Vol. 39, No. 4 - ABCPF · May/June 2018 Facial Plastic Times 1 May/June 2018 Vol. 39, No. 4 DALLAS,...

May/June 2018 Facial Plastic Times 1

May/June 2018Vol. 39, No. 4

DALLAS, TEXAS, HOSTS THE12TH INTERNATIONAL

SYMPOSIUM OF FACIAL PLASTIC SURGERY

Every four years, theAAFPRS and theInternational Federa-tion of Facial Plastic

Surgery Societies (IFFPSS)come together to celebrate thelatest advancements in facialplastic surgery. This year, the12th International Symposiumof Facial Plastic Surgery iscombined with the AAFPRSAnnual Meeting and will beheld in Dallas, October 15-18.

The IFFPSS is a group ofsocieties of facial plastic sur-geons from various countriesaround the world. This Federa-tion was formed in 1997, andincludes the following societies:AAFPRS; ASEAN Academy ofFacial Plastic and Reconstruc-tive Surgery; AustralasianAcademy of Facial PlasticSurgery; Brazilian Academy ofFacial Plastic Surgery; Cana-dian Academy of Facial Plasticand Reconstructive Surgery;Colombian Society of FacialPlastic Surgery and Rhinology;Ecuadorian Society of Rhinol-ogy and Facial Plastic Surgery;European Academy of FacialPlastic Surgery; Facial Recon-structive and Cosmetic Surgery(INDIA); Korean Academy ofFacial Plastic Surgery; MexicanSociety of Rhinology and FacialSurgery; Pan Asia Academy ofFacial Plastic and Reconstruc-tive Surgery; Taiwan Academyof Facial Plastic and Recon-structive Surgery; and Venezu-ela Society of Rhinology andFacial Plastic Surgery. See Four Days, page 18

2 Facial Plastic Times May/June 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.

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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.

May/June 2018Vol. 39, No. 4BOARD 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

CONFLICT OF INTEREST - DISCLOSURE - LOYALTY

What hat are you wearing?

W hen does ambition overcome fidelity? Members of the AAFPRS and the ABFPRS, as in so many medical societies, belong to at

least one other organization that parallelsand competes with ours. While there may becertain areas of highly common ground,these organizations may also, at times, havegoals and ambitions that are in directconflict with our mission. Some of theseassociations, societies, and academies maybe acting on or implementing practices and

policies that would be to the detriment of our Academy, our Foundation,and/or our Board.

There are many reasons to join organizations, including learning,teaching, making connections, serving on committees, serving inleadership, and advancing the goals and mission of the organization.The AAFPRS has 15 committees and the AAFPRS Foundation has 15committees. The ABFPRS has 13 committees, groups, and councils.There are hundreds of members serving on these 43 bodies giving roomfor overlap. All of these participants have an ethical duty to be loyal tothe organizations to which they are members and for which they serve.The Boards of Directors and the nominating committee also have afiduciary duty and an enhanced responsibility.

When serving in any capacity from committee member to board ofdirectors, it is important to understand exactly what constitutes aconflict or duality of interest and an apparent conflict or duality ofinterest. A conflict or duality is a situation where a member has ahindrance, whether personal, professional, business, or volunteerposition, to being impartial and loyal. It can also be a duty to anothergroup that splits the member’s commitment to the AAFPRS, the AAFPRSFoundation, or the ABFPRS and the other entity. An apparent conflict orduality arises when such a relationship would lead an observer toquestion if a hindrance to impartiality existed.

For example, what about the board member who also sits on theboard of a competing entity? Does this lead to mutually beneficialcollaborations? Or does it pull that board member in two differentdirections? The AAFPRS, the Foundation of the AAFPRS, and theABFPRS are entities independent from any other organization. (Just asa point of information, as closely aligned as the AAFPRS and theABFPRS are, members and diplomates must remember that our twoorganizations are separate entities as well.) Those of us in leadership,committee chairs, and committee members must stay acutely aware ofthis. It would be a conflict of interest if a committee chair or a boardmember were asked by a representative of another group to provideinformation to or perform a task that would involve giving that organi-zation our intellectual property or participating in decisions detrimentalto our mission.

When one is elected to the Board of Directors of the AAFPRS he orshe is presented with the Board Member Duality and Conflict of Interestform to sign. It states in part, “Any duality of interest or possible conflictof interest on the part of any board member should be revealed to theother members of the board and made a matter of record through anopen and full disclosure of such duality of interest at the time the interestbecomes a matter for board consideration and through annual disclosure.”


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When such a duality or conflict of interestexists, the Board member must disclose it to the fullBoard and not participate in or influence any dis-cussion of the matter at hand. He or she cannot voteon the matter. He or she also cannot be consideredas part of the quorum for the issue. Above thesignature, the Board members must list all themedical or surgical organizations on which theyserve as directors or officers, all industries in thehealth care fields in which they have a financialinterest, and all companies that make or distributemedicines or surgical devices whose speakers’bureaus they sit on or from whom they receivecompensation.

We must understand the importance of thisissue. State and the federal governments takenonprofit conflicts of interest very seriously. Somestate laws governing nonprofit corporations includeprovisions describing what must be included in anonprofit’s conflict of interest policy, or how conflictsare to be managed. The IRS Form 990 asks not onlyabout whether the nonprofit has a written policy onconflicts of interest, but also about the process thatthe nonprofit uses to manage conflicts, as well ashow the nonprofit determines whether board mem-bers have conflicting interests. Conflicts that are notmanaged can result in significant penalties as-sessed against the person who benefits as well asthe organization.

We have all risen to our position in life for manyreasons, both internal and external. Dozens ofadjectives can be used to characterize each one ofus as we strode along the road to reach where weare now. And having achieved the degree, conqueredthe residency, and crowned it with the fellowship, wecontinued the quest. The quest to practice, tobecome an AAFPRS fellow, to reach the podium, tochair a committee, to serve on the Board, to beselected to the leadership. We have ambition; butambition can be blinding. Without proper self-awareness about conflict of interests, it can blind usto our loyalties…sometimes ambition can evenblindfold our sense of honor.

Of course, we are all loyal to our specialty offacial plastic surgery and its governing, educational,and credentialing organizations: the AAFPRS, theAAFPRS Foundation, and the ABFPRS. We cherishand honor the work we do, because we believe inwhat we do. As an Eagle Scout, I’ll also mention thatthe Boy Scout Law lists 12 character traits. It starts,“A Scout is Trustworthy, Loyal, Helpful…” I won’tname them all, but the Scout Law is a guide to agood and honorable life. When we as doctors recitedthe Hippocratic Oath with many more than the 12Boy Scouts’ character traits, we were proclaimingour loyalty to our profession and our patients. TheHippocratic Oath is also a guide to a good andhonorable professional life. Loyalty to the

organization is paramount to its success andadvancement.

At the beginning of this message, I asked “Whendoes ambition overcome fidelity?” If one is wearingtwo hats, one the AAFPRS hat and the other that ofanother Academy, there is inherently a duality ofinterest. The wearer must keep that duality in theforefront of his or her mind and act accordingly—and he or she must remove him or herself fromaddressing a particular matter if they are not realis-tically in a position to act fairly with regard to bothentities. If one hat is taken off to perform a task forthe other entity that will benefit the wearer and/orthe competing organization, the allegiance hasshifted. That is an unhealthy side of ambition wemust always responsibly guard against.

“We cannot seek achievement for ourselves and forgetabout progress and prosperity for our community...Ourambitions must be broad enough to include the aspira-tions and needs of others, for their sakes and for ourown.” — Cesar Chavez

What hat are you wearing?

William H. Truswell, MD

Research grant deadline fast approaching

The Educational and Research Foundation forthe American Academy of Facial Plastic andReconstructive Surgery (AAFPRS Foundation)would like to remind all Academy members thatthe deadline for applying for the Wally K. DyerClinical Investigation Award is July 1, 2018.This award is meant to foster career develop-ment and provide mentorship to members.

The purpose of this award is to encourageyoung surgeons to pursue valid ideas by provid-ing grants to offset expenses. Each award willbe for $2,500. More than one award per yearmay be presented based on the approvedannual budget for the Research Center.

To find out more about available grants andawards, go to www.aafprs.org, select theAAFPRS Foundation tab and click on theResearch Center tab. If you have any additionalquestions, contact Karen Sloat, senior projectconsultant, [email protected].

PRESIDENT’S MESSAGE


The recent Facial Rejuve-nation: Master the Tech-niques meeting in Chi-cago this past April

definitely did not disappoint.There were over 350 attend-

ees altogether who enjoyed thethree-and-a-half-day program oflectures, video sessions, panels,live demonstrations, live surgerypresentations, round-tablediscussions, and exhibition.

Each day began with anindustry-sponsored breakfastsession. At 6:45 a.m., nearly 100physicians were eager to starttheir day listening to lecturesprovided by Doctor.com,Implantech, and Suneva.

The general session room wasfilled with 250 physicians fullyengaged in learning. The presen-tation of pre-recorded live surger-ies by Andrew Jacono, MD;Stephen Perkins, MD; and BruceVan Natta, MD, were preciselywhat the attendees wanted to see.Surgeons were able to addressquestions and concerns from theaudience.

On day two and three, abreakout session focusing onpractice management and pearls,along with a live injection courseensued. The practice manage-ment sessions took a differentformat with round-table discus-sions. They were lively, interac-tive, and engaging. The injectionsessions covered most HA fillersand neuromodulators. (See page23 to order these videos.)

The exhibit hall was thehappening place and exhibitorswere pleased to share theirproducts and services. The stagepresentations during lunch weresupported by Rohrer Aesthetics,NeoGraft, and Merz.

Each day ended with anevening reception and live demo.We thank our hosts, ParadigmMedical Communications, GaldermaLaboratories, and Allergan.

All-in-all, it was a success!We’ll meet again in 2020. M

MANY HAVE MASTERED THE TECHNIQUES AT THE RECENT

FACIAL REJUVENATION MEETING IN CHICAGO


ASSI Pick up July 2017


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By Kaete Archer, MD,Member, EmergingTrends and Tech-nologies Committee

It is no secretthat the para-digm shift infacial plastic surgery has

expanded aging face options toinclude many nonsurgical proce-dures. In January 2017, I intro-duced the Silhouette InstaliftTM

procedure into my practice as anonsurgical option for patientswho are interested in a middleground between a surgical liftand fillers—a void in my practice.The majority of these patients arein their late 40s-50s, have a busylifestyle, and already do neuro-toxin and fillers. These patientsare interested in the “latest andgreatest” with an affinity fortechnology who may have consid-ered a “weekend facelift.”

The Silhouette InstaliftTM is aminimally invasive, FDA ap-proved, fully absorbable sutureprocedure to lift, recontour, andreposition midfacial subdermaltissues. Indications for the proce-dure include signs of moderatemidfacial tissue descent—nasola-bial folds, down-turned oralcommissures, and marionettefolds. A non-ideal patient hasthin skin with little to no underly-ing fat, excessive skin, or heavylocalized rhytids. Advantages ofthe procedure include minimaldowntime of one day withoutmakeup, a natural appearance,and immediate results. Theprocedure is done under localanesthesia. Start-to-finish in-cluding set up and anesthesiatakes about 45-60 minutes. Theresults last about one-and-a-halfto two years and can be per-formed in combination with fillersfor overall rejuvenation.

The sutures are a combina-tion of knots and bidirectionalcones with 23G needles on eitherend. They are made of a biode-gradable polymer (82 percent PolyL-Lactide (PLLA) and 18 percent

EMERGING TRENDS AND TECHNOLOGIES COLUMN

Poly L-Lactide-co-Glycolide(PLGA)). Similar to Sculptra®, thesutures stimulate collagen asthey degrade. We place three tofour sutures per side of the face.The sutures are oriented perpen-dicular to the nasolabial foldsand marionette lines in a poste-rior/superior direction. Thesutures may be asymmetric toaccount for facial asymmetry.

Once the sutures are placedunder the skin, the tissues areadvanced over the bidirectionalcones and locked into place(similar to a high-tech barb)resulting in lifting. Although thesutures are not a "volumization"technique, by repositioning andlifting the midfacial tissues backto where they were, volume isrestored in the midface.

After the procedure, we havepatients keep a clean face for 24hours and use a gentle facewash. We recommend sleepingface up for the first 72 hours, nodental work or high impactexercises for one week, and a softdiet for one week to avoid pullingon the sutures.

The most important people inyour office to educate about theprocedure are your injectors andestheticians. Most likely, they willalready know patients who wouldbe excellent candidates—patientswho get fillers on a regular basis,have nice volume, good qualityskin, but aren't seeing as much“lifting” as they would like. These“friends of the practice” arealways good to have as the earlyadopters. Our injector andestheticians introduce everypatient to this new technology.

Managing expectations andproper patient selection arecritical. The sutures are not areplacement for surgery and willnot get patients a facelift result. Iroutinely place sutures in thejowls in a more vertical directionbut this area is “off label,” as isthe neck. I counsel patients onthe advantage of adding fillersand the possibility of a touch-upsuture after four to six weeks for

more lift if needed. The suturesare relatively expensive. Eachsuture is about $150 and come inpacks of 10 sutures. So, for foursutures on each side of the face,the product cost is about $1,200.

As a way to get more involvedin our community, we donate aportion of proceeds from every See Instalift page 18

1A: BEFORE1B: SILHOUETTE, FOUR SUTURESPLACED IN THE MID AND LOWER FACE2A: BEFORE2B: SILHOUETTE, THREE SUTURESPLACED IN THE LOWER FACE AND JOWLAREA

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1B

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One of the many benefitsof being an AAFPRSmember is your accessto LEARN (Lifelong

Educational And Research Net-work). Some areas you may wantto explore:

O A complete transcript of allAAFPRS sponsored meetings backto 2009 are housed in yourpersonal LEARN account, provid-ing the capability to reprint anyCME certificate you may need.

O After attending an AAFPRSsponsored meeting, you cancomplete a meeting evaluationonline and print a CME certificatefor each meeting in your office orhome.

O Individuals can enter CMEinformation received elsewhere tokeep a complete log of all yourCME credits.

O There are over 50 surgicalvideos under the ContinuingEducation tab that are availablefor streaming at a reduced cost.

O There are 13 surgical videosavailable for streaming to mem-bers at no cost under the FreeSurgical Videos for Members tab.

O Three of the above videoshave CME available, again at nocost to members; we are workingto provide CME for the remainingvideos on this tab.

O Fellows have access to over40 surgical videos, selectedspecifically to enhance theirtraining, at no cost.

O Our residents have a selec-tion of videos from the RichardWebster, MD, classics available atno cost.

O Residents also have accessto the Wound Management andSuturing Manual at no cost.

O Videos of keynote speakersfrom past AAFPRS Annual Meet-ings, as well as an offering ofvideos from Robert L. Simons,MD, on the history of the AAFPRS,are available.

O Members have access topast issues of Facial PlasticTimes, the Academy newsletter.

O Practice and job opportuni-ties are posted to the site.

Have you downloaded theMYAAFPRS App? It provides youwith access to LEARN on the go.Simply go to the App Store,search for MYAAFPRS and down-load. This is a work in progressand we would love your feedback.

What's ahead? Currently, weare working on a new MemberPhysician Resources tab. This tabwill provide templates to commonforms needed by facial plasticsurgeons, especially at the startof a practice. In addition, we planto post videos clips from the 2017Annual Meeting in Phoenix.These are short words of wisdomfrom our esteemed leadership.Other resources submitted by

HAVE YOU VISITED LEARN, THE

EDUCATIONAL PORTAL RECENTLY?

members will be considered. Andfinally, we are working on addingmore surgical videos to the list forstreaming.

Take a moment and explorethe LEARN site. Go towww.aafprs-learn.org and maxi-mize your member benefits.

To access any of the memberonly sections on LEARN, youmust know your AAFPRSusername and password. If youdon't remember it, contact KarenSloat, senior project consultant,at [email protected] and she willassist. M

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FELLOWSHIP REMINDERSThe application process for the 2019-2020 fellowship year is underway.Program directors can view the fellowship applications through the fellowshipdatabase. Interviews should be completed by May 31. Rank lists are due inthe San Francisco Match office June 4, and results will be available June 11.

Submissions for the Roe and Gillies Awards are due June 1. Current 2017-2018 and past 2016-2017 fellows are eligible to apply. In order to be consid-ered, papers must be submitted through the fellowship database by June 1.

The fellowship examination is scheduled for June 23 - 24, 2018, in CrystalCity, Va. Current fellows should have already submitted exam registration tothe ABFPRS office.

Current fellows will have until July 15 to review the residency videos throughthe LEARN portal as a free benefit of the fellowship program. If you have anyquestions regarding the program or accessing the videos, contact Fatima,fellowship department, [email protected].

The questionnaire, director evaluations, and operative report form are due byJuly 15 for current fellows. Fellows and directors should visit the database tocomplete requirements.

Fellows and fellowship directors should visit the fellowship database toreview program requirements. The 2018-2019 fellows should have signed thebinding agreement, forwarded it to the fellowship director for signature, anduploaded signed agreement onto the database. The incoming fellow shouldalready have been in communication with his or her fellowship directorregarding possible fellowship research projects. The project list and proof ofACLS should be submitted prior to the start of the fellowship. The abstract isdue September 1.

As a reminder all fellowship requirements must be submitted through thefellowship database, http://prestohost40.inmagic.com/Presto/home/home.aspx. For questions, please contact Fatima Porter-EL Mitchell at (703)299-9291, ext. 228; [email protected].


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INTERNET INSIDER: FROM MOBILE TO VOICE

AND A NOTE ABOUT CONTENT

Now that Google hasreleased its mobile-firstindex, it’s time to focus alittle bit more on voice.

After all, Apple, Amazon, Google,Microsoft, and others are spend-ing a fortune trying to pursueartificial intelligence while focus-ing heavily on voice; and voice istied closely to mobile itself.

These days, people are notjust speaking on their phones,but also using their voice to talkto their watches, control theirhomes, and even search forrestaurants.

While mobile is truly ubiqui-tous, and more people are brows-ing the Web using mobile plat-forms than desktop, voice isseemingly moving in that samedirection. Although Amazon hada massive head start in the homewith Alexa, Google—which con-tinues to be the 500-lb gorilla inthe search space—is now catch-ing up. Google Home and Google

Assistant are getting more power-ful and have started releasingfeatures and integrations at arate that only Amazon couldpreviously muster.

As mentioned in an earlierarticle, many voice searches arein the form of questions: how,what, why, etc. Questions,especially when answered thor-oughly, can work.

In the aesthetics space, youneed to look no further thanRealself to see just how wellquestions (and their answers)can be utilized on the Web. SinceGoogle Assistant can now con-nect with over 5,000 devices,there are clearly a lot of opportu-nities for people to use theirphone, mobile devices, andscores of other applications—including Internet of Thingsdevices—to perform more dailytasks, like for instance, searchfor a facial plastic surgeon.

How can you prepare?Many of the same strategies youshould use to rank well formobile (and desktop) can be usedto help improve the chances ofappearing well for voice searchrankings.

O Focus heavily on speed.Google only wants screaming-fastresults and their mobile-firstindex change was a big indicatorof that.

O Be sure your site is secure.Google continues pushing towardtrust.

O Pay attention to structuredmarkup around voice. Structureddata definitely plays a role in theGoogle Home/Google Assistantsearch experience.

O Keep increasing authoritysince Google looks toward au-thoritative sites over obscureones.

O Keep your content at arelatively simple level. Googlelikes content written for 9thgraders as opposed to contentwritten for PhD candidates!

Content andrankingsFor ages, we’vebeen saying that“content is king” and in manyways it still is. At the very least,it’s important when it comes tosearch engine rankings, includ-ing the voice search rankingsmentioned above.

Recently, John Mueller ofGoogle mentioned somethinginteresting about new content—something we’ve seen many timesbefore and something you mayhave noticed yourself. Rankingswill likely fluctuate quite dra-matically after you publish newcontent. A new page, for in-stance, might pop into the top 10or 15 results, seemingly momen-tarily, and then kind of disappearafterward.

Well according to Mueller, thisis quite normal because Googlemust first estimate where thenew content should rank; thatestimate can vary widely fromwhere it ends up ranking in theend. It can take weeks to settleinto place, so don’t focus toomuch on what happens rightafter publishing; instead, plan forups and downs but keep creatingnew content. Content getsresults! M

This article was prepared bySurgeons Advisor, a Miami-basedcompany that maintains theAcademy’s Web site.

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CLASSIFIED ADSeeking a U.S. licensed physicianinterested in serving in a one yearnon-AAFPRS certified fellowship in arobust multifaceted facial plasticsurgery practice in downtownChicago in the office of Dr. SteveDayan. The fellow will be exposed tothe latest in non -surgical tech-niques and products including fillerstoxins, lasers, fat transfer, PRP andmore as well as participate in ahealthy surgical experience focusedon aging face and rhinoplasty.

Fellow will first assist each caseas well as manage their own surgicaland non-surgical "fellow's practice."Clinical research, pivotal trials,teaching, and publishing is a largepart of the experience as well asmarketing, medspa management andbusiness consulting. Opportunity fortravel. Experience not important,desire is.

Those interested, please contactSelika Guiterrez Borst at (312) 335-2070; [email protected].

ATTENTIONDo you know that you can linkyour practice Web site to theAcademy’s Web site? When apotential patient searches for adoctor in the Academy’s Physi-cian Finder section, a link toyour Web site can appear rightunder your name and addresswhen your name comes up.Contact Glenda Shugars at theAAFPRS office, (703) 299-9291,ext. 234; [email protected].


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FACE TO FACE NEWS: FIFTH ANNUAL TRIP TO ICA, PERU

By Sean Alemi, MD

The Northeast and North-ern California divisions ofHealing the Childrenrecently completed their

fifth annual cleft lip and palatemission to Ica, Peru. In partner-ship with the AAFPRSFoundation’s FACE TO FACEprogram, the 36-person missionteam was again led by EvanRansom, MD, an ABFPRS certifiedfacial plastic surgeon from SanFrancisco, and Joseph Rousso,MD, FACS, an ABFPRS certifiedfacial plastic surgeon from theNew York Eye and Ear Infirmaryof Mount Sinai. Additional surgi-cal staff included AugustineMoscatello, MD, an otolaryngolo-gist practicing in Westchester,N.Y.; Jordan Virbalas, MD, apediatric otolaryngologist from

UCSF Benioff Children's Hospitalin Oakland, Calif.; Scott Mosser,MD, a plastic surgeon practicingin San Francisco; Sean Alemi,MD, a fifth year otolaryngologyresident from the University ofCalifornia, San Francisco; andKirk Lozada, MD, a fourth yearotolaryngology resident from theNew York Eye and Ear Infirmaryof Mount Sinai. Anesthesia carewas provided by a stellar groupfrom Cook Children's Hospital inFort Worth, Texas, and Yale NewHaven Health in Conn.

As in years past, the teambegan their mission enthusiasti-cally greeted by a waiting roomfull of families and their children;some traveled up to 48 hours toreach the Hospital Regional deIca. With the assistance of pedia-tricians, speech and languagepathologists, anesthesiologists,

nursing staff,and severallocal medicalstudentvolunteers,the teamnearlymatched lastyear's recordby screening125 patientsthis year.

DR. RANSOM (LEFT) WITHA YOUNG PATIENT ANDHER MOTHER FOLLOW-ING A UNILATERAL CLEFTLIP REPAIR. DR. ALEMI(BELOW) WITH A YOUNGFEMALE PATIENT DURINGSCREENING DAY.

From this group, the surgicalteam successfully completed75 operations during the week—highlighted by 18 primary cleft liprepairs, 29 cleft palate repairs,four frenuloplasties, three cleftrhinoplasties, two first stagemicrotia repairs, and a secondstage microtia repair on a follow-up patient whom the group hadperformed a primary repair thepreceding year. Additionally, withthe addition of Dr. Mosser'sexpertise in plastic surgery, theteam also performed onesyndactyly repair as well asrelease of a severe upper extrem-ity scar contracture. Once again,the speech and languagepathology group worked with alarge group of previously-repaired patients and childrenfrom the community with non-surgical speech and swallowingdisorders.

The team is already planningfor next year, with ongoing effortsto expand patient recruitmentand surgical care during theweek. To get involved withcharitable programs throughFACE TO FACE and Healing theChildren, or to make a donation,please visit us online atwww.AAFPRS.org, www.htcne.org,and www.HTCNorCal.org. M


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PR REPORT: RECENT FACEBOOK SCANDAL MAY IMPACT

YOUR MARKETING STRATEGY

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

The AAFPRS is active onsocial media. Remember to likeus on Facebook (AAFPRS) and tofollow us on Twitter andInstagram @AAFPRS.

The headlines came fastand they came furiously.In early April, The Guard-ian and The New York

Times reported that CambridgeAnalytica mined 50 millionFacebook profiles in a major datascandal. Initial estimates were onthe low side. It turned out that upto 87 million people got hit in thebreach.

How did it happen? A re-searcher developed a personalityquiz app for Facebook in 2014and could access data aboutpeople who took the quiz andtheir friends. Instead of deletingthe information, he saved it in aprivate database and providedthe database to CambridgeAnalytica.

Finger pointing, politics, andpanic ensued. The Federal TradeCommission opened an investiga-tion into the privacy policy ofFacebook, Mark Zuckerberg wascalled to testify before Congress,and many avid Facebook userswere chilled to the bone.

Even if you were not one ofthe 87 million users whose datawas breached, your digital mar-keting strategy for your practiceis not immune to the coolingeffect of this social media scan-dal.

According to a poll by theAssociated Press-NORC Centerfor Public Affairs Research, sevenout of 10 adults (including cur-rent and potential clientele)unfollowed accounts, deletedtheir profiles, or made otherchanges in how they use socialmedia since the news broke. Justshy of 30 percent have deletedcertain social media accounts, 38percent have uninstalled apps ontheir phone, and 42 percent saidthey used certain platforms lessoften now. Nearly half of respon-dents unfollowed or defriendedcertain people, and 41 percentunfollowed groups or organiza-tions, the poll found. In addition,45 percent reviewed or changedtheir privacy settings. (Facebookencouraged this action by send-ing a notice to users via theirFacebook pages.)

If Facebook is a part of yoursocial media marketing strategy,it is important to pay attention tothese seismic attitude changes. Itmay be time to re-evaluate yourcampaigns. Have you lost follow-ers or engagement since theFacebook scandal broke? It iseasy to track these metrics byvisiting www.facebook.com/insights. Exactly how the falloutwill affect other social platforms isnot fully understood; however,there will likely be spillover effects.

We have not seen the end ofthis mess either. During a five-hour testimony before Congress,Zuckerberg acknowledged it mightbe time for regulators to step inand help police social media.

Facebook is too big to fail andwill likely weather this storm; butits reputation—and perhaps thatof other platforms—will be forevertarnished. M

AAFPRS in New York CityOn Thursday, May 6, presidentWilliam H. Truswell, MD, repre-senting the AAFPRS, met withmembers of the media in NewYork City for a day of AAFPRSdeskside meetings. Dr. Truswelland KELZ PR sat down one-on-one with editors from AmericanSpa Magazine, Vogue, BeautyNews NYC, Good Housekeeping,Elias World Media, and People enEspanol to discuss trends andstatistics in facial plastic surgery.

Dr. Truswell shared informa-tion about our Academy and ourmembership, plus safety andboard certification backgroundinformation. The FACE TO FACEprograms were highlighted, aswell as new procedures and hottopics in the industry.

The editors were engaged,asked smart questions, andfound the topics very interesting.KELZ PR shared a powerpointpresentation with each editor andwill continue to follow up withthese editors and many others forcontinuous relationship buildingand collaborations between themedia and the AAFPRS. M

WILLIAM H. TRUSWELL, MD (LEFT) VISITSGOOD HOUSEKEEPING OFFICE IN NYC.

CLASSIFIED ADOculofacial plastic Ssurgery practicefor sale in Bellevue, WA

Tremendous opportunity forFacial Plastic surgeon to purchasebusy, well established oculofacialsurgery practice in one of the mostaffluent and desirable communitiesin the U.S. Superb reputation,100% percent cosmetic practice builtover 20+ years with database of over11,000 patients.

Fully equipped operating room inthe office, across the street fromsuperb local hospital. If you're anexcellent surgeon with superiorcommunication skills and bedsidemanner, this might be the practiceopportunity of a lifetime!

Please send serious inquiries to:Fredric A. Stern, MDMedical DirectorThe Stern Center for AestheticSurgery, [email protected]


Implantech


12 th Spread


12th Spread


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By Steven H. Dayan,MD, Medical Editor,Facial Plastic Times

“Fillers and neuro-toxins are dead,they remain deadand we have killedthem, how shall we comfortourselves the murderer of allmurderers. What was mightiestand holiest that the aestheticworld has ever owned has bled todeath under our needles. Whowill wipe this blood off of us whatwater is there to clean ourselves.”

Obviously, a play on theinfamous 1882Nietzsche warning that“God is dead.” And

while Nietzsche was not referringto the death of religion or Godnecessarily, his message was oneof caution. Western Europe in anenlightened fervor had replacedreligion and rationalism with apowering empiricism wiping awaythe thoughts and faith of thatwhich cannot be seen. He feltthat when the masses realize thatthere was no longer a religiouslyinspired moral compass to setdirection, then chaos and nihil-ism would ensue. While hismessage was perhaps a bitalarming, it was received by apioneering few who felt enoughwind at their backs to stand up toa rigid establishment. Thesecourageous thought leaders thenled us all to recognize, that whichis not seen or proven can…stillexist.

Many of the greatest achieve-ments in science and medicinecome not solely from the two-dimensional minds of empiricistbut from ability to shape, quan-tify, and codify the output fromthe creative minds of rationalistthinkers. For example, the ab-stract romantics who designedthought experiments to unveil theillusive mechanics of nature.Galileo imagined that two objectsof different weights tied to eachother would hit the ground

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MESSAGE FROM THE MEDICAL EDITOR: THE DEATH OF FILLERS

simultaneously. This greatlyinfluenced Newton's law ofmotion. Newton, himself athought experimenter, describedthe universal law of gravity byimagining a cannon ball circlingthe earth if fired from amountaintop at the appropriatespeed. Freud described a subcon-scious that influenced behaviorsand could be mined for pathology.Semmelweis recognized a deadly,infectious, and communicableagent 15 years before Pasteurconfirmed a germ theory. And themost famous of all thought experi-menters, Einstein, jumped on alight beam and descended in anelevator to translate a theory ofrelativity that deviated so far fromthe established thinking that itwas dubbed as Semitic pseudo-science. It was not until 1919,that Sir Arthur Eddington provedduring a solar eclipse that lightdoes indeed bend around a sunconfirming Einstein's propheticrelativity.

The list of scientific mile-stones conceived in the minds ofcreative thinkers goes on and on,many of which had no referencesto cite. And likely in today'sacademic environment, Einsteinand his crew of creative misan-thropes with no professors toacknowledge and no alms tonourish impact factors, wouldhave a great schism to cross toget published in a prestigiousjournal. Their findings todaywould likely be introduced viatrade and open access journals orthe vocal social media outlets.

Today’s increasingly dogmaticmedical environment feels attimes like it is beholden to a cabalpromoting agendas. And theirwords are preached in a versionof scripture presented to thecommoner as Evidence BasedMedicine (EBM). While conceivedwith the greatest of intentions,EBM has attracted a nearlyreligious following, highly vulner-able to hijacking by a well-mean-ing clergy of academics, authori-tative bureaucrats, and profit-

motivated insiders with an intentto direct the training and deliveryof medicine.

Hidden from those in thepews, however, the canonizedsacraments of EBM are based onconditions that can only beconsidered a loose representationof everyday clinical reality. It isironic “…that there is currentlylittle evidence that EBM hasactually improved patientcare.”1, 2 Doctors be aware, theauthoritative bodies that dictateand mandate the practice ofmedicine may use an allegoricalsyntax to increasingly influenceand enforce how you shouldpractice. Large EBM studies aredesigned to prove efficacy for themasses as well as to considercost. They rarely are created forthe individual nor are theysensitive and amenable to whathappens in the aftermath of theirimplementation.2

Not all populations are thesame; as any researcher can tellyou, the dosing and delivery of adrug or device in a clinical studyis often a departure from how it isoffered and delivered in clinicalpractice. I can tell you first handin clinical trials proving neuro-toxin efficacy, a 2/5-point scalereduction in a wrinkle score isrequired. And the toxin is recon-stituted with normal, non-pre-served saline. My daily clinicpatients would not tolerate thistype of practice as neurotoxinmixed with non-preserved salineas opposed to preserved has agreater tendency to be painful;and a two-point reduction in aglabella or crow's feet wrinkle ismore likely to lead to an unnatu-ral “frozen” appearance. Clearly,a deviation from the goals of thepatient.

Similarly, in a clinical studyproving efficacy of a filler, a one-point reduction in the depth of anasolabial fold (NLF) is required.However, I am limited to using aneedle and instructed to placethe filler into the dermis. For thecollagen stimulating filler, Poly L


AND NEUROMODULATORS FROM AN UNLIKELY SOURCE

lactic acid, Scultptra, I am askedto reconstitute the product with5cc of water. None of these fillerpractices are standard and thesemethods are more likely to lead tounnatural results. Andconcerningly, using needles inthe NLF if inadvertently placedtoo deep have a potential fordevastating complications. Yetonce the product is approved viawell done EBM studies, we areencouraged to follow these proto-cols in practice. Most teaching tothe novices is based on approvedlabel methods.

Last week, I was at a majorconference where I heard a youngacademic from a major institutionreport two of her vascular compli-cations following filler injectioninto a known risky zone using aneedle. I was astonished. Whereand how to inject filler safely witha large bore cannula is wellknown and defined by those withextensive experience in clinicalpractice. And while the safermore reliable methods for usingfillers and neurotoxins are beingtaught under the umbrellas ofCME, it is much less heraldedand often drowned out by thetidal wave of sponsored trainingsession using published EBMstudies.

Of course, it is understand-able, many have a vested interestin training more providers andthey are required to only teachthat which has been studied andproven safe. It makes sense thatregulating bodies and academicstasked with protecting the publicwant to make sure the on-labelmethods only are being promoted.But while such dogmas help toprotect from the rogue treatmentor treater, at the same time, theyharness the visionary and cre-ative adapters in technique andsafety. While the degrees ofimprovement in safety that areidentified and put into practice bythe progressive clinicians isusually small, the much largerimpact on clinical practice is theleap of improvement in cosmetic

outcomes that comes from “off-label” non-EBM methods instituted.

The problem we face is that ifnewer advancements are noteffectively transmitted to themasses of trained providers, thenthe vast majority of providers willuse the allegedly less safermethod and less natural outcomeproducing techniques defined inthe EBM trials. Those providersoffering safer and better outcomeswill be marginalized. A misledpublic will unduly develop anegative impression and fear of aproduct or treatment. And apromising industry is at risk forbeing commoditized and defeatedperhaps beyond repair.

Today, there are more oppor-tunities for those who read andwrite the language of EBM toreach the masses through spon-sored workshops, establishedmedia outlets, and traditionalpeer review print. But if ouruniversities, journals, and societ-ies want to remain relevant andreally protect and provide thebest and most current treatmentsto the public, then the estab-lished channels of yesteryear aregoing to have to bend to the rapidflow of non-EBM information fromthe selective disruptors.

A younger generation muchsavvier in disseminating informa-tion to the masses is coming ofage. They will be more apt todisregard journals, meetings, andsocieties and go straight to theconsumer if not given a seat atthe table. A movement that hasalready begun. Look no furtherthan the multiplying open accessand trade journals as well asvocal social media influencersforming a swelling and motivatedcrowd outside the gates. No courtis immune to a spirited majority.It is rather obvious today themost recognized physicians inany specialty are not those whohave published 100 scientificpapers, but rather the ones with100,000 Instagram followers.

Let this be a wake-up call tothose who control traditional

routes of information. It is time wemanage the reigns of EBM;define, focus, and limit its influ-ence. The data should be cau-tiously interpreted through a lensof reason and a commentary ofpracticality. And let's welcomeback to our meetings, journals,and societies the free thinkers,the Internet darlings, and theprogressives who have beenkicked to curb by EBM. We do nothave to adopt their ways but wecertainly can provide an honestand respected forum to hear theirprogressive thoughts withoutrequiring them to hire a PhD inmathematics to validate theirmessage. No field of medicineneeds its creatives more so thanthat of aesthetics. Let’s not losethem. M

References1. Ioannidis JPA. Evidence-basedmedicine has been hijacked: a reportto David Sackett. J Clin Epidemiol2016; 73:82e6.2. Fava GA, Guidi J, Rafanelli C,Sonino N. The clinical inadequacy ofevidence-based medicine and theneed for a conceptual frameworkbased on clinical judgment.Psychother Psychosom 15; 84:1e3.

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Are you eligible to vote?

Preparations for the 2018 AAFPRSelections will begin soon. Please makesure that you are eligible to vote.

O Do we have your current emailaddress? The election process will beonline and the ballot will be sent viaemail.O Have you paid your 2018 member-ship dues? If unsure, please contactmembership services.O Have you upgraded your membershipto member or fellow? In order to vote,excluding retired or emeritus mem-bers, you will need to be a member orfellow.

If you have any questions, pleasecontact membership services at (703)299-9291, ext. 225 or by email [email protected]. Thank you.


The summer issue of FacialPlastic Surgery Today(FPST) is full of timelyinformation targeted to

current and potential clientele.You will not want to miss theopportunity to share this newslet-ter in print and on your Web site.

The cover article, Beat theClock at Any Age, explains howthe right treatment at the righttime can help your beauty shine.With advances in skin care andsurgical and nonsurgical options,all patients can benefit andretain a youthful, confident glow.

The area around the eyes isone of the first features to showthe signs of aging. The insidearticle, Update Your Look Begin-ning with the Eyes, highlightsprocedures and treatments toaddress droopy eyelids, fat depos-its, sagging skin, lower lidcreases, puffiness, and crow'sfeet.

While rhinoplasty is the mostpopular procedure, there arepatients that want to know howthey can reshape their nosewithout surgery. The Ask theSuregon offers fillers as a non-surgical nose-reshaping option tofill divots or depressed areas, tolift the angle of the tip, or tosmooth the appearance of abump.

The Health Tip recommendslimiting sun exposure after facialplastic surgery to avoid discolora-tions or permanent scarring. Inparticular, for exfoliation, resur-facing, and most laser proce-dures, direct sunlight should beavoided during recovery and for aperiod of four weeks.

A recent study examined theaffects that Botox injections haveon scar formation and found thatit reduced both the bumpinessand the width of the scars. Thiswill be featured in the What's Newsection.

The final article, Skin Care toPrevent Skin Cancer, will alert andcaution readers on the damaging

FPST NEWSLETTER HELPS CLIENTS BEAT

THE CLOCK

effects of sun exposure andvarious ways to protect your skin.

Refer to the enclosed sub-scription form to order yourdigital copy of FPST today andstart your annual subscriptionwith this summer issue. You willreceive four issues for one fee of$560 and you can start sendingthese out to patients via emailand post them on your Web site.Don’t delay your subscription. M

START YOUR ANNUAL SUBSCRIPTIONWITH THE SUMMER ISSUE BY JULY 1 ANDGET THE SPRING ISSUE FOR FREE.

READING MATERI-

ALS FOR YOUR

RECEPTION AREA

Make use of all themarketing materialsthe Academy has tooffer. Patients rely on

you to provide them with authori-tative resources—and yes, still inprint format—to educate them oncosmetic and reconstructiveoptions. Two exceptional offeringsthat provide up-to-date informa-tion in a beautifully printedformat are The Face Book and thepatient brochure series.

The Face Book: A ConsumersGuide to Facial Plastic Surgery wasfirst printed in 1988, with thesecond edition in 1998, and athird, expanded edition in 2009.This quintessential guide to facialplastic surgery has been ex-tremely popular with consumersas the ultimate resource for facialaesthetics. The most recentedition features the trends andtreatments with three new chap-ters devoted to non-invasiveprocedures. Full-color before andafter photos have been added, inaddition to patient testimonials.Purchase copies to display inyour waiting rooms and to send toreferral sources. Go towww.aafprsfacebook.org to view asample of the book.

Patient brochures are a stapleof every physician office. Thereare 12 titles in the series. Eachmajor procedure is described in asingle brochure. The informationis comprehensive and under-standable, with the goal of beinga starting point for patients todiscuss with you. You can vieweach brochure’s content onlineat: www.aafprs.org/for-patientsor you can contact GlendaShugars at the AAFPRS office([email protected]) to sendyou some samples.

Refer to the adjacent form toorder these patient informationmaterials for your office. See page23 for a 10 percent coupon gooduntil July 1, 2018. M

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CLASSIFIED AD

FOR SALE BY OWNER“Turn-key” facial plastic sur-gery-ENT private practice inprestigious Arlington Heights,IL, a Northwest Chicago sub-urb. Step right in to join orreplace a facial plastic-ENTsurgeon. This site and uniqueopportunity would make anideal primary or secondaryoffice for expansion of anexisting practice. Text (847)738-6452 for more information.


By Donna Fay,OFPSA President

One of themostrewardingexperiences a manager

can have is to build a team ofhardworking, dedicated individu-als who share common goals.Great teams can accomplishgreat things; and leaders withgreat teams, usually are extraor-dinarily happy and successful.

One of the best methods toincrease retention and satisfac-tion, while ensuring team andindividual success is through asolid onboarding process. Manyleaders consider effectiveonboarding to be the essentialingredient to developing a top-performing team. Consider incor-porating the following into yourstaff management plan.

Structured planThis can be as simple as a check-list of necessary paperwork,

FIVE ONBOARDING ESSENTIALS FOR

NEW STAFF

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specific training topics, trainerassignments, and dates ofcompletion. Organizing a set ofonboarding tasks in advance ofan employee's first day willensure nothing slips through thecracks. It also communicates anemployer's commitment andprofessionalism to the newemployee.

Written job descriptionsThis is critically important tohave available, as it serves as abig-picture view of the role andresponsibilities associated witha position and how and wherevarious roles and responsibilitiesintersect within a practice.

Mentor matchingMake existing staff an active partof a new employee's integrationprocess; it ensures a smooth andculturally rich onboarding experi-ence. Assigning mentors forspecific training opportunitiesprovides new employees with

experience, knowledge, andhistoric perspective, while affirm-ing existing employees' value tothe organization.

Feedback loopPerhaps most important for anynew employee is having clear andconsistent communication aboutexpectations and the progressbeing made toward meeting thoseexpectations. A well-constructedfeedback loop encourages every-one to regularly seek the besttraining processes and stepspossible. Additionally, coursecorrections can be made withoutmuch angst if strong lines ofcommunication are establishedand maintained throughout theonboarding process.

Building a strong, long-lastingteam is one of the true pleasuresof being a leader. The care andattention you invest at the onsetfor a new hire will pay dividendsof incalculable value in thefuture. M

From Emerging Trends, page 6Silhouette InstaliftTM to theBrevard County Sheriff's Officeand their fight against domesticviolence. We advertised theprocedure in a local lifestylemagazine and incorporated apicture with the sheriff and aquote from him. Our patients andstaff really loved this. M

This column is designed to shareinnovations in treatment, surgicalprocedures, implants, and otherdevices for review and considerationby the reader, within the context ofhis or her own practice. The viewsexpressed are those of the author(s).

If you have any questions orconcerns, please send committeechair Jason Bloom, MD, an email [email protected].

INSTALIFT

From Cover Story, page 1Last year’s annual meeting

launched the Young PhysiciansForum, which was held the daybefore the meeting, giving youngphysicians a chance to attendcommittee meetings. This wasvery successful with over 125attendees including young andnot so young physicians. Thisyear, we will hold the now calledPhysicians Business Forum onSunday, October 14, the sameday as all the committee meet-ings; so plan to come a day early.

The co-chairs, John Frodel,MD; Mary Lynn Moran, MD; andKrishna Patel, MD, along withmeetings director Phillip R.Langsdon, MD, are working on anexemplary program. It will starton Monday and end on Thursday.There will be four days of rhino-

FOUR DAYS OF LEARNING AND FUN

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plasty, facial rejuvenation sur-gery, facial reconstructive sur-gery, and non-invasive, emergingtrends, and new technology. Inaddition, there will be four morn-ings of office staff training andmanagement and four afternoonsof business/marketing/media (forphysicians and staff). This willprove to be the best business,marketing, media, and stafftraining program ever assembled!

The exhibit hall will havenearly 100 companies showcas-ing their products and servicesand will be open until lunch onThursday. Sponsored activitiesand evening live demonstrationsare on track and will only makeyour experience better.

Plan now to attend. See pages12 and 13 for registration andhousing information. M


Annual Report


2018

JUNE 23-24ABFPRS EXAMINATIONWashington, DC

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

FACIAL PLASTIC TIMES

MAY/JUNE 2018

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OCTOBER 15-1812TH INTERNATIONAL SYMPOSIUMOF FACIAL PLASTIC SURGERY ANDAAFPRS ANNUAL MEETINGDallas, TXCo-sponsored by the InternationalFederation of Facial Plastic SurgerySocieties (IFFPSS)Co-chairs: John L. Frodel, Jr., MD; MaryLynn Moran, MD; and Krishna Patel, MD

*Endorsed by the AAFPRS Foundation

BRAND NEW VIDEOS ORDER FORMUse this form to order your copies of these brand new videos.

( ) Practice Management and Pearls Series, Cat. 1705-1708 (four videos)( ) n/c for all four (AAFPRS members only), streaming only

(access via https://www.aafprs-learn.org/dickinson.aspx.)( ) $175 for all four DVDs

( ) Injectable Live Demonstrations( ) Part I, Cat. 806 ( ) Part II, Cat. 807( ) $110 each, streaming only( ) $130 each, DVD

TOTAL $________________( ) Check (made out to AAFPRS Foundation)( ) Visa ( ) MasterCard ( ) American Express

Card number: __________________________________________ Sec Code: ________

Exp. Date: ___________ Signature: _____________________________________________

Ship to (for DVD only):

Name: _______________________________________________________________________

Address:______________________________________________________________________

__________________________________________________________________________________

Phone: _______________________________ Fax: _________________________________

For streaming, please provide your email (print legibly)

Email: ______________________________________________________________________Please fax this form to the AAFPRS office at (703) 299-8284 or email it [email protected]. Checks can be mailed to: Educational and ResearchFoundation for AAFPRS, P.O. Box 223861, Chantilly, VA 20153-3861. Pleaseallow up to two weeks for delivery.

SAVE 10% on patient brochures, DVDs, The Face Book,and other items in the Products Catalog (expires July 1).To view the full catalog, visit www.aafprs.org; go to Physicians, then click on

AAFPRS Store. (Discount does not apply to streaming videos on LEARN.)

More new videos surfacethis month. In Chicagolast April, during theFacial Rejuvenation:

Master the Techniques meeting,the two-day practice managementprogram and the five-hour liveinjection course were filmed.

The round table format led bySteven H. Dayan, MD, for thepractice management programreceived rave reviews. Topicsranged from growing your prac-tice to patient retention, legalissues to alternative sources ofrevenue, what patients want tosee and feel in your office, exitstrategies and lifestyle choices,and what we can all learn from acar salesman. All this equalledclose to 10 hours of lively discus-sions and audience interaction—condensed into four videos.

The live injectables sessionscovered HA fillers—includingpolymethyl methacrylate(PMMA)—and neuromodulatorsfor the full face including treat-ment of nasolabial folds, teartrough, cheeks, oral commissure,as well as lip augmentation andthread lifting.

The first session, day one,was moderated by Jonathan M.Sykes, MD, and injectors were Dr.Dayan and Julius Few, MD (partone, cat. 806). The second ses-sion, day two, was moderated byAlexander Rivkin, MD, andinjectors were Otto Placik, MD;Landon Pryor, MD; and MichaelSomenek, MD (part two, cat. 807).

These videos are now avail-able for streaming. There is nocharge to AAFPRS members tostream the practice managementvideos. You can obtain access tothis by logging into LEARN atwww.aafprs-learn.org. If you wantthe DVDs of the practice manage-ment videos, you can order themby completing the adjacent form.

For a complete list of videos,visit www.aafprs-learn.org/dickinson.aspx. M

Enclosed in this May/June issue ofFacial Plastic Times is theFPST Subscription Form.

NEW VIDEOS:

PRACTICE TIPS &MANAGEMENT,

LIVE INJECTIONS

Vol. 39, No. 4 - ABCPF · May/June 2018 Facial Plastic Times 1 May/June 2018 Vol. 39, No. 4 DALLAS,...

Documents

Transcript of Vol. 39, No. 4 - ABCPF · May/June 2018 Facial Plastic Times 1 May/June 2018 Vol. 39, No. 4 DALLAS,...