March 2016 Facial Plastic Times 1

March 2016Vol. 37, No. 2

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Thank you, members, whoresponded to the annualAAFPRS member survey.Each year, the results

play a crucial role in highlightingthe trends and predictions forwhere the field of facial plasticand reconstructive surgery isheaded.

New this year, more youngadults and teens are opting foraesthetic procedures. Sixty-fourpercent of surgeons surveyed sawan increase in cosmetic surgeryor injectable treatments in pa-tients under age 30. While youngand impressionable, the morethey are inundated with celebrityimages via social media, the morethey want to replicate the results.Additionally, the prevalence ofnon-invasive procedures ismaking it more appealing foryounger patients to try aestheticenhancements before aging iseven a concern. Facial plasticsurgeons should advise theseclients to not go overboard toosoon with injections, which canactually backfire and age thembeyond their years.

The influence of celebritiesand selfies on facial plasticsurgery is not just a Gen Xmovement. Patients of all ages arebecoming desensitized to facialplastic surgery as more celebri-ties come clean about theircosmetic tweaks. Having a little"work done" has become lesstaboo. In fact, 82 percent of

surveyed surgeons reported thatcelebrities were a major influencein their patients' decision to havesurgery last year. Daily dealaggregators, e.g., Groupon, alsostimulate consumers to trytreatments.

Each year, facial plasticsurgeons report seeing a moreeducated consumer. This is dueto the wealth of informationavailable to patients on theInternet from authoritativesources and knowledgeablemedia. This has also led them tobe savvier about choosing aqualified surgeon. Not surpris-ingly, the survey found that thetop concern of patients is finding See Growing Comfort Level, 14

2015 TRENDS: YOUNGER CLIENTELE

AND SOCIAL MEDIA INFLUENCE

SPRING MEETING

IN CHICAGO

Plan now to attend theCombined OtolaryngologySpring Meetings (COSM),May 18 - 22, 2016, in

Chicago. The mission of thismeeting is to bring together themembership of the COSM societ-ies—AAFPRS, American Broncho-Esophagological Association,American Head and Neck Society,American Laryngological Associa-tion, American NeurotologySociety, American OtologicalSociety, American RhinologicSociety, American Society forPediatric Otolaryngology, and TheTriological Society—along withotolaryngology residents, medicalstudents, and other health See Essentials, page 8

2 Facial Plastic Times March 2016

Articles signed by their authors express theviews of those authors only and do notnecessarily express official policy of theAcademy. The Academy does not necessarilyendorse the products, programs, andservices that appear in paid, non-AAFPRSadvertisements.

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Executive Editor: Stephen C. DuffyMedical Editor: Steven H. Dayan, MDManaging Editor: Rita Chua MagnessFreelance Writer: Lynnette SimpsonFacial Plastic Times is published by theAmerican Academy of Facial Plastic andReconstructive Surgery (AAFPRS)310 S. Henry St., Alexandria, VA 22314;Phone: (703) 299-9291; Fax: (703) 299-8898E-mail: info@aafprs.org; www.aafprs.org.

March 2016Vol. 37, No. 2

BOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORS

Edwin F. Williams, III, MD, MD*President

Stephen S. Park, MD*Immediate Past President

Fred G. Fedok, MD*President-elect

Minas Constantinides, MD*Secretary

William H. Truswell, MD*Treasurer

Richard E. Davis, MD+Group VP for Education

Theda C. Kontis, MD*Group VP for Membership & Society Relations

Wm. Russell Ries, MD*Group VP for Public & Regulatory Affairs

Sam P. Most, MD+Group VP for Research, Development, and

Humanitarian Programs

Harrison C. "Chris" Putman, III, MD+Treasurer-elect

Paul J. Carniol, MD+Group VP for Membership and

Society Relations-elect

Andres Gantous, MDCanadian Regional Director

Patrick J. Byrne, MDEastern Regional Director

John S. Rhee, MDMidwestern Regional Director

Phillip R. Langsdon, MDSouthern Regional Director

David W. Kim, MDWestern Regional Director

Anthony P. Sclafani, MDDirector-at-Large

Lisa M. Ishii, MDYoung Physician Representative

Theresa A. Hadlock, MDEastern Regional Director-elect

Travis T. Tollefson, MDWestern Regional Director-elect

Stephen C. Duffy+Executive Vice President

*Member of the Executive Committee+ Ex-officio member of the Executive Committee

PRESIDENT’S MESSAGE:

In last month's column, I discussed the importance of mentoring our newer members. I feel that we not only have a responsibility to mentor this group, butalso to communicate the importance of theAAFPRS and encourage involvement inthis extraordinary organization. There arean incredible number of talented individu-als who either don't know how to becomeinvolved or decided to stay on the sidelinesbecause no one has actively reached outand encouraged them to step up.

I am personally asking you to step up and follow my lead. I canassure you, that other than your family, there will be no more fulfillingeffort you choose to pursue than helping a younger, less experiencedmember to succeed.

When I was a resident, the past president of the Ohio State MedicalSociety and an otolaryngologist, Jack Devany, MD, taught me a veryvaluable life lesson. Feeling grateful for all of his advice, guidance, andwords of wisdom, I specifically remember thanking him profusely oneday. I said, "Dr. Devany, I don't know how to ever thank you enough." Hisresponse was simple. All he said was, "Ed, I just ask you to pass it on."I've always subscribed to that philosophy regarding my fellows andresidents, but this is my attempt to "pass it on" to our younger AAFPRSmembership as a group.

Since my last column, Theda C. Kontis, MD, sent out a surveyasking younger members if they were interested in a formal mentoringprogram. I'm thrilled to report that approximately 40 members not onlyresponded yes, but also are willing to arrive a day early, Tuesday, Octo-ber 4, for an evening session prior to the AAFPRS Fall Meeting, and haveagreed to attend committee meetings on Wednesday, October 5. I hope tooutline how we see this program being rolled out. For those who areinterested, we intend to send out a pre-meeting workshop to prospectivementees. There will be a variety of questions including but not limited tothe following:O What do you want to get out of this meeting?O How do you envision a mentor will be able to help you in your career?O How do you envision your role as a mentee?O What are the biggest concerns/questions that you are currentlydealing with in your career/professional life?O Is your career path currently academic or private practice (so we canpair mentors/mentees up effectively)?

For those who respond and commit to attending both the eveningsession on October 4, and also the AAFPRS committee meetings onOctober 5, we will enroll these individuals in a year-long Mentor 4Success program. I will personally ask and assemble some of the best,brightest, most successful, more seasoned to attend the kick-off session.I will also be available on a one-on-one mentoring basis for the calendaryear October 2016-October 2017. For the first session on October 4, theagenda may include the following:O Defining a mentoring program and outlining the key componentsO Sharing anonymously the attendees' goals and questionsO Describing how to get involved with the AAFPRS and to make a lastingand fulfilling impactO Featuring 15-minute talks based on the common goals of the attend-ees; e.g., How to Combine Family and Life Work, A Strategic Approach toAdvertising and Launching a Private Practice, How to Succeed andBecome Promoted in an Academic Career in Facial Plastic Surgery

March 2016 Facial Plastic Times 3

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MENTOR 4 SUCCESS

The second half of the program will be a breakoutsession for one-on-one mentor conversation, about45 minutes. Attendees will be assigned and mentoredby gender, career goals, academic/private practice.Phone calls will be arranged bimonthly, lasting about30 minutes.

At the conclusion of the first meeting, there willbe a 15-minute debrief with each mentee describingwhat they hope to achieve with their mentor. We alsowill address future meetings and topics to be consid-ered by future speakers.

As we disassemble, I'm hopeful the discussionand comradery will continue to a more informalsetting like the cocktail lounge where, based on myexperience, relationships and friendships becomenurtured.

I can assure you, I will get more out of this pro-gram than I can give. That has always been myexperience. I am very much looking forward to initiat-ing this program and I sincerely hope you considerjoining us. For anyone who either did not receive Dr.Kontis's e-mail or who is interested in joining us as amentor or mentee, please contact us directly: Dr.Kontis at Tckontis@aol.com or myself atedwilliamsmd@gmail.com. I look forward to seeingyou in Nashville!

Edwin F. Williams, III, MD

CALL FORABSTRACTSFALL MEETINGProgram chairsPhillip R.Langsdon, MD;Rami Batniji,MD; Sam Lam,MD, invite membersto submit abstractsfor considerationfor the AnnualFall Meeting inNashville, Tenn.,October 6-8, 2016.Abstracts may besubmitted for paperpresentations andposter presenta-tions.

To submit yourabstracts online,visit: www.aafprs.org and click on Meetings & Courses.Scroll down to Fall Meeting and click on “Call for Abstracts.”

Subscribe to theconsumer news-letter, FacialPlastic Surgery

Today. The electronicversion allows you tocustomize each issue withyour own practice informa-tion and photographs. Thisvaluable marketing ma-terial can be kept in yourwaiting room and sent toyour referring sources todistribute. The contentcan also be uploaded toyour Web site to keep itup-to-date with fresh,informative content.

The cover article,"Latest Trends in Facial Plastic Surgery," will grabreaders' attention. Everyone wants to know who ishaving what and why. In 2015, 64 percent of memberfacial plastic surgeons saw an increase in cosmeticsurgery or injectable treatments in patients underage 30. This article will highlight the popular cos-metic treatments and procedures, along with thecontinuing influence of celebrities and selfies.

"Combining Upper and Lower Eyelid Surgery,"will be featured inside the newsletter. Inform clienteleabout the benefits of combining upper and lowereyelid surgery, such as the ability to maintain abalanced, cosmetically appealing look, to optimizeimprovement to the entire eye region, and to reducecost if considering the two procedures separately.

The popular page three column tackles a fre-quently asked question: What are my options for lipenhancement if I am not ready for a permanent fix?There are several options, including the recentlyFood and Drug Administration approved JUVÉDERMUltra XC; results last up to a year. The "What's New"section will share how three-dimensional printtechnology is being used by surgeons to assist withfacial reconstruction. If patients are unhappy withtheir facial scars, the "Health Tip" will suggestdifferent treatment options based on the type andextent of scarring.

Finally, the back page article, "Spring FeverMakeover," will advocate that spring is the perfecttime for a revitalized and rejuvenated appearance.Whether tweaking with treatments or scheduling asurgical procedure, this article will recommendoptions to say goodbye to the winter doldrums and towelcome the springtime awakening.

Refer to the subscription form enclosed in thisissue of Facial Plastic Times and start your subscrip-tion today. M

CONSUMER NEWSLETTER

HIGHLIGHTS SPRING FEVER

START YOUR SUBSCRIPTIONWITH THE SPRING ISSUE ANDRECEIVE THE WINTER ISSUE(SEEN ABOVE) FOR FREE.

4 Facial Plastic Times March 2016

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MESSAGE FROM THE MEDICAL EDITOR: WHEN IS IT TIME

By Steven H. Dayan, MD, MedicalEditor, Facial Plastic Times

Recently, I parted with anemployee of 10 years. Whileshe was instrumental to mypractice growth and maturity,

she no longer seemed professionallycontent despite my best efforts. While her respectpersonally and for my clinical judgment remained atan all-time high, I felt her attitude toward my author-ity had settled to a level below that which was neces-sary for a healthy practice. Her episodic negativitywas palpable and increasing in frequency; it nowseemed to be affecting the entire practice.

New staff was being unduly influenced as well asdissuaded from sharing fresh and creative ideas. Sheis not the first staff member to have a period ofmalcontent, but we have mechanisms in place tolisten, communicate, and remedy such behaviors.And, most often our cures are successful in diffusingthe dissent. However, when a long standing employeewho knows our systems and procedures is un-aligned, a deeper evaluation is needed of her, thepractice, and myself.

Communication is a two-way street and rarely ifever, is one to blame for a breakdown. And if I was tobe honest with myself, I was increasingly absent fromthe practice. Plus, I was purposely trying to steer thepractice in a different direction from that which shecame to know and feel comfortable in. She opposedand resisted the change. After a seminal event at theoffice, we needed to have a frank discussion. Maybeit was time for both of us to just move on. Because Itrusted her and she knew much about my operationsand patients, I was fearful that letting her go wouldsignificantly hurt my practice. And she as well, grewto be comfortable in her role, authority, and indepen-dence. She feared not being granted equivalentresponsibility, status, and salary at another job. Butthat perhaps was part of the problem. We both fearedwhat "would happen."

After thinking it through, it became apparentthat what we both really feared was the unknown.And it was time for both of us to confront the fearhead on; neither was she growing professionally norwas the practice. So we had an honest, unemotionaldiscussion and decided together it just wasn't work-ing anymore. I offered to help her find another joband provided three months of severance; in return,she agreed to train a new person to take over herrole. The transition went beautifully. She has subse-quently moved on to a new job and is very happy andprospering. I gained more maneuverability to steermy practice in a new direction. But the real gainwas the even bigger lesson learned… knowing whento let go.

As physicians, are we slow to let go? Whether itbe employees, standard philosophies, or traditionaltechniques…

I am less impressed today when a colleagueboasts no turnover at his or her office for 10 years.My previous awe has been replaced by wonder. Hasthe practice also experienced stifled growth, not justfinancially, but philosophically, technically, cultur-ally, and emotionally? In sports, business, andeducation, frequent but measured staff turnover is ahealthy growth strategy. Eager talent brings in fertileideas, breathing life into new as well as neglectedprojects. The rejuvenated team coalesces to form apersonality; as in sports, sometimes it comes to-gether as a defensive team and other times a runand gun offensive. The physician's job as leaderperhaps is to recognize the personality of the teamand guide it for success.

My practice today is a lot different than it was 10years ago; the people needed for my team are differ-ent as well. Today, I am hiring more Millennials. Theyhelp me to better understand the latest flavors andcoming trends foreign to most Gen Xers. I am im-pressed with a newer generation, who honestlyprofess they have no interest in working at the samejob forever. They are forthcoming with their realdesires in life; in retrospect, I have learned to recip-rocate in kind. I just ask of them to let me know withample time when it is time for them to pursue theirnext challenge. It allows me to prepare for the nextiteration as well as have them train a successor. Thehonesty of the relationship is better for both of us. Itallows me to applaud when they find their next fitand in return they remain a trusted resource for thepractice over the long course. I use to fear themleaving without notice and the potential detrimentaleffect it would have on my practice.

After 15 years in practice, I realize my fears weremisplaced and mostly exaggerated. What I was reallyfearing was the unknown…the unknown of whatwould happen to my practice; but I now know…andonce known, fear takes flight. We always adapt,regardless of the unveiled fear; it is in our DNA. Anew person comes in and almost always brings innew energy and spirit that raise the bar for the wholeoffice. My practice always sees a bump in efficiency.In retrospect, the person who was with me for yearswas probably hindering us. And if I am honest withmyself, maybe my practice was holding them back aswell.

I want to be clear that I am not suggesting hap-hazardly firing people, but I am advocating growingpeople until there is no more room for them togrow…and then letting them blossom elsewhere. Thisphilosophy may not only hold true professionally butalso personally. Physicians are reputed as pillars ofsociety for a reason. We are unique in that we have

March 2016 Facial Plastic Times 5

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TO LET GO?

pledged ourselves to a privileged profession anchoredin trusted stability, reliability, and consistency. Andyes, there is a comfort in that for our patients, staff,students, colleagues, and families. But like allphilosophies, there is a dynamic fluid balance thatmust be adaptable. Those that don't evolve to thetimes, risk closing doors on opportunities and losingperspective to that which matters.

I am not promoting laissez faire, free with thewind, and never stand ground. And I am certainly anadvocate for a stalwart devotion to special institu-tions such as familial relationships; but I am sug-gesting we consider color to the mundane and occa-sionally paint outside the lines. Let's be candid, mostof us rarely venture beyond the same five restau-rants in our neighborhood…maybe it is time toexplore the suburban bistro next door.

In academics, perhaps we are most stringent inour resistance to change. We tend to highly, andperhaps at times, overly value those with the mostexperience at the behest of the young with a propel-ling thought. Even when the over-ripe experience isleaning toward irrelevancy and bordering oncomplacency, it still dominates our podiums andjournals.

Recently, I was invited to present at a largeconference. I was the youngest person speaking and Ihave been in practice for 15 years. It makes mequestion the health of the society. Youth is fertile andfertility is beautiful whether in nature, business, orscience. While the enlightened experienced may soarto a greater vantage point, they often welcome doubtas an accompaniment. Whereas, the inexperiencednaïve are blessed with a blissful view through aboundless prism. Likely the combination of anexperienced journeyman and a young adventurer isan ideal arrangement forging a new path. For ourmeetings, what about a young physician on eachpanel of experts? Let's get the youth excited, en-gaged, and empowered. Maybe it will propel thegrowth of our discipline.

Mentorship programs beyond fellowship direc-tors, but open to all members, can offer symbioticgains for both the mentor and mentee. And thisdoesn't have to be limited to academics. In ourpractices and in our neighborhoods, outreachesblending seasoned maturity with unencumberedyouth is perhaps the ideal recipe for a meaningfulexistence as well as societal advancement. We existin a pivotal time for medicine, and while others aredictating to us how we should practice and act,perhaps it is time we control our own destiny. Maybeit is appropriate to reevaluate our rules, release gripson maxims without reason, and transform traditionsthat tie down. We have nothing to fear except theunknown…which surprisingly once it is known…isno longer feared. M

6 Facial Plastic Times March 2016

THE ETHICAL FACIAL PLASTIC SURGEON, PART ONE

At the last Fall Meeting held in Dallas, Octo-ber 1-3, 2015, a panel presentation onethics and the facial plastic surgeon re-ceived rave reviews. We’ve asked the panel

participants (G. Richard Holt, MD, moderator; PeterA. Adamson, MD; Donn R. Chatham, MD; and J.Regan Thomas, MD) to provide us with a recap of theone-hour presentation. Due to publication spacerestrictions, we are publishing this piece in twoparts. Part two, which will feature “Scenario Two,”will be published in the April issue of Facial PlasticTimes.

Scenario one: Unprofessional marketing/practiceclaims/solicitation of patients for surgery in mass orsocial media In your community of practice, you have noted asubstantial increase in the number of mass mediamarketing advertisements for cosmetic or aestheticprocedures by a wide range of medical and surgicalpractitioners. Social media has become highly uti-lized for attracting patients to certain practices. As atraditionalist, you have always felt that the bestadvertisement for your practice was a satisfied,happy patient with a good result. You also realizethat times are changing, giving rise to new levels oftechnological capabilities for reaching potentialpatients. Some of the advertisements and patientrecruitment techniques, however, do concern you.

Question 1: What modalities and methods ofadvertisement and patient recruitment do you feel areethically and professionally acceptable and respon-sible?

Dr. Adamson: Ethical behavior is defined bymoral principles. As physicians, this translates thatour behavior must always reflect what is in thepatient's best interest, not ours. If advertising andpatient recruitment is honest and benefits thepatient, then it is ethical. Professional behaviormandates that a surgeon exhibits the skill, goodjudgment, and appropriate behavior reflective ofprofessional norms. Today, acceptable forms ofadvertising include innumerable print, electronic,and social media platforms. What is acceptable andunacceptable is morphing continually, the ultimatearbiter being regulatory agencies that set standardsfor truth in advertising.

Dr. Chatham: In general, the goals of advertisingare to inform and persuade; and if information isfactual, not misleading or deceptive, it would seemacceptable. Truthful advertising can actually be verypositive by helping the consumer make informeddecisions.

Dr. Holt: The primary method of patient attractionto one's practice is, indeed, in providing excellentcare to the patients, developing a reputation forhonesty, compassion, and dedication, and ensuringboth patient confidentiality and openness of commu-

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nication. In-office displays of patient informationalbrochures related to the types of procedures providedwill be quite acceptable, as long as inaccurate andunethical outcome results are not claimed. Finally,an appropriately developed Web site can provideinformation about the practitioner and the practicethat will be helpful to the public without crossing theboundary of professional propriety.

Dr. Thomas: Commercial advertising throughtraditional print media, social media, and occasion-ally on broadcast media are all acceptable methodsof advertising in today's culture and acceptable byprofessional oversight and regulatory organizations.It should however be accurate and professional incharacter. That is to say that in addition to accuracy,it should be professional in tone and appearance byboth physician-based and community-based stan-dards. As physicians, our image and communicationof our information should not be diminished ortrivialized by sales gimmicks or presentation stylesthat may be acceptable to some other industries orcommercial entities, but not medical professionalstandards.

Question 2: What modalities and methods ofadvertisement and patient recruitment do you feel arenot ethically and professionally acceptable or respon-sible?

Dr. Adamson: Examples of unethical advertisingand patient recruitment include marketing thatmakes false claims about treatments or expressessuperlatives about the surgeon that cannot beproved. As an addendum, each surgeon is respon-sible to review and be accountable for all of themessaging in their marketing; and if challenged onits veracity, cannot use the defense that he or shedid not know about it or it was their Web designer'sfault. Other unethical or unprofessional practicesinclude "Botox parties"; promotion of products,services, or treatments in which there is an undis-closed financial or other conflict of interest; offeringdiscounted services to a current patient to recruit anew patient; writing anonymous negative commentson other's rating sites, or positive ones on one's own;showing patient results, which are not your own orhave been altered; promoting financing for patientswhen you know they can ill afford such treatments;and, stating inaccurate information aboutunattained board certification status.

Dr. Chatham: Advertising in itself is neither good See Inappropriate Ads, page 12

DR. HOLT DR. ADAMSON DR. CHATHAM DR. THOMAS

March 2016 Facial Plastic Times 7

8 Facial Plastic Times March 2016

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The AAFPRS Foundationand the LEARN Enhance-ment Committee, withTheda C. Kontis, MD, as

chair, continue to review theLEARN site with the goal ofimproving your educationalexperience. If you have not yetexplored LEARN, you may want totake a few minutes and check outthe newest enhancements.O Added two videos to the JohnDickinson Library for a total of 52available for video streaming.O Added three surgical videos forCME credits at a reduced cost tomembers.O Added two videos from the FallMeeting to the Core Lectures atno cost to viewers.O Panels from theFall Meeting led bySunny Park, MD,"I've Finished MyTraining, Now What"and "The Nuts andBolts of Opening Upa Private Practice"added to Fellowshiptab.O Panel from theFall Meeting led byLisa Ishii, MD,"Practical Approach-es to IncorporatingEvidence BasedMedicine Into aBusy Facial PlasticSurgery Practice"added to the MemberOnly tab at no cost.

In progressO Review of 13 mem-ber only videos forCME credits at nocost.O Adding LEARNaccess to AAFPRSapp.

In addition, wewill be filming thelive surgeries andthe injectablessessions at the

NEW ENHANCEMENTS

DELIVERED, EXPLORE

upcoming Facial Rejuvenationmeeting and will be adding themto LEARN later this year.

Certain areas of LEARNrequire an AAFPRS usernameand password. If you do not knowyour AAFPRS username andpassword, or, if you want to knowmore about LEARN, please con-tact senior project consultantKaren Sloat, ksloat@aafprs.org ,or go to www.aafprs-learn.org andexplore the site. M

From Cover Story, page 1professionals for the purpose ofdiscussing and disseminating thelatest cutting edge clinical andbasic scientific research.

Co-chairs Robert M. Kellman,MD, and Lisa E. Ishii, MD, havecoordinated a program that youwill not want to miss. Featuredspeakers and their topics includeSam Most, MD, and Gary Burget,MD, Mohs Reconstruction; MarkWax, MD, Microvascular; JeffreySpiegel, MD, Trans-gender Sur-gery; Travis Tollefson, MD, Inno-vations Panel; Dean Toriumi, MD,Rhinoplasty, and more.

Scientific paper presentationswill not disappoint with subjectssuch as traumatic maxillofacialinjuries, cartilage graft donor siterecovery, old versus new tech-niques, facial fracture repair anddiabetes mellitus, 3D printedscaffolds, nerve grafting, hairtransplantation, treatmentprotocol for laser intervention,and facial paralysis. See page 10for a full listing of presentations.

The annual Essentials inFacial Plastic Surgery course, withStephen S. Park, MD, will be heldon Wednesday, May 18.

If you haven't been to Chicagoin a while or this is your first timevisiting, there is a lot to see anddo. Step out onto The Ledge, asuspended glass box at theSkydeck Chicago Observatory,more than 1,000 feet in the sky.Spring is the perfect time to takea walk around BuckinghamFountain in Grant Park; experi-ence the colorful light and musicdisplay. Visit the Navy Pier for aride on the Ferris wheel and toenjoy shops, restaurants, andboat tours. Plan a visit to LincolnPark Zoo, an unforgettable wildlifeexperience.

This opportunity will providemultiple ways to improve andgrow your knowledge and skills;plan to attend today. M

ESSENTIALS IN

FACIAL PLASTIC

SURGERY

March 2016 Facial Plastic Times 9

10 Facial Plastic Times March 2016

THURSDAY, MAY 19, 20167:55am-8:00am Introduction

Robert M. Kellman, MD and Lisa E. Ishii, MD8:00am-8:55am Mohs Reconstruction

Sam P. Most, MD and Gary C. Burget, MD8:55am-9:01am Paper Presentation: Objective Classification of

the Nasal BaseChristian Barnes, MD

9:01am-9:07am Paper Presentation: Facial Plastic SurgeonsPrefer Intranasal Technique for PerformingLateral Osteotomies during RhinoplastyJenny Chen, MD

9:07am-9:13am Paper Presentation: The EQ-5D as a GeneralHealth-Related Quality of Life OutcomesMeasure in Functional SeptorhinoplastyJennifer Fuller, MD

9:13am-9:19am Paper Presentation: Costal and AuricularCartilage Grafts for Nasal Reconstruction: AnAnatomic AnalysisThuy-Van Tina Ho, MD

9:19am-9:25am Paper Presentation: Cartilage Graft Donor SiteRecovery in Rhinoplasty and NasalReconstruction PatientsThuy-Van Tina Ho, MD

9:25am-9:31am Paper Presentation: Safety of Simultaneous LipLift and Open RhinoplastyLouis Insalaco, MD

9:31am-9:55am Break

9:55am-10:25am MicrovascularMark Wax, MD

10:25am-10:31am Paper Presentation: Traumatic MaxillofacialInjuries among NCAA Collegiate Athletes:2004-2009Stephan Chorney, MD

10:31am-10:37am Paper Presentation: Timing of Treatment ofProjectile Injuries to the Face: From Afghanistanto BostonSusannah Gould, MD

10:37am-10:43am Paper Presentation: A Comparison of Oldversus New Techniques in MaxillomandibularFixation and Associated Healthcare CostsThomas McKnight, MD

10:43am-10:49am Paper Presentation: Conservative Managementof Frontal Sinus Fractures--A New TreatmentAlgorithm for Functional PreservationSapna Patel, MD

10:49am-10:55am Paper Presentation: Facial Fracture Repair andDiabetes Mellitus: An Examination of Post-operative ComplicationsMilap Raikundalia, MD

10:55am-11:00am Q & A11:00am-11:30am Transgender Surgery

Jeffrey Spiegel, MD11:30am-11:36am Paper Presentation: Co-Culture in Microfluidic

Device of Human Induced Pluripotent StemCell Derived Motor Neurons with MuscleNipun Bhandari, MD

11:36am-11:42am Paper Presentation: Interaction of MesenchymalStem Cells with a 3D-PrintedPolyetheretherketone Scaffold for CraniofacialReconstructionMichael Roskiesl, MD

11:42am-11:48am Paper Presentation: Human Induced PluripotentStem Cell-Derived Motor NeuronTransplantation as a Potential Treatment forNeuromuscular Atrophy in a Mouse Model ofSciatic Nerve InjuryTiffany Wang, MD

11:48am-11:54am Paper Presentation: Signal Upgrading NerveGrafting in the Management of Benign Peri-Geniculate Facial Nerve LesionsMonirah Albathi, MBBS

11:54am-Noon Paper Presentation: Early Tissue OxygenationPatterns as a Predictor of PedicledFasciocutaneous Flap SurvivalLucas Bryant, MD

Early Registration Deadline, April 18, 2016Hyatt Regency Chicago Rate Deadline, April 25, 2016

To register, go to www.aafprs.org, Education and Meetings, COSM 2016.

March 2016 Facial Plastic Times 11

FRIDAY, MAY 20, 20167:55am-8:00am Opening Remarks

Robert M .Kellman, MD and Lisa E. Ishii, MD8:00am-8:55am Innovations Panel

Travis Tollefson, MD8:55am-9:01am Paper Presentation: Rhinoplasty and Operative

Blood Loss: Do SSRIs Matter?Daniela Burchhardt, MD

9:01am-9:07am Paper Presentation: Evaluating the Effect ofSpreader Grafting on Nasal Obstruction Usingthe NOSE Scale: A Comparison betweenFunctional Rhinoplasty and SeptoplastyAurora Standlee, MD

9:07am-9:13am Paper Presentation: Radiographic Analysis ofAge-Related Changes in Nasal Septal AnatomyChristine Taylor, MD

9:13am-9:19am Paper Presentation: Selective FluorescentAngiography Evaluation of Free FlapReconstruction of the Head and Neck is aUseful Addition to Current ManagementParadigmsLauren Moneta, MD

9:19am-9:25am Paper Presentations: The Impact of SecondarySpeech Surgery on Children with VelopharngealInsufficiency: A Quality of Life AssessmentAditi Bhuskute, MD

9:25am-9:30am Q&A

9:30am-9:55am Break

9:55am-10:25am RhinoplastyDean M. Toriumi, MD

10:25am-10:31am Paper Presentation: Hair Transplantation: TheFountain of Youth for Men with AndrogeneticAlopeciaKristin Bater, MD

10:31am-10:37am Paper Presentation: Comparison of Privateversus Academic Neck Lift Patient RelatedEducation MaterialsHani Rayess, MD

10:37am-10:43am Paper Presentation: Establishing a TreatmentProtocol for Early Scar Laser Intervention UsingSimultaneously Delivered Modalities of BroadBand Light and Er:YAG Fractionated LaserJacob Feldman, MD

10:43am-10:49am Paper Presentation: Analgesic Methods forFacial Application of Botulinum ToxinMichael Hall, MD

10:49am-10:55am Paper Presentation: The Prevalence andSurgeon’s Diagnostic Accuracy of BodyDysmorphic Disorder in Facial Plastic andOculoplastic Surgery Clinics: A MulticenterProspective StudyAndrew Joseph, MD

10:05am-11:00am Paper Presentation: Aesthetic Outcome ofAbdominal Dermal Fat Grafts FollowingParotidectomyRobert Rhodes, MD

11:00am-11:30am The Latest in Cutaneous MalignancyCecelia Schmalbalbach, MD

11:30am-11:36am Paper Presentation: Substitute Donor Nerve forFacial Reanimation: Masseteric versusHypoglossal Nerve TransferMonirah Albathi, MD

11:36am-11:42am Paper Presentation: Facial Paralysis: ComparingPatient, Observer, and Expert PerceptionJacob Dey, MD

11:42am-11:48am Paper Presentation: Quantifying OcularSynkinesis Following Facial Paralysis UsingHigh-Speed Infrared Video Eyelid TrackingDane Genther, MD

11:48am-11:53am Paper Presentation: Evaluation of Patients withFacial Paralysis and Ocular Sequelae: A 20-YearRetrospective ReviewShannon Joseph, MD

11:53am-11:59am Paper Presentation: The Psychological Impact ofFacial ParalysisJason Nellis, MD

11:59am-12:05pm Paper Presentation: Society Perceives FacialReanimation to be a High Value InterventionPeiyi Su, MD

12:05pm Adjourned

ESSENTIALS IN FACIAL PLASTIC SURGERYSpecifically designed for residents and directed by Stephen S. Park, MD

Speakers include: Terry Day, MD; Jonathan M. Sykes, MD; Dean M. Toriumi, MD;Tom D. Wang, MD; Edward H. Farrior, MD; and John L. Frodel, Jr., MD

There is no fee for residents to attend but registration is required. Residents must send an e-mail with your full name as well as aletter from your program chair or director confirming that you are in a residency program to info@aafprs.org.

12 Facial Plastic Times March 2016

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YOUR OBLIGATION TO REPORT INAPPROPRIATE ADS

From The Ethical Facial Plastic Surgeon, page 6nor evil. Regardless of modality, advertisements thatare untruthful, misleading, or deceptive are out ofplace. Ads that seek to exploit insecurity or implythat certain procedures will bring enhanced happi-ness or miraculous fulfillment may be borderlineunethical. Use of superficial models who appearperfect and sexually desirable is common in today'sworld of plastic surgery advertising. One question notoften asked: Does promoting easy financing via third-party lenders (mirroring much of American consum-erism) a good idea for patients who really cannotafford an elective surgery? Also, note that pharma-ceutical company television ads contain warnings,albeit very quickly noted. Perhaps ads for surgicalprocedures should do likewise.

Dr. Holt: Inappropriate advertising will be obviousto the ethical facial plastic and reconstructive sur-geon. Claims of surgical successes beyond theacceptable threshold, obvious manipulation andenhancement of pre- and post-operative photo-graphs, exaggeration of the surgeon's reputation andprofessional accomplishments, and the "touting" ofprocedures performed that are yet to be confirmed byscientific evidence, should all be very concerning.Professional marketing and advertising agencies maycreate quite eye-catching Web sites and other entic-ing media communications, but the surgeon has amoral fiduciary responsibility to the public to makecertain the information is consistent with acceptableprofessional ethics and science.

Dr. Thomas: Certainly, the ads should be accu-rate and not misleading. Claiming results that arenot realistically attainable is not acceptable. Show-ing results not actually accomplished by the surgeonwithout identifying as such is not appropriate. It hasbeen estimated that a high percentage of testimoni-als and comments on various outlets on social mediaare fabricated and used to artificially imply "greatresults." Similarly, a high percentage of negativecomments are used to attempt to sabotage competi-tors’ practices. Descriptions of the surgeon's train-ing, experience, and certification must be honest andaccurate. Similarly, it is inappropriate to exaggeratereputations through comments like "America's best,""surgeon to the stars," or the frequently exaggeratedand inaccurate "internationally acclaimed."

Question 3: Does an ethical facial plastic surgeonhave any obligation to protest such unethical andunprofessional advertisements and patient recruitmentefforts, and if so, through what means?

Dr. Adamson: As a self-regulating profession, weabsolutely have an ethical obligation to intervene forthe good of the patient, the offending surgeon, andthe profession. If the miscreant is known to you, andespecially if you are a senior surgeon, you have theopportunity to speak directly to the offender to adviseappropriate behavior and possibly prevent unfortu-

nate regulatory action. If the offense is repetitive oregregious, then the appropriate regulatory body mustbe notified immediately, or those "in the know" alsorisk sanctions themselves. Others who also mayrequire advisement include departmental or hospitalsuperiors, and specialty association and certificationboards.

Dr. Chatham: Advertisements that appear bla-tantly or egregiously misleading hopefully will beseen as such by most people. However, ads whichmay bring harm to an unsuspecting consumer mightbe reported to a local or state agency. For example,cosmetic procedures that are being offered by acommercial, non-medical entity could place consum-ers at unnecessary risk. Several states require thatspas that advertise medical treatments must list thetraining and credentials of its staff.

Dr. Holt: As a learned profession, we must providemeaningful and responsible oversight to any commu-nication to the public that could be inaccurate,misleading, or harmful. Normally, complaints regard-ing inappropriate advertising could be directed to thecounty or city medical society, where there is often aspecific committee designated to evaluate suchcomplaints. For more egregious advertisements,particularly where inaccurate and potentially harm-ful information is presented, the state medical boardcan be notified through its established professionalcomplaint system. Be aware, however, that thecomplainant may be required to testify in any hear-ing that might result.

Dr. Thomas: Inappropriate marketing or advertis-ing should be reported to medical regulatory oroversight groups including state licensing boards,specialty certifying boards, and specialty organiza-tions. Another initial route may be through thehospital medical staff leadership if the individual isaffiliated with privileges at a hospital facility. M

CLASSIFIED ADFacial plastic surgeon partnership—work in or buyin. Expanding plastic surgery private practice,gorgeous spa space, onsite accredited OR. Idealcombination of reconstructive and cosmetic. Colle-giality and collaboration, assistance from PA;minimal call responsibility. Interest or experiencewith hair transplantation and social media desir-able. Option for academic affiliation, residentteaching, micro-vascular reconstruction, andinternational mission trips. Westchester, Mid-Hudson Valley country living, beautiful estates, top-notch schools, easy access to four season recre-ational activities, within one hour to New York City.

Contact MT Abraham MD, atinfo@NYfaceMD.com with CV. Web site:www.NYfaceMD.com.

March 2016 Facial Plastic Times 13

14 Facial Plastic Times March 2016

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Congratulations to theFACE TO FACE teamthat just returned fromtheir fifth humanitarian

trip to Lima, Peru, October 18 -23, 2015. It was by far the bestmission to date. Sixty-eightindividuals with cleft lip and cleftpalate issues were operated on,the vast majority being children.

The team, with AAFPRSmember and team leader Ryan F.Brown, MD, was able to surgicallyrepair a cleft lip on 28 babiesbetween two and eight monthsold. Given that many patientsneeded multiple procedures suchas ear tubes to help with hearing,scar revisions, or surgery on thenose, on top of lip and palatesurgery, 103 procedures wereperformed during the seven days.Free speech therapy was alsoprovided to 40 patients during thebusy week. Since this was thefifth visit to Lima, the group wasable to follow up with manyprevious patients and continue tohelp them and their families.

In keeping with the FACE TOFACE goal to develop long-termprofessional relationships withphysicians, surgeons, hospitalsand clinics in other countries,and disseminate knowledge,training, and skills of the spe-cialty of facial plastic and recon-structive surgery, four differentlectures were held at the hospital.Students worked side-by-sidetheir American counterparts toenhance the training experience.

The Foundation's FACE TOFACE International Programprovides financial support forsanctioned FACE TO FACE trips.The grant for the trip to Lima wasused to support transport of theteam members back and forth tothe hospital each day. It alsoprovided funds for medicationsneeded for the mission, for trans-port of the portable anesthesiamachine, printing of requiredpaperwork, and small gifts for thechildren receiving surgery.

As you can see, the moneyprovided by FACE TO FACE wasinvaluable to the success of thesurgical mission. There are

almost 100 individuals who eitherreceived surgery, speech therapy,or both that would never havebeen able to without the supportof the AAFPRS Foundation. "Youhave helped to bring many moresmiles into their lives. You havehelped to change their livesforever," says Dr. Brown.

The 2016 trip to Lima isalready being planned for Novem-ber 5-12, 2016. If you are anAAFPRS member and are inter-ested in participating in thismission, contact AAFPRS seniorproject consultant Karen Sloat bye-mail at ksloat@aafprs.org.

To learn more about FACE TOFACE, go to: www.aafprs.org/history/face-to-face/. M

FACE TO FACE UPDATE: SUCCESSFUL TRIP TO LIMA, PERU

LEFT: PRE-OPERATIVE, OUR BEAUTIFULPATIENT, WHO CAME FOR CLEFT PALATEREPAIR, WAS SICK OF ALL THAT SNOT INHER ORAL CAVITY. RIGHT: POST-OPERA-TIVE, SHE HAD GREAT CLOSURE OF HERCLEFT PALATE. THE NEW AAFPRS FACETO FACE DATABASE WILL ALLOW US TOBETTER HER FOLLOW-UP CARE AS SHESTILL NEEDS A CLEFT RHINOPLASTY.

From Cover Story, page 1the right practitioner whom theycan trust, followed at quite adistance by concerns for the costsand visible results. Pain anddiscomfort was of the least con-cern, perhaps due to improvedmethods of topical anesthesiaand more minimally invasivetreatment options.

The top three trends in 2015were people requesting natural-looking rhinoplasty results (74percent), combined surgical andnon-surgical procedures (72percent), and eyelid procedures tolook less tired (71 percent). Morethan half of surgeons also saw arise in patients asking to get theircheekbones back (56 percent)and people turning to cosmeticprocedures to remain competitivein the workforce (51 percent).BOTOX® (Allergan), along withDysport® (Galderma) andXeomin® (Merz), remain the mostpopular minimally invasiveprocedures for both women and

men, followed by hyaluronic acidfillers. As for surgical trends,rhinoplasty leads the way again,followed by blepharoplasty andfacelifts.

Since the economy continuesto improve, along with increasedconsumer awareness and agrowing comfort level with thesafety and predictability of cos-metic treatments, the demand forfacial cosmetic procedures willmost likely continue to expand.AAFPRS members agree that thebiggest trend for the future offacial plastic surgery is moreemphasis on early maintenancestarting in the 20s and 30s toavoid more complicated proce-dures and delay the need forcosmetic surgery down the road.

Our survey findings andtrends can benefit you and yourpractice. We have asked our veryenergetic PR team to provide youwith tips on how to capitalize onthese findings. Please refer topage 16 for more information. M

GROWING COMFORT LEVEL

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CORRECTION: In the last January/February issue of Facial PlasticTimes, the Young Physicians article by Andrew Winkler, MD, inadvert-ently included a duplicate graph. An Erata sheet with the correctgraph (figure 2) is enclosed in this issue of Facial Plastic Times.

March 2016 Facial Plastic Times 15

PCA Skin

16 Facial Plastic Times March 2016

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Submitted by KELZ PR

Each year, the AmericanAcademy of Facial Plasticand ReconstructiveSurgery (AAFPRS) con-

ducts a member survey, and theresults allow us to take the pulseof the industry.

Our 2015 numbers werereleased mid-January; andalready, they are making a bigsplash with local, national,online, print, and broadcastmedia.

You did the hard work byanswering all of the questions weposed (thank you!), so now it'stime for your victory lap.

Here are some ways to engagethe media using our newly re-leased stats.

Host a cuckoo for KylieThanks in part to Kylie Jenner,the youngest of the Kardashian-Jenner crew, and society's collec-tive obsession with all thingsKardashian, Millennials aredesperately seeking facial plasticsurgery. In 2015, 64 percent ofmember facial plastic surgeonssaw an increase in cosmeticsurgery or injectable treatmentsin patients under age 30.

Does this mirror what you areseeing in your practice? Let localmedia know. Consider invitinginfluential bloggers and editors tothe office to discuss this trend,what is driving it as well as theprocedures that are or are notacceptable in this age group.

Largely due to Kylie's perfectlyplumped pucker, lips are all therage among the Millennial crowd.Celebrate them with an info-graphic about the growing num-ber of lip enhancement optionsand share it on social media andwith your media list.

If you have a teen patient or amother-daughter pair willing todiscuss the decision to get lipinjections, reach out to your localbroadcast contacts. Teen plasticsurgery always hits home forviewers.

PR COLUMN: LET OUR 2015 SURVEY DATA WORK FOR YOU

Thank you to all those mem-bers who took the time tocomplete the online survey.As an incentive this year, wedrew names for prizes andthe winners are listed below.Also, all those who partici-pated in the survey areeligible to receive a 20 per-cent discount on any pur-chase of brochures, books,and DVDs that appear in theproducts catalog.

Congratulations to the follow-ing AAFPRS members:

Grand PrizeComplimentary registrationto the 2016 Annual FallMeeting, Nashville, Tenn.Gary Nishioka, MD, DMD, ofSalem, Ore.

A complete set of patientbrochures (50 per pack)Corinne Horn, MD, ofNew York City

A set of five DVDs of yourchoiceMichael Brenner, MD, ofAnn Arbor, Mich.

One copy of The Face BookJ. George Smith, MD, fromRidgeland, Miss.Samuel M. Lam, MD, ofPlano, TexasJolene Andryk, MD, ofMequon, Wis.Charles Woodard, MD, ofDurham, N.C.Scott Roofe, MD, ofSouthern Pines, N.C.

Please contact Rita ChuaMagness at the AAFPRS office(rcmagness@aafprs.org) toclaim your prize.

Pair offCombining surgical and non-surgical procedures was anothertrend spotted in the 2015 AAFPRSsurvey.

Host a food and cocktailpairing event in your office as youalso discuss procedures thatcomplement each other. Provide adiscount to any attendees whobook procedures after the fete.

Hide those tired eyesMore than 70 percent of facialplastic surgeons received re-quests for eyelid procedures tolook less tired in 2015, the surveyshowed.

Tell media about the top newways to reduce under-eye puffi-ness and dark circles. Invite VIPsinto the office for a seminar onthe beauty benefits associatedwith good sleep. Provide informa-tion on how to avoid pillowcreases and suggest make-up tipsto mask dark circles. Consider aninfographic on the top 10 sleepthieves that leave eyes lookingoh-so-tired. Make sure to post theinfographic on all social chan-nels, and offer it up to your mediacontacts.

Smile, you're on InstagramSelfies and social media are stillwhite hot when it comes to moti-vations to see a facial plasticsurgeon. Consider hosting anevent for media and bloggerswith traction to talk about theeffect that social media is havingon the desire for self-improve-ment. Invite a local photographerto take glam head shots ofattendees and offer tips on how tolook better on camera andonline.

The 2015 statistics cover a lotof ground. Read them over to seehow or if they reflect what you areseeing in your practice. What areyou seeing more of or less of?Why? What procedures are youcombining? What celebrities doyour patients want to resemble?This is all great fodder forblogging.

Our annual statistics areamong the most powerful toolsthat we have to get—and keep—the media's attention. Have funwith them! M

March 2016 Facial Plastic Times 17

18 Facial Plastic Times March 2016

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By Rachel HardyPresident, OFPSA

At the last Annual Meeting in Dallas,

we were thrilledto announce ourinaugural Member of the Yearaward, sponsored by CareCredit.There were so many outstandingnominees last year and aftercareful deliberation we wereelated to confer the honor uponSophie Sok-Tyong. Congratula-tions, Sophie! It was well de-served.

As part of the nominationprocess, it was gratifying to readthe comments written by thephysicians who nominated youas they heaped accolades on youfor your late nights, ceaselesspatience, passion, empathy,ability to problem solve, thinkcreatively, manage the constantdemands imposed on you, andabove all—to do it with grace,humility, humor, and kindness.You are a talented group. Eachand every one of you deserves tobe recognized for your dedicationto your practices and physicians.

You could be our secondCareCredit Member of the Year!Refer to the nomination formenclosed in this issue of FacialPlastic Times and ask yourphysician to submit it on yourbehalf. The winner will receive a$1,000 cash prize and have hisor her airfare for the followingyear’s meeting paid.

Announcing the winner of theCareCredit Member of the Yearwas only one of many excitinghighlights at the 2015 FallMeeting in Dallas. We benefittedfrom hearing many talentedspeakers who are the leaders inour industry. They shared theirinsight, experience, and talentwith us, from the captivating

A CALL FOR

MEMBER OF THE

YEAR AWARD

March 2016 Facial Plastic Times 19

2016MARCH 16-19FACIAL REJUVENATION 2016Beverly Hills, CACo-chairs: Stephen W. Perkins, MD;Theda C. Kontis, MD; and Rami K.Batniji, MD

MAY 11-148TH WORLD CONGRESS OFFACIAL PLASTIC SURGERYRio de Janeiro, BrazilSponsored by the IFFPSS

MAY 18ESSENTIALS IN FACIAL PLASTICSURGERYChicago, ILDirector: Stephen S. Park, MD

MAY 18-22COMBINED OTOLARYNGOLOGYSPRING MEETINGS (COSM)Chicago, ILCo-chairs: Robert M. Kellman, MD, andLisa E. Ishii, MD

FACIAL PLASTIC TIMES

MARCH 2016

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JUNE 25-26ABFPRS EXAMINATIONWashington, DC

OCTOBER 6-8FALL MEETINGNashville, TNProgram Director: Phillip R. Langsdon,MDCo-chairs: Samuel M. Lam, MD, andRami Batniji, MD

2017MAY 4-7ADVANCES IN RHINOPLASTYChicago, ILCo-chairs: Peter A. Adamson, MD;Sam P. Most, MD; and Oren Friedman,MD

Enclosed in this March issueof Facial Plastic Times are the

FPST Order Form; Erata Sheet;OFPSA Membership Form;and OFPSA Member of the

Year Award Form.

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presentation on the relevance ofaesthetics and the rules ofattraction from Steven H. Dayan,MD, to Glenn Morley’s directlyapplicable insights on marketing,social media, and organizationstrategy. Nina Clark-Christoff,RN, educated us with an in depthand energetic presentation ondermal fillers and injectabletreatments; Jon Mendelsohn,MD, spoke about strengtheningour relationship with our pa-tients. All of our guest speakershelped further our understand-ing in unique ways.

Our OFPSA members partici-pated in several amazing paneldiscussions ranging from clinicaloperations and creating a com-pensation plan for your practice,to post-operative nursing care,which inspired opportunities tonetwork with fellow members. Wewere even able to go on an excur-sion last year—an OFPSA first!We loaded all of the membersonto a chartered bus and headedover to the busy practice of SamM. Lam, MD, where our hostgraciously provided all of us witha tour of his building and anopportunity to ask his staffdetailed questions about theirdaily operation.

Your OFPSA officers arededicated to making the 2016Fall Meeting in Nashville anexperience to remember. Ourfocus this year will be on “Build-ing Relationships through Net-working.” If you have commentsor suggestions for things you’dlike to incorporate into this year’smeeting, please let us know.

You can visit the OFPSA Website at www.OFPSA.org and reachout to any of your 2015-2016OFPSA officers. We’d love to hearfrom you.

Coming soon, we will berolling out new ways for you toconnect with your fellow mem-bers via social media. You can

follow us on Instagram right now,@OFPSA. We’ll continue to postupdates and new information,especially as it gets closer to theFall Meeting.

I cannot tell you how excited(and humbled) I am to be servingas your OFPSA president. Thisorganization has provided me notonly with knowledge and skills toput to immediate use in my dailypractice, but also, more impor-tantly, the OFPSA provides a richnetwork of like-minded profes-sionals who understand eachother’s successes, struggles,highs and lows, and are there tohelp each other improve. We areour greatest resource. We needyour passion and dedication as

part of the OFPSA. Commit toenrolling or renewing your mem-bership in the OFPSA today. It iseasier than ever—each practiceonly pays $175 per year. There isno longer an individual rate.

Thank you for your enthusi-asm for the OFPSA. We can’t waitto see you all in “Music City”Nashville, October 6 - 8. 2016. M

The AAFPRS wishes to thankRichard W. Fleming, MD, andToby G. Mayer, MD, of theBeverly Hills Institute forhosting the live surgery portionof the Facial Rejuvenation:Master the Techniques course,March 18-19, 2016.

20 Facial Plastic Times March 2016