organization. Since the founding of the AAFPRS 47 years ago, the Academy has created the highest quality in educational programs designed to teach excellence to our members. This tradition of educational excellence has continued under the capable direction of our current vice president for education, John L. Frodel, Jr., MD. Just during this past year, we've had both of our flagship courses, the Rejuvenation of the Aging Face meeting in San Diego in January, chaired by Vito C. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ SPEECH, FALL MEETING FOR THE YEAR educational opportunities for our members. As an example, we have recently added on-line instructional videos available via our Web site. A goal of my presidency is to broaden the array of educational options available for Web-based learning for our members. This will include additional instructional video content along with on-line lectures and panel discussions from our meetings and courses. I will also join efforts with the ABFPRS toward creation of an effective online mechanism for our members to prepare and fulfill their Maintenance of Certification (MOC) requirements. Another aspect of our education is our superb fellowship training program. Our fellowship structure is a peer-reviewed process ensuring strict standards of excellence which are second to none. Our fellowship graduates deserve recognition by all licensing bodies for their expertise in facial plastic surgery, but that has not always been the case. This year, we will specifically revisit the value of Accreditation Council for Graduate Medical Education (ACGME) accreditation of our fellowships. Our ultimate goal is global recognition and acceptance of our qualifications. There is no question this process is more akin to a marathon and not a sprint. Through this important process, we will not lose sight of the fact that we are facial plastic surgeons, first and foremost. We will also continue to reach out to our international colleagues and encourage their collaboration and contribution with our organization, as many have already, evidenced by their attendance at this meeting. We have implemented the International Observership program, which allows international members to spend time observing See Quality of Education, page 10 Facial Plastic Times 3 MESSAGE FROM THE MEDICAL EDITOR ARROWS By David Reiter, MD, DMD, Medical Editor, Facial Plastic Times T he use of barbed suture dates to the mid-20th century. But even after 50 years of experience, its use remains controversial. To date, no well designed, large, randomized outcomes comparison has been reported to answer the questions raised by half a century of conflicting literature— yet large numbers of patients have undergone procedures based on the premise (and the promise) that barbed suture will safely and effectively hold soft tissue against gravity and the pull of apposing tissue for long periods of time with minimal complications. The Internet is saturated with advertisements and claims of superiority for brief facial rejuvenation procedures based to some degree on barbed suspension. Given the public’s growing hunger for data and information, a summary of what is known and what is not yet known about barbed suture suspension and the procedures being done with it may help answer patient questions and could prove helpful to the facial plastic surgeon on the fence. After the initial patent application for barbed suture by Alcamo in 1964, McKenzie first described barbed suture in the literature in 1967 and studied its use in repair of the flexor tendons of the hand and fingers. It failed to draw much attention to itself for many years, perhaps until manufacturing methods made it practical for large-scale production and it was introduced to surgeons as a revolutionary way to close wounds. In 2002, Sulamanidze published a study of barbed midfacial suspension in 186 patients, using barbed polypropylene suture of his own 4 Facial Plastic Times OF BARBED SUTURE design (called Apthos, short for “antiptotis”). No outcome measures were reported except complications, which were considerable: 2.5 percent extrusion, 9.5 percent hypercorrection, 9.5 percent linear hemorrhage, and 14.6 percent skin dimpling. Lycka confirmed the complication rates in a 2004 study of 350 patients but reported that 348 of them had “completely satisfactory” results and 198 having “good to excellent” results (although 52 patients required subsequent intervention). Subsequent studies of Apthos facial suspension demonstrated complications in a range similar to Sulamanidze’s series, including extrusion, migration, ecchymosis, pain, bleeding, and prolonged erythema. The unsupported conclusions of these and other authors reporting similar spectra of results are that the problems are minor and that patients are happy and satisfied with their results anyway. The first randomized clinical trial of barbed suture to be reported was a comparison of five-week outcomes between barbed PDS and 3-0 PDS used as running subcuticular intrader mal closures in 188 cesarian section closures. This was published in 2006 by a group whose senior author (Ruff) holds the patent on the suture and founded the company that manufactured it (Quill). There were no reported differences in outcomes between the two groups. Villa et al., subsequently (2008) published a review article in Plastic & Reconstructive Surgery that summarizes very well the evidence behind barbed suture suspension, concluding from the lack of level 1 or 2 evidence and any objective outcomes data that “surgeons who use barbed sutures may wish to apprise patients of the limited data on efficacy, adverse events, and ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ AND ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ THE SLINGS longevity of effect.” To me, the most interesting—and perhaps the most important—observation in this work is that “it remains to be seen whether the best results are reproducible and relatively operator independent.” There have been more studies since then, although none is strong, level 1 work. Kaminer (2008, 20 patients undergoing barbed suture suspension of “ptotic tissue of the face and neck”) used a patient survey and photographic observation over an average of 11.5 months to determine a mean 6.9 patient satisfaction score on a scale of 1 to 10. Independent physician observers determined a mean 4.9 of 10 on the same scale, and no data are provided on complications. In a subsequent publication, Rachel, Lack, and Larson (Dermatologic Surgery, 2010) reported adverse events in 69 percent of 290 patients undergoing “thread lifting,” independent of technique, number of threads used, or their placement. They concluded that this procedure could not provide predictable long-term results with acceptable morbidity, downtime, and patient satisfaction. Atiyeh et al., (Journal of Cosmetic Dermatology, 2010) concluded from their review of the literature and unreported clinical experience that “early results of barbed suture suspension remain inconclusive. Adverse events do occur though mostly minor, self-limited, and of short duration. Less clear are the data on the extent of the peak correction and the longevity of effect, and the long-term effects of the sutures themselves. The popularity of barbed suture lifting has waned for the time being. Certainly, it should not be presented as an alternative to a facelift.” There are also several single or small series case See Got Evidence, page 23 NOVEMBER/DECEMBER 2011 NOVEMBER/DECEMBER 2011 Facial Plastic Times 5 Steven H. Dayan, MD, of Chicago, was recently appointed to the State of Illinois Medical Licensing Board by Governor Pat Quinn. As of March 18, 2011, Dr. Dayan has been formally appointed to execute the powers and discharge duties vested by law in the Medical Licensing Board of Illinois. This appointment to the Board follows a series of professional achievements by Dr. Dayan. In 2008, he received the American Medical Association’s (AMA) Foundation Leadership Award, awarded annually to a select group of physicians who exemplify the highest values of the medical profession: commitment to service, community involvement, altruism, leader ship, and dedication to patient care. In 2009, Dr. Dayan was honored with the Chicago Medical Society’s (CMS) Annual Henrietta Herbolsheimer, MD, Public Service Award. The CMS Award Committee noted Dr. Dayan’s leadership role as an advisory board member of the Chicago Public Schools’ Education to Work program with Medi6 Facial Plastic Times cal Health Academy students, and his ability to raise scholarship funds for students through the Enhance Educational Foundation, a non-profit organization he founded in 2006. Michael S. Godin, MD, of Richmond, Va., has drawn upon the considerable talents of our Academy to create a new book, Rhinoplasty: Cases and Techniques. Thirty-five Academy members contributed cases to include in the book. Written to be the first “playbook for rhinoplasty,” the book indexes each case study by primary and secondary deformities so that the surgeon can look up virtually any type of nose he or she wants to repair and find out how one or more renowned Academy members handled a similar case. It is available now, November 2011, from Thieme Medical Publishers. E. Gaylon McCollough, MD, of Gulf Shores, Ala., was recently asked by a local Public Broadcasting System PBS affiliate to host a new television show on how enhancing one’s appearance improves other factors that determine health, happiness, and prosperity. The PBS affiliate (WSRE-TV) chose to call the show, “Wellness 360,” because it addressed total well-being. The station plans to ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Daniel S. Alam, MD, of Cleveland, Ohio, and Scott A. Tatum, III, MD, of Syracuse, N.Y., were elected to six-year terms as directors of the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) at the recent meeting of the ABFPRS in San Francisco. Mary Lynn Moran, MD, of Woodside, Calif., and William H. Truswell, MD, of Northampton, Mass., were elected to the ABFPRS Senior Advisory Council. Re-elected to one-year terms as ABFPRS officers were Ira D. Papel, MD, of Baltimore, as president; Mark V. Connelly, MD, of LaCrosse, Wis., as vice president; Lee E. Smith, MD, of Princeton, W.Va., as secretary; and Harrison C. Putman, III, MD, of Peoria, Ill., as treasurer. Shan R. Baker, MD, of Livonia, Mich., continues as immediate past president. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ IN BRIEF: GAYLON MCCOLLOUGH’S NEW SHOW produce a year-long series of shows, featuring Dr. McCollough as the show’s host. About the venture, Dr. McCollough says, “While I have been a guest on many regional and national television and radio programs, this is my first experience as a host. I thoroughly enjoy the role and look forward to finding creative ways to inform and inspire people, the world over. One of my objectives is to have a patient who experienced a life-altering ‘make-over’ share her story in researching doctors for the procedures in which she was interested.” Viewers will learn that appearance enhancement and health enhancement are symbiotic and inseparable. Dr. McCollough adds, “Those of us who are fortunate enough to be facial plastic surgeons have been given a tremendous gift; and with that gift comes the responsibility to share our knowledge and experience with others. I feel fortunate to have been given that opportunity and encourage my fellow AAFPRS members to become pro-active in public education.” M Please e-mail your announcements for inclusion in this column to Rita Chua Magness at the Academy office: [email protected]. CLASSIFIED AD South Florida Practice Transition A board certified facial plastic surgeon is looking to transition practice over the next two to three years. O Elegant office in very upscale growing community O AAAHC certified operating room O Practice is 100 percent cosmetic fee for service Please contact Ken Elkin by phone at (772) 220-4455 or by e-mail at: [email protected]. NOVEMBER/DECEMBER 2011 AND CORPORATE DONORS ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ From Cover Story, page 1 and Reconstructive Surgery is accepting a leadership role in addressing these three areas by launching a major, multi-phased funding initiative to raise financial support. The Many Faces of Generosity campaign will continue to partner with corporate leaders and members of the AAFPRS to obtain the means to meet the identified objectives. The goal of the campaign is to raise a minimum of $4 million, pledged and paid over five years. This critical initiative will position the PICTURED ABOVE ARE DR. SYKES (LEFT) AND DR. G AAFPRS Foundation to QUATELA (RIGHT) WITH PCA SKIN OWNERS AND meet the needs of facial CEO, MR. RICHARD AND DR. JENNIFER LINDER. plastic and reconstructive surgeons, today, tomorrow, and Next year’s Fall Meeting in into the future. Washington, D.C., we will hold the This campaign is a vision that celebration of the culmination began to take shape over two and success of the Many Faces of years ago. We set our first mileGenerosity campaign. stone for the 2011 Fall Meeting The Welcome Reception where with a goal to secure a minimum the campaign announcement was of $2 million prior to the anmade (photo below) was undernouncement at the meeting. We written by DERMIK, a business of are pleased to announce that the sanofi-aventis U.S. LLC. initial goal was exceeded; we For more information on the have already received over $3.1 campaign please contact Ann H. million in pledges from 100 Jenne, director of development members and two corporate and humanitarian programs at donors. [email protected]. M NOVEMBER/DECEMBER 2011 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ MEMBER A KNOW-RISK STRATEGY A s geopolitical events and market uncertainties threaten to slow the pace of economic recovery, it is clear that the next decade is one of the most critical ever for investors. Investors need to gain lost ground amidst dramatically altered terrain, while simultaneously searching the landscape for new growth. A key step in planning for these crucial years is to acknowledge risks—those you can anticipate and those you can’t—and to prepare to deal with them. Risk, a four-letter word At its most basic level, risk equals uncertainty. The future is unknowable. Still, investors and advisors can remain diligent in analyzing their current portfolios for risk and in anticipating tomorrow’s likely threats. The goal is to minimize both. This may mean recognizing that risk can hide where you least expect it, even in areas once considered safe. Why risk is getting riskier A number of market trends are already sending warning signals. Slower growth, ongoing investment extremes, and continual change are all affecting risk levels—so are the looming deficit and the threat of inflation. Add geopolitical unrest and the Eurozone crisis and it’s unlikely that market volatility will cease any time soon. Yet, there are strategies to help you leverage what is ahead, while defending against risk. And, they’re requisite for success. Look inward If your portfolio hasn’t changed to reflect the transformation of the financial world, a multitude of risks may be lurking within: tax inefficiencies, unnecessary costs, See Diversify with Intent, page 15 Facial Plastic Times 7 WHAT’S years. Dr. Bortnick is also a member of the National Watercolor Society. He donated Goldman's Theater #2. Donn R. Chatham, MD. donated New Yorker style cartoons, which are amusing as well as thought provoking. For an example, in one cartoon, a patient asks his surgeon, “Why am I here? Well, I saw this on T.V. and I want to recapture my true splendor and reclaim my inner passion.” Frank M. Kamer, MD, writes, "When people ask me what I do, I tell them that I am an artist, but for 40 years, I was a specialist in facial plastic surgery in Beverly Hills." Dr. Kamer, 12 years ago, decided to set aside a day a week to study drawing at the Brentwood Art Center. More classes followed and a passion ensued. AND W sal hash tag, all while other updates display on the search results page in real time. The word that follows the hash tag creates an automatic link to the search of that specific word, much like the way a hash tag symbol works on Twitter. The second recent update the Google+ team has implemented now makes searches appear live in real time. This means that new relevant articles are posted when a user enters a search on the search page, much like a new Tweet will appear in real time when a user lingers on the Tweet Stream feed. So how are these updates beneficial to your practice? For businesses, these new updates once again reinforce the necessity to continuously update content in order to stay on the radar of prospective patients. And while there will always be changes to what ranks a site and proves lucrative in business, some rules will always remain the ith many social media and search engine updates, it can be daunting to stay on top of trends. Fortunately, there are professionals in the field who can do the legwork for you. Google has been one of the key players in online search for several years, and is often the default search engine on many computers and smartphones. This is why staying up to date with changes in Google is important. And recently, the Google team added an important change to their already extensive network of online platforms with the creation of Google+. Google+ is a social network which offers integration into other on-line tools such as Picasa, Gmail, and Google Maps. The first of these updates occurs when a user makes a post with a hash tag symbol (#). This update offers users a specified search capability with the univer- 8 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ GOOGLE+ UPDATES WHAT THEY TO ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ OF COME Norman J. Pastorek, MD, takes photography to the next level with his floral interpretations. There is a calmness and precision that is captured. As we race through life, these intimate photographs beckons the viewer to slow down, study, reflect and appreciate natures' beauty. We wish to thank all four participants who helped raise more than $3,400 for the AAFPRS Foundation. We plan to hold another art auction at the 50th anniversary meeting in September 2014. Whether you are an AAFPRS member, OFPSA member, spouse or staff, we encourage all to participate. Watch for future updates in upcoming issues of Facial Plastic Times or contact Ann H. Jenne at the AAFPRS office, [email protected]. M MEAN ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ A s Joseph Conrad once wrote, "An artist is a man of action, whether he creates a personality, invents an expedient, or finds the issue of a complicated situation." Many would call AAFPRS surgeons gifted by seamlessly unifying surgical techniques with artistic abilities that enhance and create timeless beauty. Four AAFPRS members responded to our request to donate their works of art for an exhibit/auction. Each brought their gift of artistry to the Fall Meeting. All proceeds benefited the AAFPRS Foundation. Eugene Bortnick, MD, has been developing his talent for more than 60 years. He considers himself a water media artist. He has exhibited nationally and internationally for more than 20 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ART AUCTION, A PREVIEW FOR BUSINESS same. These changes serve as a reminder to not only update potential patients with new and vital information, but also to update the people in your practice on what is new and what works effectively. M Editor’s Note: This article was submitted by Robert Baxter of Surgeons Advisor, the Miami-based company that manages the Academy’s Web site. Did you know that you are able to link your practice Web site to your listing in the Physician Finder section of the AAFPRS Web site? Contact Michelle Busey at the Academy office for information at: [email protected]. NOVEMBER/DECEMBER 2011 NEWASSI Ear Lobe Clamp ® For the Repair of Torn or Stretched Ear Lobe Pierces. ASSI•25126 Ear Lobe Clamp, 9cm ® ACCURATE SURGICAL & SCIENTIFIC INSTRUMENTS® NOVEMBER/DECEMBER 2011 For diamond perfect performance® 300 Shames Drive, Westbury, NY 11590 800.645.3569 516.333.2570 fax: 516.997.4948 Facial Plastic Times 9 west coast: 800.255.9378 www.accuratesurgical.com © 2010 ASSI® accurate surgical & scientific instruments corporation OF EDUCATIONAL PROGRAMS, CAPI- From President’s Message, page 3 surgery from a list of designated, expert facial plastic surgeons. This program is administered by the International Federation of Facial Plastic Surgery Societies (IFFPSS) in conjunction with the AAFPRS, and will strengthen the already close bonds between our two organizations. I look forward to working with Wayne Larrabee, MD; Roxana Cobo, MD; and the leadership of the International Federation. I'd like to call attention to a very special 7th Congress of the IFFPSS, which takes place in Rome, Italy, in May 2012. This event is co-sponsored by the AAFPRS along with the IFFPSS and the European Academy of Facial Plastic Surgery (EAFPS). It is under the direction of Pietro Palma, MD, who is president of the 7th Congress and of the EAFPS. Being as familiar as I am with Pietro's superb organizational expertise, this event promises to offer extraordinary educational, social, and cultural exchanges on a global scale. I urge everyone to attend. Another goal of mine is to sustain and expand upon the effort initiated by Dr. Sykes and Peter A. Hilger, MD, and others, toward integrating evidencebased medicine (EBM) into all aspects of facial 10 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ MAINTAIN QUALITY plastic surgery. Upon their recommendation, I have just appointed Lisa Ishii, MD, as the new chair of the EBM Committee. Under her guidance, this committee will help institute Web-based EBM education, promote evidence-based methodology in our fellowship training and research protocols, and develop other strategies to help us transition from anecdotal experience to evidence-based outcomes. Another pillar of our AAFPRS Foundation is our humanitarian efforts via the FACE TO FACE program. Since our first mission to Yekaterinburg, Russia in 1992, a trip that I was fortunate to have participated in, FACE TO FACE has expanded to meet growing needs. It now encompasses not only international cleft and craniofacial missions, but also provides care for domestic violence victims, and, most recently, treatment for veterans injured in the line of duty via the FACES OF HONOR program, started by Donn R. Chatham, MD. FACE TO FACE programs allow our members to share their experience and expertise with the world. In return, we derive not only the good will and personal satisfaction from having helped those in need, but also a strong reminder to all of us that we are responding to a higher calling, that of being a physician and a healer. My goal as president will be to expand our humanitarian efforts both in terms of financial support and organizational capacity. This brings me to the capital campaign. A longterm goal of mine, and many others, continues to be the financial stability of our Academy. The Many Faces of Generosity capital campaign, successfully launched at this Fall Meeting, is an investment in our collective future. Completion of this campaign will help generate the endowment needed to carry out the AAFPRS Foundation's core mission of "improving lives through education, research, and humanitarian programs." The new face of education will be a Web portal making available a multitude of on-line resources and education tools. This will allow members both flexibility and access to content. In addition, this endowment will allow Continuing Medical Education (CME) programs and educational resources to be fiscally independent, while allowing members to keep abreast of the rapid advances in our specialty. This is particularly vital during current times of decreasing income from membership dues and weakened industry support for CME activities. Our Foundation already awards significant funds to AAFPRS members performing exemplary research. The capital campaign endowment will allow the establishment of a Facial Plastic Surgery Research Center to educate surgeons on the process and techniques of conducting quality research. It will also expand funding to support essential research and evidence-based studies necessary to advance the knowledge frontier for our specialty. NOVEMBER/DECEMBER 2011 With regard to humanitarian programs, this endowment will allow recruitment of a dedicated coordinator to assist in expansion of the already well-established three branches of FACE TO FACE. The coordinator will also help us increase public awareness of the programs and establish development funding sources for these programs to become financially self-sustaining over time. These goals are laudable, attainable, and worthy of support from each and every one of us. After all, we are investing in ourselves and our future. I think this is an exciting time for facial plastic surgery and a special time to be a facial plastic surgeon. Our group has successfully overcome numerous past obstacles and is on the verge of reaching the next level in our evolution as an organization and as a specialty. I am proud to represent all of us and I pledge to work diligently toward achieving our common goals. We have a bright future ahead. As president, I am grateful to have the able assistance of our dedicated executive vice president, Mr. Steve Duffy, our astute legal counsel, Mr. Tom Rhodes, our devoted and efficient Academy staff, and our experienced and decisive Board of Directors to help us achieve our goals. Most importantly, I am counting on each and every one of you for your generous support and involvement to help us ensure our continued success and secure our bright future. Thank you very much for this opportunity. Tom D. Wang, MD NOVEMBER/DECEMBER 2011 CONSUMER NEWSLETTER HELPS PATIENTS “GLOW” IN THE WINTER O rder your digital copy of the winter issue of Facial Plastic Surgery Today! The Academy proudly offers its members quality content that can be used as a marketing vehicle for your practice. Let your prospective and current patients know that you care by educating them—keep copies in your waiting room and post as fresh content for your Web site. The cover article, Maintain Your Glow through Winter, will capture readers' attention as they learn what men and women just like them are doing not only to combat the elements, but also to improve the appearance of their skin. Inside the newsletter, help your clientele understand what neurotoxins are available and how they might be used. Neurotoxins Available: What You Need to Know, will discuss each neurotoxin, including medical applications and advantages. The popular column on page three will address timely topics. In Ask the Expert: There are so many facial plastic surgical procedures and I don't want to pick the wrong one; what should I do? The answer will direct readers to make a consultation appointment with a facial plastic surgeon, where their unique needs and concerns will be addressed. The What's New column presents ZYTAZE®, a specially formulated combination of zinc and phytase. A recent study shows increased effect of treatments and the duration of botulinum toxin when ZYTAZE is used prior to treatment. The Health Tip will admonish that the source of an ingredient does not determine its safety. Consumers should be aware that just because a cosmetic product states that it is made with "organic" ingredients, this does not ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ CAMPAIGN ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ TAL THIS FOUR PAGE NEWSLETTER IS G PERFECT FOR YOUR WEB SITE. IT HAS THE CONTENT AND GRAPHICS YOU NEED TO MAKE YOUR SITE MORE INFORMATIVE AND EDUCATIONAL. YOU CAN REPLACE THE PHOTOS WITH YOUR OWN AND ADD YOUR OWN PRACTICE INFORMATION SUCH AS HOURS OF OPERATION, LOCATION, STAFF, ETC. THE COST TO RECEIVE FOUR ISSUES A YEAR IS $560. mean that it is safer for consumers than those made with ingredients from other sources. Ensuring Your Safety… Starting with Your Surgeon, will be on the back cover. This informative article will discuss the importance of understanding board certification, verifying credentials, and asking for references. Order your copies of FPST in time for the winter issue. Your practice will benefit and your current and future patients will thank you. The newsletter can be personalized to fit your needs. You will receive one color copy of the newsletter in three formats (Adobe PageMaker, PDF, and Word file) on a CD that you can modify, print, and post to your Web site. For more information or to order the next four issues, refer to the enclosed form. M Facial Plastic Times 11 2010 ANNUAL DONORS REPORT FOR AAFPRS Fiscal Year, January 1, 2010 - December 31, 2010* Mission In 1974, the Educational and Research Foundation for the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS Foundation) was created to foster, promote, support, augment, develop, and encourage investigative knowledge and charitable and humanitarian application of facial plastic and reconstructive surgery. 1887 Gift Circles Each 1887 Gift Circle recognizes individuals and organizations whose philanthropic commitment to the AAFPRS Foundation is $1,000 or more (actual cash donation) during this past fiscal year (January 1, 2010 to December 31, 2010). 1887 was the year that the first credited intranasal rhinoplasty was performed in the United States. $100,000+ Dermik, a business of sanofi-aventis U.S. Medicis Pharmaceutical Corporation $75,000 - $99,999 Allergan Medical Synthes Maxillofacial $50,000 - $74,999 MERZ Aesthetics $25,000 - $49,999 Andrew A. Jacono, MD CareCredit PCA SKIN $10,000 - $24,999 Lumenis Jessica Lattman, MD and David B. Rosenberg, MD Sam Rizk, MD $5,000 - $9,999 Candela Corporation John M. Hodges, MD LifeCell Corporation Sandstone Medical Technologies, LLC Stryker Craniomaxillofacial Syneron Corporation Edwin F. Williams, III, MD $2,500 - $4,999 Combined Federal Campaign John F. Hoffmann, MD The University of Texas - Health Science Center at San Antonio Jeffrey H. Wachholz, MD *Please note, donors to the Many Faces of Generosity campaign began in 2011. 12 Facial Plastic Times $1,000 - $2,499 Peter A. Adamson, MD Min S. Ahn, MD Eugene L. Alford, MD Roger A. Allcroft, MD Benjamin Bassichis, MD Edward Dean Buckingham, MD Roman P. Bukachevsky, MD Andrew C. Campbell, MD Donn R. Chatham, MD Michael M. Churukian, MD Mark V. and Jeanne P. Connelly Peter D. Costantino, MD Terry L. Donat, MD Jeffrey S. Epstein, MD John Charles Finn, MD Andrew S. Frankel, MD Neil A. Gordon, MD Carla C. Graham, MD Timothy M. Greco, MD Mark Hamilton, MD J. David Holcomb, MD Sheldon S. Kabaker, MD Frank M. Kamer, MD Theda C. Kontis, MD Russell W.H. Kridel, MD J. David Kriet, MD Keith A. LaFerriere, MD David D. Maglike, MD Jon Mendelsohn, MD Mentor Worldwide LLC Philip J. Miller, MD Craig S. Murakami, MD Paul S. Nassif, MD Ira D. Papel, MD John W. Pate, MD Stephen W. Perkins, MD Harrison C. Putman, III, MD Ms. Andrea Rosenthal Daniel E. Rousso, MD David A. Sherris, MD Robert L. Simons, MD Fred J. Stucker, MD Gary M. Snyder, MD Christopher J. Tolan, MD William H. Truswell, MD Tom D. Wang, MD Ivan Wayne, MD Joseph K. Wong, MD Foundation Contributors The AAFPRS Foundation wishes to thank the following individuals and corporations for their monetary support this past fiscal year (January 1, 2010 to December 31, 2010). Contributors $500 - $724 Stephen B. Anderson, MD Shan R. Baker, MD Mark M. Beaty, MD William J. Binder, MD Paul J. Carniol, MD City National Bank Ross A. Clevens, MD Kris Conrad, MD Minas Constantinides, MD Thomas A. Dalsaso, Jr., MD Steven H. Dayan, MD J. Kevin Duplechain, MD Gerald G. Edds, MD Karl J. Eisbach, MD David A.F. Ellis, MD Edward H. Farrior, MD Fred G. Fedok, MD Richard D. Gentile, MD Alvin I. Glasgold, MD Theodore A. Golden, MD Richard L. Goode, MD H. Devon Graham, III, MD Cynthia M. Gregg, MD Peter A. Hilger, MD David B. Hom, MD Houston/Gulf Coast Chapter CMSA P. David Hunter, MD Calvin M. Johnson, Jr., MD Robert M. Kellman, MD Kriston J. Kent, MD Samuel M. Lam, MD Wayne F. Larrabee, Jr., MD William Lawson, MD, DDS Devinder S. Mangat, MD Lawrence J. Marentette, MD Corey S. Maas, MD Stacie D. McClane, MD E. Gaylon McCollough, MD NOVEMBER/DECEMBER 2011 Donna J. Millay, MD 2010 ANNUAL DONORS REPORT FOR AAFPRS Fiscal Year, January 1, 2010 - December 31, 2010* Harry Mittelman, MD Mary Lynn Moran, MD Todd A. Morrow, MD Steven L. Neal, MD Norman J. Pastorek, MD Louie L. Patseavouras, MD Steven J. Pearlman, MD Edmund A. Pribitkin, MD Vito C. Quatela, MD Angelo D. Reppucci, MD Wm. Russell Ries, MD Thomas Romo, III, MD Sigmund L. Sattenspiel, MD Walter W. Schroeder, MD Anthony P. Sclafani, MD Craig W. Senders, MD William E. Silver, MD Frank Simo, MD Brent J. Smith, MD Howard W. Smith, MD, DMD J. George Smith, MD Ifeolumipo O. Sofola, MD John A. Standefer, MD Jon B. Turk, MD $250 - $499 Stephen A. Goldstein, MD Edward J. Gross, MD Anthony S. Krausen, MD Jesse Ellis Smith, MD Catherine P. Winslow, MD $100 - $249 David A. Abraham, MD Bryan Thomas Ambro, MD Cameron D. Bakala, MD Jay G. Barnett, MD Stuart H. Bentkover, MD Kenneth A. Buchwach, MD Ms. Mary Clark Paulino E. Goco, MD Bruce R. Gordon, MD R. Daniel Jacob, MD Harold J. Kaplan, MD Christopher D. Lansford, MD Ms. Estelle L. Lile Kevin C. Lunde, MD Hasmet Seckin Oksar, MD OTR Global LLC Stephen J. Pincus, MD Jennifer Parker Porter, MD Allyson M. Ray, MD Daniel D. Rooney, DO Ms. Sonia J. Schuemann Christopher Sinha, MD Trang T. Vo-Nguyen, MD George C. Yang, MD Glen Y. Yoshida, MD NOVEMBER/DECEMBER 2011 Jan Zemplenyi, MD $5 - $99 Deniz Akyurekli, MD Ms. Barbara J. Baker Ms. Syreeta Batiste Mr. Robert E. Beasley Gregory H. Branham, MD Ms. Kathie Brisso Ms. Elaine F. Brong Mr. Troy W. Bucy Ms. Debra O. Byrn Ms. Bonnie O. Carlson Mr. David Cheyne Ms. Natalie Chvirov Ms. Zelma A. Cochran Ms. Barbara A. Davies Ms. Gail H. Davis Ms. Pat Decker Ms. Claire M. Doherty Ms. Christine Donnelly Ms. Judy L. Everley Jaime Fandino, MD Ms. Patty L. Findlay Mr. Peter T. Foley Ms. Linda Marie Galante Ms. Sharon A. Godwin Ms. Dominga Guerrero Ms. Marie V. Hall Ms. Jill M. Harland Ms. Karen Harman-Colorito Ms. Dolores E. Harris Ms. Judy Hasche Ms. Marcia A. Hinsvark Ms. Monica C. Hoppe Ms. Sally M. Howell Mrs. Kirk Q. Jenne Ms. Sherri Johnson Ms. Victoria U. Johnson Ms. Paula V. Kalmeta Mr. Wayne Kim Ms. Susan E. Koch Ms. Christine A. Kovach Ms. Cheryl R. Koval Ms. Cathy A. Ladley Ms. Karen M. Lantzfornshell Ms. Kara L. Loffelmacher Peter Lohuis, MD, PhD Mr. William D. Looney Ms. Gayle Marie Lutes Ms. Kerney J. Malo Mr. Michael P. Maloney Ms. Laura Marcil Mr. Robert A. Martin Ms. Jan McCall Ms. Cindy McPike Ms. Joanne Van Ness Menashe Ms. Madonna Merced Corey C. Moore, MD Ms. Kristin M. Pollock Mr. Timothy D. Putnam Ms. Pamela M. Reichert Kenneth A. Remsen, MD Mr. Donald Gary Rischitelli Ms. Nan R. Robertson Ms. Elizabeth H. Robinson Ms. Kelly S. Rogers Ms. Teresa H. Schwingel Ms. Stacey V. Sebek Ms. A. Spahnn J. M. Stevens Ms. Carol T. Stroup Ms. Debbie D. Strzelewicz Ms. Julie Ann Udell Mr. Paul Vaccaro Panayotis A. Vrettakos, MD Ms. Julie Wells Ms. Sherry L. Whitehead Ms. Judy D. Wilcox Ms. Gail K. Yoshikawa Ms. Patricia A. Zikes IN-KIND GIFTS Eugene L. Alford, MD Paul J. Carniol, MD Donn R. Chatham, MD Minas Constantinides, MD Edward H. Farrior, MD Fred G. Fedok, MD John L. Frodel, MD H. Devon Graham, MD Robert M. Kellman, MD David W. Kim, MD Corey S. Maas, MD Mary Lynn Moran, MD Corey C. Moore, MD Sam P. Most, MD Stephen S. Park, MD Harrison C. Putman, III, MD Daniel E. Rousso, MD David A. Sherris, MD Surgeon's Advisor Jonathan M. Sykes, MD S. Randolph Waldman, MD Edwin F. Williams, III, MD Tom D. Wang, MD The Development Office of the AAFPRS Foundation prepares the report of contributions made for Fiscal Year 2010. Every effort is made to ensure that the information included is accurate. If any inadvertent errors or omissions have occurred, kindly notify Ann H. Jenne, Director of Development, so that we may correct our records. ([email protected]) Facial Plastic Times 13 he ABFPRS is proud to recognize Jose Barrera, MD, as its 1000th diplomate for his facial plastic surgery skills honed to treat the wounded and disfigured in Afghanistan. "I'll be back," Jose Barrera, MD, informed Laurie Wirth, ABFPRS executive director, when he was told that ABFPRS certification could not be awarded when he first applied in 2008. Although Dr. Barrera passed the ABFPRS exam with flying colors that year, his operative experience, which was deemed exemplary by the ABFPRS Credentials Committee, was, unfortunately, just short of the necessary 1000point total required for completion of certification requirements. Although ABFPRS certification was not quite within Dr. Barrera's grasp in 2008, he had already compiled a long list of accomplishments that would have made any medical organization sit up and take notice. "Being raised in the Dominican Republic, I chose medicine to fulfill a lifelong desire to help others," explains Dr. Barrera. "My father, Castro, always encouraged me to continue training—he was living proof that you're never too old to stop learning. My dad went to law school at age 76, graduated at 79, practiced for 5 years, and passed away at age 85. His dedication and drive knew no age boundaries. Even though he's gone, he will always be a motivating force in my life," says Dr. Barrera. Dr. Barrera's motivation to make medicine his life's work was in evidence when he graduated with military distinction from the U.S. Air Force Academy and attended the University of Colorado (CU) Health Sciences Center for medical school. There, he became involved in head and neck cancer research and completed a fellowship with Marileila Varella-Garcia, PhD. Dr. Barrera went on to complete his residency in otolaryngology at CU and was 14 Facial Plastic Times ABFPRS DIPLOMATE mentored by John Campana, MD, a friend who Dr. Barrera credits with showing him how to be compassionate with patients and how to demonstrate dignity above scientific endeavor. After his residency, Dr. Barrera went on to serve in the U.S. Air Force as an otolaryngologist in Japan and as a flight surgeon for the 459th Airlift Squadron. While in the Pacific, he earned the Surgeon of the Year award two years in a row, as well as the coveted Department of Defense Outstanding Achievement in Clinical Research. Following his tour in Japan, Dr. Barrera found his way to Stanford University where he completed two additional fellowships—one in sleep medicine and surgery with Robert Riley, MD, and Nelson Powell, MD, and another in facial plastic surgery ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T IS 1000TH ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ JOSE BARRERA with Richard L. Goode, MD, and Sam P. Most, MD. "My fellowships further exposed me to complicated facial aesthetic and reconstructive surgeries, which dovetailed with my orthognathic and craniofacial experience," explains Dr. Barrera. "My additional training readied me for my most challenging and rewarding assignment, when I deployed to Afghanistan in 2010 as the theater's sole otolaryngologist and facial plastic surgeon," he states. As seen in the photos, Dr. Barrera was exposed to challenging adult and pediatric cases in addition to reconstructing complex facial injuries suffered by American, Afghani, and coalition forces. "I utilized every ounce of my training to address complex craniofacial reconstructions every day," says Dr. Barrera. "But the civilian need for surgical treatment was so great; I petitioned my medical command to accept humanitarian cases from the region. They agreed and I performed cleft lip and palate surgeries, microtia reconstructions, and, sadly, worked on disfigurement cases caused by physical abuse designed to subjugate young women and children," he confides. During his eight-month tour of duty in Afghanistan, Dr. Barrera performed over 250 surgical procedures on more than 100 American, coalition, and local nationals. With the help of Ian Zlotolow, a civilian prosthodonSee Mending War Injuries, page 18 F BURNS AND AN EAR AMPUTATION WITH MICROTIA REPAIR BY DR. BARRERA. NOVEMBER/DECEMBER 2011 T ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ here is still time to register for Rejuvenation of the Aging Face, January 18 22, 2013, in sunny San Diego, Calif. Co-chairs Mary Lynn Moran, MD, and Sam P. Most, MD, have coordinated a course that focuses on the dynamic volumetric nature of the aging face. Featuring multi-disciplinary faculty THE MEETING WILL BE HELD AT THE U.S. GRANT from across the globe, HOTEL WHICH SITS ALONGSIDE THE VIBRANT attendees will achieve a deepened understanding GASLAMP QUARTER. CONTACT THE HOTEL DIRECTLY AT (866) 837-4270.AND MAKE SURE TO INDICATE THAT of the three-dimensional YOU ARE PART OF THE AAFPRS MEETING TO GET approach to facial rejuve- THE SPECIAL ROOM RATE. nation. Attendees will be able to take advantage of the Boasting as a year-round wonderful city of San Diego and paradise with an average temall that the region has to offer for perature of 72 degrees, San Diego a remarkable vacation experipromotes a lifestyle of sports and ence. leisure. You will want to extend Day one will feature Fundayour stay to sail on the San Diego mentals Learning Part I, covering Bay, golf on a world-famous the most critical aspects of course, and experience wine analysis and management of the tasting through the Temecula common components of the aging Valley. There are over 70 miles of face. Master surgeons will share breathtaking beaches, spectacutheir knowledge and perspective lar mountains and deserts, and a in reviewing only the most essenplethora of natural and mantial information for each area of made attractions to see. Plan to facial rejuvenation. Day two will take part in some of San Diego’s cover Fundamentals Learning simple pleasures, such as sunPart II, an all-day laboratory sets at the beach, jazzy nights in course to observe master dissecthe sizzling Gaslamp Quarter, tors and practice these techand morning walks at the edge of niques. On days three, four, and scenic bays. This city’s blue five, expand your knowledge of skies, ocean breezes, and near advanced concepts through perfect weather is sure to enerdidactic sessions. There will be gize, refresh, and stimulate you. lectures, panel discussions, and Bring your family and check out demonstrations. All sessions will the most popular attractions: emphasize what is most effective San Diego Zoo and Safari Park, to achieve volumetric 3-D rejuveSeaWorld, Legoland, Anzanation of the aging face. Of Borrego Desert State Park, and special note, you will not want to Balboa Park—the largest urban miss the three unique evening cultural park in the United sessions: Marketing Strategies States, home to 15 museums, for the 21st Century, Marketing numerous art galleries, beautiful Panel Tips from Mavericks and gardens, and The Globe Theatres. Masters: Family Feud Style, and Plan to attend this cuttingMaking the Most of Your Talents edge meeting, while enjoying the and Time to Create the Career beautiful city of San Diego. and Life of Your Dreams. Register now. M NOVEMBER/DECEMBER 2011 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ART AND SCIENCE OF THE AGING FACE IN SUNNY SAN DIEGO DIVERSIFY INTENT WITH From Know-Risk Strategy, page 7 and unseen stock concentrations. Your portfolio should be thoroughly analyzed for risk at all levels—within your holdings and across. It’s a whole new game. Don’t rely on an old game plan. Combine adherence and agility To address, and even capitalize on, the mercurial nature of the current market, your plan should combine a long-term framework with short-term flexibility. A structured, yet nimble approach will enable you to more effectively anticipate and optimize market opportunities—throughout and within asset classes, within and beyond borders—while protecting against risk. Know what you have It’s surprising how many investors have a tenuous grasp on their portfolio. This was made painfully clear by the financial crisis, when investors came faceto-face with risks that had been obscured by jargon, lack of understanding, or poor planning. You need to fully understand how and where your money is invested, and more importantly, why. This has never been more essential. Know the role each investment plays in your portfolio, its relationship to your future goals, and its probable response to the expected and the unexpected. Diversify with intent Blind diversification is a weak defense against risk. A more thoughtful, intentional approach to diversification is required. It involves assessing the purpose of each asset class or other investment type, including its potential ability to add return or subtract risk. Does the investment protect against inflation? Provide diversiSee Your Portfolio, page 23 Facial Plastic Times 15 16 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ issues will display a wide spectrum of common and rare disorders. The Kaleidoscope section of the Congress will not only allow junior colleagues to participate in focused learning opportunities designed to deal with their specific learning tasks, but also cover contemporary medico-legal issues, ethical, psychological, and mercantile aspects of facial plastic surgery. As evidencebased medicine forms the foundation of our practice, a 1,000 Euro prize will be awarded to the best scientific paper and poster. The first day will commence with an instructional course in a separate room, followed by a series of lectures in the afternoon, titled, “On the Shoulders of Giants,” where world leaders will provide their insight into a wide variety of subjects. An early start on the second day will continue with key issues in facial plastic surgery and also include the Kaleidoscope sessions and meetings with the exhibitors. The third day will provide ample opportunity for general plastic surgery and maxillofacial colleagues to present their latest techniques and examples, while the afternoon session will concentrate on rhinoplasty. The final day of the Congress will discuss such diverse topics as auricular reconstruction, hair restoration, and the aging neck. A plenary session will conclude and debate the main issues raised each day. The Congress will not just be dedicated to teaching and the hard task of concentrating for long periods of time. The program at-aglance can be viewed on-line and downloaded, www.nosefaceworld-rome2012. com/programme_glance.pdf. Plan your trip now. I look forward to welcoming you in Rome in May 2012. M ○ T he muchanticipated 7th International Congress of the International Federation of Facial Plastic Surgery Societies (IFFPSS), Nose & Face World 2012, will be held in Rome, the Eternal City, May 9 – 12, 2012. Distinguished members and a host of acclaimed speakers from around the world have already registered for a meeting that promises to provide a platform for a stimulating exchange of ideas and experiences from our distinguished colleagues and teachers. The wide range of topics covered by this Congress includes current trends from rhinoplasty, aging face surgery, injectables, lasers, fat grafting, non-ablative resurfacing, implantology, otoplasty, nasal and facial reconstruction, endoscopic sinus and skull base surgery, practice management, and medico-legal issues. This conference is targeted specifically at facial plastic surgeons at all levels of expertise from diverse backgrounds such as general plastic surgery, otorhinolaryngology, maxillofacial surgery, oculoplastic, and dermatological surgery. In order to provide the guests with the maximal amount of exposure and create the opportunity for selective attendance, the Congress will consist of parallel sessions. A panel of experts will debate controversial issues thereby exposing the audience to widely divergent views on problematic areas. This format will enable the participants to gain insight into the most difficult tasks that surgeons encounter in their daily activities. Cognisant of the unique nature of the problems posed by each patient, presentations on case-based ROME ○ By Pietro Palma, MD, President, European Academy of Facial Plastic Surgery IN ○ FACE WORLD” ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ “NOSE AND ABFPRS CERTIFIES 18 SURGEONS A t its September 10 meeting, the ABFPRS Board of Directors determined that the following 18 surgeons had met all of the requirements to become ABFPRS diplomates. The action brings the total number of diplomates to 1,045. Amit Bhrany, MD Michael Keith Bowman, MD Ryan Greene, MD Jeffrey D. Hoefflin, MD Dilip Madnani, MD Michael Nuara, MD Amit Patel, MD James Michael Pearson, MD Michael J. Reilly, MD David Rouse, Jr., MD Travis L. Shaw, MD Oliver Simmons, MD Amar Suryadevara, MD Konstantin Tarashansky, MD Emre Vural, MD Jeremy P. Warner, MD Stephen Weber, MD Neena Agarwal Will, MD Note: Applications for ABFPRS certification will be accepted through February 15, 2012, if accompanied by the late fee of $300. Call the ABFPRS office for information at (703) 549-3223. THERE WILL BE A THREE-DAY TOUR OF THE STUNNING AMALFI COAST, THE ISLAND OF CAPRI (ABOVE), AND THE UNIQUE REMAINS OF FIRST CENTURY LIFE IN POMPEII. A TRIP TO ITALY MUST ALWAYS INCLUDE A SAMPLE OF HER NATURAL BEAUTY AND HISTORIC SITES. NOVEMBER/DECEMBER 2011 your practice is valuable successful outstanding distinctive No two practices are alike. PCA SKIN® recognizes this and provides educational opportunities tailored to the individual needs of your practice. We believe education should be informative, cost-effective and convenient. In addition to our numerous seminar offerings available throughout the country, all PCA SKIN seminars may also be held in your office on the date and time most convenient for you. Your PCA SKIN educator will be a fellow health care professional with vast experience developing successful medical practices and will provide you and your staff with personal attention and supervision while performing and observing chemical peel treatments. Please contact a Certification Specialist at 877.PCA.PEEL (722.7335) with questions or to schedule an in-office seminar at your practice. NOVEMBER/DECEMBER 2011 pcaskin.com | 877.PCA.PEEL (722.7335) Facial Plastic Times 17 By Tracy L. Drumm, OFPSA President This fall, the officers of the Organization of Facial Plastic Surgery Assistants (OFPSA) gathered in the back of the large, chilly hall in sunny San Francisco. Sitting behind a sea of eager minds, we gleefully listened to the booming voices of the many industry experts. As their pearls echoed throughout the convention center, a theme began to emerge within the advice. In addition to the technical guidance offered, nearly all of our speakers recommended a book that had impacted their practice, business, or personal life. Juxtaposing the notes of the officers, we compiled a recommended reading list to be shared with members and colleagues. OFPSA Top 10 Reading List 1. Blink: The Power of Thinking Without Thinking, by Malcolm Gladwell 2. How to Talk to Anyone, 92 Little T ricks for Big Success in Relationships, by Leil Lowndes 3. NurtureShock: New Thinking About Children, by Po Bronson and Ashley Merryman 4. Survival of the Prettiest: The Science of Beauty, by Nancy Etcoff 5. QuickBooks 2011 for Dummies, by Stephen Nelson 6. Customer Satisfaction is Worthless, Customer Loyalty is Priceless: How to Make Them Love You, Keep You Coming Back, and Tell Everyone They Know, by Jeffery Gitomer 7. Super Freakonomics: Global Cooling, Patriotic Prostitutes, and Why Suicide Bombers Should Buy Life Insurance, by Steven D. Levitt and Stephen J. Dubner 8. Drive: The Surprising Truth About What Motivates Us, by Daniel H. Pink 9. Who: The ‘A’ Method to Hiring, by Geoff Smart and Randy Street 10. The Happiness Advantage: The Seven Principles of Positive Psychology That Fuel Success and Performance at Work, by Shawn Achor Whether on your next long flight or simply enjoying a quiet evening at home, I encourage you to explore the lessons and journeys awaiting in these books. The various topics will challenge the way you think, provide tips to help you work smarter not harder, and even help overcome personal obstacles. Grab your Kindle, NOOK, iPad or even (gasp) a paperback and let the quest begin. AT THE OFPSA FALL MEETING IN SAN FRANCISCO, FROM LEFT ARE: SHANNON REEVES, KRISTI FRITZ, TRISTE ROSEBROUGH, MARCY SIMPSON, TRICIA THINNES, TRACY DRUMM. 18 Facial Plastic Times ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ An Unexpected Discovery OFPSA’s Top 10 MENDING WAR INJURIES From Jose Barrera, page 14 tist, he performed the first facial prosthetic mission of Operation Enduring Freedom, ensuring that 11 Afghans, who'd been disfigured through war injuries or domestic violence, received prosthetic eyes and ears. Because of his compassion and surgical care for their children, Afghan villagers bestowed a gift upon Dr. Barrera not often received by outsiders—they accepted him as one of their own. "Applying our surgical gifts can bring peace in war, even if it starts with one family," stresses Dr. Barrera. Upon his return from Afghanistan, Dr. Barrera submitted another application to complete ABFPRS surgical requirements during the 2011 certification cycle. His exemplary surgical skills were fully evident to the ABFPRS Credentials Committee and his abundant caseload more than fulfilled the points necessary for him to achieve certification in 2011. "Reconstructive cases speak deeply to my soul," confides Dr. Barrera, who is currently serving in the U.S. Air Force as the Division Chief for sleep and craniofacial surgery and as the staff facial plastic surgeon at the San Antonio Military Medical Center. The ABFPRS is honored and humbled to name this skilled and compassionate surgeon as its 1000th diplomate. Dr. Barrera's worthy mission—to restore physical deformity with the aspiration of healing deeper wounds—is a mission we will not soon forget. M Facial plastic surgeon wanted to work with busy Mohs surgeon, and to build facial cosmetic practice. Please fax CV to (941) 955-9806, or e-mail it to [email protected]. NOVEMBER/DECEMBER 2011 n the year 1887, the first credited intranasal rhinoplasty was performed in the United States. Members of the 1887 program are individuals and organizations whose philanthropic commitment to the AAFPRS Foundation is $1,000 or more (actual cash donation) during a fiscal year. The award is presented to individuals who have gone the extra mile for the development office. They have helped the annual giving fund and have participated in activities that would not have been the same without them. According to Ann Jenne, the Academy’s director of development, this year's award recipients were there in 2010 helping the AAFPRS Foundation. The first recipient lives in Jacksonville, Fla., and is a fairly recent member of the Founders Club. We were introduced to him by Kriston J. Kent, MD, who thinks so highly of him! Our recipient has enthusiasm and spirit and his willingness to assist in any way possible is hard to match. We were fortunate to learn that this doctor has a classic rock and roll band called The Rhythm Cure. The band has played everywhere…including corporate BMW events in Germany! Taking you back to May of 2010, we needed entertainment at the 10th International Symposium gala, which was held in Hollywood, Fla., and our budget was practically nonexistent. Thanks to this Academy member, we had great music at no expense to us whatsoever; he covered the band's costs! The evening was a huge success and guests danced and sang to the music. As if this wasn’t enough, this doctor went a step further. He knew that our fundraising efforts for the International Symposium NOVEMBER/DECEMBER 2011 MEMBER AWARD GIVEN were just below budget. With an additional donation from him, the budget was met. He helped behind the scenes, never wanting fanfare, no recognition needed, but Jeffrey C. Wachholz, MD (pictured to the right), was the star of the 10th International Symposium! The second recipient had a vision for the development office, a vision that would future proof the AAFPRS Foundation. It was a vision that the development office silently hoped would occur, but they needed an advocate to voice the goal and to make it happen. For a capital campaign to occur, a great deal of preparation needs to take place—finding a compatible consultant, organizing a feasibility study, and looking at the economic forecast. Vito C. Quatela, MD, did all that. He worked tirelessly to find the perfect consultant group among a sea of supposed experts. He worked with the Board to ensure that eventually there would be a light at the end of the tunnel with regards to the economy—remaining poised and ready. Dr. Quatela's efforts over the last two or so years have paid off. As the National Steering Committee moves forward, we will reach and hopefully surpass our goal of four million. Thank you, Dr. Quatela, for being our anchor. M DR. QUATELA ANNOUNCES THE FACES OF GENEROSITY CAMPAIGN AT THE RECENT FALL MEETING IN SAN FRANCISCO, SEPTEMBER 2011. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ I 1887 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ DISTINGUISHED TO TWO Recipients of the Distinguished 1887 Member Award Dr. and Mrs. Harrison C. Putman, III (1996) Peter A. Adamson, MD (1997) Dr. and Mrs. Thomas Romo, III (1998) Dr. and Mrs. William J. Wolfenden, Jr. (1999) Dr. and Mrs. Craig W. Senders (2000) Dr. and Mrs. John M. Hodges and Ms. Margaret M. Ancira (2001) Paul T. Davis, MD, and Carla Graham, MD (2002) Dr. and Mrs. William H. Truswell (2003) David B. Rosenberg, MD, and Marc S. Zimbler, MD (2004) Dr. and Mrs. Keith A. LaFerriere (2005) Paul S. Nassif, MD (2006) Eugene L. Alford, MD, and Andrew A. Jacono, MD (2007) Cyrus Moayad, MD (2008) Anthony P. Sclafani, MD; Mark Hamilton, MD; and Terry Donat, MD (2009) Dr. and Mrs. Sheldon S. Kabaker (2010) Jeffrey H. Wachholz, MD, and Vito C. Quatela, MD (2011) Facial Plastic Times 19 FACES OF THE ACADEMY: DR. RICHARD L. GOODE 20 Facial Plastic Times E early after residency and he was western regional vice president from 1973 to 1978. He also was chair and/or a member of several committees. He was elected president of the AAFPRS in 1984. He was involved in the formation of the American Board of Facial Plastic Surgery in 1992 and served on the Board for several years. He also was active in the AAO-HNS and was program chair from 1980 to 1986 and became president in 1990. As a result of his research activities, he has been a member and chair of a NIH NINCDS Study Section and head of the FDA ENT Medical Device Committee. He directed a facial plastic surgery fellowship for some 20 years and now Academy member Sam P. Most, MD, is the director. He started a sleep surgery fellowship at Stanford with Dave Terris, MD; Bob Riley, MD; and Nelson Powell, MD, that is in its tenth year. Dr. Goode has a strong inter- ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ DR. GOODE IS HAVING LUNCH IN AFRICA WITH A LOCAL NASAL BREATHING EXPERT. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T his issue’s Faces of the Academy features an Academy long-time friend and past president Richard L. Goode, MD. Dr. Goode grew up in Hollywood, Calif., (comedian Carol Burnett was a classmate) and graduated from the University of Southern California School of Medicine, where he was national treasurer of the Student AMA in his senior year. He went on to Stanford Medical Center for his residency in otolaryngology. Upon completion, he was offered an academic position, which he thought he would try for a year and then go into private practice in Santa Barbara. He is still there in active practice—"Inertia is a powerful force and Stanford is a great place to work," he says. While a resident, he discovered the challenge of rhinoplasty and his clinical practice focused on facial plastic and reconstructive surgery as well as head and neck surgery. Dr. Goode found out quite early that research support in facial plastic surgery was nil and to become tenured and stay at Stanford he needed to perform research, publish, and obtain grants. "Hearing was where the research money was so my primary research interest moved to otology and middle ear physiology as well as the development of a practical implantable hearing device." He started an Otologic Research Laboratory at the Palo Alto Veterans Affairs Medical Center, where he was chief of the section of otolaryngology. Forty plus years later, he stepped down as chief and closed the lab. "It got so that I would rather attempt Mount Everest in my bathing suit than write another grant application!" Dr. Goode's involvement with the AAFPRS began ... est in medical device development. He has been involved in the start-up of several companies based on research from his laboratory. He was a founder of Resound, Inc., now one of the largest hearing aid companies in the world. Symphonix, now part of Med-El, is an implantable hearing device company that started in his lab and currently sells more implantable hearing devices than any other company. He is the inventor of the T Tube for treatment of middle ear effusion, plus some 10 other products currently on the market. "Some people give talks on the right way to develop products and start companies; I've got a great talk on how not to do it!" Away from work, Dr. Goode enjoys his hobby of magic, particularly mentalism. He has performed at banquets and medical meetings throughout the world and taught an undergraduate course at Stanford on Science and the Supernatural. “After I perform, many will ask how I do it. Unfortunately, some ask why I do it," says Dr. Goode. For several years, Dr. Goode directed a Halloween Seance at his home. "Normally, there are about 12 people and the medium at a seance; when ours went up to 85, I knew, then, it was time to move on. We tried to bring Elvis back but couldn't...further proof that he is still alive somewhere." Little League baseball took time in the spring when his son was growing up and he managed a team for three years. "We came in first one season and second twice—I'm kind of proud of that. I ran into one of our former players some 20 years later and he still remembered that I should have had him pitch the last two innings of a championship game, which we lost. He was right and I told him so but I could tell he was still ticked off. Twenty years later?” We’ve asked Dr. Goode some questions and this is what he had to say. NOVEMBER/DECEMBER 2011 G Having had many years of experience in practice, what advice would you give the young surgeon on how best to succeed? First, have a passion for what you are doing. Without that, you will not reach your potential. Second, never stop trying to get better. Take courses, attend meetings, visit other surgeons, read the journals, and critically analyze your work. Third, as early as possible, define who you won’t operate on and why. In the beginning, there are very few— later the list gets longer. By understanding this question and your answer, your surgical results will improve. I have never regretted not operating on a patient, but have several regrets on patients that I did operate on and should not have. Good work on bad patients will rarely succeed. Fourth, become involved. Be an active member of your medical society, AAFPRS, or AAO-HNS. They need you, and you will benefit from it. What is the greatest change you have witnessed during your career? To me, the greatest change has been the expanded role of Web- based marketing that has changed how patients select a facial plastic surgeon. The old adage: "Do good work, treat people fairly, and in a few years you will become successful," is still true but now is incomplete. Add "Develop a great Web page," to NOVEMBER/DECEMBER 2011 bring more patients to your office. Unfortunately, some of them may not be the ones you want. In addition, we are now seeing more and more use of office operating rooms and surgicenters. Many facial plastic surgeons rarely go to the hospital any more. What are you most proud of? Family is right up there. Three happy and successful children, six terrific grandchildren, and a wonderful wife, Lynn. I'm not sure how much I had to do with their accomplishments, but I am very proud of them. My work in the medical device field has been a lot of fun and I'm proud of what we've achieved (could always have done more)—I keep thinking I have one more invention floating around in my head that could help my patients. I hope so. What was your most unusual experience, in or out of the practice of facial surgery? I have a lot of them, many from the days we put on courses around the world and did live surgery (no longer possible in the U.S. today). ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ SOME DAYS, DR. GOODE THINKS THE WINE BUSINESS MAKES MORE SENSE. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ HIS INVENTIONS, HIS ACCOMPLISHMENTS, AND HIS MAGIC M. Eugene Tardy, Jr., MD; Norman J. Pastorek, MD; Robert L. Simons, MD; Jack P. Gunter, MD; George H. Brennan, MD; and Ted A. Cook, MD, among others, were part of the "roadshow." One afternoon in Morelia, Mexico, we were evaluating possible facial plastic surgery patients. Dr. Tardy saw this old, bent over lady about four feet tall with a huge nose and tons of facial wrinkles. He asked her, through the interpreter, what she would like. She opened her hand and there was a photo taken from a newspaper. She smiled and showed it to Gene. It was a picture of Candice Bergen in her prime! Remember, who won't you do! One embarrassing moment, not too unusual considering the source, was at a rhinoplasty course in Memphis put on by Charles Gross, MD, then chair of the Department of Otolaryngology at the University of Tennessee Medical Center. A resident was presenting one of the cases to be done the next morning. Dr. Gross and I were in the back of the auditorium and I made a comment to him. Much to my surprise and chagrin, Charlie boomed out in a loud voice that could be heard throughout the hall, "Goode just told me, cancel the patient and let's do the resident's nose—he really needs it more." What is the biggest challenge that our specialty has today? I believe it is maintaining high standards despite the increase in competition from several sources and the aggressive marketing used by some physicians and clinics. It has never been easy and I think it is getting harder. Thank you, Dr. Goode for sharing your amazing history, your passion for research and invention, your love of magic, and your dedication to our Academy and to facial plastic surgery. M F DR. GOODE ... IN SEARCH OF THE WILY TROUT. Facial Plastic Times 21 OF THE Fab Over 50 October 1 and 2, a number of Academy members based in New York, New Jersey, and Connecticut participated in a “Beauty Bash,” hosted by the popular consumer blog and network for women, Fab Over 50. The event, designed specifically for women over 50, took place at the Metropolitan Pavilion in New York City, where 14 Academy surgeons took advantage of this time to connect with women one-on-one to offer complimentary consultations. 22 Facial Plastic Times YEAR UPDATE The event drew thousands of women from the tri-state area and Academy members conducted more than 75 consultations with prospective patients who were curious to learn more about different procedures and to receive face time with a facial plastic surgeon in a more casual environment. Facebook In an effort to elevate the Academy’s social media presence, plans are underway to hold a series of contests to increase the Facebook and Twitter fanbase. Be sure to join us by searching for “AAFPRS” and clicking “Like” to stay in touch with the latest Academy news. Annual membership survey As the end of the year approaches, it is time to reflect on 2011 and start thinking about the Academy’s annual survey. The survey is critical to the Academy’s public relations efforts as the results provide potential information that is used by Green Room PR in media outreach. Over the past few years, the survey has been considerably streamlined. Last year’s survey included only 10 questions and was all multiple choice. Our goal is to have at least 50 percent member participation, which is considerably higher than past years. We are distributing the survey in early December and we ask you to make every effort to participate. Annual meeting It was a very active annual meeting in San Francisco with PR playing a large role in various events. Green Room hosted two workshops: “How to Raise Your PR Profile,” where Academy members were in attendance; and a second workshop “How to Use the Online PR Tool Kit,” where office assistants participated. ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ T he Academy continues to make headlines with some impressive media cover age. Glo.com (the beauty and lifestyle Web site of MSN with over 78 million monthly visitors) quoted former Academy president Jonathan M. Sykes, MD, in a story titled, “In Defense of Vanity.” In addition, Business Update (regional Michigan publication), quoted Dr. Sykes in, “Cosmetic Surgery Market Mirrors Economic Growth.” Incoming president, Tom D. Wang, MD, made his media debut in his role as Academy president interviewing with PSP: Plastic Surgery Practice (trade magazine) for an article on scar revision. The article is set to be published later this year. In honor of Domestic Violence Awareness Month (October), Green Room conducted media outreach around the FACE TO FACE program. Interest in the topic has been strong and placements have been secured in print, online, radio, and television outlets. Dr. Wang has conducted interviews with KLUV-FM in Dallas, KFAB-AM in Omaha, and the nationally syndicated Kathryn Zox Show. In addition, the Austin American-Statesman newspaper plans to publish an article and television segments are under consideration by WLOS-TV (Asheville, N.C.), WACH-TV (Columbia, S.C.) and KOB-TV (Albuquerque, N.M.). ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ PR REPORT: END ACADEMY MEMBERS HELD ONE-ON- G ONE CONSULTATIONS WITH POTENTIAL PATIENTS IN PRIVATE SCREENING AREAS. IN ADDITION TO THE CONSULTATIONS, FREE MAKEOVERS WERE OFFERED TO WOMEN ATTENDING THE FAB OVER 50 BEAUTY BASH. Green Room also presented its annual report to the Board of Directors and attended the committee meetings, including Public Information, Emerging Trends and Technologies, Multimedia, and FACE TO FACE. If you have a story idea or question about any of the Academy’s PR activities, e-mail [email protected]. M PRACTICE OPPORTUNITIES Busy metro Seattle area—facial plastic surgeon wants associate to take over practice; very desirable area. Facial plastic surgeon needed to take over practice in the south metro area of Denver with in-office operating room and well-designed office space. Candidate must be fellowship trained and board certified in facial plastic surgery and otolaryngology with strong surgical experience. Interested parties for the above may e-mail Rita Chua Magness at [email protected]. Seeking a physician for a plastic surgery office in Bellevue. Interested parties should call (425) 990-3223. NOVEMBER/DECEMBER 2011 2012 JANUARY 18-22 REJUVENATION OF THE AGING FACE Co-chairs: Mary Lynn Moran, MD and Sam P. Most, MD San Diego, CA MARCH 5-9 CARIBBEAN FACIAL PLASTIC SURGERY UPDATE Directors: Stephen W. Perkins, MD and Capi Wever, MD San Juan, PR APRIL 18-22 COMBINED OTOLARYNGOLOGICAL SPRING MEETINGS (COSM) (AAFPRS SESSION, APRIL 18-19) Co-chairs: Scott A. Tatum, III, MD and Benjamin C. Marcus, MD San Diego, CA YOUR PORTFOLIO from Diversify, page 15 fication? Through purpose-driven allocation, you’ll have a better understanding of whether an investment makes sense in the context of your portfolio objectives and in the pursuit of your personal goals. Is your portfolio a breeding ground for risk? If you’re unaware of the risks you’re holding, opportunities may be slipping through your fingers. Editor’s Note: This article was provided by BNY Mellon. Enclosed in this November/December issue of Facial Plastic Times are: Rejuvenation of the Aging Face brochure; Committee Roster; Annual Fund Envelope. NOVEMBER/DECEMBERand 2011 M ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ FACIAL PLASTIC TIMES NOVEMBER/DECEMBER 2011 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ From Medical Editor, page 4 reports that contribute little or nothing to the knowledge base, e.g., a single case report in Ophthalmic Plastic and Reconstructive Surgery (2011) reporting the use of barbed suspension sutures medial and lateral to the reconstructed lower eyelid following Mohs micrographic resection of carcinoma in a single patient in whom “minimal” ectropion was reported at 10 postoperative weeks. In a retrospective review of 496 body contouring patients, Shermak et al., (Plastic Reconstructive Surgery, 2010) reported a 17.5 percent complication rate in the 114 patients in whom barbed suture was used, compared to a 12 percent rate in those in whom non-barbed suture was used (p=0.093). However, when stratified for site, only the complication rate in the arm was statistically significant. No facial procedures were included in their series. So an exhaustive review of the available literature forces one to conclude that evidence is lacking on the safety and efficacy of facial suspension with barbed suture. Results may be dependent on the surgeon, the technique he or she uses, the nature and extent of the problem being treated, the age and condition of the patient, or a hundred other variables not yet studied. With no consensus and little supporting evidence, it seems hard to me to justify reliance on barbed suspension for consistent, predictable, reliable results. But the question remains unanswered, calling for any with personal experience documented by objective data to contribute an article that might help clarify the role of barbed suture in facial plastic surgery. Got evidence? M ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ CLARIFY ITS ROLE... GOT EVIDENCE? MAY 9-12 THE 7th INTERNATIONAL MEETING IN FACIAL PLASTIC SURGERY “Nose and Face World” Rome, Italy Co-Sponsors: IFFPSS, EAFPS, and AAFPRS JUNE 16-17 ABFPRS Examination Washington, DC SEPTEMBER 4 FALL COMMITTEE MEETINGS (preceding the AAFPRS Fall Meeting) Washington, DC SEPTEMBER 5-8 FALL MEETING Co-chairs: Craig S. Murakami, MD and Daniel S. Alam, MD Washington, DC The AAFPRS wishes to thank the following companies for their display advertising commitment to Facial Plastic Times and the Annual Membership Directory in 2011. Accurate Surgical & Scientific Instruments Anthony Products, Inc. Bien-Air Surgery Canfield Imaging Systems CareCredit Implantech Medical Justice Medical Protective Multi-specialty Foundation for Facial Aesthetic Surgical Excellence New York Plastic Surgery Foundation PCA SKIN Facial Plastic Times 23 invest with confidence A 3D consultation system is an investment in your practice. And as with any investment, you want to be certain you’re making the right choice. Today’s leading practitioners choose VECTRA 3D. t0OMZ7&$53"offers a complete solution for face, from CANFIELD Imaging Systems … the ONLY complete 3D solution breast and body procedures. t0OMZ7&$53"delivers best-in-class technology for unparalleled image quality, reliability and ease of use. t0OMZ7&$53"is backed by Canfield’s “Gold Standard Support” for guaranteed performance. More practices have chosen VECTRA than all other 3D systems combined. From high resolution capture, through assessment, simulation, post operative analysis 24 Facial Plastic Times and documentation, VECTRA is the obvious choice. Call today for a live web demonstration. 800.815.4330 [email protected] www.canfieldsci.com IMAGING EXCELLENCE FROM NOVEMBER/DECEMBER 2011