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Dear Colleagues, It is my honour to address you, our members, as the president of the European Academy of Facial Plastic Surgery. Looking back in time, the Academy was established 42 years ago by the pioneers Tony Bull and Claus Walter and it is due to their efforts and those of all other presidents (Guy Jost, Gilbert Nolst Trenité, Pietro Palma, Abel-Jan Tasman and Fazil Apaydin), executive boards, committee members, focus groups and national delegates that the Academy is in its current successful shape with more than one thousand strong membership. Progress is what defines our profession and we must always endeavour to build on what has been achieved. I duly, therefore, thank our immediate past president Fazil Apaydin for his dedication and hard work during the past two years where progress was very evident, and I promise to continue the hard work. I must also thank other Executive Board members, Alwyn D’Souza and Jose Carlos Neves for their tireless efforts and specially sparing long Sunday nights to our monthly Skype meetings! It goes without saying that nothing would work without the outstanding administrative support of Gabriele Behncke.

I consider that the Academy has three main pillars; education, training and accreditation. Education is provided through conferences, courses, videos and other materials that I can gladly confirm have been in abundance during the recent years and we will continue on the same theme in addition to creating new venues. Training is through EAFPS fellowships, observer ships and visitor ships which we have always supported and will expand on. Accreditation is the ultimate goal for the facial plastic surgeon through passing the IBFPRS/EBFPRS exams and we will continue our strong support for our members to achieve this goal.

As we approach the end of the year 2019, it is good to reflect on important events for the EAFPS. We enjoyed a very successful annual meeting in Amsterdam masterly organised by Gilbert Nolst Trenité and Dirk Jan Menger. An excellent programme of parallel sessions, panel discussions and video sessions were packed by the delegates. It was the first time in the EAFPS that the

EAFPS Juniors Board presented their own session. The General Assembly was held on evening of the third day of the meeting and the results of the first online election for the Executive Board, as in the updated bylaws, were announced. Alwyn D’Souza was voted as President Elect, Jose Carlos Neves as Secretary and Frank Riedel as Treasurer. We thank the exceptionally dedicated colleagues who put their names forward and all our members who participated in voting. Other important decisions included consensus that the current membership fees were too low in comparison with similar societies in Europe and have not kept up with increasing expenses. It was agreed with a show of

hands that the membership fee would be increased to £195 with effect from 2020 which is still considered very reasonable when compared to other European societies. We are now happy that the online payment system has been working well on the EAFPS website and we will continue our work to obtain approval of the German authorities for collecting membership fees by direct debits.

For the first time our annual conference will be held in Łódź, Poland, and we look forward to seeing you there in September. Let’s hope that 2020 will be a great year and I wholeheartedly wish you a prosperous, peaceful New year!

Hesham Saleh

President

The European Academy of Facial Plastic Surgery

www.eafps.org

Editor: Wolfgang Wagner

Newsletter February 2020

2 Editor: Wolfgang Wagner

Meeting reports Here are the available reports of the meetings under EAFPS auspices from July through December 2019.

11 Days of Facial Plastic Surgery 26 August-01 September 2019, Singapore

Khoo Teck Puat Hospi-tal’s Department of Otolaryngology suc-cessfully conducted the following two courses during the 6th annual event of ‘Eleven Days of Facial Plastic Sur-gery’, held in conjunc-tion with the ASEAN ORL-HNS annual con-ference. • 6th Singapore Ad-vanced Rhinoplasty Fresh Frozen Cadaveric Dissection Course, 26-29 August 2019 • 5th Singapore Facial Rejuvenation Surgery Fresh Frozen Cadaveric

Dissection Course, 30 Aug-01 September 2019. The courses were attended by more than 40 Surgeons from 22 countries. Teachers of Honour included internationally renowned Facial Plastic Surgeons Peter A Adamson (Canada), Hesham Saleh (UK), Ozcan Cakmak (Turkey), Raunig Hermann (Austria), Ji-Yun Choi, Yong-Ju Jang and Jae-Woo Jang (South Korea). The participants also benefited from the wealth of experience offered by our outstanding international faculty, including Anja-na Haridas (UK), Sameer Bafaqueeh (Saudi Arabia), Gordon Soo (Hong Kong), Chih-wen Twu, Steve Kao, Tony Chiu (Taiwan), Eduardo Yap, Cesar Villafuerte, Joseph Amado Jay Galvez (Philippines), Ria Trimartani (Indonesia) and Choladhis Sinrachatanant (Thailand). This 7-day event consisted of 3 days of lectures and panel dis-cussions, and 4 days of hands-on demonstrations by expert faculty followed by hands-on dissection by participants on fresh frozen cadaver heads. Designed to provide structured and sys-tematic training in most aspects of Facial Plastic and Recon-structive Surgery, the courses were a platform for participants to expand their knowledge and surgical skills in Facial Rejuve-nation Surgery and Rhinoplasty. The next set of courses will be held from 03-13 March 2021 in conjunction with the PAAFPRS annual conference. For more updates and registration details for the next event, please visit our website at www.ktph.com.sg/singaporeentcourses (under reconstruction) or email the course secretariat at Singa-poreENTCourses@barakpco.com. Dr Sandeep Uppal PhD, FRCS (ORL-HNS) Khoo Teck Puat Hospital, Singapore uppalsandeep@yahoo.com

EAFPS 2019, Annual Meeting 18-21 September 2019, Amsterdam, The Nether-lands The 2019 annual conference of the European Academy of Facial Plastic Surgery (EAFPS) was held at the Re-naissance Amsterdam Hotel, The Netherlands, organised by Dirk Jan Menger and Gil-bert Nolst Trenite. The conference comprised a packed four-day programme of parallel session talks, pan-el discussions and video ses-sions. Topics were wide-ranging, including recon-struction of facial defects, rhinoplasty, facial rejuvena-tion, non-surgical tech-niques, oculoplastics and facial reanimation. The first day was devoted to ‘Young Generation’ surgeons and trainees. Topics were presented by senior surgeons Dirk Jan Menger, Ozcan Cakmak, Callum Faris, Jose Carlos Neves, Frank Datema, Holger Gassner and Santdeep Paun, including basic concepts in Facial Plastic Surgery (FPS), training opportunities, the EAFPS Fellowship Programme and Board Certification. For the first time at an EAFPS conference, the newly elected Junior Board presented their own session which included talks by Samit Unadkat, Saleh Okhovat, Floris van Zijl and the invited speaker Nadia Ashraf.

The ‘Time Capsule’ talks were a particular highlight, with illus-tration of how techniques have evolved over the years in each area of FPS. Endoscopic rhinoplasty was used as an excellent example of how modern technology can be used as an adjunct to established surgical methods.

Throughout the programme there were lively panel discus-sions on complex rhinoplasty, facelift, non-surgical rejuve-nation, research and innovations in FPS and practice man-agement. A particular highlight was the keynote joint

5th Singapore Facial Rejuvenation Surgery Fresh Frozen Cadaveric Dis-section Course

6th Singapore Advanced Rhinoplasty Fresh Frozen Cadaveric Dissection Course

Junior Board Panel, from left to right: Dirk Jan Menger, Saleh Okhovat, Samit Unadkat, Floris van Zijl, Nadia Ashraf, Hesham Saleh, Fazil Apaydin

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EAFPS - Rhinoplasty Society Europe panel on ‘The Past, Present and Future of Rhinoplasty’. The international panel of experi-enced surgeons included Werner Heppt, Hesham Saleh, Enrico Robotti, Wolfgang Gubish, Dirk Jan Menger and Fazil Apaydin; all giving their insights on complex revision rhinoplasty cases and potential pitfalls. Topical subjects included ‘Management of the Cocaine Nose’ by Alwyn D’Souza and ‘Cantilever Grafts for the Nasal Valve’ by Ullas Raghavan, the latter being an innovative approach in lieu of spreader grafts. The Joseph lecture this year was given by Roxana Cobo, who inspirationally shared her vast experience and looked back upon her own career path pioneering through the patriarchal world of FPS. This was followed by the General Assembly, where the presi-dency of the EAFPS was handed over from outgoing President Fazil Apaydin to the new President Hesham Saleh, to start his two-year term. The election results for the remaining Executive Board were announced, with Alwyn D’Souza as President Elect, Jose Carlos Neves as Secretary and Frank Riedel as Treasurer.

Historic locations abounded throughout the academic and social programme. The lectures and Gala dinner took place in the beautiful Koepelkerk, a 17th-century domed church, with a stunning Bach organ as the backdrop to the stage; the largest organ still in active use in the Netherlands. The faculty dinner was held in the historic West Indisch Huis; built in 1617 and the former headquarters of the Dutch West India Company. The setting in Amsterdam was wonderful with gabled architec-ture surrounding us and picturesque canals running through the city. Van Gogh, Rembrandt and Banksy exhibitions were easy distractions from the conference hall. Overall another successful EAFPS conference in a wonderful location with exciting academic and clinical developments and, as always, the chance to catch up with old and new colleagues and friends alike. We look forward to the next meeting in 2020, which will be hosted by our colleagues in Poland. Nadia Ashraf, Consultant ENT-Head & Neck Surgeon| University Hospitals of Derby and Burton, UK nashraf@doctors.org.uk

SantoRhino 2019 26-28 September 2019, Santorini, Greece The second edition of SANTO-RHINO – the Santorini Sinus, Skull Base and Rhinoplasty Workshop and Consensus Meeting, organized by ENSA – ENT Neurosurgical Society, which took place in Santorini, Greece from the 26th until the 28th of Sep-tember 2019, gathered over 100 participants from over 29 countries worldwide. This year the organizers brought together some of the world leaders in the areas of Rhinology, Endoscopic Skull Base Surgery and Rhinoplasty, as well as some extremely talented young surgeons – both the current and next generation of leaders in the field. The meeting addressed topics ranging from the evolution of CRS Management, to benign and malignant sinonasal tumors, to skull base surgery and rhinoplasty.

The philosophy and main theme of this meeting is “networked learning“ - defined as “the process of developing and maintain-ing connections with people and information, and communi-cating in such a way so as to support one another’s learning”. With the guidance and coordination of Christos Georgalas, the combination of state of the art lectures with challenging round table discussion of complex cases and debates, the friendly and open atmosphere among faculty and participants, the engage-ment of all those attending, with input derived from their every-day clinical practice, as well as their continuing presence in the meeting area and, finally, the amazing setting of the conference venue, located at the top of the caldera of one of the most beautiful islands in the world, were all factors that contributed to the success of this year’s meeting. The event was accredited with 20 European Credits of continu-ing medical education from the EACCME/UEMS. The next edition of Santo-Rhino has been scheduled for October 2021. Visit the official website www.santorhino.org for regular updates. Last but not least, one of the most important aspects of this event is the Parallel Consensus Meeting for Idiopathic CSF Rhi-norrhea and Intracranial Hypertension - the high level of the faculty made possible the production of the Delphi consensus statement - stay tuned in the next months! Prof. Christos Georgalas Athens, Greece cgeorgalas@gmail.com

30th International Course in Advanced Rhinoplasty Techniques 16-18 October 2019, Utrecht, The Netherlands This unique course was held for the 30th time and attracted participants from more than 25 different countries from all over the world. The concept of the Advanced Course in Utrecht is unique considering the multidisciplinary faculty (ENT and FPRS surgeons, Anatomists, Maxillofacial- and General plastic sur-geons) but also because of the Expert Panels, Live Surgery and Fresh Frozen Cadaver Dissection of the nose. This year the hands-on fresh frozen cadaver ”Workshop” was focused on “Blepharoplasty”. Very proud we were to have Brian Wong (California, USA) as our “Teacher of Honour”. Brian Wong showed the participants how to deal with patients from the first consultation to the man-agement of the most challenging procedures. Abel Jan Tasman

demonstrated his great surgical skills during live surgery. Of course, the live surgery was interactive, the attendees could ask questions and an expert panel was available in the lecture hall to allow a thorough comment and discus-sion.

The new EAFPS Board, from left to right: Jose Carlos Neves, Alwyn D’Souza, Hesham Saleh, Fazil Apaydin and Frank Riedel

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The last day of the course, the symposium, was part of the course but as usual it is also possible to subscribe for the sym-posium separately. This year the “Lecture of Honour” by Brian Wong was focused on “articulate alar rim grafts and lateral cru-ral tensioning techniques”. It was a very interesting and excit-ing day with lots of discussions and taking home pearls. Taken together, it was a great course again with didactic lec-tures, panel discussions fresh frozen cadaver dissection and excellent live surgery, we are looking forward welcoming you in Utrecht next year! The 31st Course will be held on October 28-30, 2020: Teacher of Honour: Andres Gantous (Toronto, Canada) Fresh Frozen Cadaver dissection of the Nose - Workshop Oto-plasty - Live Surgery Please visit our website at: www.AdvancedRhinoplasty.nl for additional information and registration. Come join us in Utrecht! Dirk Jan Menger & Gilbert Nolst Trenité Utrecht, The Netherlands info@advancedrhinoplasty.nl

Rome Nose Week 16-18 October 2019, Rome, Italy No report available

Advanced Aesthetic Rhinoplasty And Face Contou-ring, 24-27 October 2019, St. Petersburg, Russian Federation

October 24-27th, 2019 became a truly significant day for sur-geons whose professional interests are rhinoplasty. The Seventh international Live Surgery Course "ADVANCED AESTHETIC RHI-NOPLASTY AND FACE CONTOURING. 2019" was held in Saint Petersburg. 60 a world-known faculty demonstrated, discussed, debated, defended their practical experience and shared their clinical knowledge during 4 days. The hall, filled with 650 spe-cialists from 63 countries, became not only a witness, but also a part of this professional event. For 7 years, the permanent Di-rector of the Course is Vitaly Zholtikov, but for the first time the scientific coordinator of the program was Olivier Gerbault. The result was "one of the world's strongest programs" according to participants. More than 40 hours of non-boring science: round tables, key lectures, video sections and controversial panels have become more than a unique lecture material. So the sec-tion "What I have learned about rhinoplasty in 30 years" was one of the most anticipated. Participants, internationally recognized experts: Dean Toriumi, Bahman Guyuron, Rollin Daniel, Eugene Kern and Yves Saban openly shared their invaluable experience and made history together with the participants of the Course. Special attention in the 2019 program was paid to anatomy. Of the 8 "live surger-ies", 4 were accompanied by a broadcast from the cadaver dis-section performed by Peter Palhazi, Aaron Kosins, Olivier Gerbault and Enrico Robotti. The program ended on October 27 with a traditional practical anatomical course, but this time for 2 groups: "Structural Rhinoplasty with Piezo" and "Preservation Rhinoplasty". Traditionally, The Russian plastic surgery section was success-fully held on the last day of the scientific program. The Course ended with 25 master classes from world experts in rhinoplasty. https://aasurgery.ru/en/archive/2019/course_2019_surgery/

London Rhinoplasty Course 02 November 2019, London, United Kingdom The London rhinoplasty course on the 2nd of November was a great success. We had excellent lectures from Mark Constantian from New Hampshire,USA as well as David Kahn from Stanford University California.. The course was completely sold out with 80 delegates. We had a waiting list for delegates to go on the course. There were course lectures and fast panel discussions. The delegates appreciated the warm friendly atmosphere to be able to ask questions. The discussions ranged from preservation rhinoplasty, open and closed rhinoplasty, grafts, septoplasty,

running a practice fillers and much more. Next year the cost will be a 2-day course involving dissec-tion all day on 7th of November 2020 followed by live sur-gery on the 8th of November as well as lectures and fast panel discussions.

Editor: Wolfgang Wagner

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Dr. Rajan Uppal London, United Kingdom rajan@rajanuppal.co

Upcoming Meetings These are the upcoming meetings 2020 under the auspices of the EAFPS according to information status of 28 January 2020.

Preservation Rhinoplasty Nice 1-3 February 2020, Nice, France www.preservation-rhinoplasty.com/en contact: info@preservation-rhinoplasty.om

23rd Rhinoplasty Course 06-08 March 2020, Istanbul, Turkey www.rhinoplastyschool.com contact: burunokulu@gmail.com

Facial Aesthetic Cadaveric Training 09-11 March, London, UK medicaltrainingcourses.co.uk/courses/facial-aesthetic-cadaveric-training/ contact: info@medicaltrainingcourses.co.uk

MAD-Rhinoplasty 2020 –Infinite Journey 20-25 April 2020, Madrid, Spain www.madrhinoplasty.com/en/ contact: rhino@onecongress.es

Endonasal Rhinoplasty State of the Art 2020 — 08-10 May, Regensburg, Germany www.facial-plastic-surgery.eu/ contact: swolf@eventlab.org

Editor: Wolfgang Wagner

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21. International Course on Reconstructive and Aesthetic Surgery of the Nose and Face 10-12 June 2020, Nijmegen, The Netherlands http://www.aroundthenose.com/ contact: annie.moedt@radboudumc.nl

15th International Erlangen Course in Facial Plastic Surgery 17-20 June 2020, Erlangen, Germany www.hno-klinik.uk-erlangen.de/aerzte/fort-weiterbildung/15th-international-erlangen-course-in-facial-plastic-surgery/ contact: hno-kurssekretariat@uk-erlangen.de

We are looking forward to greeting you

at the

17-20 September 2020

Editor: Wolfgang Wagner

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CME Questions on Preoperative Assessment for Rhytidectomy Nadia Ashraf, Consultant ENT-Facial Plastic Surgeon University Hospitals of Derby and Burton, UK Rhytidectomy remains the gold-standard surgical treatment for patients seeking facial rejuvenation. Thorough preoperative patient

assessment and careful patient selection is key to successful outcomes and satisfied patients. The following piece covers the ideal

facelift candidate, patient assessment, including use of classifications, and potential complications to cover in preoperative counselling

and discussion.

Choose the single best answer. 1) Rhytidectomy is indicated primarily for correction of: A. Deep nasolabial folds B. Superficial rhytids C. Jowling D. Sun-damaged skin E. Deep marionette lines 2) Which of the following is NOT a contraindication to rhytidec-tomy? A. Previous head and neck radiotherapy B. Autoimmune disease eg Systemic Lupus Erythematosus C. Sjogren’s Disease with parotid involvement D. Strong facial bony structure E. Isotretinoin use in the last three months 3) Which of the following is NOT an ideal characteristic in a pati-ent seeking facelift? A. Minimal photodamage to skin B. Loss of jowl elasticity C. Weak chin D. Body Mass Index of 22 E. High hyoid bone 4) Which of the following preoperative photographic views is NOT indicated in a rhytidectomy patient? A. Perioral B. Submental C. Ears D. Birds eye E. Oblique 5) During facelift, the most commonly injured branch of the facial nerve is: A. Marginal mandibular branch B. Temporal branch C. Buccal branch D. Cervical branch E. Zygomatic branch

5) Which of the following is NOT a recognised complication of rhytidectomy: A. Facial nerve injury B. Nasal tip numbness C. Haematoma D. Cobra neck deformity E. Hypertrophic scar 7) Which of the following is the most ideal patient for rhytidec-tomy: A. 78-year old woman with jowling and strong facial bony

structure B. 58-year old woman with jowling and strong facial bony

structure C. 60-year old man with BMI of 35, forward chin and high hyoid D. 55-year old man with BMI of 35, forward chin and high hyoid E. 65-year old female smoker with thick skin and jowling 8) Which classification is used for preoperative cervico-mental angle evaluation: A. Fitzpatrick B. Glogau C. Dedo D. Keller 9) Which classification is used for preoperative assessment of wrinkles: A. Fitzpatrick B. Glogau C. Dedo D. Keller 10) Which of the following patients fit Glogau classfication II: A. 40 year-old with wrinkles in motion and early to moderate

photoaging B. 55 year-old with wrinkles at rest and advanced photoaging C. 29 year-old with no wrinkles and mild skin pigment changes D. 70 year-old with wrinkles and severe photoaging

Editor: Wolfgang Wagner

Answers: 1. C 2. D 3. C 4. D 5. B 6. B 7. B 8. C 9. B 10. A