aestheticsoci ety news · in the last 10 years, the world of plastic surgery witnessed two...

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Society Issues Guidelines for Teaching of Non-Cores By Robert Aicher, Esq. Despite the phrase “Physician and Surgeon” on state-issued medical licenses, the two words are not synonymous. Surgeons legitimately claim an expertise not possessed by the generic designation of “Doctor of Medicine.” There are no scope-of- practice limitations upon MDs, so any MD may legally perform any medical procedure. How many patients would be shocked to learn that their psychiatrist could legally operate on them? Some of our members blur the distinction between physicians and surgeons by engaging in the completely legal practice of teaching surgical techniques to non-surgeons (abbreviated here as “teaching non-cores”). Many of you have requested that the Society take action against such members for jeopardizing patient safety by teaching non-cores how to “overdrive their headlights.” We have heard you. Our patients should never have to wonder which poses the greater risk: the surgery, or their surgeon. However, we must balance the member’s right to practice, publish, and teach against the limits of authority our Society can exert in furtherance of its mission of patient safety. We believe we have found that balance. Quarterly Newsletter of the American Society for Aesthetic Plastic Surgery Volume 15, Number 1 Winter 2011 INSIDE THIS ISSUE: Aesthetic Society News Patient Safety and the Plastic Surgeon Brand: An Industry Perspective See Page 3 Continued on Page 18 Grant for Treatment of Congenital Breast Deformity Awarded See Page 5 sessions and a half day devoted to practice management issues. Among the highlights are: The opportunity to earn up to 14.25 patient safety CME credits Sixteen NEW teaching courses on every- thing from Integrating Surgical Shaping with Volumetric Enhancement —Fat and Beyond—Face, Breast and Body to The Boston Convention and Exhibition Center is the site for this year’s Aesthetic Meeting 2011 Affirming the Science of Aesthetic Surgery being held May 6 – 11. You’ve told us what you need in your primary educational event of the year and we’ve listened: this year’s meeting is packed with exciting new teaching courses, scientific Countdown to: The Aesthetic Meeting 2011 New courses, new speakers and beautiful Boston all add up to one of our best meetings ever By Jack Fisher, MD Continued on Page 12 Aesthetic Society President Felmont Eaves, III, MD and ASPS President Phillip Haeck, MD recently co-chaired a webinar free of charge to all members to answer any lingering questions on the suggested relationship between breast implants and a rare form of ALCL. FDA has suggested that the incidence of the association is extremely rare (of the estimated 10 million implants worldwide, only 34 cases of ALCL have been identified since 1989); however, both ASPS and ASAPS wanted to be sure their memberships were armed with the latest and most detailed informa- tion on the subject. Held on Wednesday, February 2nd, the session featured presentations by both physicians and had a record number of pre-registered members totaling more than 660. On the day of the event, 48 percent of the registered members participated in the webinar; a 25 percent attendance is Aesthetic Society and ASPS Join Forces for Webinar on ALCL, Breast Implants, and the FDA: What You Need to Know Continued on Page 13

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Page 1: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

Society Issues Guidelinesfor Teaching of Non-CoresBy Robert Aicher, Esq.

Despite the phrase“Physician and Surgeon” onstate-issued medical licenses,the two words are not synonymous. Surgeonslegitimately claim an expertise not possessed bythe generic designation of“Doctor of Medicine.”There are no scope-of-

practice limitations upon MDs, so any MD maylegally perform any medical procedure. How manypatients would be shocked to learn that their psychiatrist could legally operate on them?

Some of our members blur the distinctionbetween physicians and surgeons by engaging inthe completely legal practice of teaching surgicaltechniques to non-surgeons (abbreviated here as“teaching non-cores”). Many of you have requestedthat the Society take action against such membersfor jeopardizing patient safety by teaching non-coreshow to “overdrive their headlights.”

We have heard you. Our patients should never have to wonder which poses the greater risk:the surgery, or their surgeon. However, we must balance the member’s right to practice, publish,and teach against the limits of authority ourSociety can exert in furtherance of its mission ofpatient safety. We believe we have found that balance.

Quarterly Newsletter of the American Society for Aesthetic Plastic Surgery Volume 15, Number 1 Winter 2011

INSIDE THIS

ISSUE:

Aesthetic Society News

Patient Safety andthe Plastic SurgeonBrand: An IndustryPerspective

See Page 3

Continued on Page 18

Grant for Treatmentof Congenital BreastDeformity Awarded

See Page 5

sessions and a half day devoted to practice management issues. Among thehighlights are:• The opportunity to earn up to 14.25

patient safety CME credits• Sixteen NEW teaching courses on every-

thing from Integrating Surgical Shapingwith Volumetric Enhancement —Fatand Beyond—Face, Breast and Body to

The BostonConvention andExhibition Center

is the site for this year’s Aesthetic Meeting2011 Affirming the Science of AestheticSurgery being held May 6 – 11. You’vetold us what you need in your primaryeducational event of the year and we’ve listened: this year’s meeting is packed withexciting new teaching courses, scientific

Countdown to:The Aesthetic Meeting 2011New courses, new speakers and beautiful Boston all add up to one of our best meetings everBy Jack Fisher, MD

Continued on Page 12

Aesthetic Society President FelmontEaves, III, MD and ASPS President PhillipHaeck, MD recently co-chaired a webinarfree of charge to all members to answerany lingering questions on the suggestedrelationship between breast implants and arare form of ALCL. FDA has suggestedthat the incidence of the association isextremely rare (of the estimated 10 millionimplants worldwide, only 34 cases ofALCL have been identified since 1989);however, both ASPS and ASAPS wanted to

be sure their memberships were armedwith the latest and most detailed informa-tion on the subject.

Held on Wednesday, February 2nd,the session featured presentations by bothphysicians and had a record number ofpre-registered members totaling more than660.

On the day of the event, 48 percentof the registered members participated inthe webinar; a 25 percent attendance is

Aesthetic Society and ASPS Join Forces forWebinar on ALCL, Breast Implants, and the FDA:What You Need to Know

Continued on Page 13

Page 2: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

Aesthetic Society NewsThe American Society for Aesthetic Plastic Surgery

The Aesthetic Surgery Education and Research Foundation

PresidentFelmont F. Eaves, III, MD

EditorCharles H. Thorne, MD

Associate EditorJulius W. Few, MD

Communications CommissionerDaniel C. Mills, II, MD

Director of Marketing and Public EducationJohn O’Leary

Marketing ManagerKristin Murphy-Aviña

Manager, Marketing and AdministrationNew York Office

Erika Ortiz-Ramos

Director of Public RelationsAdeena Babbitt

Communications ManagerJian Sun

Marketing AssistantJanet Cottrell

DesignVia Media Graphic Design

Statements and opinions expressed in articles, editorials and communications published in ASNare those of the authors and do not necessarilyreflect the views of ASAPS or ASERF. Publishing of advertisements in ASN is not a guarantee, warrant or endorsement of any products and services advertised.

Send address changes and membership inquiries toMembership Department, American Society forAesthetic Plastic Surgery, 11262 Monarch Street,Garden Grove, CA 92841. Email [email protected]

Co-sponsored/Endorsed Events 2011

March 2 – 6, 2011

14th Annual Dallas CosmeticSurgery Symposium and 28thAnnual Dallas RhinoplastySymposiumWestin Galleria, Dallas, TXContact: John Harrington214.648.3792dallasRhinoplasty@utsouthwestern.eduEndorsed by ASAPS

March 3 – 5, 2011

2nd Madrid InternationalConference: Plastic Surgery ofthe Cheek and NeckMadrid, SpainContact: Charles H. Thorne212.794.0044Email: [email protected] by ASAPS

March 4 – 7, 2011

3rd Annual American -Brazilian Aesthetic MeetingPark City, UTContact: Susan Russell:[email protected]/index_eng.htmlEndorsed by ASAPS

May 4 – 7, 2011

Society of Plastic Surgical Skin CareSpecialists 17th Annual MeetingBoston Convention & Exhibition Center, Boston, MAContact: SPSSCS at 800.486.0611562.799.0466www.spsscs.org/meeting2011

May 6, 2011

The 16th Annual Meeting ofThe Rhinoplasty SocietyBoston, MAContact: Jean Hodges:904.786.1377www.rhinoplastysociety.orgJointly Sponsored by ASAPS

May 6 – 11, 2011

The Aesthetic Meeting 2011Affirming the Science ofAesthetic SurgeryBoston Convention & Exhibition Center, Boston, MAContact: ASAPS [email protected]/meeting2011Endorsed by ASAPS

June 10 – 12, 2011

Plastic Surgery/Anti-AgingMedicine: The NextGeneration SymposiumNew York, NYContact: Francine Leinhardt:[email protected]

June 9 – 11, 2011

Summit in Aesthetic MedicineSymposiumDana Point, CAContact: Sylvia [email protected] by ASAPS

ASAPSCalendar

© 2011 The American Society for Aesthetic Plastic Surgery

ASAPS Members Forum: www.surgery.org/members

ASAPS Website: www.surgery.org

ASERF Website: www.aserf.org

®

The Aesthetic Surgery Education and Research Foundation

The American Society forAesthetic Plastic Surgery

2 Aesthetic Society News • Winter 2011

Skin Care2 0 1 1

Page 3: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

Aesthetic Society News • Winter 2011 3

During the recent ISAPS meetingheld in San Francisco this past August, Ihad the privilege of participating as anindustry representative during the GlobalPatient Safety Summit. Many key pointsand opinions were discussed and debated,and I want to take this opportunity to similarly share with you our perspective.

To fully appreciate the environmentalconditions, one must fully appreciate thefast moving progression of the past decade.In the last 10 years, the world of plasticsurgery witnessed two remarkable andcourse-changing milestones:• “Patients” became “Consumer Patients”• Democratization of plastic surgery

proceduresThus, yielding what I term “disturbances”to the Plastic Surgery Ecosystem.

The health and sustainability of thisEcosystem depends on its balance. Whenpresenting the elements of this Ecosystem,it is often misunderstood that I am espous-ing a monolithic isolationist view of plasticsurgeons and the specialty. In reality, theEcosystem not only allows for co-existencewith other specialties and organisms, but,

it demands it for its survival, if and only if,it is done in a balanced manner that protects its equilibrium. Given that plasticsurgeons historically have been in the leadand at the top of the value chain withinthis Ecosystem, the specialty is responsibleand accountable to lead and maintain thatleadership as it relates to the consumerpatients, their safety and quality of care.This must serve as our foundation if wedesire continued healthy growth.

These previously mentioned distur-bances have resulted in “plastic surgery” nolonger being synonymous with “plastic surgeons.” I consider this seismic change asone of the most devastating failures, due tothe fact that it has had a remarkable andfar reaching negative implication on ourEcosystem. One of the critical factors that

contributed to thisfailure, is the lack(some might arguenon-existence) of awell-conceived, highlyvalued and easilytranslatable globalbrand to define exactly what a ‘PlasticSurgeon’ is.

Over the pastdecade, I have heardcountless times frommany Plastic Surgeons,that due to the special-ty’s educational, clinical and certifica-tion background, considering patientsshould be seeking them.

This assertion is based on what should beperceived as the value delivered by a plasticsurgeon and the safe manner in which theprocedure is delivered. Unfortunately, thebig disconnect in that view is that thisassertion was more befitting when the spe-cialty dealt with a “patient” versus the now“consumer patient.”

Unfortunately the explosion of internetmarketing and advertising, coupled with theadvent of social networks and the numerouscredible/non-credible available resourceshave all resulted in a confused consumerpatient. Research has shown, time andagain, that these consumer patients are neither capable of distinguishing between aplastic surgeon and a cosmetic/aestheticsurgeon, nor are they capable of differenti-ating between the values delivered by either.

Hence, the most challenging dilemmawe currently face within our Ecosystem, isthat plastic surgery is no longer synonymouswith plastic surgeons.

The consumer patient is researchingand focusing on their individual expecta-tions and desires which can be defined asfollows: Consumer Expectations = Safety of Procedure + Value of Outcome

So, how do we re-create that plasticsurgeon brand value that can be translatedinto consumer patient value?

Let us examine that previous equationabout “Consumer Expectations” and I willstart with the “Value of Outcome.” From aconsumer patient perspective it can besimply defined as follows:

Perceived Value =

The smaller the gap is between the “get” and the “want,” the higher the perceived value in the eye of the consumerpatient. It is incumbent on us, as leaders of this Ecosystem, to work tirelessly onmeasuring, analyzing and reporting thecontinuous advancements made to bridgethis gap and increase the consumer delivered value. This is one of the two critical dimensions in building the globalbrand value for plastic surgeons.

The other dimension is “PatientSafety,” which is repeatedly presented asthe difference between plastic surgeons andthe other specialties when it comes to these

Patient Safety and the Plastic Surgeon Brand: An Industry PerspectiveBy Hani Zeini

Continued on Page 8

what I getwhat I want

Page 4: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

The Society’s video on demand product,Project Beauty, continues to provide consumers with both entertaining andinformative information, provide memberswith a new source of patients, and provideASAPS with its own voice in the clutter ofthe web. Since our last report in ASN,Project Beauty has continued to grow andattract greater relevancy. Some of the topProject Beauty news includes:

Increased Registered UsersAs this issue of ASN goes to press,

more than 8,500 consumers have regis-tered for the Project Beauty community.These are new potential referral sourcesand can be used to obtain information onbuying habits, attitudes towards aestheticsurgery, and a myriad of other topics. A strong user community is a linchpin of a strong social media strategy and this milestone is particularly significant since it was achieved in only eight months.

Contests Keep ConsumersInterested and Engaged

Consumers love to be involved in sitesthey like and Project Beauty is no exception.Our latest contest on New Year’s Resolutionshas resulted in 1500 new registered usersand 500 participants in the first two weeksof the contest’s launch.

The contest asks users to name one offive “resolutions” for the New Year: to stopsmoking, lose weight, reduce stress, usesunscreen or exercise more. The winner willreceive a $500.00 gift certificate towardsachieving their goal and be followed ontheir progress through the Project Beautyblog. Be sure to stay tuned!

The Aesthetic Society’s Voice tothe Consumer on ImportantIssues

Our content has a healthy dose of“fun” consumer information on hair,make-up, skincare, etc. However, part ofour mission with Project Beauty is to havea voice in the media world for importantsafety messages and information that isgermane to our membership. This month,we aired two stories, one on the dangers ofobtaining surgical procedures from non-board-certified clinicians, the other lendingperspective to the FDA announcement on breast implants and ALCL that keepconsumers informed and protected.

All Project Beauty VideoAvailable to Members ViaYouTube

In the last issue of ASN I reportedthat all members would have a CD available to them containing our entireProject Beauty content for their own use.However, several of you told me that youwanted only specific videos for use primarily

DANIEL C. MILLS, II, MD

UPDATE ON: Project Beauty

on your websites. In order to accommodateyou, all video is now available individuallyon www.youtube.com/user/projectbeautytv.Here, you can select from all of the videocontent, including video advertising, andchoose the ones you want. I urge all of mycolleagues to take advantage of this offer.

New Design, New iPhone AppProject Beauty has introduced a new,

simplified design to help viewers find thevideos they want and give easier access toour blogs such as “Ask a skincare specialist.”Please log onto www.projectbeauty.comand let us know what you think. We arealso in the process of developing an iPhoneapplication, under the expert direction ofProject Beauty Task Force member SanjayGrover, MD, whose own app for his practice shows what state of the art really is.

Daniel C. Mills, II, MD is an aestheticsurgeon practicing in Laguna Beach CA,Chair of the Society’s CommunicationsCommission and Chair of the Project BeautyTask Force.

4 Aesthetic Society News • Winter 2011

Page 5: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

ASERF (Aesthetic Surgery Educationand Research Foundation) began its grantprogram for congenital and acquired breastdeformities helping patients in need of finan-cial assistance. Dr. Anne Taylor received thefirst of five grants for her patient, “Haley.Her story is below. For more informationabout the program contact ASERF at 562-799-2356.

A Dream Come True“I had consulted with a few other

plastic surgeons prior to Dr. Taylor andhad learned that without insurance, itwould be too expensive for me personallyto proceed. So this is a miracle—a dreamcome true,” reports Ms. Haley Carr, thefirst recipient of the Mentor Corp. Grantfor patients with Congenital BreastDeformity.

The grant was created in response to the growing number of patients that havecongenital deformities that insurance willnot cover, calling it cosmetic. In this case,Ms. Carr was born prematurely andrequired multiple chest tubes on the leftside that resulted in severe breast bud trauma. She was not expected to survive,but did, and discovered at puberty that thelife-saving measures had destroyed her leftbreast. The right breast developed normally,but the left lateral and inferior aspect weregrossly deficient in tissue and the NACtethered to the chest wall. “I was miserableas a teenager, trying to camouflage thedeformity” says Haley.

Insurance Battles for Coverage

Many patients with congenital deformities request pre-approval from theinsurance companies, but are denied onthe claim that the procedure is cosmetic,not reconstructive. The AMA has definedreconstructive surgery as a procedure doneon an abnormal body part to make it morenormal. This is where the controversystarts—as many cases are really in the grayzone. “There is a line where all of us agreethat the cases are grossly abnormal,” statesDr. Taylor, “but the problem arises in thenext level of cases in which the deformitiesare not as severe and blend into the nextlevel of the cases that are really just normal.”

Often the physician is the one toinform the patient that their deformity isconsidered reconstruction, but the insur-

ance company holds all the cards. In thecase of this patient, it was most definitelynot in the gray zone, but the insurancecompany took advantage of their positionand denied the treatment. Please visit themembers only section on the web for fullphotographic documentation.

Surgery Successful inProviding Symmetry

Haley consulted with Dr. Taylor inthe spring of 2010 just prior to theannouncement of the Mentor Grant.

“When I met Haley the first time, Iwas trying to come up with a way to helpher, but the costs where prohibitive for her.Then I heard about the grant from Mentorand knew she was the perfect recipient.”

There is an application process forthis Grant, and the forms can be found onthe ASERF website at: www.aserf.org/aserf-news/aserf-congenital-and-acquired-breast-deformity-grant-program.

“When I learned she had been award-ed the grant, I was thrilled for her. Sheunderwent the left extended LatissimusDorsi myocutaneous in the fall, and nowhas a soft, natural looking result withoutthe worry of future surgery related to theuse of implants,” reports Dr. Taylor.

ASAPS Member SurgeonsEncouraged to Apply

There are many varieties of congentialdeformities that plastic surgeons are facedwith on a daily basis. In addition, theinsurance environment has become moreand more difficult to navigate and achievecoverage for these patients. When facedwith this challenge, plastic surgeons whoare ASAPS members are encouraged toconsider the Mentor Grant. This may bean option for the patient to obtain thereconstructive breast surgery that theydeserve, and the aesthetic result they desire.

This case will be presented by ASERFat The Aesthetic Meeting 2011

Grant for Treatment of Congenital Breast Deformity Awarded

UPDATE ON: ASERF

Aesthetic Society News • Winter 2011 5

Page 6: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

PresidentJeffrey M. Kenkel, MDDallas, TXVice-Chairman, Department of PlasticSurgery, University of Texas SouthwesternMedical CenterAutomatically ascends toPresident

President-ElectJames A. Matas, MDOrlando, FLPrivate PracticeCurrent Board Position: Vice PresidentASAPS Committee Work: PublicationsCommittee (current Chair), Peri-operativeTask Force, Leadership DevelopmentCommittee, Practice Relations Committee(former Chair) Editorial Board, AestheticSurgery JournalNational Affiliations: ASAPS, ASPS,PSEFTraining: University of Cincinnati;General Surgery Residency, IndianaUniversity Medical Center; Plastic SurgeryResidency, Fellowship: Plastic SurgeryAssociates, Miami, FL, Hand SurgeryAssociates, University of Louisville; HandSurgeryABPS Certification: 1982

Vice PresidentLeo R. McCafferty, MDPittsburgh, PAPrivate PracticeCurrent Board Position: SecretaryASAPS Committee Work: Industry PolicyCommittee (current Chair), Peri-operativeTask Force (current Chair), BylawsCommittee (former Chair), AdministrativeCommission (former Vice Chair)National Affiliations: ASAPS, ASPS,ACS, AMATraining: Cedars-Sinai Medical CenterLos Angeles; General Surgery Residency,University of Miami, Jackson MemorialMedical Center in Miami: Plastic SurgeryResidencyABPS Certification: 1989

TreasurerJack Fisher, MDNashville, TNPrivate PracticeCurrent Board Position: TreasurerASAPS Committee Work: EducationCommission (current Commissioner),Program Committee (current Chair),Finance and Investment CommitteeNational Affiliations: American Societyfor Reconstructive Microsurgery, AMA,ASPS, ACS, ISAPSTraining: George Washington UniversityMedical Center Washington, DC; GeneralSurgery, Emory University; Plastic SurgeryABPS Certification: 1981

SecretaryMichael C. Edwards, MDLas Vegas, NVPrivate PracticeCurrent Board Position: Member at LargeASAPS Committee Work: Finance andInvestment Committee (current Chair),Product Development and MarketResearch Committee (current Chair),Industry Policy CommitteeNational Affiliations: ASAPS, ASPS,ASERF Training: David Grant Medical Center,Travis AFB, CA; General Surgery, WilfordHall Medical Center, San Antonio, PlasticSurgeryABPS Certification: 1989

Members at Large(3-year terms)

William P. Adams, Jr., MD Dallas, TX

Al Aly, MD Irvine, CA

6 Aesthetic Society News • Winter 2011

Members to Vote on Slate of CandidatesActive members of the American Society for Aesthetic Plastic Surgery (ASAPS) willhear reports on Society business, vote on proposed amendments to the Bylaws and elect new officers for 2011-2012 during the ASAPS/ASERF Annual BusinessLuncheon. All active members are invited to attend on Monday, May 9, 2011

Page 7: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

W. Grant Stevens, MD Marina del Rey, CA(2-year term)

Richard J. Warren, MD Vancouver, BC, CA(3-year term)

Society members will also vote onthe following candidates for office:

TRUSTEE(3-year term)

Fritz E. Barton, Jr., MDDallas, TX

MEMBERSHIP COMMITTEE (3-year terms)

Southeast Onelio Garcia, Jr., MDMiami, FL

New York City Lawrence S. Reed, MDNew York, NY

South CentralWilliam D. Leighton, MDScottsdale, AZ

Slate of CandidatesContinued from Page 12

President V. Leroy Young, MDSt. Louis, MOPrivate PracticeAutomatically ascends toPresident

President-ElectJoseph M. Gryskiewicz, MD Edina, MN Private PracticeCurrent Board Position: Vice President

Vice PresidentWilliam P. Adams, Jr., MD Dallas, TXPrivate Practice

TreasurerAl Aly, MD Irvine, CA

Secretary J. Peter Rubin, MDPittsburg, PAAssociate Professor of Plastic SurgeryUniversity of Pittsburgh

Directors

John E. Gross, MD (2-year term)

Thomas A. Mustoe, MD (2-year term)

Neal R. Reisman, MD (2-year term)

Steven Teitelbaum, MD (1-year term)

Trustees(2-year terms)

Alan H. Gold, MDJeffrey Lang, MD

The ASERF Nominating Committee recommends the following slate of candidates to be voted on for 2011–2012

Aesthetic Society News • Winter 2011 7

Page 8: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

8 Aesthetic Society News • Winter 2011

procedures. There are many definitions and declarations about safety and what itmeans from various perspectives. However,I suggest to you a consumer patient centric equation that is much simpler:

Safety =

Over the past decade we have done agood job in fine tuning and improving thedelivery of procedures. Ground breaking,evidence-based work, has been done by Dr. Andrea Pusic and her colleagues withvalidated, patient-reporting systems such asBreastQ, FaceQ and BodyQ. This metrics-based, validated, evidence-supported systemis critical because it directly addresses theconsumer patient perceived value and not ‘our’ evaluation of it.

What we continue to need, and arecurrently lacking, is the same rigor when itcomes to metrics-based, standardized, globalsystematic collection, measurement, analysisand reporting of complication risks related

to these procedures. There is a wealth ofdata available globally that can and shouldbe interconnected to demonstrate the validityof the assertion that plastic surgeons do itbetter and safer. We can successfully buildon this baseline, by prospectively collectingdata from our continuing experiences, anddocumenting the work product of theefforts to collectively reduce (and in certaincases eliminate) the risks of complicationsassociated with these procedures. This willprovide a quantitatively documented, validated and unquestionable datasetwhich links the value of plastic surgeons tosafety outcomes for the procedures consumerpatients are seeking. The reduction in risk complications while at the same timeimproving outcomes will yield a signifi-cantly higher safety value.

The result will be a remarkable, docu-mented, and demonstrative patient safetyedge that shows the differentiating value ofa plastic surgeon. In turn, this can andshould be monetized into the value of theplastic surgeon’s brand equity, and becomesa tipping point in the decision makingprocess of a considering consumer patient.

It is my unwavering belief that build-ing a global plastic surgeon brand based onquantitative outcomes of safety and valueis critical for our future. Achieving this differentiation will result in the restorationof the plastic surgeon’s leadership positionwithin our continuously growing andevolving Ecosystem.

Hani Zeini, is the founder, presidentand chief executive officer of Sientra, Inc., aSanta Barbara-based Plastic-Surgery-focusedcompany that offers a broad portfolio ofimplantable devices for aesthetics and recon-structive surgery. Additionally, the company iscurrently seeking FDA market clearance for itsSilimed brand silicone gel breast implants.

An Industry PerspectiveContinued from Page 3

Edward Abell, MDGainesville, GA

Leonik Ahumada, MDOcala, FL

Amy Alderman, MDAnn Arbor, MI

Semira Bayati, MDNewport Beach, CA

Sean M. Bidic, MDDallas, TX

James H. Blackburn, MDBellingham, WA

Sandra Bouzaglou, MDLexington, KY

Gary D. Breslow, MDParamus, NJ

Camille Cash, MDHouston, TX

Shim Ching, MDHonolulu, HI

R. Brannon Claytor, MDFalmouth, ME

Kimball M. Crofts, MDLindon, UT

Richard DeSplinter, MDWichita, KS

Michael Diaz, MDMelbourne, FL

Thomas M. Dixon, MDAmarillo, TX

Tom T. Gallaher, MDKnoxville, TN

Brian Glatt, MDMorristown, NJ

Karol A. Gutowski, MDGlenview Nas, IL

Robert Hummel, III, MDCincinnati, OH

Thomas L. Jackson, MDColumbus, OH

Lynn L.C. Jeffers, MDOxnard, CA

Trenton Jones, MDDrem, UT

Chia Chi Kao, MDSanta Monica, CA

Angela Keen, MDSalt Lake City, UT

Ira Krafchin, MDClark Summit, PA

Michael Law, MDRaleigh, NC

Geoffrey E. Leber, MDParadise Valley, AZ

Steve Lee, MDFlushing, NY

Gwendolyn Maxwell, MDTuscon, AZ

Sarah Mess, MDColumbia, MD

Alexander Moya, MDDanville, PA

Terence Myckatyn, MDSt. Louis, MO

Michael W. Nagy, MDToms River, NJ

Peter Newen, MDHuntington Beach, CA

Navinderdeep S. Nijher, MDOcala, FL

Marshall T. Partington, MDRedmond, WA

Landon Scott Perry, MDPlano, TX

David Frederic Pratt, MDKirkland, WA

Randy D. Proffitt, MDMobile, AL

Laura Randolph, MDBloomington, IL

Heidi Regenass, MDSalt Lake City, UT

Dustin Reid, MDAustin, Tx

W. Bryan Rogers, III, MDAshland, KY

Kenneth R. Smart, MDFrisco, TX

Nassif E. Soueid, MDTowson, MD

Chad D. Tattini, MDBloomington, IL

Stanley M. Valnicek, MDKelowna, BC, Canada

Susan Dietrich Vasko, MDColumbus, OH

Frederick Weniger, MDBluffton, SC

Irvin M. Weisman, MDChicago, IL

Garrett Wirth, MDOrange, CA

International ActivePaolo R. Cajano, MDLondon, UNITED KINGDOM

Ricardo C. Ribeiro, MDRio de Janeiro, BRAZIL

Federico P. de La Romana, MDAlicanta, SPAIN

JorgeMario Gomez Ibonez,MDQuindio, COLOMBIA

Olivier F. Gerbault, MDVincennes, FRANCE

Raul F. Gonzales, MDRibeiras Preto, BRAZIL

Jaime Haidenburg, MDMexico City, MEXICO

Boris Henriquez, MDBarranquilla, COLOMBIA

Gerson Luiz Julio, MDSao Paulo, BRAZIL

Marcus Kloppel, MDMunich, GERMANY

Carlos Lasa, MDQuezon City, PHILLIPINES

Piyapas Pichaichanarong, MDPhuket, THAILAND

Joseph Setton, MDPanama City, PANAMA

Jose A. Espina Zepada, MDElodorado, PANAMA

Associate MembersRobert G. StantonLong Beach, CA

Linda StantonLong Beach, CA

The Aesthetic Society Welcomes New Members

outcome of procedurerisk of complications

Page 9: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

Webinar: Medical Aesthetics—Skincare in the Plastic Surgery Practice

By Victoria Vitale-Lewis, MD

The days of having a simple surgicalpractice with no thought to skincare, lasersor injectables appear to be coming to anend—and with good reason.

According to a survey released by the Cosmetic Medicine Task Force in conjunction with the joint ASAPS/ASPSCosmetic Surgery Alliance, an alarmingnumber of patients would go to a non-plastic surgeon for cosmetic surgery if theyreceived good results following a non-invasive procedure; in a member survey,66% of ASAPS membership requestedmore education in incorporating medicalskin care into their practices to ensure thatpatients could receive all of their cosmeticneeds in one place.

These statistics set the CosmeticMedicine Commission led by Julius W.Few, MD into action. The Medical SkincareSubcommittee was then tasked with devel-oping a comprehensive webinar that wouldhelp surgeons introduce skincare into theirsurgical practices.

Our Skincare in the Plastic SurgeryPractice Webinar was held on December 14,2010 attracting over 200 physicians andskincare specialists and a 4.3 out of 5 ratingfor content and relevancy. 85% of thosesurveyed said they learned new techniquesor skills that they would be able to imple-ment in their practice.

Questions for panelists flooded in asthe 15-minute Q&A session quickly filledup. One attendee commented, “I couldn’ttake notes fast enough—I’m glad this webinar is being recorded!”

The program had great support fromPast President Renato Saltz, MD, who has athriving skincare practice in his office aswell as experience moderating a webinarpanel. He started off the evening explainingthe importance of skincare to a plastic surgery practice, offering statistics, trendsand all the benefits that it provided to his patients and staff. His pre- and post-operative photos showed the combination

of what surgery and nonsurgical skincarecould achieve.

Kathy Jones, BSN, RN, CPSN, a PastPresident of the Society of Plastic SurgicalSkin Care Specialists (SPSSCS) and anexperienced supervisor of two skincare practices provided the basics for starting askincare practice. Her presentation includedthe fundamentals of hiring staff, providingservices, dividing responsibilities, choosing askincare line and ordering product. As anadded bonus, Ms. Jones also discussed marketing strategies for the staff and for theoverall practice.

Our next two speakers were highlyreputable dermatologists who gave detailedtalks on the clinical aspects to know whenintroducing skincare to a practice.

Jennifer Linder, MD has a clinical faculty position at UCSF Department ofDermatology and private practice inScottsdale, AZ. She went over Cosmeceuticalsand Chemical Peels—how to treat aging,acne, sensitive skin, and rosacea. Dr. Linderoffered useful pearls of knowledge, suggesting results-focused ingredients thatfight specific conditions and are mostimportantly, practical and affordable (foryou and the patient).

Robert A. Weiss, MD, who is a PastPresident of the American Society ofDermatologic Surgery (ASDS) and associateprofessor at John Hopkins, handled thelaser portion of the webinar. He focused onhow to choose laser technology to treat various skin conditions, prophylaxis toachieve optimal results and some suggestionson how to use topical treatments in conjunction with lasers.

As our practices become busier andeducational needs increase, webinars havestepped up to answer the wants of theASAPS membership. Specialists from acrossthe country can come together for an houror so and share their knowledge as if wewere all sitting in the same room at a meeting. This webinar closed out the end of the 2010 webinar series and I am gratefulto everyone involved in its development, presentation, and of course, the staff. Thenext year of programming will undoubtedlybe very exciting. The full content is available to all members on the surgery.orgwebsite.

Victoria Vitale-Lewis, MD is anAesthetic Surgeon in private practice inMelbourne, FL. She is the chair of theMedical Skincare Subcommittee.

Aesthetic Society News • Winter 2011 9

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10 Aesthetic Society News • Winter 2011

There aren’t many educational oppor-tunities that provide 13 CME creditsAND the opportunity to sail into VeniceHarbor, arguably the most beautiful sail inthe world—unless you book space on theAugust 6 to 13 Aesthetic Surgery on theAdriatic cruise, the perfect combination ofeducation, travel and camaraderie.The cruise, which begins in Athens

and goes on to cities that has fascinatedsince Roman times—Corinth, Kotor,Montenegro (a UNESCO World HeritageSite since 1979), the beautiful Dalmatiancoast of Croatia and finally romantic andart-rich Venice, is designed for explorers,athletes and history buffs alike. The ship,Silverseas’ newest luxury cruise ship theSilver Spirit—had her maiden voyage in

FOCUS ON:The ASAPS/ASPS Biennial Cruise

It’s not too late to book your cabin for our August 6–13 educational event!

December, 2009 and is considered one ofthe best luxury liners afloat.Of course, it’s much more than a

pleasure trip. The learning objectives forthe meeting include:• Discussion of the latest advances infacial rejuvenation• Review of soft tissue facial fillers andhow they can be used in combinationwith other nonsurgical elements such aslaser treatments• Examination of breast augmentationmastopexy and reduction techniques aswell as planning options for optimalresults• Discussion of breast surgery complica-tions and how to correct deformities

• Discussion of primary rhinoplasty techniques for optimal results• Examination of best practices for antibiotic and VTE prophylaxis• Review of new technologies and howthey can be incorporated for optimalresults• Discussion of patient safety issues andconcerns.The American Society for Aesthetic

Plastic Surgery (ASAPS) designates this liveactivity for a maximum of 13 AMA PRACategory I Credits™.For more information, please visit

www.surgery.org/crusie2011

Silversea's newest luxury cruise ship—Silver Spirit made her grand debut in December 2009, offering moreverandas, more dining choices, more onboard amenities, more ofthe excellence you’ve come to expect of Silversea. (Maximum of 540passengers). Visit: www.silversea.comfor more details.

Faculty

Jeffrey M. Kenkel, MDChair2011 ASAPS PresidentDallas, TX

Dennis C. Hammond, MDVice ChairGrand Rapids, MI

Al Aly, MDOrange, CA

Laurie A. Casas, MDGlenview, IL

Barry E. DiBernardo, MDMontclair, NJ

Jack Fisher, MDNashville, TN

Raul Gonzalez, MDRibeirao Preto, Spain

James C. Grotting, MDBirmingham, AL

Joe M. Gryskiewicz, MDBurnsville, MN

Geoffrey R. Keyes, MDLos Angeles, CA

J. William Little, MDWashington, D.C.

Z. Paul Lorenc, MDNew York, NY

Ryan MillerFounder & CEO, Etna InteractiveSan Luis Obispo, CA

Daniel C. Mills, II, MDLaguna Beach, CA

Foad Nahai, MDAtlanta, GA

Joseph M. Serletti, MDPhiladelphia, PA

W. Grant Stevens, MDMarina Del Rey, CA

Anne Taylor, MDColumbus, OH

Lina Triana, MDCali Valle, Colombia

Richard J. Warren, MDVancouver BC, Canada

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BienniAl

C r u i s e

Z a d a r

K o t o r

C o r f u

A t h e n s

N a f p l i o n

G r e e c e

Mon t en e g r o

C r o a t i a

I t a l y

August

6–13

2011

Chair

Jeffrey M. Kenkel, MD

Vice Chair

Dennis C. Hammond, MD

www.surgery.org/cruise2011

Aesthetic Surgery on the

Adriatic

V e n i c e

®

13 CME Credits �2 Patient Safety CME

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12 Aesthetic Society News • Winter 2011

Reputation Management• The return of the popular “Cocktails

and Complications” where you can discuss your most complicated cases in arelaxed and collegial setting with someof the leading thought and opinion leaders in plastic surgery today

• Courses exclusively for Residents andFellows, including a comprehensiveHands-on Laser Workshop

• More than 200 technical and scientificexhibits.

Got Evidence?Evidence based medicine is slated to

be one of the seminal issues in all plasticsurgery practices. On Monday, May 9th,be sure to attend the special presentationduring Scientific Session A from MohitBhandari, MD, Associate Professor,Department of Surgery, McMastersUniversity on “Understanding Evidence-Based Medicine—It WILL Affect YourPractice.” Dr. Bhandari is one of the

leading authorities on this issue:McMasters has led the way on the subjectand is considered the birthplace of EBM!

The Aesthetic MeetingGoes Green:

In order to responsibly reduce the carbon footprint of the meeting, our usualextensive registration brochure was reducedto an eight panel flyer with registrationapplication attached—full details of all the courses can be found on our websitewww.surgery.org. In addition, all handoutsfor teaching courses will be available fordownload at the meeting.

An Entire Scientific SessionDevoted to PracticeManagement: Free toOffice Personnel ofMembers and Candidates!

Web marketing and branding issuescontinue to be hot topics for ASAPS members. To address these needs, we are

conducting a continuous scientific session(free to staff, members and candidates) onsuch pivotal issues as internet marketing,why you should bother with social media,protecting your brand, making the most ofpatient leads and maximizing the worth ofyour practice—a must attend session forkeeping your practice fiscally healthy! Westcoast members can still catch flights to bein the office on Thursday: office personneldo not have to register for the entire meet-ing to attend.

I encourage every Aesthetic Societymember to join us in Boston this year!

Jack Fisher, MD, is an aesthetic surgeonfrom Nashville, TN and Chair of theSociety’s Education Commission

The Aesthetic Meeting 2011Continued from Cover

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Aesthetic Society News • Winter 2011 13

WebinarContinued from Cover

With an array of new innovations inliposuction and other forms of fat removal,which do plastic surgeons prefer, and whichdo they perceive as the safest? To answerthese questions, the American Society forAesthetic Plastic Surgery (ASAPS) recentlyconducted a survey of its membership touncover their experience with liposuction,new fat removal technologies and the management of complications. The surveyrevealed that suction-assisted lipectomy(SAL), or “traditional” liposuction, was the preferred method of fat removal forover half of respondents; power-assisted liposuction (PAL) and ultrasound-assistedliposuction (UAL) were also popular.Laser-assisted liposuction (LAL) and external noninvasive devices, such as external ultrasound and laser, were theleast popular methods for fat removal. Thefull results of the ASAPS Current Trends inLiposuction Survey have been published inthe February issue of the Aesthetic SurgeryJournal (ASJ).

The Aesthetic Society survey consistedof 17 questions pertaining to the applicationof liposuction and other fat removal techniques, management of complications,and experience with newer fat removaltechnologies. The survey was distributedvia email to 1,713 ASAPS members, ofwhom 492 (28.7 percent) responded.Highlights of the survey include the following findings:• Most respondents perform between 51

and 100 liposuctions per year.• Most currently employ or have previous

experience with SAL (92.7 percent),UAL (59.6 percent), and PAL (44.7 percent). Fewer have experience withLAL (12.8 percent), mesotherapy (5.7percent), or noninvasive devices (12.8percent).

• The preferred method of fat removalfrom most to least popular was:

SAL (51.4 percent)PAL (23.0 percent)UAL (20.9 percent)LAL (3.9 percent)Noninvasive devices (0.8 percent)

• Respondents felt that UAL (35.2 per-cent), LAL (22.9 percent), and SAL(22.1 percent) were most commonlyassociated with complications.

• The two most common methods for fat removal that members reportedemploying in the past but no longer use are UAL (54.8 percent) and PAL(36.9 percent). The primary reasons for abandoning previously employed techniques include cost (59.5 percent),time (52.9 percent), and safety (36.9percent)

• Many respondents expressed an interestin expanding the education of other surgical specialties who train in aestheticsurgery, such as dermatologists, toimprove patient safety and outcomeswith aesthetic procedures.

“Evaluating the opinions of our members is an excellent way to identifyindustry trends and determine how toimprove the field for both surgeons andpatients,” said Felmont F. Eaves III, MD,ASAPS president. “It is important for us toconduct surveys such as these, not onlyregarding liposuction and other forms offat removal, but for all facets of aestheticsurgery.”

Survey ExtractsSurgeons’Preferences onLiposuction

NEWS FROM THE Aesthetic Surgery Journal

widely used as an industry standard, 35percent is the Aesthetic Society standardmaking this our most successful webinarever—and with only four days notice toparticipants.

Pre-webinar questions were detailedand demonstrated the need for the session.They included:• Do we need to put new information

into our informed consent? • Do we have data on incidence of ALCL

in non-implanted breasts? Does thiscondition exist in women withoutimplants?

• What do I tell patients who want to betested for ALCL?

• Should we be proactive about contactingpatients about this matter or justrespond when asked?

• Are manufacturers going to add thisinformation to their brochures?

Answers to these and other questionspresented to Drs. Eaves and Haeck on the call are available on our members-only website at www.surgery.org, and www.plasticsurgery.org. Included is a fullrecording of the session, the presentationsmade by the two doctors and other information you can share with yourpatients and staff.

A brief survey was immediately conducted post-webinar to ascertain its relevancy. The statistics included:• How helpful was the webinar in explain-

ing the FDA release? (1-5, 5 being best)4.6

• Within the year, have you had a patientwith a late (greater than 1 year postop)seroma after breast implant? 81% No, 19% Yes

• Have ASPS and ASAPS provided youwith enough information about ALCL?88% thought Just Right amount

• Do you think the FDA announcementis likely to affect your practice?57% No, it will not significantly influence practice 43% Yes, I think it will influence somepatients’ choices

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Hiring Right Makes Your PracticeMore Profitable and PleasantBy Karen Zupko

When Lucy showed up for the interview, you thought your prayers wereanswered. Here was the patient coordinator/office manager candidate you had alwaysenvisioned. Actually Lucy’s resume andcover letter caught your attention; theywere among the best you’d seen. Well-groomed, articulate with a soothing slightlySouthern accent, she was on time and hada great handshake.

All of your questions were answeredcompetently and professionally. You almostjumped up and cheered during the inter-view. “At last,” you allowed yourself tothink, “she’s terrific.” Perhaps it was thisenthusiasm that allowed you to be persuaded by her request to not check thepractice she’d been with in another state.When you asked why, she demurred thatthere had been “ethical issues,” and she saidshe didn’t feel that it was right to divulgethe “dirty laundry.” Appreciating her discretion, you didn’t check with that practice. And, you hired her on the spot.

If you have a sinking feeling in yourstomach, because perhaps you hired aLucy, one of those “too good to be true”candidates who wasn’t—your instincts arecorrect. The details don’t matter. Lucy hadproblems—a lot of them, and they quicklybecame the practice’s and surgeon’s.

Recruiting and interviewing employeesis never easy and face it, it’s usually doneunder an impossible deadline. But yourstaff can make or break your practice. Takeit from Gerald Graham, former dean ofthe W. Barton School of Management atWichita State University who was askedthe three most important criteria of successful management.

His reply:“Selection, selection, selection”and it wasn’t selection of patients or anoffice location that he was talking about—it was the personnel. Bickering, jealous,marginally competent staff produce palpable tension felt by patients and provide you with a daily source of irritation.

Add technological fluency to the listof qualities you look for in good staff: professional, punctual, neat and courteous.You cannot afford to hire a managerialLuddite given your investments in yourwebsite, SEO practice management soft-ware, EMR and digital photography. Howmany client practices have we seen with$35,000 or more in practice managementsoftware used at the lowest possible level?Too many to report on.

So follow our formula for hiringsmarter this time around: 1. Double check the existing jobdescriptions. Are the required technology competencies listed?Many plastic surgeons contemplating aninvestment in EMR will require, forexample a nurse with not only a FlorenceNightingale temperament and clinicalskills, but a willingness to embrace technology and lead the change—particularly if the plan is to see thatEHR incentive money.

2. Check your applicants’ online reputations. It is shocking what you canlearn by looking at MySpace, YouTube,Facebook and the blogosphere. If it’s amanagerial candidate, look at Pulse andLinkedIn. You may find that the resumeyou have doesn’t match their online job history. The photos you see maygenerate questions about common senseand integrity.

3. Test and Assess. We’ve found a usefultool at www.totaltesting.com.

We recommend using the assessmentwhile the applicant is in your office.Having them do it offsite may mean that a“coach,” probably a teenager, is helpinganswer the questions. The format varieswith the test topic. We recommend usingthe test on “Mircosoft Word” for both applicants and existing staff. It displays aWord interface for the test taker to controland use in completing specific tasks.Results are reported back instantly. Weparticularly like the fact that the timetaken to answer each question is shown.Each online test costs a very reasonable$20.

Just because someone doesn’t test ashigh as Melinda Gates, doesn’t mean thatyou aren’t going to hire them. But, it doesmean that you can hire them provisionallywith the stated expectation that their scoreswill improve. We recommend fundingWindows education at a local junior college, online training, or hiring a teacherwho comes to the practice. Another usefultool, Mavis Beacon Teaches Typing canhelp anyone improve their keying accuracyand speed. You can download it for$29.99. Ten to fifteen minutes of practiceevery day should boost the staffers speed,skill and accuracy.

Continued on Page 15

14 Aesthetic Society News • Winter 2011

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4. Do a background check on all newapplicants. Yes, everyone. Even if theygo to your church, temple or mosque.What news about cheating clergy, lyingSenate candidates and college coacheswith fake degrees has failed to reach you? Verify educational background.Multiple sources (Career Builder, CNNMoney) agree that the education sectionof the resume often contains wishfulthinking rather than earned degrees.Perhaps the degree is not a deal breakerfor you, but dishonesty should be. Lookat the applicant’s credit history. Plasticsurgeons are not known for tight auditcontrols—beware the “profit sharing”minded manager! A background checkcan be initiated after setting up anaccount at www.trustedemployees.com;reference ASAPS when you register.Register at the start of your search, since

it takes a few days to open a newaccount. Check references. Do drug testing if you have an ASC or operatingroom.

5.Does their expected compensation fallwithin a range you’re comfortablepaying, i.e., competitive, but not morethan is sensible? Why wait until you’vespent over an hour interviewing, to figure out that when it comes to salary,you are on Saturn and they are in thenext solar system? Determine if the candidate values the retirement savingsplans, health insurance, uniformallowance and transit passes or parkingsubsidy you provide. A gap the size ofthe Grand Canyon, when the relation-ship starts, never closes.

There is more to interviewing andscreening than we’ve discussed here. But,adding these tips to your hiring tool box improves the likelihood of selectinggreat staff with both the will and skill tosuccessfully take on the responsibilities inyour office.

Karen Zupko, a frequent presenter atASAPS meetings, has served as a consultanton practice and human resource managementto aesthetically focused physicians for morethan 25 years. Visit her website atwww.karenzupko.com.

Hiring RightContinued from Page 14

Aesthetic Society News • Winter 2011 15

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16 Aesthetic Society News • Winter 2011

Plastic surgeons are confronted withcongenital deformities, burns, scars andphysical traumas often on a day-by-daybasis, not only dealing with the surgicalcomplexities, but also the emotionaleffects. The relief that a surgeon could provide a patient dealing with an injury orcondition could be life-changing, and inreturn, hugely rewarding.

It is no wonder then that in 2009,ASAPS’ members Andrew Ordon, MD(from The Doctors on CBS) and JayCalvert, MD (Beverly, Hills, CA) joinedwith Kami Parsa, MD an oculoplastic andorbital reconstructive surgeon to form theSurgical Friends Foundation.

The Foundation connects philanthro-pists, volunteer surgeons and anesthesiolo-gists with patients who live with difficultand sometimes life-threatening conditions.Their mission is to help individuals livingpainful lives due to physical deformitiesthat are either congenital, post-traumaticor acquired in some other way.

In a recent interview Dr. Orton andDr. Calvert, who are partners in the sameoffice, discussed the origins of the SurgicalFriends Foundation.

Dr. Calvert: Surgical FriendsFoundation is a group of surgeons andother advocates who have come together to provide surgical care to patients whootherwise have no chance of receiving that care.

Dr. Ordon: Number one, the three of us are friends, colleagues; we havecamaraderie and enjoy working together.Number two—we want to extend ourfriendship and our expertise to those inneed. We want to be their friends.

Their contributions to thisFoundation have provided an outlet fortheir professional expertise and theirhumanitarian desires.

Dr. Ordon: As plastic surgeons,people don’t realize exactly what we can do—they think of us as beauty doctors. Ourtraining is so vast and there are so manydifferent specialties. I have no greater joythan to be able to use the seven years oftraining in medical school towards some-one who does not have the opportunity toget that type of care anywhere else.

Dr. Calvert: As surgeons we arethe ones who are privy to the joy andtransformation that these patients gothrough once their physical deformities arecorrected. We are donating our care, ourtime, and we believe it is going to make adifference. If it’s one patient at a time, sobe it. But, I think it’s this attitude about

health care that is going to really lead Surgical Friends to a different level.

Dr. Calvert performs all types of plastic surgery but specializes in nasalreconstruction surgery and facial surgery.His focus is helping patients look and feel normal—not always the easiestachievement.

Dr Calvert: Anytime the face isdistorted, the nose goes with it. My goal isalways to achieve facial harmony. Whenthings are not there or not normal—creating normalcy is very tough. That’s mypassion.

Dr. Ordon: We are a fully accredit-ed, state-licensed surgery center, which is agreat tie in to when we donate our services.Not only are we here, but we can donateour surgery center as well. We’ve had people fly in from Eastern Europe, SouthAmerica and various locations. We’vealready done a bunch of really exciting, cutting edge procedures. Dr. Parsa wasinvolved in a complex case that came to usfrom South America. A gentleman hadinjured his eye and had a number of surgeries in his country, but it quite hadn’tworked out. In addition, there was Elenawho had a congenital problem with hereye and nose—that [required] a Dr.Calvert and Dr. Parsa collaboration.

Mission teams have also been sent toCambodia, Haiti and St. Vincent Island toprovide relief in often war-torn and deeppoverty areas. For both domestic and international patients, they:

1. Provide access to quality care sothese individuals can undergo their reconstructive surgery and start their rehabilitation process,

2. Help these individuals raise thenecessary money through means offundraising, charitable donations and community involvement.

Surgical Friends went to Siem Reap,

FOCUS ON: Philanthropy

A Discussion with Andrew Ordon, MD, and Jay Calvert, MD The Surgical Friends Foundation

Continued on Page 18

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Aesthetic Society News • Winter 2011 17

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18 Aesthetic Society News • Winter 2011

If a member’s license to practice medicine is restricted or revoked by a statemedical board, the Society’s bylaws provideautomatic membership consequences.Asking the Society to revoke membershipby making teaching non-cores an ethicalviolation, however, would invoke dueprocess for any member charged. This inturn would launch a debate of whether anactivity, legal under any state’s code ofmedical practice, could still be sufficientlyunethical to justify ASAPS membershiprevocation.

We have chosen a less contentiouspath. To avoid any implication of Societyendorsement, we will “deny the podium”to members who teach non-cores. That is,we will not permit them to be your ASAPSteachers, to be your ASAPS leaders, or to publish in Aesthetic Surgery Journal,thereby acknowledging their rights, whileenhancing patient safety and preserving thegood name of the American Society forAesthetic Plastic Surgery.

“ASAPS leadership has becomeincreasingly concerned about plastic surgeons training non-core physicians ininvasive surgical techniques. Physicianswho drift outside their scope of training donot have the prerequisite knowledge andexperience to safely “pick up” complex surgical techniques that our members havetrained for years to master” said FelmontEaves, III, MD, ASAPS President. “Thisnew Society policy will help us to addressthis patient safety concern and upholdASAPS patient safety values.”

Watch What You Blog. Many of us are providing on-line

responses to patient questions, a greatpatient education service. However, please

be careful what you say, as well as how you say it.

With respect to what you say, severalmonths ago one of our members was suedin Small Claims Court by a patient, not anuncommon event, but her “evidence” was acomment posted by one of our memberson the website RealSelf regarding fat grafts.The commissioner properly rejected theevidence as hearsay taken out of contextwith no opportunity for cross-examination,but the mere fact that one member’s online comments were used (even if unsuccessfully) against another memberunderscores the importance of qualifying

your remarks. When you respond to Ask-a-Surgeon, or any equivalent patientresource, remind yourself and the personasking the question that you do not have aphysician-patient relationship, you havenot taken their history, and you have notseen their medical records. You are basingyour response completely on what they aretelling you, which may be total lies, sonever speak in absolutes

With respect to how you say it, manyAsk-a-Surgeon and equivalent sites havebegun posting your responses in real time,meaning that no editor will polish yourwords. If your response is replete withgrammatical and typographical errors, youdemean yourself, your practice, and theprofession. So do your colleagues a favor:carefully proofread your remarks beforeposting, or better yet, give the job to themember of your staff who you always suspected was an English major.

Bob Aicher is General Counsel for theSociety.

Cambodia January 2-9 in 2010 to performoperations on those suffering from landmine injuries and now live with physicaldeformities. Working with the AngkorHospital for Children through “FriendsWithout a Border,” they were able to perform surgery on over 30 land mine victims and train doctors in Cambodia todeal with future cases.

Once they returned, they started rais-ing money for the devastating earthquakethat hit Haiti on January 24, 2010. Drs.Ordon and Parsa, along with various members of the organization, were finallyable to make a trip out On June 30th –July 5th and provide relief to manyHaitians suffering with scars from burns,facial injuries and damage to their extremities.

In the spring of last year, they werealso able to send a medical team of ten tothe Island of St. Vincent and provide life-altering surgical procedures to over 20patients. This past November they had asilent auction and fundraiser in BeverlyHills, CA to raise money to help morepatients this coming year.

To learn more or donate to this foun-dation, please visit www.surgicalfriends.org

Teaching of Non-CoresContinued from Cover

FOCUS ON: PhilanthropyContinued from Page 16

However, we must balance the

member’s right to practice,

publish, and teach against the

limits of authority our Society

can exert in furtherance of its

mission of patient safety. We

believe we have found that

balance.

When you respond to Ask-a-

Surgeon, or any equivalent patient

resource, remind yourself and

the person asking the question

that you do not have a physician-

patient relationship, you have

not taken their history, and you

have not seen their medical

records.

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The Aesthetic Society is proud to present our

PREMIER INDUSTRY PARTNERS

PA R T N E R

PREMIER INDUSTRY

Medicis Aesthetics is dedicated to helping patients attain ahealthy and youthful appearance and self-image, and to helpyou redefine beauty in your patients. It’s at the heart of everything we do for you. And it’s why we offer a comprehensivecollection of products for your facial aesthetics practice.

Sientra™ offers an array of plastic surgery implantabledevices for cosmetic and reconstructive surgery, including

breast implants, tissue expanders, body contouringimplants and specialty products, including the Silimed®

brand portfolio of products.

The Industry Partnership Program has been created to align the mission and goals of the Aesthetic Society with those companies providing products and services to our members.

Premier Industry Partners share our desire to empower Society members to provide the best patient care possible. We encourage you to learn more

about their products by visiting their websites.www.sculptraaesthetic.com • www.sientra.com • www.medicis.com

If you would like information on partnering with the Aesthetic Society, please contact Kathie Muehlebach at

562-799-2356 or [email protected]

For nearly 6 decades, Dermik, a business of sanofi-aventis U.S. LLC, has pioneered the development of new pharmaceutical products that span aesthetic and therapeutic dermatology. sanofi-aventis is a leading global pharmaceutical company that discovers, develops and distributestherapeutic solutions to help improve the lives of patients.

Page 20: AestheticSoci ety News · In the last 10 years, the world of plastic surgery witnessed two remarkable and course-changing milestones: • “Patients” became “Consumer Patients”

The AnnualMeeting of

The American Society forAesthetic

Plastic Surgery, Inc.

The AestheticSurgery

Education and ResearchFoundation

The Aesthetic Meeting 2011Affirming the Science of Aesthetic Surgery

MAY 6–11 2011Boston

Convention & Exhibition

CenterBoston, MA

Scientific Sessions • International Hot Topics • Research & Innovative Technology Luncheon

www.surgery.org/meeting2011

Boston Rocks!Optional Courses • May 6–10Scientific Sessions • May 8–11

Exhibits • May 8–10 Boston Rocks!