SYMPOSIUM CME Earn up to 20 AMA PRA Category 1 Credits

9 Patient Safety Credits PlasticSurgery.org/BSBC

MASTER CLASS CME

Earn up to 3.75 AMA PRA Category 1 Credits

1 Patient Safety Credit

PlasticSurgery.org/GAMC

DIRECTLY PROVIDED BY

Expand your thinking.

Advance your skills.

Program Chair: Karol Gutowski, MD Program Co-Chair: Caroline Glicksman, MD

JULY 18 -20, 2019

Inaugural Gender-Affirming Breast,

Chest & Body Master Class

JULY 20, 2019Program Chair:

Loren Schechter, MD

Anuja Antony, MD, MPH Chicago, IL

Bradley Bengtson, MD Grand Rapids, MI

Manuel Chacon, MD Belen, Costa Rica

Amy Colwell, MD Boston, MA

John Connors, MD Atlanta, GA

Mark Epstein, MD Hauppauge, NY

Allen Gabriel, MD Vancouver, WA

Caroline Glicksman, MD Program Co-Chair

Sea Girt, NJ

Karol Gutowski, MD Program Chair

Glenview, IL

Faculty subject to change.

Increase your knowledge, advance your skill and network with fellow surgeons from around the globe! The 34th annual ASPS Breast Surgery & Body Contouring Symposium presents the most leading-edge education from the specialty’s top experts to provide you with new ideas and practical techniques you can immediately put into practice.

Attend this year’s symposium for the most up-to-date information on breast augmentation pearls, breast reduction and mastopexy, breast reconstruction, breast implant illness and legal issues, body contouring after massive weight loss, liposuction, liposculpting, abdominoplasty and genital surgery for men & women as well as practice management and marketing tips — all to keep you on the cutting edge.

New this year, ASPS is proud to offer a revolutionary new half-day Gender-Affirming Breast, Chest & Body Master Class, scheduled to immediately follow the Symposium on July 20.

Surround yourself with excellence. Energize your passion to practice. Improve patient outcomes and satisfaction.

2019 IN V ITED FACULT Y

Onelio Garcia, MD Miami, FL

Robert Grant, MD New York, NY

Joseph Gryskiewicz, MD Burnsville, MN

Jeffrey Gusenoff, MD Pittsburgh, PA

Roger Khouri, MD Key Biscayne, FL

Marisa Lawrence, MD Atlanta, GA

Patricia McGuire, MD St. Louis, MO

Samuel Poore, MD Madison, WI

Michele Shermak, MD Lutherville, MD

David Teplica, MD, MFA Chicago, IL

J. Howell Tiller, MD Pensacola, FL

Bruce Van Natta, MD Indianapolis, IN

This activity is intended for plastic surgeons

Accreditation: The American Society of Plastic Surgeons® (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: The ASPS designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

9 of the 20 credits have been identified as programming applicable to patient safety.

Learning Objectives Upon completion of this activity, participants should be able to:

• Critically assess the strategies for aesthetic and reconstructive breast procedures

• Describe advanced technologies and techniques in body contouring

• Translate expanded knowledge into practice for the improvement of patient outcomes and satisfaction

This meeting will address the following ACGME/ABMS competencies:

- Professionalism - Patient care and procedural skills - Medical knowledge - Interpersonal and communication skills

Disclosure Policy:The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. ASPS also requires faculty/authors to disclose when off-label/unapproved uses of product are discussed in a CME activity or included in related materials.

SUPPORTERS

2019

PLATINUM

AllerganGOLD

Mentor Worldwide, LLC

Continuing Medical Education Credits Symposium Sessions 18.5 Instructional Courses 1.5 Total credits available: 20 AMA PRA Category 1 Credits™

VISIT THE EXHIBIT HALL The exhibit hall features industry leaders with products and services to power your

practice! Be sure to attend the networking reception on Thursday evening and dedicated networking breaks throughout the meeting to learn how these partners

can impact your bottom line.

Exhibit Hall Hours

Thursday, July 18

Exhibits Open   6:30 am – 3:10 pm

Networking Reception 5:30 pm – 6:30 pm

Friday, July 19

Exhibits Open   6:30 am – 3:45 pm

Saturday, July 20

Exhibits Open  7:00 am – 10:00 am

Thursday, July 18

6:30-8:00 AM | Breakfast/Registration/Exhibits

8:00-8:05 AM | Welcome to the 34th annual Breast Surgery and Body Contouring and Program Overview Karol Gutowski, MD, and Caroline Glicksman, MD

8:05-9:00 AM | Session 1: Breast Augmentation Pearls Moderator: Caroline Glicksman, MD

8:05-8:13 AM | Simple Markings for Precision Augmentation Patricia McGuire, MD8:13-8:21 AM | Choosing the Right Implant for the Right Patient Bradley Bengtson, MD8:21-8:29 AM | Determining the Location of the IMF Manuel Chacon, MD8:29-8:37 AM | Scaffolds in the Primary Augmentation Patient Bruce Van Natta, MD8:37-8:45 AM | Transaxillary Large Breast Volume Augmentation Joe Gryskiewicz, MD8:45-9:00 AM | Q/A

9:00-10:00 AM | Session 2: Revision Augmentation – Maximizing Outcomes and Minimizing Complications – ADM/Scaffolds/Au Natural Moderator: Joe Gryskiewicz, MD

9:00-9:10 AM | Flaps and ADM to Prevent Recurrent Capsular Contracture Bradley Bengtson, MD9:10-9:20 AM | Cost Effective Revision Patricia McGuire, MD9:20-9:30 AM | Repair of IMF Malposition Mark Epstein, MD9:30-9:40 AM | Revision When I Use ADM/Scaffold Anuja Antony, MD9:40-9:50 AM | The Final Revision: Explantation-Mastopexy and Fat Marisa Lawrence, MD9:50-10:00 AM | Q/A

10:00-10:30 AM | Break/Exhibits

S Y MPOSIUM PROGR A M

7:00-7:45 AM | Instructional Courses201. Office Based Ultrasound for the

Plastic Surgeon Bradley Bengtson, MD; Patricia McGuire, MD; Caroline Glicksman, MD

202. Revision Augmentation for Dummies Joe Gryskiewicz, MD

203. Breast Reconstruction Revision Samuel Poore, MD

204. One Day Recovery Breast Augmentation Mark Epstein, MD

205. Salvage of the Failed Pre-Pectoral Breast Reconstruction Robert Grant, MD

10:30 AM-12:00 PM | Session 3: State of the Art Imaging from Beginning to End Moderator: Caroline Glicksman, MD

10:30-10:42 AM | Pre-Op Planning with Interactive Imaging Platform Joe Gryskiewicz, MD10:42-10:54 AM | Pre-Op Planning with Advanced 3D Imaging Mark Epstein, MD10:54-11:06 AM | Pre-Op Planning with 3D Surgical Simulations Manuel Chacon, MD11:06-11:18 AM | The Incorrect Reading of Rupture by Radiologist Robert Grant, MD11:18-11:30 AM | Ultrasound Technology for the Plastic Surgeon Bradley Bengtson, MD11:30-11:42 AM | Incorporating Ultrasound Imaging into my Practice Bruce Van Natta, MD11:42 AM-12:00 PM | Q/A

12:00-1:00 PM | Lunch/Exhibits

1:00-2:40 PM | Session 4: Breast Reduction and Mastopexy: Is the Inferior Pedicle a Thing of the Past? Pedicles/Flaps and Fat Moderator: Allen Gabriel, MD

1:00-1:15 PM | Breast Reduction – Why I No Longer Do an Inferior Pedicle Robert Grant, MD1:15-1:30 PM | Superomedial vs. Inferior Pedicles– When I Use One or the Other Anuja Antony, MD1:30-1:45 PM | Massive Weight Loss Mastopexy – Making Shape that Lasts Marisa Lawrence, MD1:45-2:00 PM | Why I Exclusively Use the Inferior Pedicle Samuel Poore, MD2:00-2:15 PM | Mastopexy and Reduction with Soft Tissue Support Bruce Van Natta, MD

2:15-2:40 PM | Q/A

2:40-3:10 PM | Break/Exhibits

3:10-5:30 PM | Session 5: Managing Asymmetry in the 21st Century Moderator: Caroline Glicksman, MD

3:10-3:35 PM | Using 3D Imaging in Planning for Cosmetic Asymmetry Patricia McGuire, MD3:35-4:00 PM | Managing Reconstructive Asymmetry with Fat Allen Gabriel, MD4:00-4:25 PM | Anthropometric Measurements and Tissue-Based Planning to Choose An Appropriate Implant for the Asymmetric Patient Joe Gryskiewicz, MD4:25-4:50 PM | Managing Asymmetry in Revision Augmentation: Defining the Problem Bradley Bengtson, MD4:50-5:15 PM | Managing Asymmetry-Planning, Implants and the Role of Fat Manuel Chacon, MD5:15-5:30 PM | Q/A

5:30 PM | Welcome Reception

Friday, July 19

6:30 AM | Breakfast/Registration/Exhibits

7:00-7:45 AM | Instructional Courses301. Aesthetic Breast Reconstruction: Optimizing Results and Patient Satisfaction Amy Colwell, MD

302. Fundaments of Fat Transfer Roger Khouri, MD

303. Trunk Contouring: Enhancing the Abdominoplasty Karol Gutowski, MD and Mark Epstein, MD

304. Body Implants for Men J. Howell Tiller, MD

305. Maximizing Outcomes in Aesthetic Breast Surgery Using Absorbable Mesh Bruce Van Natta, MD

8:00 AM | Welcome & Program Overview Karol Gutowski, MD and Caroline Glicksman, MD

8:10-9:15 AM | Session 6: Breast Reconstruction Above or Below the Muscle and the New Age of Revision Reconstruction Moderator: Robert Grant, MD

8:00-8:22 AM | Revision Reconstruction with Site Change Allen Gabriel, MD8:22-8:34 AM | Pre-Pectoral Breast Reconstruction – When I Use It, When I Don’t Amy Colwell, MD8:34-8:46 AM | New Age of Alloplastic Reconstruction: Above or Below the Muscle – TE or Implant Anuja Antony, MD8:46-8:58 AM | Why I Prefer Nipple Sparing Mastectomy – Submuscular with ADM Samuel Poore, MD8:58-9:15 AM | Q/A

9:15-10:00 | Session 7: My Most Challenging Breast Reconstruction Moderator: Marisa Lawrence, MDPanelist: Amy Colwell, MD; Allen Gabriel, MD; Anuja Antony, MD; Robert Grant, MD

10:00-10:30 AM | Break/Exhibits

S Y MPOSIUM

PROGR A M

10:30 AM-12:00 PM | Session 8: Breast Implant Illness/Legal Issues, and an Update on the FDA BIA-ALCL Research Moderator: Bradley Bengtson, MD

10:30-10:45 AM | How BIA-ALCL Changed my Aesthetic Practice Patricia McGuire, MD10:45-11:00 AM | How BIA-ALCL Changed my Reconstructive Practice Amy Colwell, MD11:00-11:15 AM | Breast Implant Illness – Is it Real or Is it Not? Marisa Lawrence, MD11:15-11:30 AM | Update on ALCL Research and Findings Joe Gryskiewicz, MD11:30-11:45 AM | BII and Class Action Litigation: Past, Present and Future Caroline Glicksman, MD

11:45 AM-12:00 PM | Q/A

12:00-1:00 PM | Lunch/Exhibits

1:00-2:00 PM | Session 9: Marketing My Practice- What Works, What Doesn’t, What’s Next Moderator: Karol Gutowski, MD

1:00-1:20 PM | My Favorite Tip Joe Gryskiewicz, MD; Bradley Bengtson, MD; Patricia McGuire, MD; Caroline Glicksman, MD; J. Howell Tiller, MD; Mark Epstein, MD

1:20-1:35 PM | TBD John Connors, MD

1:35-1:50 PM | Building A Website Photo Gallery that Brings in Patients Mark Epstein, MD

1:50-2:00 PM | Q/A

2:00-2:45 PM | Session 10: Gluteal Augmentation Moderator: Roger Khouri, MD

2:00-2:10 PM | Gluteal Fat Grafting Safety – What has Changed Karol Gutowski, MD2:10-2:20 PM | Gluteal Implants for Men and Women J. Howell Tiller, MD2:20-2:30 PM | Gluteal Contouring without Fat Grafting Onelio Garcia, MD2:30-2:40 PM | Gluteal Autoaugmentation in MWL Jeffrey Gusenoff, MD

2:40-2:45 PM | Q/A

2:45-3:15 PM | Session 11: Fat Grafting Moderator: Jeffrey Gusenoff, MD

2:45-3:15 PM | Large Volume vs Small Volume Fat Grafting – Best Techniques Roger Khouri, MD

3:15-3:45 PM | Break/Exhibits

3:45-4:15 PM | Session 12: Arm Lift Approaches with Video Moderator: Mark Epstein, MD Jeffrey Gusenoff, MD, and Michele Shermak, MD

4:15-5:00 PM | Session 13: Thigh Lift Moderator: Onelio Garcia, MD

4:15-4:25 PM | APEX Thigh Lift Michele Shermak, MD4:25-4:35 PM | Mini vs Full Thigh Lift Jeffrey Gusenoff, MD4:35-4:45 PM| Lateral Thigh & Saddlebags Jeffrey Gusenoff, MD4:45-5:00 PM | Q/A

5:00 PM | Adjourn

Saturday, July 20

7:00-7:30 AM | Registration/Breakfast/Exhibits

7:30-8:20 AM | Session 14: Liposuction Techniques Moderator: David Teplica, MD

7:30-7:40 AM | When and Why SAL & PAL Work Best Michele Shermak, MD7:40-7:50 AM | When and Why UAL & VASER Work Best Onelio Garcia, MD7:50-8:00 AM | When and Why LAL Work Best Karol Gutowski, MD8:00-8:10 AM | RF Assisted Liposuction Mark Epstein, MD8:10-8:20 AM | Lipedema – Which Technique Karol Gutowski, MD

8:20-9:30 AM | Session 15: Liposculpting Moderator: Karol Gutowski, MD

8:20-8:30 AM | Full-Body Contour Mapping and Highly Standardized Rotational Photography of the Torso David Teplica, MD8:30-8:40 AM | Anatomically Based High-Definition Circumferential Lipectomy in Men David Teplica, MD 8:40-8:55 AM | Hi-Def Abdominal Etching John Connors, MD8:55-9:10 AM | The Anatomic Approach to the Correction of Gynecomastia David Teplica, MD9:10-9:30 AM | Q/A

9:30-10:00 AM | Break/Exhibits

10:00-11:00 AM | Session 16: Refining the Trunk in MWL Patients Moderator: Mark Epstein, MD

10:00-10:15 AM | Ideal Scar Location – The Markings Jeffrey Gusenoff, MD 10:15-10:30 AM | Staying Safe with Lipoabdominoplasty Onelio Garcia, MD10:30-10:45 AM | When to Plicate the Muscle and How Jeffrey Gusenoff, MD 10:45-11:00 AM | Back Lift with Breast and Arm Lift Michele Shermak, MD

11:00-11:45 AM | Session 17: Genital Surgery for Men and Women Moderator: Michele Shermak, MD

11:00-11:15 AM | Exposing the Buried Penis Samuel Poore, MD11:15-11:30 AM | Lift the Mons – When and How? Jeffrey Gusenoff, MD11:30-11:45 AM | Labiaplasty Mark Epstein, MD

11:45 AM – 12:00 PM | Symposium Recap – Q/A

12:00 PM | Symposium Adjourns

Program Subject to Change.

S Y MPOSIUM PROGR A M

INAUGURAL GENDER-AFFIRMING BREAST, CHEST AND BODY MASTER CLASSJuly 20, 2019 – 1:00-5:00 PMImmediately following the Breast Surgery and Body Contouring Symposium

Loren Schechter, MD Program Chair Morton Grove, IL

Cori Agarwal, MD Salt Lake City, UT

Rachel Bluebond-Langner, MD New York, NY

IN V ITED FACULT Y

Randi Ettner, PhD Evanston, IL

Oren Ganor, MD Boston, MA

Josef Hadeed, MD Beverly Hills, CA

Jonathan Keith, MD Newark, NJ

Ren Massey, PhD Decatur, GA

David Teplica, MD, MFA Chicago, IL

Paul Weiss, MD New York, NY

This activity is intended for plastic surgeons and other healthcare professionals Master Class Accreditation: The American Society of Plastic Surgeons® (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.Designation: The ASPS designates this live activity for a maximum of 3.75 PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.1 of the 3.75 credits has been identified as programming applicable to patient safety.

Addressing the need for expert clinical education focused on the surgical management of gender dysphoria, the American Society of Plastic Surgeons is proud to present the Gender-Affirming Breast, Chest & Body Master Class.

The first of its kind, this half-day program is a groundbreaking learning opportunity designed by experts in the field to provide top-level instruction on one of the specialty’s hottest topics. As the need for surgical management of gender dysphoria increases, the ASPS is committed to providing quality education to ensure optimal patient care.

Take advantage of discounted registration fees for the Gender-Affirming Master Class when you add it to your Breast Surgery & Body Contouring Symposium registration!

Learning Objectives: Upon completion of this activity, participants should be able to: • Describe the surgical management of gender dysphoria • Understand the current concepts, emerging issues, and advances in gender-affirming breast, chest and body contouring proceduresThis Master Class will address the following ACGME/ABMS competencies: • Professionalism • Patient care and procedural skills • Medical knowledge • Interpersonal and communication skills

NEW for 2019

Faculty Subject to Change.

12:15 -1:30 PM | Master Class Registration

12:15-1:00 PM | Box Lunch

1:00 -1:05 PM | Program Overview Loren Schechter, MD

1:05-1:35 PM | INTRODUCTION TO SURGICAL MANAGEMENT OF GENDER DYSPHORIA Moderator: Loren Schechter, MD

1:05-1:20 PM | Gender Diversity and Gender Dysphoria Randi Ettner, PhD

1:20-1:35 PM | Overview of Surgical Management and the Standards of Care (WPATH, v. 7) Loren Schechter, MD

1:35-2:15 PM | PRACTICE MANAGEMENT Moderator: Paul Weiss, MD

1:35-1:42 PM | Setting Up Your Practice – Cultural Competence Considerations & Creating an Affirming Environment Ren Massey, PhD

1:42-1:49 PM | Marketing & Social Media Josef Hadeed, MD

1:49-1:56 PM | CPT Coding Jonathan Keith, MD

1:56-2:15 PM | Hospital and/or Surgicenter Participation Panel Discussion and Q/A All Faculty

2:15-2:55 PM | BREAST AUGMENTATION Moderator: Josef Hadeed, MD

2:15-2:22 PM | Anatomy, Hormones, Screening Guidelines Rachel Bluebond-Langner, MD

2:22-2:36 PM | Patient Selection, Pre-Op Preparation and Techniques: Implant Selection, Pocket Location and Incision Choice, Lipofilling Rachel Bluebond-Langner, MD

2:36-2:45 PM | Surgical Techniques: Staged Approach Using Tissue Expanders & Nipple Transposition Jonathan Keith, MD

2:45-2:55 PM | Panel Discussion and Q/A All Faculty

2:55-3:10 PM | Break

3:10-4:00 PM | CHEST SURGERY Moderator: Rachel Bluebond-Langner, MD

3:10-3:20 PM | Anatomy, Hormones/Chest Binding, Patient Selection, and Pre-Operative Preparation Cori Agarwal, MD

3:20-3:30 PM | Screening Guidelines for Transmasculine Individuals Cori Agarwal, MD

3:30-3:40 PM | Techniques Incision Choice, Nipple-Areolar Graft vs Pedicled Areolar Transposition, Liposuction Cori Agarwal, MD and Paul Weiss, MD

3:40-3:50 PM | Adolescent Surgery Oren Ganor, MD

3:50-4:00 PM | Q/A

Master Class Program

JULY 20

4:00-4:40 pm | BODY CONTOURING Moderator: Jonathan Keith, MD

4:00-4:10 PM | Anatomy, Patient Selection and Preoperative Preparation David Teplica, MD

4:10-4:30 PM | High Definition Body Contouring and Gender Identity David Teplica, MD

4:30-4:40 PM | Panel Discussion and Q/A David Teplica, MD

4:40-5:00 PM | RECAP PANEL DISCUSSION All Faculty

5:00 PM | Adjourn

Program Subject to Change.

Hotel Accommodations All meeting functions and sleeping rooms are being held at:

JW Marriott Marquis Miami 255 Biscayne Boulevard Way Miami, FL 33131

Special Group Rate: $235* per night Reservation Deadline: Tuesday, June 25, 2019Reservations: 305-421-8600Group Rate Code: Mention ASPS to secure discounted rates

*Group rate is for single or double occupancy. Taxes and additional fees may apply. Deposit and cancellation penalties may apply, so please ask for these details when making your reservations. Reservations made after the deadline, or after the room block fills, are subject to space and rate availability. This rate is also being offered up to two days prior to the meeting based on availability.

Airport Transportation The JW Marriott Marquis Miami is located approximately 11 miles (30 minute drive) from the Miami International Airport (MIA). The estimated taxi fare is $30 one way.

Hotel & Travel

CANCELLATIONS All cancellations must be received in writing to be considered for refund. ASPS is not responsible for travel expenses or penalties under any circumstances.

Notice of cancellation should be sent to: ASPS Member Services Center 444 E. Algonquin Road Arlington Heights, IL 60005-4664 Fax: 847-228-7099 Registration@PlasticSurgery.org

The meeting sponsors are not responsible for travel expenses or penalties under any circumstances.

Online: plasticsurgery.org/BSBCEmail: Registration@PlasticSurgery.org Fax: 847-228-7099 (credit cards only)Phone: 800-766-4955 or 847-228-9900 (credit cards only)Mail: American Society of Plastic Surgeons

Attn: Finance Department 444 E. Algonquin Road Arlington Heights, IL 60005-4664

Check or credit cards only. Make checks payable to ASPS (U.S. funds only).

ANY QUESTIONS? Contact ASPS Member Services Center at 847-228-9900 ext. 471

Important Deadlines June 25, 2019: Deadline for hotel group rate discountJuly 8, 2019: Advance Registration Closes and Deadline for 50% refund (less $25 processing fee)

REGISTRATION

Discounted registration is available when registering for the Symposium and Master Class. You may register for the symposium or Master Class separately. The meeting registration fee includes course materials, admission to the session, instructional courses (symposium only), exhibits (symposium only) and indicated meals. All registrants must pay the full registration fee; one-day symposium registration is not available. Spouses and accompanying guests who wish to attend the session must register. Registrations can be submitted online or by email, fax, phone or mail with payment.

Expand your thinking. Advance your skills.Two outstanding

educational programs in one

convenient location.

REGISTER FOR BOTH PROGRAMS AND SAVE.

Space is limited – Act Now!

2019 ASPS BREAST SURGERY & BODY CONTOURING

SYMPOSIUM AND MASTER CLASS REGISTRATION FORM

Name _________________________________________________________________________________________

ASPS Member # _________________________________________________________________________________

Address _______________________________________________________________________________________

City State ZIP

Telephone Fax

Personal Email __________________________________________________________________________________

Name on Badge ___________________________________________________________________________

Check here if the address above is new To register additional attendees, please copy this form.

GENDER-AFFIRMING MASTER CLASS (ADD-ON PRICING)

JULY 20, 2019, 1-5 PM

ON OR BEFORE JULY 8

JULY 9- ONSITE

o ASPS Members1 $375 $450 $

o Guest Physician / MOU/Industry Research & Scientific Personnel2

$450 $500 $

o Resident/Fellow3 / Medical Student4 / Life Active Member

$250 $250 $

o Allied Health Personnel / Spouse $325 $375 $

$

SYMPOSIUM REGISTRATION ON OR BEFORE JULY 8

JULY 9- ONSITE

o ASPS Members1 $1,500 $1,550 $

o Guest Physician /Industry Research & Scientific Personnel2

$1,900 $1,950 $

o Resident/Fellow3 / Medical Student4/Life Active Member

$500 $500 $

o Allied Health Personnel / Office Personnel / Spouse

$1,400 $1,450 $

o Exhibit Access & Meals Only $550 $550 $

$

M: American Society of Plastic Surgeons Attn: Finance Department444 E. Algonquin Rd., Arlington Heights, IL 60005

BY CHECK BY CREDIT CARD

o A check made payable to ASPS is enclosed o VISA o MASTERCARD o AMERICAN EXPRESS

__________________________________________________ ___________________________________Account Number Expiration

__________________________________________________ ___________________________________Card Holder Name Signature

P: 800.766.4955 F: 847.228.7099

1 Includes ASPS Active Members, Candidates for Membership, International Members, International Candidates for Membership, Memorandum of Understanding and Life Inactive Members2 Subject to verification and approval by ASPS3 Letter of verification required if not enrolled in ASPS’ Resident & Fellow forum4 Letter of verification required

PAYMENT

FREE INSTRUCTIONAL

COURSES

(Included with symposium

registration at no additional cost)

Please select the courses you plan to attend & check only

one course per time block.

Thursday July 18 | 7:00 am 201 202

203 204

205

Friday July 19 | 7:00 am 301 302

303 304

305

If, under the Americans with Disabilities Act (ADA), you require specific aids, devices, or other accommodations to fully participate in this meeting, specify:

Audio Visual

Other

Please check if you require a special meal. Vegetarian Kosher**

**May require an additional fee

Allergy

Other

TOTAL $