NTERNATIONAL YMPOSIUM IN ALLAS ROMISES OMETHING …lifetime of continuing education for facial...

August 2018 Facial Plastic Times 1

August 2018Vol. 39, No. 6

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Sponsored by theAAFPRS and theInternationalFederation of

Facial Plastic SurgerySocieties (IFFPSS), joinyour colleagues inDallas, October 15-18,2018, for the 12th Inter-national Symposium,“Transform Our World—Enhance Your Practice.”

Course chairs JohnL. Frodel, MD; MaryLynn Moran, MD; andKrishna G. Patel, MD,have developed aprogram that highlightsthe best practices andperspectives in rhino-plasty, rejuvenation, reconstruction, innovations,and technologies. They have also secured world-class speakers from more than 35 countries withmany opportunities to network and learn from eachother.

The four-day program offers several tracks. Thisallows attendees to customize and choose the topicsand workshops that best meet their educationalneeds. The tracks include: congenital and craniofa-cial abnormalities, emerging technology, facialreconstruction, facial rejuvenation, minimallyinvasive and nonsurgical procedures, practicemanagement, and rhinoplasty.

Interesting add-on courses and workshopsinclude an injectable workshop, hands-on cleftpalate course, hands-on microvascular anastomosisand virtual surgery course, and hands-on microtiacourse. Take note, a full-day business forum forphysicians will take place on Sunday, October 14,the day of the committee meetings.

There will also be unique breakfast and lunchlearning opportunities sponsored by industry.Benjamin A. Talei, MD, will present, “EnhancingSurgical Outcomes with Energy Based Solutions,” at

INTERNATIONAL SYMPOSIUM IN DALLAS PROMISES

SOMETHING FOR EVERYONE

Monday’s BreakfastSymposium (by Can-dela). The first Lunchand Learn Seminar,“How to Maximize theMedical AestheticsComponent,” will featureMark M. Beaty, MD (byRohrer Aesthetics).

On Tuesday, WilliamJ. Binder, MD, willpresent, “Advantages ofFacial Implants inRhytidectomy,” at theBreakfast Symposium(by Implantech Associ-ates). Yael Halaas, MD,will present, “The Aes-thetic Impact of MovingHair,” at the Lunch and

Learn Seminar (by Venus Concepts).Patricia Schneider, CFA, a senior portfolio man-

ager at Middleton & Company, will present, “TheVoice of the Fearless Girl” at the Women in FacialPlastic Surgery Luncheon on Tuesday. Ms.Schneider is passionate about helping womenadvance and create leadership opportunities in theirprofessions. As a certified financial analyst (CFA),she volunteers her time as a mentor and educator.Her presentation will provide a high-level frameworkfor women to understand the employment landscapeand be empowered in light of gender inequalities.Attendees will learn strategies to support profes-sional development, to position yourself for leader-ship roles, and to utilize tools within your practice ororganization.

Also on Tuesday, Galderma Laboratories willhost an evening reception and live demo, “The Art ofInnovation: Introducing the Latest Advancementsfrom Galderma.” Join Keith Marcus, MD, and JasonBloom, MD, for an opportunity to learn Restylane®Lyft and the supporting science, injection tech-nique, study data, and practice implementation to

See Industry-Sponsored Events, page 5

2 Facial Plastic Times August 2018

Articles signed by their authors express theviews of those authors only and do notnecessarily express official policy of theAcademy. The Academy does notnecessarily endorse the products,programs, and services that appear inpaid, non-AAFPRS advertisements.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Executive Editor: Steven JurichMedical 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: [email protected]; www.aafprs.org.

August 2018Vol. 39, No. 6BOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORS

William H. Truswell, MDPresident

Fred G. Fedok, MDImmediate Past President

Phillip R. Langsdon, MDPresident-elect

Theda C. Kontis, MDSecretary

Harrison C. "Chris" Putman, III, MDTreasurer

Richard E. Davis, MDGroup VP for Education

Paul J. Carniol, MDGroup VP for Membership & Society Relations

Patrick J. Byrne, MDGroup VP for Public & Regulatory Affairs

Sam P. Most, MDGroup VP for Research, Development, and

Humanitarian Programs

David W. Kim, MDGroup VP for Education-elect

Lisa E. Ishii, MDGroup VP for Research, Development, and

Humanitarian Programs-elect

Jamil Asaria, MDCanadian Regional Director

Theresa A. Hadlock, MDEastern Regional Director

Benjamin C. Marcus, MDMidwestern Regional Director

Anthony E. Brissett, MDSouthern Regional Director

Travis T. Tollefson, MDWestern Regional Director

J. David Kriet, MDDirector-at-Large

Scott James Stephan, MDYoung Physician Representative

Steven J. JurichExecutive Vice President

JOINED AT THE HIP

THE SYMBIOSIS BETWEEN THE

ABFPRS AND THE AAFPRS

“It was no coincidence, that fear could move aperson to extremes, just as seamlessly aslove. They were the conjoined twins ofemotion: If you didn’t know what was at staketo lose, you had nothing to fight for.”

Jodi Picoult

Separate entities though they maybe, the American Academy ofFacial Plastic and ReconstructiveSurgery (AAFPRS) and the

American Board of Facial Plastic andReconstructive Surgery (ABFPRS) areinterdependent sister organizations; they

complement and rely on each other. The AAFPRS was birthed in 1964,the year I graduated from high school. The early years were a strugglefor recognition, first from the field of otolaryngology—and then withinorganized medicine. Those recognitions were achieved, and we arethe recognized specialty of facial plastic and reconstructive surgery.Next came our brand—the AAFPRS slogan, “Trust Your Face to aFacial Plastic Surgeon.” Today, more patients seek us out because weare masters of our specialty, not jacks of all trades. For 40 years, wegrew and flourished. The times were heady and breathtaking. Some-where around the turn of the 21st century, cracks started to form in thestructure of the Academy. By the start of the Great Recession in 2008,growth stopped and the slow down settled in as our finances struggled,membership became stagnant, industry donations tightened, andexhibit halls did not fill.

In my second through sixth President’s Messages in the FacialPlastic Times, I outlined how starting in 2014, the immediate past andcurrent leadership unearthed the causes, implemented fundamentalchanges, and set the AAFPRS on the path to recovery and excellenceonce again. If you haven’t, I urge you to read those messages. We arenow in a far better place than we were four years ago. This is in nosmall part due to the herculean efforts of Mr. Steve Jurich, our EVP/CEO, over only the last 15 months. It takes a long time to turn an oceanliner around. We are under way and gaining speed. We are moving intothe right direction more and more every day. Thank you, Steve!

The ABFPRS was established in 1986 through the vision and out-standing efforts of senior and junior fellows of the AAFPRS. Its purposewas to improve and standardize the quality of facial plastic and recon-structive surgery available to the public. Our certification has beenchallenged in many recognition battles at state legislative levels, butwhenever those challenges arose, the ABFPRS prevailed and wasdeemed ABMS equivalent. The ABFPRS defended itself admirablythrough the efforts of its leadership and the guiding hand of counselTom Rhodes. Offering facial plastic surgery certification is the majorobjective of the ABFPRS, while maintaining the integrity of the applica-tion process and the psychometric validity of the exam. These formi-dable tasks are accomplished by dedicated diplomates who serve onABFPRS committees and are guided by Laurie Wirth, our executivedirector of the ABFPRS, who is without equal. Laurie is strong, consis-tent, and has a steady hand in leading the ABFPRS every day and intothe future. Thank you, Laurie!


○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

PRESIDENT’S MESSAGE

1964, 1986—We are born!I offered a brief outline of the genesis and evolution offacial plastic surgery in my July President’s Message.As most of you know, these two years are the dates ofour formal organization as a national academy andas a certifying board. Forward from 1964, theAAFPRS has been accepted into the ranks of orga-nized medicine, and the ABFPRS has been recog-nized as an ABMS-equivalent certifying board instates such as California, Texas, and Florida.

It is of the utmost importance to understand whywe can advertise, promote, and extol ourselves asboard certified facial plastic surgeons. The advocacyof the AAFPRS has fought the battles locally in statelegislatures to obtain legislative approval and recog-nition, which allows us to state who we are to thepublic and within organized medicine. As a result,the AAFPRS and its members hold seats on many ofthe national boards and state legislative bodies.Without the advocacy of the AAFPRS, we, as ABFPRScertified surgeons, may very well be saying,“Trust yourself to an otolaryngologist doing plasticsurgery in the head and neck.” That does not roll offone’s tongue as well as, “Trust Your Face to a FacialPlastic Surgeon.”

We have all worked hard and long to rise to thepositions we hold in our profession. We sprintedthrough college, slogged through medical school, rosethrough residency, and soared in fellowship. Andthen we took the ABFPRS board exam and completedstringent certification requirements. We are boardcertified, a designation that each and every one of ustakes great pride in, a designation we can shout fromthe rooftops without censure.

That privilege is earned not just through theABFPRS certifying process. The AAFPRS loaned usthe tools to reach the pinnacle of board certification.We would all be wise to remember that education infacial plastic surgery starts in residency and contin-ues in fellowship programs sponsored and approvedby the Education and Research Foundation for theAAFPRS. The AAFPRS also provides tools that offer alifetime of continuing education for facial plasticsurgeons by offering experiences through the LEARNportal, video library, the Annual Meeting, and theAdvance in Rhinoplasty and the Facial Rejuvenationcourses.

The American Board of Facial Plastic and Recon-structive Surgery was born over 30 years ago be-cause of the brilliant foresight and steadfast dedica-tion of the American Academy of Facial Plastic andReconstructive Surgery. That steadfast dedication toprotect and promote our specialty’s certificationcontinues via ongoing AAFPRS monitoring of upcom-ing legislation and regulations in state and nationalorganizations. Legislative and regulatory challengeshave, do, and will continue to arise at the state andnational levels. On behalf of the ABFPRS, the

AAFPRS funds legal representation to meet recogni-tion challenges head on. Adverse legislation in onestate could very well impact truth in advertisingregulations for all ABFPRS certified surgeons. Themembership dues of the AAFPRS funds the legalrepresentation that protect ABFPRS certification as itcontinues to be recognized throughout the U.S. andCanada.

In closing, ABFPRS diplomates and AAFPRSmembers must remember that our specialty’s sur-vival depends on the ongoing strength and unity ofboth organizations—without one, the other will notbe strong enough to stand alone.

“Unity is strength…when there is teamwork andcollaboration, wonderful things can be achieved.” Mattie Stepanek

William H. Truswell, MD

A Call for Committee VolunteersAAFPRS members have the unique opportunity to be moreactive and offer their services to the AAFPRS at the committeelevel. If you are interested in serving on a committee, pleasecomplete the form below and return it to AAFPRS by fax (703-299-8898) or by email ([email protected]) on or before Monday,September 17, 2018.

Positions are expected to be available as current membersfulfill their term of appointment. However, it is not possible toassure that everyone who applies will have a position. Presi-dent-elect Phillip Langsdon, MD, will try to place interestedindividuals where they can make a difference.

Refer to the 2018 Membership Directory for a list ofcommittees (Academy on pages 9-11 and Foundation on pages22-24) or visit www.aafprs.org/academy/committees andwww.aafprs.org/foundation/committees.

Appointments will be announced in the fall. Thank you.

Name ___________________________________________

Email ___________________________________________

Please list the committee on which you would like to serve:

1st choice

_____________________________________________________

2nd choice

_____________________________________________________

3rd choice

_____________________________________________________( ) No preference; any committee


October 8-13, 2017,four AAFPRS surgeonswith FACE TO FACEparticipated in a Facial

Plastic Surgery Review Course atthe ENT Hospital and Cho RayHospital in Ho Chi Minh City,Vietnam. The FACE TO FACEteam has been participating inthe Facial Plastic Surgery ReviewCourse since its start in 1999.This year, over 100 participantsregistered for the course.

The ENT Hospital serves overnine million people in Ho ChiMinh City alone and is dedicatedto ENT and plastic surgery. Thehospital treats about 3,000patients per year in the plasticsurgery department. There are 57ENT physicians and three plasticsurgery attendings at the ENTHospital.

The FACE TO FACE trip wasled by John “Mac” Hodges, MD, ofMemphis, and Albert Fox, MD, ofDartmouth, Mass. Other teammembers included Philip Young,MD, of Seattle, and Kaete Archer,MD, of Melbourne, Fla. Severalother surgeons includingEduardo Yap, MD, from thePhilippines, also participated inthe course.

The course began with clinicat the ENT Hospital to selectsurgical patients. We evaluatedpatients with a combination ofreconstructive and cosmeticissues including cleft lip nasaldeformity, augmentation rhino-plasty, Asian blepharoplasty, andeyelid ptosis. Over the next fourdays, we performed surgery in themornings and presented facialplastic surgery lectures in theafternoons at the ENT Hospital.On the fifth day of the course, wewere welcomed at Cho Ray Hospi-tal, performed surgery, and gaveseveral lectures to the ENT andplastic surgery departments.These surgeries included staticrepair for facial nerve paralysis,facial trauma, cleft lip nasaldeformity, and reconstructiverhinoplasty. At both hospitals,the cases were streamed live into

FACE TO FACE UPDATE: HO CHI MINH CITY, VIETNAM 2017

a lecture audi-torium on closedcircuit televisonwith two-way audio,allowing theaudience to interactwith the surgeons.

At the end ofeach day, our hostsshared Ho Chi MinhCity with us. Weenjoyed traditionalVietnamese foodand wine, Vietnam-ese history and sight-seeing,visited the beach, and shopped atthe Ben Thanh market. We werefilled with inspiration, reward,and were extremely honored to bea part of this FACE TO FACEteam.

After returning to the UnitedStates and reflecting on the trip,we decided that our favorite partwas experiencing the camarade-rie between our group and theVietnamese teams. We enjoyeddiscussing surgeries and laugh-ing around the dinner table. It isso much fun to come home withnew tips and tricks that welearned from each other as wellas from our Vietnamese col-leagues! We look forward to ournext trip in 2019; for more infor-mation, contact Karen Sloat viaemail at [email protected].

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Editor’s Note: This article waswritten by Kaete Archer, MD, (seenhere (left) with Dr. Hodges.

THE TEAM SEEN HERE INCLUDE (FROMLEFT) NGUYEN GIAP, MD; PHILIP YOUNG,MD; ALBERT FOX, MD; JOHN HODGES, MD;TRAN THUY, MD; KAETE ARCHER, MD; LEHANH, MD; AND NGUYEN HOANG BAC, MD.

India Teams Complete FourSeparate Missions in One MonthDuring the month of January2018, two separate FACE TOFACE teams visited four differentsites in India, traveling to Ujjain,Indore, Jaipur, and Mumbai. Thefirst team, Matthew Johnson, MD;Ryan Winters, MD; and ReginaRodman, MD, led teams at theUjjain and Indore sites. Thesecond team, led by Rahul Seth,MD, visited the Jaipur andMumbai locations. ManojAbraham, MD, oversaw both tripsand was involved in all fourlocations.

In partnership with The IndiaProject and Healing the ChildrenNortheast, this two-team ap-proach was employed for thesecond time, serving to alleviatethe burden of cleft lip, cleftpalate, and facial deformities inthis region. The teams drew fromvolunteers across the countryincluding Colorado, Illinois,Louisiana, New York, Pennsylva-nia, and Texas. Our teams werecomprised of AAFPRS surgeonswith a host of multi-disciplinarypersonnel, including OHNS/AAFPRS residents, pediatricanesthesiologists, CRNAs, pedia-tricians, nurses, technicians,coordinators, and speech andswallow therapists. This year, amedical tattoo artist accompanied


AND INDIA 2018

From Cover Story, page 1help patients achieve a completelook for both face and hand. This90-minute workshop will featurethe entire Galderma portfolio andinclude live demonstrations offace and hand injections.

Set aside the last night for anevening gathering with yourcolleagues. On Wednesday, theAAFPRS and the IFFPSS will hosta reception to celebrate thecollaboration of bringing thismeeting together and for theirlong, successful partnership.

Register today for the 12thInternational Symposium andjoin physicians, medical experts,fellows, residents-in-training,medical students, nurses,aestheticians, and health profes-sionals to collaborate, exchangeideas, discuss scientific re-search, and share best practices.

The agenda is enclosed inthis issue of Facial Plastic Times.Latest updates to the program aswell as housing and registrationinformation, can be found on theAcademy’s Web site, underMeetings and Courses,www.aafprs.org, M

INDUSTRY SPON-

SORED EVENTSthe trip. She provided services tocamouflage and improve appear-ance of cutaneous depigmenta-tion and other deformities.

In many cases, patientstraveled for two to three days toobtain the expertise of the physi-cians and their team members.As with prior missions to India,the teams were enthusiasticallygreeted in all four cities. Althougha snowstorm in the northeastdisrupted flights and ultimatelydelayed the first team's arrival,nearly 500 patients werescreened across the four sites,with 151 total surgeries reportedto the FACE TO FACE database.

Surgical cases were primarilyfocused on cleft lip and palatecare. Other conditions treatedincluded several Tessier orofacialclefts, vascular lesions of theface, sequelae of nasal infection,facial burn scars, and othercongenital defects of the nose andear. Partnership with the localsurgeon, Rahul Chhajlani, MD,allowed for the U.S. teams toundertake larger cases thatinvolved close follow up andsecondary procedures, such asthe division and inset of interpo-lated flaps. Coordination withlocal providers at both sites hasbeen instrumental in deliveringquality care and ensuring postoperative follow up.

Patient data was uploadedinto the FACE TO FACE database,which is a web-based tool thatallows for the tracking of patientsto ensure appropriate follow upand care. On this particular trip,the database was utilized inrecognizing returning patientsfrom the previous year, allowingfor quick retrieval of clinicalinformation from prior visits. Theresources provided by FACE TOFACE, Healing the Children, andThe India Project, coupled withthe generous efforts of dedicatedvolunteers continues to makeAAFPRS trips such as this onesuccessful.

The team is already planningfor next year, with ongoing efforts

to expand patient recruitmentand surgical care during theweek. To get involved with chari-table programs through FACE TOFACE, or to make a donation,please visit us online atwww.aafprs.org. M

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Editor’s Note: The India article waswritten by resident team membersJeffrey Cranford, MD, and Dr. Aleemi.

ABOVE: SEEN HERE WITH A YOUNG PATIENTIS RAHUL SETH, MD. BELOW: WORKINGTOGETHER ON A PATIENT ARE MANOJABRAHAM, MD (RIGHT) AND SEAN ALEEMI, MD.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

COMMITTEE MEETINGS IN DALLASIf you serve on an Academy or Foundation committee, please plan toattend the face-to-face committee meetings on Sunday, October 14, 2018.Your staff liaison will communicate with you directly regarding the agendaand room assignments. Meanwhile, here is a schedule-at-a-glance for allcommittee meetings.

6:45 a.m - 7:15 a.m.Group VP and Committee Chairs

7:15 a.m. - 8:45 a.m.ACPSE Fellowship ReviewMembership/Residency RelationsMultimedia (and subcommitees)Specialty Surgery

9:00 a.m. - 10:30 a.m.FACE TO FACEFellowship Curriculum (until 10 a.m.)Young Physicians

10:45 a.m. - 12:00 p.m.(Joint) Research Committee and Evidenced-Based Medicine

11:00 a.m.-12:00 p.m.CMEEmerging Trends and TechnologiesEndowment InvestmentPatient Safety, Quality Improvement, and Accreditation

12:30 p.m. - 1:30 p.m.Women in Facial Plastic Surgery

12:30 p.m. - 2:30 p.m.Fellowship

2:00 p.m. - 3:00 p.m.LEARNPublic InformationRegulatory and Socioeconomic Affairs


PR TIPS: FALL MARKETING MAKEOVERS

Do not rely on tired, oldmarketing campaignsthis fall. Instead, hitrefresh on the image of

your practice and grow yourpatient population with thesecreative marketing and mediaengagement ideas.

SeptemberTheme: Back to school events. Thesummer is over, and parents arecounting down the days untilschool starts again. Plan an in-office, back-to-school breakfast orlunch for parents includingprolific mommy bloggers. Duringthe event, discuss the latest andgreatest procedures and productsthat can help them look and feeltheir best this fall. Offer dis-counts on procedures booked andswag (including pens, adhesivecell phone wallets, or other usefulitems with your practice logo) forall attendees. While you are at it,hit up your media contacts andshare the 411 on the latesttreatments that can help momand dad get fresh for fall.

Note that October 5 is WorldTeacher's Day. Consider collabo-rating with some local vendorsand inviting teachers in for ateacher appreciation eventincluding budget-friendly teachermakeovers.

Theme: Slough off summer skindamage. Consider an infographicor social media campaign on thetop ways to get rid of summerskin damage from lasers andchemical peels to skin lighteners.Let the media know what solu-tions exist and how they can helprejuvenate skin while loweringskin cancer risk.

Tip: Make sure your medialist is up to date. Local contactscan be especially important forpitching evergreen stories. Keepyour eyes open for ideas.

OctoberTheme: #Worldsmileday.October 7 is World Smile Day.Offer an in-office primer on lipenhancement from plumpers to

lifts, with a make-up artist on siteto share some red-carpet secrets.Create an event hashtag, inviteguests to take photos, and askeveryone to share on socialmedia.

Tip: There are hundreds ofother fun days with hashtagsthat can be used for festive, in-house events and robust socialmedia campaigns.

Theme: Give back. October isDomestic Violence AwarenessMonth. AAFPRS members offerpro bono consultation and sur-gery to eligible individualsthrough FACE TO FACE: TheNational Domestic ViolenceProject. Get involved in your areaand consider donating a setpercentage of the month's profitsto helping these individuals.

Theme: Meet and greet. Invitelocal media and influentialbloggers for an informative lunchand learn. Discuss the highlightsfrom your time at the AAFPRSAnnual Meeting in Dallas, Octo-ber 15 - 18, 2018.

Tip: Let your contacts knowyou will be in Dallas in case theyare covering any stories or wouldbe interested in a recap. Youcould blog about what you havelearned or add new pages to yourWeb site if you will be incorporat-ing new techniques and treat-ments to your existing menu ofservices. If you are speaking orpresenting at the conference, letyour media contacts know.

NovemberTheme: Healthy skin. November isNational Healthy Skin Month.Plan social media posts aroundthis overarching theme; mixeducational posts on buildingblocks of healthy skin and sur-prising skin saboteurs withspecials on skin rejuvenationtechniques. Many of the educa-tional posts can be expanded forblog posts to maximize yourreach.

Theme: Free skin analysis.The VISIA® Complexion AnalysisSystem can help convert consults

to procedures and create loyalskin care customers. Consideroffering a free analysis or dis-counts for the month of Novem-ber; then ask patients to comeback after they have tried a newtreatment or skin care line toshow them the results beneaththe surface. This will keep themcoming back again and again.

Theme: Asked and answered.At a cocktail party, cosmeticdoctors are always in high de-mand. Everyone wants their earand their insights; use this toyour advantage. Invite media andVIPs for a 30-minute rap sessionwhere they can ask you anythingabout facial plastic surgery. Servewine and cheese and offerdiscounts on procedures booked.As a value add, develop content,e.g., blog posts, for the topquestions. M

CLASSIFIED ADOculofacial plastic surgerypractice for sale in Bellevue, WA Tremendous opportunity forfacial plastic surgeon to purchasebusy, well established oculofacialsurgery practice in one of themost affluent and desirablecommunities in the U.S. Superbreputation, 100 percent cosmeticpractice built over 20+ years withdatabase of over 11,000 patients. Fully equipped operating roomin the office, across the streetfrom superb local hospital. Ifyou're an excellent surgeon withsuperior communication skillsand bedside manner, this might bethe practice opportunity of alifetime! Please send serious inquiriesto:Fredric A. Stern, MDMedical DirectorThe Stern Center for AestheticSurgery, [email protected]

This column was provided by theAcademy’s PR firm, KELZ PR.

The AAFPRS is active on socialmedia. Remember to like us onFacebook (AAFPRS) and to follow uson Twitter and Instagram @AAFPRS.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○


1A

1B

2A

2B


○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

FACIAL PLASTIC SURGERY TODAY: FALL ISSUE HIGHLIGHTS

THE IMPORTANCE OF TRUST

Your current and potentialpatients will appreciateyour efforts in providingthem with authoritative

and understandable informationon the latest techniques, trends,and procedures in facial plasticsurgery. The fall issue of FacialPlastic Surgery Today will coverthe number one concern patientshave when considering surgery—i.e., trusting the surgeon—as wellas ultimate lips, HydraFacials,knitted laser fabric, selfie tips,and facial reconstructive surgeryconsiderations.

Forty percent of patients sayfinding a doctor they can trust istheir number one consideration,according to the AAFPRS recentsurvey; other top concernsinclude looking unnatural (33percent), cost (10 percent),recovery time (nine percent), andonly one percent of patients telltheir doctors that pain or discom-fort is their top worry. The coverarticle, “Patients Consider TrustMost Important,” will discuss howto evaluate physician reputationand board certification. Addition-ally, patients will be reminded to

select a board-certified surgeonwho specializes in plastic surgeryof the face, head, and neck beforeundergoing cosmetic surgery.

The inside article, “UltimateLips: Add or Take Away?” willcapitalize on the recent buzzaround Kylie Jenner’s removal ofher lip filler. Patients are wonder-ing what they should or shouldnot be doing to enhance their liparea. The article will explore theoptions of adding or removingimplants and fillers, with theoptimal goal of achieving animproved, natural result.

The “Ask the Expert” sectionexplains what a HydraFacial isand who might be a suitablecandidate for the treatment.While it is an effective, yet gentleresurfacing treatment for thosewith sensitive skin, patients areencouraged to come in for acomplete skin evaluation andrecommendation.

The “What’s New?” features awearable laser fabric that treatsacne, psoriasis, and other in-flamed skin issues. A photosensi-tizer cream is applied, wrappedwith the fabric, and then treated

START YOUR SUBSCRIPTION WITH THEFALL ISSUE AND GET THE SUMMER 2018ISSUE (SEEN HERE) FOR FREE.

by the laser. The laser fabricspeeds up the reaction betweenoxygen and the cream beneaththe skin, improving unwantedskin conditions with little sideeffects.

The “Health Tip” gives practi-cal selfie tips that your patientswill want to try immediately,such as angle the camera abovethe face and direct downward.

After trauma, surgery, orillness, the face can be affectedboth in appearance and infunction. Facial plastic surgeonshave the experience and abilityto reconstruct facial structuresfor a return to full functionalityand comfort with one’s outsideappearance. The final article,“Considering Facial Reconstruc-tion,” will review the most com-mon reconstructive procedures:cleft lip and cleft palate, scarrevision, nose reconstruction,Mohs reconstruction, and earrevision.

Customize the newsletterwith your practice informationand send to referral sources, addto your Web site, and offer as atakeaway at consultations. Referto the enclosed subscription formincluded in this issue of FacialPlastic Times for details. M


MESSAGE FROM THE MEDICAL EDITOR: SFUMATO, THE ART

By Steven H.Dayan, MD, MedicalEditor, Facial PlasticTimes

“Where the spiritdoes not work withthe hand there is noart.” — Leonardo da Vinci

From 1503 until the endingdays of his life in 1519,Leonardo da Vinci contin-ued to add to the oil

brushed painted representationof a 24-year-old mother of twoand wife of a prominent silktrader, Lisa del Giocondo, orbetter known to all of us as the“Mona Lisa.”

One of the most celebratedworks of art the world has everknown has shared wall space inthe Fountainbleau, Versailles,and even once hung in thebedroom of Napoleon. After stolenin 1911 by an Italian nationalistwho felt it deserved a home inItaly, it was recovered and re-turned to the Paris Louvre Mu-seum where it has resided eversince. It is arguably one of themost engaging manmade cre-ations to ever grace the face ofthe earth and also one of themost valued.

Today, its estimated worthhas been placed over $800 mil-lion. But what exactly makes thisportrait so famous and why? Itwas a question my 10-year-olddaughter, Noa, posed to me as westood in line. I was embarrassedto say I was not entirely sure.Interestingly, once we finally gotto see it, she was spooked, and wequickly exited…that perhaps wasmy first hint into the mystery ofthe “Mona Lisa” and the genius ofLeonardo.

To better answer mydaughter’s question, I thought itbest to explore the man whopainted it. I recently finished abiography on Leonardo by WalterIsaacson, who takes a deeper divebeyond the prefrontal cortex tothe inner working of a genius

mind. We often get stuck onLeonardo’s famed, “VitruvianMan,” and his mastery of divineproportions. But to truly appreci-ate Leonardo’s brilliance is to lookbeyond the obvious. Leonardohad an insatiable curiosity tounderstand not only the physicalproperties and mechanics of thenatural sciences, but also howthey engaged with the humanelement. Leonardo feared notchallenging conventional wis-doms nor upsetting the cannonsof acceptable knowledge. And hisunique ability to illustrate how abird’s wings leads to lift is paral-leled by his demonstrations ofhow human anatomy expressesemotions.

His lifelong devotion to themastery of form, function, andmeaning unify in the “Mona Lisa.”She appears to be in motion as ifshe just sat down and is about toswing to the right. Her handsgently in her lap reveal a briefmoment of satisfaction that theobservers know will not last; thebackground leaves a surrealalmost fantastical impression,but it melts into her being as ifreality and dream are one in thesame. But it is the intricacies inher face where the painting reallyseparates itself from all others.Her eyes famously follow youaround the room regardless ofwhere you stand. Leonardo wasnot the first to do this but hislevel of detail in the irises isunmatched by others. In fact, onepupil is slightly larger than theother. Whether she exhibitedanisocoria like 20 percent of thepopulation or it is the manner inwhich the light from the fore-ground sun is hitting one pupilmore so than the other. Regard-less, you cannot help but besubconsciously impacted by hergaze.

Then there is the smile.Perhaps the most famous smile inthe world, or is it a smile? WalterPater, an English writer, com-mented that Mona Lisa’s smileholds an “emotional ambiguity,”

revealing first a “promise of anunbounded tenderness,” but soonafter also a “sinister menace.”According to Harvard neuroscien-tist, Margaret Livingstone, hersmile flickers depending on whereyour eyes are looking. Whenlooking directly at her mouth, itsimage falls on your fovea and sheappears to not be smiling; but whenyour peripheral vision interpretsher expression by processing theinformation from the shadows ofher cheeks and lips, she con-versely seems to be smiling. Itseems Leonardo, a master of lightoptics and facial anatomy, engi-neered this conundrum to teaseand disrupt his viewer.

Forensic evaluations of themouth reveal multiple layers ofpaint and a technique of paintingthat obscures where the mouthstarts and where it ends. In otherwords, the mouth blends into thecheek and lips just as the deeperlayers of muscle, dermis fat, andconnective tissue blend intosurrounding soft tissues of theface. Leonardo so well understoodthis relationship, and to properlyrepresent this tenet of realityrequired a shift in technique andphilosophy, known as sfumato.“Sfumato,” an Italian word mean-ing smoke, is also used to de-scribe a technique of blending.

What can aesthetic physi-cians learn from sfumato and a16th century painter?

Leonardo’s contemporarieswere unambiguously delineatingfacial features, subjects, andobjects within a painting leadingto perfectly defined supra-realityrepresentations of a human face.But Leonardo, in contrast, at-tempted to capture the realityand essence of the humanity byblurring the transitional zonesbetween the facial features. Andlike most perfectionists, he wasnever satisfied in his ability toperfectly capture the intangiblegift granted by the prime mover—perhaps why he famously left somany works undone. Yet in the“Mona Lisa,” he has delivered to

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○


OF BLURRING THE LINES MEMBER CORNER

human kind a representation ofthe living soul that far surpassesthe inanimate productions com-mon to many others. We are notquite sure if Mrs. Giocondo wassmiling, smirking, doubting, ormocking. But that is not whatteases the collective subconscious;rather, it is her gamut of emotionsin motion that leaves us dynami-cally perplexed. This is not too faroff from what we experience inone another at any moment.

Humans rarely express at theextremes; rather, emotions andexpression are moment to mo-ment blends reflecting waves offeelings. Faces that staticallyexpress an extreme—whether asmile, grimace, or frown—projectan unnatural ingenuine impres-sion. And if the stone-like facialfeatures are further bathed by astark contrasting light, a faceassumes a frightening appear-ance. Unlike other artist whowere unmistakably defining facialfeatures, Leonardo, a masterfulscientist and anatomist, realizedthat facial features are bestappreciated when recognizingtheir relativity to surroundingfeatures. There is a harmoniousbalance between the eyes, nose,and lips, just as there is betweenemotions, expression, andanatomy. And a smile or a frownin isolation has no meaning. Eyesthat complement the lips andblend into the cheeks enables aface to tell its story. And this iswhere we come in.

Traditionally, western medi-cine, aesthetic medicine inparticular, has been taught froma narrowed perspective of indi-vidualized systems or features.Specialties are defined by areastreated, e.g., urology, ENT, oph-thalmology, nephrology, dermatol-ogy, etc. Aesthetics, book chap-ters, and conferences are sec-tioned by features of the face.Scales used for FDA approval arebased on efficacies limited to onearea of the face. We force our-selves to look at a face as if madeup by individual components.

And when we treat one area ofthe face without taking intoconsideration a nearby feature,the face assumes an out ofbalance appearance. It is nowonder we are troubled by un-natural outcomes.

Even if the horizontal plane offacial features is respected withinthe context of its surroundingfeatures, Leonardo showed usthat the way light bounces andshadows bathe a surface is onlybut an inverse reflection of thevertical layers that lie below. It isnot solely the dermis, fat pads,muscle, or bone, but the layeringof all these tissue that givesdepth to an appearance.

Where we learn the most fromLeonardo’s genius is when weappreciate how he used Mrs.Giocondo’s facial anatomy as avehicle to bring forth the sweetemotions of her soul. Leonardodid not just understand theanatomy, the layers of tissue, andthe light shadow effect, but hewas a master at blending compo-nents of humanism with itsphysical manifestations to birthlife. You cannot help but becurious, to want to talk with Mrs.Giocondo to understand her. Weare attracted to her. And whileshe may not be the most beautifulFlorentine woman, she certainlyis the most captivating.

As plastic surgeons who alterfaces, we are students of anatomyand science. But it is importantto realize that facial features donot exist in isolation. When wetreat a nasolabial fold, we areimpacting the lips; and when wealter the nose, we are influencingthe eyes. Each facial featureworks in concert with one anotherto deliver a harmonious andgenuine interpretation of a person.And when a feature is treated inisolation and out of context to itsbalancing features, a cognitivedissonance ensues. It is when weuse sfumato philosophy and tech-nique to merge facial anatomy,expression, and emotion, that weunveil the authentic. M

As we enter the lattermonths of the 2018membership year, yourmembership status will

take on new significance. Did youknow that your membership mustbe paid and current for you tovote in the upcoming leadershipelections? Additionally, registra-tion is now open for the 12thInternational Symposium ofFacial Plastic Surgery. To takeadvantage of preferred registra-tion rates, your membershipneeds to also be current.

If you have received a noticeindicating your dues payment isstill outstanding, please take amoment in the coming week tomake your payment via the“Renew AAFPRS Membership”link at the top of the AAFPRS Website, www.aafprs.org.

Feeling social? We are pleasedand excited to announce theAAFPRS LinkedIn group has beenre-activated. Take a moment tojoin or “follow” the group nexttime you log in to your LinkedInaccount. You will be able to findtopical news stories, membernews, AAFPRS updates, andmore. It’s a great forum to net-work and stay in touch with yourpeers and your profession.

New position? New office? Newhome? It is an exciting time of theyear for Academy members. It isimportant that we have yourcurrent contact information inour records in order to communi-cate with you. We will also beginpreparations for our 2019 Mem-bership Directory. If you haveexperienced a change in youremail, telephone, or mailingaddress, please visit theAcademy’s site, www.aafprs.org,Members Only section, and log into your member record as soonas possible to update yourinformation. If you are not able tolog in or if you have any ques-tions about your membership,contact the AAFPRS director ofmember relations at the Academyoffice, Leigh A. McGuire [email protected]. M

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○


2018

AUGUST 3-5*PORTLAND RHINOPLASTY COURSEPortland, ORCo-chairs: Tom D. Wang, MD; MichaelKim, MD; and Myriam Loyo, MD

OCTOBER 15-1812TH INTERNATIONAL SYMPOSIUMOF FACIAL PLASTIC SURGERYDallas, TXCo-sponsored by the InternationalFederation of Facial Plastic SurgerySocieties (IFFPSS)Co-chairs: John L. Frodel, Jr., MD; MaryLynn Moran, MD; and Krishna Patel, MD(OCTOBER 14, Physician BusinessForum and Committee Meetings)

FACIAL PLASTIC TIMES

AUGUST 2018

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

*Endorsed by the AAFPRS Foundation

2019

APRIL 4-7Advances in RhinoplastyOrlando, FLCo-chairs: Fred G. Fedok, MD; OrenFriedman, MD; and Brian J.K. Wong, MD

MAY 1-2AAFPRS Spring Meetingin conjunction with COSMAustin, TX

JUNE 22-23ABFPRS EXAMINATIONWashington, DC

Enclosed in this August issue ofFacial Plastic Times are the

12th International Symposium ofFacial Plastic Surgery Brochureand FPST Subscription Form.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

CLASSIFIED ADFOR SALE BY OWNERTurn-key facial plastic surgery-ENT private practice in presti-gious Arlington Heights, IL, aNorthwest Chicago suburb.Step right in to join or replacea facial plastic-ENT surgeon.This site and unique opportu-nity would make an idealprimary or secondary office forexpansion of an existingpractice. Text (847) 738-6452for more information.

By Donna Fay,OFPSA President

Hiring theright staffcan bedifficult.

Onboarding the wrong teammember can easily cost youhundreds of thousands in prac-tice revenue not including theopportunity cost. The right teammember knows the practices corevalues and lives them each andevery day. The goal is to attractand develop the best possibletalent in your community andwork together to meet your prac-tice objectives.

Below are five tips for findingthe right talent for your team.

1) Build a strong brand forthe practice. You might overlookthis, but the strength of yourbrand is most likely your stron-gest recruiting tool. Make sureyour Web site, social media andonline content is congruent to thepractice branding. People want towork for the best, make sure youronline presence reflects that.

2) Make sure the candidateshadows for a day or two so he orshe can experience a “day in thelife” of the practice. This is anopportunity for you to spend moremeaningful time with the candi-date.

3) Improve the interviewprocess. Have a layered interviewprocess that includes a first lineemployee, manager, and thephysician. Conduct the inter-views on different dates, asanyone can knock it out of thepark on one day. By asking themto come in two to three times, italso gauges his or her level ofinterest and engagement.

4) Check out their socialmedia profiles. Disclaimer: Onlyask for social media profiles ifthey are public. This is a bit of atough subject. People can cer-tainly have their social lives;however, at the very least, crossreference LinkedIn profiles tomake sure they correlate withresumes.

5) Ask for at least threereferences (one of which includesa former employer). It is critical toreach out to people who workedwith your candidate or are atleast willing to vouch for them.

Incorporate these tips whenhiring in order to get the bestcandidate for your practice.

TIPS FOR HIRING

THE RIGHT STAFF

Tips like these and more willbe offered to you at the OFPSAAnnual Meeting in Dallas, Octo-ber 15-18, 2018. Make sure youregister by the early bird deadlineof September 6 to save $200. Visitthe meeting site, www.aafprs.org/international, to register and toview the OFPSA four-dayprogram. M

NTERNATIONAL YMPOSIUM IN ALLAS ROMISES OMETHING …lifetime of continuing education for facial...

Documents

Transcript of NTERNATIONAL YMPOSIUM IN ALLAS ROMISES OMETHING …lifetime of continuing education for facial...