table of contents - cosmetic surgery lexington, ky · relating to rhinoplasty, and on injectable...

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Table of ContentsTable of ContentsTable of ContentsTable of ContentsTable of Contents

Welcome Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Invited Speakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Meeting Information and Events . . . . . . . . . . . . . . . . . . 6

Schedule-at-a-Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Thursday Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Plenary Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Friday Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Breakfast Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Plenary Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Luncheon/Lecture . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Instruction Courses IC1-IC40 . . . . . . . . . . . . . . . . .12

Saturday Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Breakfast Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Plenary Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Luncheon/Lecture . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Instruction Courses IC41-IC70 . . . . . . . . . . . . . . . 16

Free Paper Presentations . . . . . . . . . . . . . . . . . . . . . 18

Sunday Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Joint Session with AAO-HNS . . . . . . . . . . . . . . . . . 20

Corporate Donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Session and Course Descriptions . . . . . . . . . . . . . . . . . . . 21

Aging Face, Blepharoplasty, and Hair . . . . . . . . . . 21

Minimally Invasive and Laser Surgery . . . . . . . . . 26

Practice Management, Professional

Development and Ethics . . . . . . . . . . . . . . . . . . . 28

Rhinoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Reconstruction and Trauma . . . . . . . . . . . . . . . . . . 36

Workshop Descriptions and Schedule . . . . . . . . . . . . . . 39

Applications for Hair Restoration Workshop . . . 39

Laser and Light Therapies Workshop . . . . . . . . . . 39

Injecting in the 3rd Dimension . . . . . . . . . . . . . . . . 40

Essentials in Facial Plastic Surgery . . . . . . . . . . . . . 41

Practice Management Workshop (Zupko) . . . . . 41

OFPSA Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Free Paper Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Poster Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Faculty and Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Member Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Awards and Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Exhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

About the AAFPRS and Leadership . . . . . . . . . . . . . . . . 87

Howard W. Smith Legacy Society . . . . . . . . . . . . . . . . . 88

Target AudienceTarget AudienceTarget AudienceTarget AudienceTarget AudienceThe meeting is offered for continuing medical education ofmedical students, residents, fellows, and practicing physicians(MDs and DOs) in the field of facial plastic and reconstructivesurgery. The program is for physicians with all levels of experi-ence and covers aesthetic, reconstructive, and congenital issuesrelevant to this specialty.

Accreditation and Credit DesignationAccreditation and Credit DesignationAccreditation and Credit DesignationAccreditation and Credit DesignationAccreditation and Credit DesignationThe AAFPRS Foundation is accredited by the AccreditationCouncil for Continuing Medical Education (ACCME) to sponsorcontinuing medical education for physicians. The AAFPRSFoundation designates this live activity for a maximum of 27.5AMA PRA Category 1 CreditsTM. Physicians should claim onlythe credit commensurate with the extent of their participation inthe activity.

Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesThe course directors, AAFPRS Foundation, and CME Committeestrive to formulate a program that is contemporary, unbiased,and relevant. At the conclusion of the meeting, participantsshould be able to:WDiscuss the options and latest surgical procedures available for

treatment of advanced aging of the upper faceWSelect appropriate surgical treatment strategies for moderate to

advanced aging of the lower face and neckWExplain the most up-to-date concepts in the development of

facial agingWDiscuss minimally invasive treatments for mild to moderate

facial agingWDefine the use of neurotoxins, lasers and peels for rejuvenationWSelect the appropriate application of facial filler materialsWComprehend advanced techniques in treating the crooked noseWDiscuss the importance of maintaining form and function in

cosmetic rhinoplastyWExplain methods for obtaining long lasting results in rhinoplastyWDefine the principles of nasal reconstructionWSelect appropriate facial reconstruction techniquesWIncorporate evidence-based medicine into facial plastic surgeryWDiscuss what works in hair transplantationWCompare the latest lasers available for facial rejuvenationWIdentify the most common complications in facial plastic surgery

and how to avoid themWDiscuss options for microtia reconstructionWDescribe nuances of facial gender transformationWDefine facial beauty

Evaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms arelocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourmember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, isrequired to complete the on-line process.required to complete the on-line process.required to complete the on-line process.required to complete the on-line process.required to complete the on-line process.

Located next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is analphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-lineCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of notetaking.taking.taking.taking.taking.

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Welcome from the ChairsWelcome from the ChairsWelcome from the ChairsWelcome from the ChairsWelcome from the Chairs

Welcome to San Francisco --a vibrant andenergetic city, and this year's host to the 46th46th46th46th46thAnnual Fall MeetingAnnual Fall MeetingAnnual Fall MeetingAnnual Fall MeetingAnnual Fall Meeting of the AmericanAcademy of Facial Plastic and ReconstructiveSurgery. In keeping with the innovative anddynamic culture of this exciting city, wehave assembled one of the finest groupsof inter-disciplinary teaching faculty inAAFPRS history, and we are hoping thatyou will want to join us. With presentationscovering a wide range of diverse and timelytopics, this year's meeting promises tocontinue the Academy's 46-year tradition ofteaching excellence. Our luxury flagship hotel,the Westin Market Street, is located in theheart of San Francisco, only steps away fromthe Moscone Convention Center--site of thisyear's fall meeting. The culinary, cultural, andshopping amenities of scenic San Francisco areliterally only blocks away. In addition to 10 panels, featuring new

perspectives on traditional techniques, and a host of new topicssuch as facial gender transformation surgery, building a finan-cially-viable reconstructive surgery practice, and evidence-basedmedicine; expert moderators have been tasked with generating aspirited and controversial discussion among diverse and seasonedpanelists. A two-hour panel on complications in facial plasticsurgery will also continue the Academy's emphasis on patientsafety and complication avoidance, and the Emerging Trendsand Technologies Forum has been expanded to include one-hourlunch sessions on both Thursday and Saturday. Prominentnational and international speakers will be featured throughoutthe meeting to share their insights and expertise on a variety offacial plastic surgery topics. A dozen breakfast sessions and 70instructional courses, including a wide range of ancillary topicssuch as social media, frivolous lawsuit protection, practicemanagement, and marketing strategy, will also be featured onFriday and Saturday. In-depth workshops, some with live patientdemonstrations, will include laser and light therapy, injectablefillers, hair transplantation, and essential concepts in facial plasticsurgery. Noted practice consultant, Karen Zupko, will also offer aspecial in-depth course designed to optimize business practices intoday's challenging economic environment. A joint session withthe American Rhinologic Society is also scheduled for Sundaymorning entitled "The Nose, Inside and Out." Thanks to our Academy president, Jonathan M. Sykes, MD,our featured guest speakers will no doubt enhance this year'sAAFPRS meeting. Former AAFPRS president, colleague, andesteemed surgeon Fred J. Stucker, MD, this year's Gene TardyScholar will deliver the Tardy lecture, "The Rhinoplasty Voyage -A Pleasant But Humbling Journey." Mohit Bhandari, MD, MS,orthopedic surgeon, scholar, and noted authority in evidence-based medicine, will present the Jack Anderson Lectureship,"Moving Toward Evidence-based Facial Plastic Surgery: A RoadMap." The John Conley Lectureship given by NASA missionspecialist and Space Shuttle Astronaut Richard Linnehan, DVM,is a truly other-worldly presentation entitled "A Short TripOff Planet: An Astronaut's Perspective on Living and Working inLow Earth Orbit." Finally, retired FBI agent Candice DeLong willaddress the Women in Facial Plastic Surgery regarding herdistinguished career in law enforcement.

Steven J.Pearlman, MD

Richard E.Davis, MD

In addition to the physician-oriented educational offerings,the Organization of Facial Plastic Surgery Assistants (OFPSA),headed by Tracy Drumm, has developed an outstanding two-day program catering to the newly hired assistant and theveteran staff member alike. Don't miss this opportunity toreward your office staff while getting the most out of yoursurgical practice. Finally, numerous social events, a (silent) artauction, and scores of exhibitors featuring the latest in facialproducts and services, round out this year's annual gathering. Late summer in San Francisco promises idyllic weather tohighlight the majestic hills and coastline of Northern Californiaand this year's AAFPRS meeting offers an irresistible mix of high-caliber continuing medical education, exciting social activities,and the ambience of one of America's most spectacular cities. Weare delighted to bring you this quality educational program andwe look forward to seeing you in San Francisco.

Welcome from the AAFPRS PresidentWelcome from the AAFPRS PresidentWelcome from the AAFPRS PresidentWelcome from the AAFPRS PresidentWelcome from the AAFPRS President

On behalf of the American Academy ofFacial Plastic and Reconstructive Surgery, itis my pleasure to welcome you to SanFrancisco, the site of the 2011 Annual FallMeeting. San Francisco provides a beautifulsetting for this meeting, combining intercitysophistication and culture with wonderfulCalifornia weather and charm. This year's meeting, expertly chaired bySteven J. Pearlman, MD and Richard E.

Davis, MD, includes one of the finest interdisciplinary teachingfaculties. The plenary session is filled with expert panels on upperand lower facial aging treatments, sessions on various topicsrelating to rhinoplasty, and on injectable fillers andneuromodulators. The conference is filled with 12 breakfastsessions and over 70 instructional courses. The OFPSA program is very strong and provides importantinformation to our staff about the products and services ofrepresentative companies, and how to best operate our practices. You should not miss the keynote lectures given by ourhonored speakers. Fred J. Stucker, MD, this year's Gene TardyScholar, will share his journey in the realm of rhinoplasty surgery.Mohit Bhandari, MD, MS, will present the Jack AndersonLectureship. This lecture promises to change our perspective inthe way we formulate questions and search for answers. TheJohn Conley Lectureship will be given by astronaut RichardLinnehan, DVM. Lastly, Candice DeLong, a retired FBI agent,will delivery the Women in Facial Plastic Surgery keynoteaddress regarding her distinguished law enforcement career. I’d like us all to convene at the 2-hour Welcome Receptionon Thursday, beginning at 6:30pm in the Exhibit Hall. This willbe an excellent opportunity for us to mingle, unwind, andinteract with our loyal exhibitors. For the young physicians andresidents, PCA Skin is sponsoring an event just for you--A Nighton the Town--immediately following the reception. This year's meeting will be a tremendous educational eventcombined with a fabulous social program! I genuinely wish youan exceptional educational experience and a marvelous few daysenjoying the sights and sounds of San Francisco.

Jonathan M.Sykes, MD

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Invited Guest SpeakersInvited Guest SpeakersInvited Guest SpeakersInvited Guest SpeakersInvited Guest Speakers

John Conley LectureshipJohn Conley LectureshipJohn Conley LectureshipJohn Conley LectureshipJohn Conley LectureshipRichard M. Linnehan, DVM, MPARichard M. Linnehan, DVM, MPARichard M. Linnehan, DVM, MPARichard M. Linnehan, DVM, MPARichard M. Linnehan, DVM, MPA, is aveterinarian trained in comparative patho-physiology. He has spent 58 days in spaceand is currently serving on temporaryassignment from the National Aeronauticsand Space Administration (NASA) asdirector for space science, policy, andeducation with the Texas A&M UniversitySystem. This partnership was initiated to help

reinvigorate space-related research critical to NASA's currentand future mission. Dr. Linnehan earned his doctorate of veterinary medicinefrom the Ohio State University and served a two-year, jointinternship in zoo animal medicine and comparative pathology atthe Baltimore Zoo and the Johns Hopkins University. Followinghis internship, he was commissioned as a captain in the U.S. ArmyVeterinary Corps, where he became chief clinical veterinarianfor the U.S. Navy's Marine Mammal Program. In 1992, he wasselected by NASA and flew his first space shuttle mission in 1996aboard STS-78, the Life Sciences and Microgravity Spacelabmission. His four space flights aboard Space Shuttles Columbiaand Endeavour included visits to the Hubble Space Telescopeand International Space Station, as well as six spacewalks totaling42 hours and 11 minutes. As the invited Conley lecturer, the AAFPRS is pleased to hearDr. Linnehan speak on, "A Short Trip Off Planet: An astronaut'sperspective on living and working in low earth orbit."

Jack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipMohit Bhandari, MD, PhD, MSc,Mohit Bhandari, MD, PhD, MSc,Mohit Bhandari, MD, PhD, MSc,Mohit Bhandari, MD, PhD, MSc,Mohit Bhandari, MD, PhD, MSc,FRCSCFRCSCFRCSCFRCSCFRCSC, is associate professor in the Depart-ment of Surgery at the McMaster Universityand attending staff at the Hamilton HealthSciences Centre. Dr. Bhandari earned hismedical degree from the University ofToronto. He completed both his orthopaedicand master's of clinical epidemiology and

biostatistics training at McMaster University. Dr. Bhandari'sclinical interests include the management of patients withcomplex lower extremity fractures and fractures of the pelvis andacetabulum. He has received international recognition for hisresearch efforts including a nationally recognized CanadaResearch Chair in Musculoskeletal Trauma, the Edouard J.Samson Award for a Canadian orthopaedic surgeon with thegreatest impact on research in the last five years, the Founder'sMedal for Research, and Randomized Trial Mentoring Awardfrom the Canadian Institutes of Health Research. He currentlyholds funding from the National Institutes of Health and Cana-dian Institutes of Health for large multicenter trials of tibialfracture management. Most regard Dr. Bhandari as the foremost authority in thetranslation of orthopaedic research to evidence-based ortho-paedics. He currently holds the position of Section Editor forEvidence-Based Orthopaedic Surgery in the Journal of Ortho-paedic Trauma. The Academy is honored to have Dr. Bhandari speak on"Moving Toward Evidence-Based Plastic Surgery: A Road Map."

Gene Tardy ScholarGene Tardy ScholarGene Tardy ScholarGene Tardy ScholarGene Tardy ScholarFred J. Stucker, MDFred J. Stucker, MDFred J. Stucker, MDFred J. Stucker, MDFred J. Stucker, MD is this year’s GeneTardy Scholar. He has contributed to thefield of facial plastic surgery in many waysand served the AAFPRS in various roles andcapacities. Before the AAFPRS fellowshipprogram was officially launched, Dr. Stuckerhad a six-month fellowship with M. EugeneTardy, Jr., MD, and G. Jan Beekhuis, MD.

He has been a fellowship director for the past 25 years, 1984-2011. Dr. Stucker was on the Board of Directors of the AAFPRSfrom 1980 to 1984 and served as Academy president in 1991.Among many accomplishments, Dr. Stucker was directlyinvolved with FACE TO FACE: International and led the firstmedical delegation to the Interior Yekaterinburg, Russia. Dr. Stucker has served as chair of training programs for over40 years with the U.S. Navy and the Louisiana State UniversityHealth Sciences Center. He has been chair of the Department atthe National Naval Medical Center and consultant to theSurgeon General. He has attended to four presidents profession-ally. Dr. Stucker is the recipient of the Ira Tresly ResearchAward, Larry Schoenrock Award, AAO-HNS DistinguishedService Award, and many more. Dr. Stucker will address the membership with his talk on"The Rhinoplasty Voyage - A Pleasant but Humbling Journey."

Women in Facial Plastic Surgery Guest SpeakerWomen in Facial Plastic Surgery Guest SpeakerWomen in Facial Plastic Surgery Guest SpeakerWomen in Facial Plastic Surgery Guest SpeakerWomen in Facial Plastic Surgery Guest SpeakerA 20-year veteran of the FBI, CandiceCandiceCandiceCandiceCandiceDeLong DeLong DeLong DeLong DeLong worked on some of the toughesthigh-stakes criminal investigations of ourtime. Agent DeLong helped track thenotorious TYLENOL KILLER and was oneof three agents hand-picked to mastermindthe Montana manhunt for theUNABOMBER. She went undercover formajor stings and once as a Madame for a

call-girl ring. Come hear her remarkable personal story of dramaand danger on the front lines of law enforcement, of the art andscience of criminal profiling, and the challenge of maintainingcourage, wise-cracking humor, and grace under fire. CandiceDeLong will reveal what life is like for a female FBI agent and thekiller instinct needed to survive. As always, the event will conclude with a Q&A session.

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Academic Practice LuncheonAcademic Practice LuncheonAcademic Practice LuncheonAcademic Practice LuncheonAcademic Practice Luncheon(MCC 130) Not a CME ActivityAll AAFPRS members in an academic practice are invited toattend this luncheon, Saturday, September 10, 2011 from Noonto 1:00pm. There is no fee to attend, but registration is required.

Credentials TableCredentials TableCredentials TableCredentials TableCredentials Table(MCC 134 Foyer)The Business Meeting and Elections is on Saturday, September10, 2011 at 10:45am. Those who have not voted by mail need topick up their ballots prior to the Business Meeting in order tovote. The Credentials Table will open at 10:00am on Saturday.

ExhibitionExhibitionExhibitionExhibitionExhibition(MCC Hall D)The Exhibition will be at the Moscone Convention Center andwill have nearly 120 companies featuring their latest productsand technology. All breaks and lunches, as well as theWelcome Reception, will be held in the exhibit hall to maximizeyour time with our loyal exhibitors. The Exhibit Hall will closepromptly after the afternoon break on Saturday. Only registeredattendees will be admitted into the exhibit area. The exhibitionhours are as follows:

Thursday, September 8 Noon - 4:30pm Welcome Reception 6:30pm - 8:30pmFriday, September 9 10:00am - 4:30pmSaturday, September 10 10:00am - 4:30pm

Fellowship Directors LuncheonFellowship Directors LuncheonFellowship Directors LuncheonFellowship Directors LuncheonFellowship Directors Luncheon(MCC 112) Not a CME ActivityAll AAFPRS fellowship directors areinvited to a luncheon on Friday,September 9, 2011 from Noon to1:00pm.

Founders Club DinnerFounders Club DinnerFounders Club DinnerFounders Club DinnerFounders Club DinnerNot a CME ActivityA dinner for all Founders Club members will be held off-site onFriday, September 9, 2011 and is by invitation only.

IFFPSS Board DinnerIFFPSS Board DinnerIFFPSS Board DinnerIFFPSS Board DinnerIFFPSS Board DinnerNot a CME ActivityA dinner for the International Federation of Facial PlasticSurgery Societies (IFFPSS) Board will be held off-site on Satur-

day, September 10, 2011 at 8:00pm.

Meeting Site and Hotel InformationMeeting Site and Hotel InformationMeeting Site and Hotel InformationMeeting Site and Hotel InformationMeeting Site and Hotel InformationThe meetings and exhibitions will be held at theMoscone Convention CenterMoscone Convention CenterMoscone Convention CenterMoscone Convention CenterMoscone Convention Center (MCC).747 Howard Street, San Francisco, CA 94103

Some workhops will be held at the AAFPRS headquartershotel, the Westin San Francisco Market Street Hotel (Westin).50 Third Street, San Francisco, CA 94103Phone: (415) 974-6400Fax: (415) 543-8268

Past Presidents’ DinnerPast Presidents’ DinnerPast Presidents’ DinnerPast Presidents’ DinnerPast Presidents’ DinnerA dinner for all AAFPRS past presidents will be held off-site onThursday, September 8, 2011 and is by invitation only.

On-Site RegistrationOn-Site RegistrationOn-Site RegistrationOn-Site RegistrationOn-Site Registration(MCC North Upper Lobby)Registration fees for physicians, OFPSA members, and alliedhealth professionals include a badge; on-site program; attendanceto the plenary sessions, instruction courses, seminars, andworkshops (unless noted as optional); entrance to the ExhibitHall; lunches, morning and afternoon breaks; and the WelcomeReception. Spouses and guest fees include a badge; entrance to thesessions and Exhibit Hall; breaks and lunches; and the WelcomeReception. Spouses/guests who do not register for the meetingbut wish to attend the Welcome Reception, may purchase aticket for $75. The spouse/guest fee carries no acknowledgementof course attendance. Registration will be at the Moscone Convention Center andthe hours are as follows:

Wednesday, September 7 3:00pm - 6:30pmThursday, September 8 6:30am - 6:30pmFriday, September 9 6:30am - 6:30pmSaturday, September 10 6:30am - 6:30pm

Residents ReceptionResidents ReceptionResidents ReceptionResidents ReceptionResidents Reception(Westin, Metropolitan III)Immediately following the Essentials in Facial Plastic SurgeryCourse is a reception for residents. This is on Saturday, September10, 2011 from 6:00pm to 7:00pm.

Speaker Ready RoomSpeaker Ready RoomSpeaker Ready RoomSpeaker Ready RoomSpeaker Ready Room(MCC 111)The Speaker Ready will be open daily. All speakers are asked tovisit the AV technician regarding their talks.

Women in Facial Plastic Surgery LuncheonWomen in Facial Plastic Surgery LuncheonWomen in Facial Plastic Surgery LuncheonWomen in Facial Plastic Surgery LuncheonWomen in Facial Plastic Surgery Luncheon(MCC Rm 130) Not a CME activityAll registered attendees are invited to attend the luncheonsponsored by the Women in Facial Plastic Surgery Committee onThursday, September 8, 2011 from Noon to 1:00pm. Invitedguest speaker is retired FBI agent Candice DeLong. There is nofee to attend, but registration is required.

Welcome ReceptionWelcome ReceptionWelcome ReceptionWelcome ReceptionWelcome Reception(MCC Hall D) Not a CME ActivityAll registered attendees are invited to the Welcome Reception onThursday, September 8, 2011 in the Exhibit Hall from 6:30pm to8:30pm. This will be an opportunity for you to mingle with yourcolleagues and meet and greet some new ones as well as discoverwhat the exhibitors have brought to our exhibition. Guests andspouses who are not registered for the meeting may purchase a$75 ticket to attend the Welcome Reception.

Young Physicians EventYoung Physicians EventYoung Physicians EventYoung Physicians EventYoung Physicians EventNot a CME ActivityAll young physicians are invited to attend a dinner courtesy ofPCA Skin on Thursday, September 8, 2011 from 9:00pm to11:00pm. See details on page 27 of this brochure.

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Schedule-at-a-GlanceSchedule-at-a-GlanceSchedule-at-a-GlanceSchedule-at-a-GlanceSchedule-at-a-Glance

The plenary sessions, breakfast sessions, instruction courses, exhibition, and most workshops will be held at the Moscone ConventionCenter (MCC). Wednesday committee and Board meetings and some workshops will be at the Westin Market Street Hotel (Westin).

SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 20116:30am - 6:30pm Registration

(MCC North Upper Lobby)6:30am - 7:30am Breakfast Sessions

(MCC, see page 14 for rooms)7:30am - 2:35pm Plenary Session

(MCC 134) 10:45am - Noon Business Meeting

Incoming President’s Address 1:00pm - 1:45pm John Conley Lectureship 1:45pm - 2:35pm Free Paper Presentation

(MCC, see pages 18-19 for rooms)

8:00am - 3:45pm Optional: Practice Management Workshop(Westin Metropolitan I)

10:00am - 4:30pm Exhibition(MCC Hall D)

Noon - 1:00pm Emerging Trends and Technologies, Part 2(MCC Hall D)Academic Practice Luncheon(MCC 130)Lumenis Lecture and Luncheon(MCC 131)

1:00pm - 5:00pm Injectable Fillers Workshop

(MCC 133)1:00pm - 7:00pm Essentials in Facial Plastic Surgery

and Residents Reception(Westin Metropolitan III)

2:00pm - 4:00pm IFFPSS Board Meeting(MCC 113)

2:45pm - 6:35pm Instruction Courses IC41-IC70(MCC, see page 16 for rooms)

4:00pm - 8:00pm ABFPRS Board Meeting(Westin Metropolitan II)

8:00pm - 11:00pm IFFPSS Board Dinner(off-site)

SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 201110:30am - 11:50am Joint Plenary Session with ARS

(MCC 135)11:50am Meeting Adjourned

WEDNESDAY, SEPTEMBER 7, 2011WEDNESDAY, SEPTEMBER 7, 2011WEDNESDAY, SEPTEMBER 7, 2011WEDNESDAY, SEPTEMBER 7, 2011WEDNESDAY, SEPTEMBER 7, 20116:30am - 3:30pm Committee Meetings

(Westin)3:30pm - 10:30pm Board Meetings

(Westin)3:00pm - 6:30pm Registration

(MCC North Upper Lobby)

THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 20116:30am - 6:30pm Registration

(MCC North Upper Lobby)7:00am - 6:30pm Plenary Session

(MCC 34) 1:00pm - 1:30pm Gene Tardy Scholar Lecture

Noon - 1:00pm Emerging Trends and Technologies, Part 1(MCC Hall D)Women in Facial Plastic Surgery Luncheon(MCC 130)

Noon - 4:30pm Exhibition(MCC Hall D)

6:30pm - 8:30pm Welcome Reception in the Exhibit Hall(MCC Hall D)

9:00pm - 11:00pm Young Physicians Event(off-site)

8:30pm - 11:00pm Past Presidents Dinner(off-site)

FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 20116:30am - 6:30pm Registration

(MCC North Upper Lobby)6:30am - 7:30am Breakfast Sessions

(MCC, see page 10 for rooms)7:30am - 5:30pm Plenary Session

(MCC 134) 11:00am - 11:20am ABFPRS Awards 11:20am - Noon Jack Anderson Lectureship 1:00pm - 1:15pm AAFPRS Awards 1:15pm - 1:30pm Outgoing President’s Address

10:00am - 4:30pm Exhibition(MCC Hall D)

Noon - 1:00pm Fellowship Directors Luncheon(MCC 112)Kythera Lecture and Luncheon(MCC 130)

1:00pm - 6:10pm Laser and Light Therapies Workshop(MCC 133)

1:30pm - 3:20pm Hair Restoration Workshop(MCC 134)

1:30pm - 6:10pm Instruction Courses IC1-IC40(MCC, see page 12 for rooms)

7:00pm - 10:30pm Founders’ Club Dinner(off-site)

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(MCC 134)7:00am - 7:15am Welcome and Opening Remarks

Steven J. Pearlman, MD andRichard E. Davis, MD, chairs

PLENARY SESSION 1PLENARY SESSION 1PLENARY SESSION 1PLENARY SESSION 1PLENARY SESSION 17:15am - 8:00am Guest Lecture: Lamellar High SMASGuest Lecture: Lamellar High SMASGuest Lecture: Lamellar High SMASGuest Lecture: Lamellar High SMASGuest Lecture: Lamellar High SMAS

Facelift: Single Flap Lifting of theFacelift: Single Flap Lifting of theFacelift: Single Flap Lifting of theFacelift: Single Flap Lifting of theFacelift: Single Flap Lifting of theMid-face, Cheek, and JowlMid-face, Cheek, and JowlMid-face, Cheek, and JowlMid-face, Cheek, and JowlMid-face, Cheek, and JowlTimothy J. Marten, MD

8:00am - 9:00am Panel: Treatment Strategies for Moderate toAdvanced Aging of Upper Face - Where isthe Pendulum Today?Moderator: Kriston J. Kent, MDPanelists: Timothy J. Marten, MD; Stuart R.Seiff, MD; Edwin F. Williams, III, MD; andH. Devon Graham, III, MD

9:00am - 10:00am Panel: Treatment Strategies for Moderate toAdvanced Aging of The Lower Face andNeck--How Much is Necessary and When?Moderator: Tom D. Wang, MDPanelists: Stephen W. Perkins, MD; JonathanM. Sykes, MD; Daniel E. Rousso, MD; andJulio Gallo, MD

10:00am - 10:30amGuest Lecture: New Concepts inGuest Lecture: New Concepts inGuest Lecture: New Concepts inGuest Lecture: New Concepts inGuest Lecture: New Concepts inFacial AgingFacial AgingFacial AgingFacial AgingFacial AgingVal Lambros, MD

10:30am - Noon Panel: Treatment Strategies for Mild toModerate Facial AgingModerator: Corey S. Maas, MDPanelists: Vic A. Narurkar, MD; ValLambros, MD; Raj Kanodia, MD; Thomas L.Tzikas, MD; and William J. Binder, MDThis panel will address comprehensiveapproaches to facial aging through casesfocusing on upper, mid and lower portionsof the face.

Noon - 1:00pm Lunch with Exhibitors(MCC Hall D)

Noon - 1:00pm Women in Facial Plastic Surgery Luncheon(MCC 130) Not a CME Activity

Noon - 1:00pm Emerging Trends and Technologies Part 1(MCC Hall D) Not a CME ActivitySee adjacent box for topics

1:00pm - 1:30pm Gene Tardy Scholar LectureGene Tardy Scholar LectureGene Tardy Scholar LectureGene Tardy Scholar LectureGene Tardy Scholar Lecture "The Rhinoplasty Voyage - A Pleasant butHumbling Journey"Fred J. Stucker, MD

(MCC 134)PLENARY SESSION 2PLENARY SESSION 2PLENARY SESSION 2PLENARY SESSION 2PLENARY SESSION 21:30pm - 2:15pm Guest Lecture: 30 Years Experience inGuest Lecture: 30 Years Experience inGuest Lecture: 30 Years Experience inGuest Lecture: 30 Years Experience inGuest Lecture: 30 Years Experience in

Extracorporeal Septal ReconstructionExtracorporeal Septal ReconstructionExtracorporeal Septal ReconstructionExtracorporeal Septal ReconstructionExtracorporeal Septal ReconstructionWolfgang Gubisch, MD

2:15pm - 3:00pm Break with Exhibitors(MCC Hall D)

3:00pm - 3:45pm Guest Lecture: My Approach toGuest Lecture: My Approach toGuest Lecture: My Approach toGuest Lecture: My Approach toGuest Lecture: My Approach toCosmetic RhinoplastyCosmetic RhinoplastyCosmetic RhinoplastyCosmetic RhinoplastyCosmetic RhinoplastyRonald P. Gruber, MD

3:45pm - 4:30pm Panel: Rhinoplasty: Beauty and FunctionAre They Mutually Exclusive?Moderator: Minas Constantinides, MDPanelists: Peter A. Hilger, MD; Ira D. Papel,MD; Stephen S. Park, MD; and Paul S.Nassif, MD

4:30pm - 6:30pm Panel: How to Obtain Stable Results inCosmetic Rhinoplasty -- A Year is NotEnoughModerator: Craig S. Murakami, MDPanelists: Dean M. Toriumi, MD; Ronald P.Gruber, MD; Wolfgang Gubisch, MD; PietroPalma, MD; Robert L. Simons, MD; andRussell W.H. Kridel, MD

6:30pm - 8:30pm Welcome Reception with Exhibitors(MCC Hall D) Not a CME Activity

8:00pm -11:00pm Past Presidents Dinner (Invitation Only)(off-site)

9:00pm -11:00pm Young Physicians and Residents Event(off-site, see page 27) Not a CME Activity

Emerging Trends and Technologies, Part 1Emerging Trends and Technologies, Part 1Emerging Trends and Technologies, Part 1Emerging Trends and Technologies, Part 1Emerging Trends and Technologies, Part 1Noon-1:00pm (MCC Hall D) Not a CME Activity

12:00-12:12pm Experience with Ulthera for FacialSkin Tightening, William White, MD

12:13-12:21pm Clinical Experience and Considerationsfor Ulthera in a Facial Plastic SurgeryPractice, Harry Mittelman, MD

12:22-12:29pm Topical Botulinum Toxin-A ProgressReport on An Important SudySteven H. Dayan, MD

12:30-12:42pm Selphyl for Facial Rejuvenation-AProgress Report, Aaron Shapiro, MD

12:43-12:48pm Use of "Needle Cannulas" for FillerInjections-A Change in TechniqueSteven H. Dayan, MD

12:49-12:56pm Two New Neuromodulators--An UpdateCorey S. Maas, MD

THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULE

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NOTESNOTESNOTESNOTESNOTESPlease use the space below to make notes to assist you in completing your on-line Evaluation and CME Tracking Survey. Informationcovered in the survey includes: attainment of stated learning objectives, appropriateness of content, effectiveness of speakers andfreedom from commercial bias. The Evaluation link is posted on the AAFPRS Web site at http://www.aafprs.org/meetings.htmland will be active until November 15, 2011.

THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011THURSDAY, SEPTEMBER 8, 2011DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULE

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6:30am - 7:30am Breakfast Sessions Breakfast Sessions Breakfast Sessions Breakfast Sessions Breakfast Sessions (BS1-BS6 concurrentsessions; descriptions are on the noted pages)

BS1BS1BS1BS1BS1 Seven-Step Marketing Plan: The Unique Needs of FacialPlastic Surgeons (Not a CME Activity) (p28)

(MCC 120) Candace CroweBS2BS2BS2BS2BS2 Protection Against Frivolous Lawsuits: DeterringMeritless Cases and Holding Proponents of Those CasesAccountable (p28)

(MCC 133) Mike Sacopulos, JD, Medical JusticeBS3BS3BS3BS3BS3 Managing Dissatisfied Patients - Legal, Ethical andFinancial Implications (p28)

(MCC 121) Catherine Winslow, MDBS4BS4BS4BS4BS4 Off Label Uses of Fillers and Neurotoxins (p21)

(MCC 130) Steven H. Dayan, MDBS5BS5BS5BS5BS5 Integrating Hair Restoration into a Facial Plastic SurgeryPractice (p21)

(MCC 131) John B. Bitner, MD; Jeffrey S. Epstein, MD;and Lisa Ishii, MDBS6BS6BS6BS6BS6 Superior Treatment Outcomes with Prescription andCosmeceutical Products (p26)

(MCC 132) Jennifer Linder, MD

(MCC 134)PLENARY SESSION 3PLENARY SESSION 3PLENARY SESSION 3PLENARY SESSION 3PLENARY SESSION 37:30am - 8:00am Guest Lecture: Endonasal SubtleGuest Lecture: Endonasal SubtleGuest Lecture: Endonasal SubtleGuest Lecture: Endonasal SubtleGuest Lecture: Endonasal Subtle

RhinoplastyRhinoplastyRhinoplastyRhinoplastyRhinoplastyRaj Kanodia, MD

8:00am - 8:45am Guest Lecture: Nasal Reconstruction,Guest Lecture: Nasal Reconstruction,Guest Lecture: Nasal Reconstruction,Guest Lecture: Nasal Reconstruction,Guest Lecture: Nasal Reconstruction,Art and PracticeArt and PracticeArt and PracticeArt and PracticeArt and PracticeFrederick J. Mennick, MD

8:45am -10:15am Panel: How to Develop a Viable FacialReconstructive Surgery PracticeModerator: Peter D. Costantino, MDPanelists: Frederick J. Mennick, MD;Richard E. Hayden, MD; Robert M.Kellman, MD; and Kim PollockIn contrast to much of cosmetic surgery,reconstructive surgery is a multidisciplinaryteam sport. In this panel discussion, we willexamine the most relevant issues in buildinga successful and fulfilling facial reconstruc-tive surgical practice from technical,procedural, interpersonal, and financialperspectives. At the conclusion of thesession, attendees should be able to: definethe elements of a reconstructive surgicalpractice i.e. Mohs surgery, microvascularfree flap, facial nerve rehabilitation; adviseon how to build a viable facial reconstruc-tive practice; and describe how to maintaina reconstructive practice from a financialstandpoint.

10:15am - 11:00am Break with Exhibitors(MCC Hall D)

11:00am - 11:20am ABFPRS Awards

11:20am - Noon Jack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipJack Anderson LectureshipMoving Toward Evidence-Based PlasticSurgery: A Road MapMohit Bhandari, MD, MS


Noon - 1:00pm Fellowship Directors Luncheon(MCC 112) Not a CME Activity

Noon - 1:00pm Kythera Lecture/Luncheon(MCC 130) Not a CME ActivitySee adjacent page for details

1:00pm - 1:15pm AAFPRS Awards1:15pm -1:30pm Outgoing President's Address

1:00pm - 6:10pm Laser and Light Therapies WorkshopLaser and Light Therapies WorkshopLaser and Light Therapies WorkshopLaser and Light Therapies WorkshopLaser and Light Therapies Workshop(MCC 133) (see page 39 for schedule)Director: Paul J. Carniol, MDCo-Director: Lisa D. Grunebaum, MD

1:30pm - 3:20pm Hair Restoration WorkshopHair Restoration WorkshopHair Restoration WorkshopHair Restoration WorkshopHair Restoration Workshop(MCC Rm 134) (see page 39 for description)Director: Jeffrey S. Epstein, MD

2:00pm - 3:20pm MedPro Session, Part 1(MCC 113) Not a CME ActivityRisk Reconstruction can Transform YourPracticeMary Ann DigmonAt the conclusion of this session, attendeesshould be able to: evaluate key processes inthe facial plastic surgery practice that maycreate a risk for potential claims; identifybest practices and implementation strategiesthat can reduce potential exposures; andreview and discuss case scenarios in whichimplementation of best practices may haveavoided or mitigated the claim.

3:50pm - 5:30pm MedPro Session, Part 2(MCC 113) Not a CME ActivityNavigating the Landmines of ElectronicCommunicationMary Ann DigmonAt the conclusion of this session, attendeesshould be able to: identify specific risks fromelectronic communication including email,Web sites, EMRs, PHRs; review regulatoryconsiderations for practices implementingelectronic communications; and discuss thepolicies, procedures and interventionsneeded to comply with regulationsimpacting electronic communication.

FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011FRIDAY, SEPTEMBER 9, 2011DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULE

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Kythera Lecture/LuncheonKythera Lecture/LuncheonKythera Lecture/LuncheonKythera Lecture/LuncheonKythera Lecture/Luncheon(MCC 130) Not a CME ActivityKythera is generously sponsoring a luncheon on Friday,September 9, 2011 from Noon to 1:00pm. There is no feeto attend this luncheon, but registration is required. This talk will go into depth about human nature,subconscious evaluations of what we all are attracted to andwhy self-confidence gained is more impacting and influen-tial than the physical. Methods of accentuating our mostendearing assets using modern day treatments within thecontext of a subliminal strategy will be reviewed. Addition-ally, examples of how the science of beauty can be trans-lated and used in modern business marketing strategies in anethical and effective manner will be discussed. Expect toleave with a better understanding of the science of beauty,human nature and how to use medical interventions to teasethe subconscious mind.”

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1:30pm - 6:10pm Instructional CoursesInstructional CoursesInstructional CoursesInstructional CoursesInstructional Courses(Descriptions are on the noted pages)

1:30pm - 2:20pm IC1-IC10 concurrent sessions IC1-IC10 concurrent sessions IC1-IC10 concurrent sessions IC1-IC10 concurrent sessions IC1-IC10 concurrent sessionsIC1IC1IC1IC1IC1 Endonasal Mastery of the Nasal Tip and ProblematicRhinoplasty, Part 1 (p31)

(MCC 130) Norman J. Pastorek, MDIC2IC2IC2IC2IC2 The Art of Rhinoplasty and Facial Contouring (p31)

(MCC 131) Raj Kanodia, MDIC3IC3IC3IC3IC3 The Best of Both Worlds: The Hybrid Rhinoplasty (p31)

(MCC 125) David W. Kim, MD and Patrick J. Byrne, MDIC4IC4IC4IC4IC4 Fundamentals of Cleft Lip and Palate Surgery (p36)

(MCC 120) Tom D. Wang, MD and Scott J. Stephan, MDIC5IC5IC5IC5IC5 The Difficult Neck in Facelift Surgery (p21)

(MCC 123) Keith A. LaFerriere, MDIC6IC6IC6IC6IC6 Blepharoplasty: A Personal Approach (p21)

(MCC 132) Shan R. Baker, MDIC7IC7IC7IC7IC7 Practice Financial Management for Facial PlasticSurgeons, Part 1 (p29)

(MCC 124) Karen ZupkoIC8IC8IC8IC8IC8 Reconstruction of Small to Moderate Nasal Defects (p36)

(MCC 114) William W. Shockley, MD and Brian Jewett, MDIC9IC9IC9IC9IC9 Neonatal Mandibular Distraction Osteogenesis (p38)

(MCC 121) Saswata Roy, MD, MSIC10IC10IC10IC10IC10 Handling Extensive Facial Soft Tissue and SkeletalInjuries (p36)

(MCC 122) Fred G. Fedok, MD, Phillip R. Langsdon, MD,and John L. Frodel, Jr., MD

2:30pm - 3:20pm IC11-IC20 concurrent sessions IC11-IC20 concurrent sessions IC11-IC20 concurrent sessions IC11-IC20 concurrent sessions IC11-IC20 concurrent sessionsIC11IC11IC11IC11IC11 Endonasal Mastery of the Nasal Tip and ProblematicRhinoplasty, Part 2 (p31)

(MCC 130) Norman J. Pastorek, MDIC12IC12IC12IC12IC12 Fundamentals of Cartilage-Sparing Tip Refinement (p31)

(MCC 131) Richard E. Davis, MDIC13IC13IC13IC13IC13 The Wherewithal for Revision Rhinoplasty:Identifying and Avoiding Difficulties (p32)(MCC 125) Edward H. Farrior, MDIC14IC14IC14IC14IC14 Reconstruction of Partial and Full-Thickness Defects ofthe Lips (p36)

(MCC 120) Gregory J. Renner, MDIC15IC15IC15IC15IC15 The Graduated Approach from Mini to Maxi Face andNeck Lifting (p21)(MCC 123) Peter A. Adamson, MDIC16IC16IC16IC16IC16 Management of Facial Palsy: The OphthalmicPerspective (p22)

(MCC 132) Stuart R. Seiff, MDIC17IC17IC17IC17IC17 Practice Financial Management for Facial PlasticSurgeons, Part 2 (p29)(MCC 124) Karen ZupkoIC18IC18IC18IC18IC18 Aesthetic Surgery of the Facial Skeleton (p36)(MCC 114) Jonathan M. Sykes, MDIC19IC19IC19IC19IC19 Endoscopic Techniques for Mandibular and MidfaceFracture Reduction and Fixation (p26)

(MCC 121) Todd M. Brickman, MD and Timothy Doerr, MDIC20IC20IC20IC20IC20 The Art of Harmonizing Facial Profile by Rhinoplastyand Chin Advancement (p32)(MCC 122) Mohsen Naraghi, MD

3:20pm - 4:20pm Break with Exhibitors(MCC Hall D)

4:20pm - 5:10pm IC21-IC30 concurrent sessions IC21-IC30 concurrent sessions IC21-IC30 concurrent sessions IC21-IC30 concurrent sessions IC21-IC30 concurrent sessionsIC21IC21IC21IC21IC21 Mastering the Nasal Tip (p32)(MCC 130) Alvin I. Glasgold, MD and Robert A. Glasgold, MDIC22IC22IC22IC22IC22 Principles of Modern Functional and AestheticRhinoplasty (p32)(MCC 131) Wolfgang Gubisch, MDIC23IC23IC23IC23IC23 Reconstruction of the Difficult Nose with Bone/Cartilage Graft (p32)(MCC 125) Nedim Pipic, MD, PhDIC24IC24IC24IC24IC24 Ptosis Repair Made Easy (p22)(MCC 120) John J. Martin, Jr., MD and Julie Woodward, MDIC25IC25IC25IC25IC25 New Hybrid Face Lifting Techniques Including ShortFlap Techniques and the MADE (Minimal Access Deep PlaneExtended) Vertical Facelift (p22)(MCC 123) Andrew A. Jacono, MDIC26IC26IC26IC26IC26 Practical Applications of the Fractional Laser: SkinRejuvenation, Laser Assisted Lower Lid Blepharoplasty,Simultaneous Laser Resurfacing with Facelift Surgery (p22)(MCC 132) William H. Truswell, MD and Harrison C.Putman, III, MDIC27IC27IC27IC27IC27 Reconstruction of Complex Composite Defects (p36)

(MCC 124) Michael Fritz, MD, Daniel P. Knott, MD, andDaniel S. Alam, MDIC28IC28IC28IC28IC28 Acne Rosacea: The Red Face (p26)(MCC 114) David A.F. Ellis, MDIC29IC29IC29IC29IC29 Septorhinoplaty : Middle East Experince (p32)

(MCC 121) Alireza Mesbahi, MDIC30IC30IC30IC30IC30 Prosthetic Rehabilitation of the Face (p37)(MCC 122) Manoj T. Abraham, MD and Erin Donaldson, MS

5:20pm - 6:10pm IC31-IC40 concurrent sessions IC31-IC40 concurrent sessions IC31-IC40 concurrent sessions IC31-IC40 concurrent sessions IC31-IC40 concurrent sessionsIC31IC31IC31IC31IC31 Rhinoplasty Step-by-Step (p33)(MCC 130) Leslie Bernstein, MD, DDSIC32IC32IC32IC32IC32 Extreme Nasal Reconstruction (p37)(MCC 131) Frederick J. Mennick, MDIC33IC33IC33IC33IC33 The Hump Removal and the Hinge Osteotomies for theStraight and Crooked Noses (p33)(MCC 125) Fernando Pedroza, MDIC34IC34IC34IC34IC34 Tips, Tricks and Pearls in Rhinoplasty (p33)(MCC 120) Philip J. Miller, MDIC35IC35IC35IC35IC35 New "Optimum Mobility" Facelift: A New MinimallyInvasive Technique Using Special Smart Sutures andMinimal Dissection for Maximal and Durable Results (p22)(MCC 123) Nabil Fanous, MDIC36IC36IC36IC36IC36 Upper Face Rejuvenation: The Contribution of FH/Brow Lifting with Peri-Orbital Rejuvenation (p23)

(MCC 132) Stephen W. Perkins, MDIC37IC37IC37IC37IC37 Management of Complex Secondary Peri-Nasal,Orbital, and Frontal Deformities (p37)(MCC 124) John L. Frodel, Jr., MDIC38IC38IC38IC38IC38 How to Recognize Signs of Body Dysmorphic Disorderand Other Personality Disorders (p29)(MCC 114) Henri P. Gaboriau, MDIC39IC39IC39IC39IC39 Otoplasty 2011: Improving Outcomes, ReducingBullying and Simplifying Surgical Technique (p37)(MCC 121) Steven R. Mobley, MDIC40IC40IC40IC40IC40 Ablative Carbon Dioxide Fractional Resurfacing:Maximizing Results with a Minimally Invasive Tool (p27)(MCC 122) Ryan Heffelfinger, MD, Michael A. Persky, MD,Lisa D. Grunebaum, MD, and Howard D. Krein, MD

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6:30am - 7:30am Breakfast SessionsBreakfast SessionsBreakfast SessionsBreakfast SessionsBreakfast Sessions (BS7-BS11 concurrentsessions; descriptions are on the noted pages)

BS7BS7BS7BS7BS7 The Neurocognitive Basis of Facial Recognition and itsImpact on Facial Plastic Surgery (p38)

(MCC 131) Daniel S. Alam, MDBS8BS8BS8BS8BS8 Photography in Facial Plastic Surgery with an Emphasison Rhinoplasty (p28)

(MCC 130) Stephen Weber, MD and Andrew Winkler, MDBS9BS9BS9BS9BS9 Understanding Why The C02 Laser is the Gold Standard:From Fractional Resurfacing to Fully Ablative Treatmentswhile Minimizing the Risks (p26)

(MCC 132) J. Kevin Duplechain, MD and Bradford Patt, MDBS10BS10BS10BS10BS10 Raising Your Profile: Put Your Best Face Forward inYour Community (p28) (Not a CME Activity)(MCC 121) Deborah Sittig , Green Room PRBS11BS11BS11BS11BS11 Web 2.0 -Physician Inflection Point: Ethical and LegalBoundaries for Use of Social Media in Your Practice (p28)

(Not a CME Activity)(MCC 120) Joy Tu, Medical Justice

CONCURRENT PLENARY SESSIONS 4A and 4B(MCC 134) PLENARY SESSION 4APLENARY SESSION 4APLENARY SESSION 4APLENARY SESSION 4APLENARY SESSION 4A7:30am - 9:30am Panel: Facial Plastic Surgery Complications

Moderator: Steven M. Denenberg, MDPanelists: Stuart R. Seiff, MD; William H.Truswell, MD; and Ira D. Papel, MDPanel will address complications inrhinoplasty, anesthesia, blepharoplasty,facelift and fillers.

9:30am - 10:00am Panel: Practical Implementation ofEvidence-Based MedicineModerator: Peter A. Hilger, MDPanelists: Mohit Bhandari, MD, MSc;John S. Rhee, MD; and Paul L. Leong, MD

(MCC 133) PLENARY SESSION 4BPLENARY SESSION 4BPLENARY SESSION 4BPLENARY SESSION 4BPLENARY SESSION 4B7:30am - 8:30am Panel: Microtia

Moderator: Thomas Romo, MDPanelists: Vito C. Quatela, MD andAlexander Berghaus, MD

8:30am - 9:00am Special Lecture: Facial GenderSpecial Lecture: Facial GenderSpecial Lecture: Facial GenderSpecial Lecture: Facial GenderSpecial Lecture: Facial GenderTransformation SurgeryTransformation SurgeryTransformation SurgeryTransformation SurgeryTransformation SurgeryJeffrey H. Spiegel, MD

9:00am - 10:00am Panel: Contemporary Concepts of FacialBeautyModerator: Peter A. Adamson, MDPanelists: Jeffrey H. Spiegel, MD; WendyLewis; and Katherine Forsythe, MSW"Beauty and Brains - What's It All About?"This panel will present current concepts ofthe science of beauty - physical and psycho-logical. It will explore the female quest forperfection and beauty, the correlation ofsexuality and beauty and the role our facialfeatures play in establishing our gender andbeauty. The panelists will respond toprobing and thought-provoking questionsthat will illuminate how facial plasticsurgeons can better understand and managethe real goals of our patients.

10:00am - 10:45am Break with Exhibitors(MCC Hall D)

10:45am - Noon Incoming President's AddressBusiness Meeting(MCC 134)


Noon - 1:00pm Emerging Trends and Technologies Part 2(MCC Hall D) Not a CME ActivitySee adjacent box for topics

Noon - 1:00pm Academic Practice Luncheon(MCC 130) Not a CME Activity

Noon - 1:00pm Lumenis Lecture/Luncheon(MCC 131) Not a CME ActivitySee adjacent page for details

8:00am - 3:45pm Practice Management WorkshopPractice Management WorkshopPractice Management WorkshopPractice Management WorkshopPractice Management Workshop(Westin, Metropolitan I) Not a CMEActivity (see details on page 41)Karen Zupko

1:00pm - 5:00pm Injecting in the 3rd Dimension:Injecting in the 3rd Dimension:Injecting in the 3rd Dimension:Injecting in the 3rd Dimension:Injecting in the 3rd Dimension:The Missing PieceThe Missing PieceThe Missing PieceThe Missing PieceThe Missing Piece(MCC 133) (see description on page 40)Director: Mary Lynn Moran, MD

1:00pm - 7:00pm Essentials of Facial Plastic SurgeryEssentials of Facial Plastic SurgeryEssentials of Facial Plastic SurgeryEssentials of Facial Plastic SurgeryEssentials of Facial Plastic Surgeryand Residents Receptionand Residents Receptionand Residents Receptionand Residents Receptionand Residents Reception(Westin, Metropolitan III)(see schedule on page 41)Director: Stephen S. Park, MD

Emerging Trends and Technologies Part 2Emerging Trends and Technologies Part 2Emerging Trends and Technologies Part 2Emerging Trends and Technologies Part 2Emerging Trends and Technologies Part 2Noon-1:00pm (MCC Hall D) Not a CME Activity12:00-12:10pm Injectable Lipolytic Pharmaceutical Agent

which "Melts Fat"--A Progress ReportSteven H. Dayan, MD

12:11-12:23pm Cryo-denervation of Targeted FacialNerves--A Toxin Free Alternative forEliminating Hyperdynamic Facial Wrinkles-Updated Study, Francis Palmer, MD

12:24-12:34pm Evidence-Based Comparison ofNeuromodulators: Onabotulinum Toxin,Incobotulinum Toxin, and AbobotulinumToxin, Vic Narurkar, MD

12:35-12:45pm The Improved Methods of Using Dysportand Some Comparisons to BotoxJohn Joseph, MD

12:46-1:00pm Panel on NeurotoxinsModerator: Harry Mittelman, MDPanelists: John Joseph, MD; Corey S. Maas,MD; and Vic Narurkar, MD

SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULE

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Lumenis Lecture/LuncheonLumenis Lecture/LuncheonLumenis Lecture/LuncheonLumenis Lecture/LuncheonLumenis Lecture/Luncheon(MCC 131) Not a CME ActivityLumenis is generously sponsoring a luncheon on Saturday,September 10, 2011 from Noon to 1:00pm. There is no feeto attend this luncheon, but registration is required. “Maximizing Facelift Results with Combined C02 Resur-facing--Understanding the Benefits of the UltraPulse” by J.Kevin Duplechain, MD. Facelift surgery corrects one of thethree components of aging. The effect of gravity. In orderto maximize results for patients, skin changes and the loss ofvolume should be addressed as well. The ultrapulse providesthe surgeon the safety and flexibility to treat the skin duringfacial rejuvenation surgery so that skin changes are addressedconcurrently. Three components of aging: Effect of gravity (surgery);Effect of skin (laser resurfacing); Effect of volume loss (fatinjecections). This talk will address all three for WOW results.

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(MCC 134)PLENARY SESSION 5PLENARY SESSION 5PLENARY SESSION 5PLENARY SESSION 5PLENARY SESSION 51:00pm - 1:45pm John Conley LectureshipJohn Conley LectureshipJohn Conley LectureshipJohn Conley LectureshipJohn Conley Lectureship

NASA Space Shuttle Mission Specialist"A Short Trip off Planet: An Astronaut'sPerspective on Living and Working in LowEarth Orbit"Richard Linnehan, DVM

1:45pm - 2:35pm Free Paper PresentationsFree Paper PresentationsFree Paper PresentationsFree Paper PresentationsFree Paper Presentations(see schedule and rooms on pages 18 and 19)

2:45pm - 6:35pm Instructional CoursesInstructional CoursesInstructional CoursesInstructional CoursesInstructional Courses(Descriptions are on the noted pages)

2:45pm - 3:35pm IC41-IC50 concu IC41-IC50 concu IC41-IC50 concu IC41-IC50 concu IC41-IC50 concurrent sessionsrrent sessionsrrent sessionsrrent sessionsrrent sessionsIC41IC41IC41IC41IC41 Management of the Aging Forehead (p23)

(MCC 130) Peter A. Adamson, MDIC42IC42IC42IC42IC42 Simultaneous Facelift and Fat Grafting (p23)

(MCC 131) Timothy J. Marten, MDIC43IC43IC43IC43IC43 Ethnic Rhinoplasty Case Presentations: Evaluation ofInitial Problem, Surgical Solutions, & Post-Surgical Results (p33)

(MCC 125) Roxana Cobo, MD and Gilbert Nolst Trenité, MDIC44IC44IC44IC44IC44 Complicated Rhinoplasty (p33)

(MCC 124) Minas Constantinides MD and Daniel Becker, MDIC45IC45IC45IC45IC45 Avoiding Complications in Lower BlepharoplastySurgery (p24)

(MCC 114) Theda C. Kontis, MD and Elba Pacheco, MDIC46 IC46 IC46 IC46 IC46 Decision Making in Revision Rhinoplasty (p34)

(MCC 132) Steven J. Pearlman, MDIC47IC47IC47IC47IC47 Reconstructive Otoplasty (p38)

(MCC 120) Shan R. Baker, MDIC48IC48IC48IC48IC48 Fat Grafting Advances (p24)

(MCC 123) Sam M. Lam, MD; Mark J. Glasgold, MD; andRobert A. Glasgold, MDIC49IC49IC49IC49IC49 Managing Your Social Network: The Rules of Engage-ment for Facial Plastic Surgeons (Not a CME Activity) (p29)

(MCC 121) Wendy LewisIC50IC50IC50IC50IC50 Nasal Surgery on the Geriatric Patient (p34)

(MCC 122) Fred J. Stucker MD; Stewart C. Little, MD; andTimothy S. Lian, MD

3:45pm - 4:30pm (Last) Break with Exhibitors(MCC Hall D)

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4:30pm - 5:20pm IC51-IC60 concurrent sessionsIC51-IC60 concurrent sessionsIC51-IC60 concurrent sessionsIC51-IC60 concurrent sessionsIC51-IC60 concurrent sessionsIC51IC51IC51IC51IC51 Complications in Rhinoplasty: Avoidance andManagement (p34)(MCC 130) Robert L. Simons, MDIC52IC52IC52IC52IC52 What Surgeons Have to Know for a SuccessfulCorrection of Deviated Nose (p34)

(MCC 131) Yong Ju Jang, MDIC53IC53IC53IC53IC53 Energy-Based Devices Versus Traditional Therapies: AnEvidence-Based Approach to Minimially InvasiveRejuvenation (p27)

(MCC 125) Vic A. Narurkar, MDIC54IC54IC54IC54IC54 Evaluation and Treatment of the Non-functioningNose, The Fine Line Between Form and Function (p34)(MCC 120) H. Devon Graham, III, MDIC55IC55IC55IC55IC55 Problems in Revision Rhinoplasty (p35)

(MCC 124) Wolfgang Gubisch, MDIC56IC56IC56IC56IC56 The Internet: A Blessing or a Curse (p29)

(MCC 114) Paul S. Nassif, MD; Mike Sacopulos, JD; andDomingo RiveraIC57IC57IC57IC57IC57 Low Morbidity Highly Effective Facelift (p24)

(MCC 123) Devinder S. Mangat, MDIC58IC58IC58IC58IC58 Refinements in Endoscopic Browlift (p24)

(MCC 132) Tom D. Wang, MDIC59IC59IC59IC59IC59 Creating the Ideal Clinical Research Question: AHands-On EBM Workshop (p290)

(MCC 121) John S. Rhee, MD; Peter A. Hilger, MD; andLisa Ishii, MDIC60IC60IC60IC60IC60 Dealing with the Dissatisfied Patient (p30)

(MCC 122) Sigmund L.Sattenspiel, MD and Donn R. Chatham,MD

5:30pm - 6:20pm IC61-IC70 concurrent sessionsIC61-IC70 concurrent sessionsIC61-IC70 concurrent sessionsIC61-IC70 concurrent sessionsIC61-IC70 concurrent sessionsIC61IC61IC61IC61IC61 Rhinoplasty: Before and After (p35)

(MCC 130) Michael S. Godin, MDIC62IC62IC62IC62IC62 "The Armamentarium" Cartilage Grafts andWhat They Do (p35)

(MCC 131) Steven H. Dayan, MDIC63IC63IC63IC63IC63 Exponential Growth and Profitability in an AestheticSurgical Practice During a Recession Market or an ExtremelyCompetitive Practice Environment (p30)

(MCC 132) Edwin F. Williams, III, MDIC64IC64IC64IC64IC64 Revision Rhytidectomy: What You Need to Know (p25)

(MCC 125) Neil A. Gordon, MDIC65IC65IC65IC65IC65 The Endoscopic Midface Lift - Pearls, Pitfalls, Step byStep Surgical Technique (p25)

(MCC 124) Anurag Agarwal, MD and Richard Maloney, MDIC66IC66IC66IC66IC66 Comprehensive Lower Lid Rejuvenation (p25)

(MCC 121) Guy Massry, MD and Babak Azizzadeh, MDIC67IC67IC67IC67IC67 Managing The Skin and Soft Tissue in RevisionRhinoplasty (p35)

(MCC 123) Dong Hak Jung, MDIC68IC68IC68IC68IC68 The Systematic Approach to the Overprojected Nose(MCC 120) Fred G. Fedok, MD (p35)

IC69IC69IC69IC69IC69 The Psychology of Facial Plastic Surgery: How to Selectand Manage Your Patients (p30)

(MCC 122) Jonathan M. Sykes, MD and Donn R. Chatham, MDIC70IC70IC70IC70IC70 Reputation, Ratings & Reviews - Trends, Advances,Pitfalls and Things to Avoid in this Evolving Arena (p30)

(MCC 114) Robert Baxter (Not a CME Activity)

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Evaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingEvaluation and CME TrackingOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms areOn-line CME Tracking and Evaluation forms arelocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourlocated at www.aafprs.org/meetings.html. Yourmember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, ismember ID, printed on your name badge, isrequired to complete the on-line process.required to complete the on-line process.required to complete the on-line process.required to complete the on-line process.required to complete the on-line process.

Located next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is anLocated next to each course or session title is analphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-linealphanumeric code that corresponds to the on-lineCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatCME Tracking and Evaluaiton form for thatactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of noteactivity. Blank pages are provided for ease of notetaking.taking.taking.taking.taking.

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FREE PAPER PRESENTATIONS (FPP)FREE PAPER PRESENTATIONS (FPP)FREE PAPER PRESENTATIONS (FPP)FREE PAPER PRESENTATIONS (FPP)FREE PAPER PRESENTATIONS (FPP)Saturday, September 10, 2011 1:45pm -2:35pmSaturday, September 10, 2011 1:45pm -2:35pmSaturday, September 10, 2011 1:45pm -2:35pmSaturday, September 10, 2011 1:45pm -2:35pmSaturday, September 10, 2011 1:45pm -2:35pmTen (10) concurrent sessions (FPP1-FPP10) in separate roomsPaper abstracts can be found on pages 43-54.

FPP1: RhinoplastyFPP1: RhinoplastyFPP1: RhinoplastyFPP1: RhinoplastyFPP1: Rhinoplasty (MCC 132)1:45pm - 1:55pmDoes Placement of Alar Batten Grafts Alleviatethe Need for Long-Term Nasal Steroid Use?Ahmed Sufyan, MD, Emily N. Hrisomalos, MD, Taha Z.Shipchandler, MD

1:55pm - 2:05pm Gender Differences in Nasal AestheticsBradley Seaman, MD, Adam Satteson, MD, Patrick J. Byrne,MD, Michael Reilly, MD

2:05pm - 2:15pm Full Thickness Skin and Auricular CartilageGraft Constructs for Nasal Alar ReconstructionDavid Zopf MD, Jeffrey Moyer MD, Michael Brandt MD, WadeIams, BS

2:15pm - 2:25pm Ethical Considerations in Aesthetic RhinoplastyKian Karimi, MD, Peter A. Adamson MD

2:25pm - 2:35pm Injectable Fillers in the Nose: Current Use,Surgical Implications, and ComplicationsRyan M. Greene, MD, PhD, Lisa D. Grunebaum, MD, AnthonyBared, MD, Leslie Baumann, MD, Richard E. Davis, MD

FPP2: RhinoplastyFPP2: RhinoplastyFPP2: RhinoplastyFPP2: RhinoplastyFPP2: Rhinoplasty (MCC 131)1:45pm - 1:55pm Finite Element Modeling of the Nasal Tip andExternal Nasal Valve during InspirationCyrus Manuel, MD, Dmitriy Protsenko, MD, Brian Wong, MD

1:55pm - 2:05pm Comparative Study Between PercutaneousAuricular Cartilage Injection and Cartilage Graft Implantation inthe RabbitOlivier X. Beaudoin, MD, Andrew Mitchell, MD, Akram Rahal, MD

2:05pm - 2:15pm Histopathological Analysis of Irradiated CostalCartilage Homograft versus Costal Cartilage Autograft in theRabbit ModelIbrahim Alava III, Jordan L. Pleitz, MD, Christina A.Samathanam, MD, Tang Ho, MD

2:15pm - 2:25pm Computer-aided Rhinoplasty with Real-timeIntraoperative FeedbackAndres Godoy, MD, Lisa Ishii, MD, Jose M. Godoy, MD MasaruIshii, MD

2:25pm - 2:35pm Mechanical Analysis of the Effects of CephalicTrim on Lower Lateral Cartilage StabilitySepehr Oliaei, MD, Cyrus Manuel, BS, Allison Zemek, BS, AshleyHamamoto, BS, Davin Chark, MS, MD, Brian Wong, MD

FPP3: Aging FaceFPP3: Aging FaceFPP3: Aging FaceFPP3: Aging FaceFPP3: Aging Face (MCC130)1:55pm - 2:05pm A Comparison in Tensile Strength betweenBarbed Suture and Conventional Monofilament Suture forSMAS Imbrication during RhytidectomyHelen Perakis, Jason P. Champagne, MD, Nishant Bhatt, MD,Achih H. Chen, MD

2:05pm - 2:15pm Computed Tomography Characterization ofOrbital Changes with AgeHeather H. Waters, MD, Peter C. Revenaugh, MD, Daniel S.Alam, MD

2:15pm - 2:25pm The Laser Face and Neck LiftDouglas D. Dedo, MD, Neil Goodman, MD

2:25pm - 2:35pm Recognition and Treatment of Non-InfectiousHyaluronic Acid ReactionsJeanne L. Goins, MD, Neal Goldman, MD

FPP4: Aging FaceFPP4: Aging FaceFPP4: Aging FaceFPP4: Aging FaceFPP4: Aging Face (MCC 125)1:45pm - 1:55pm The Use of Selphyl in Facial Plastic SurgeryAaron L. Shapiro, MD

1:55pm - 2:05pm An Anatomic Comparison of PlatysmalTightening Using SMAS-Plication vs. Deep Plane RhytidectomyTechniquesAndrew A. Jacono, MD, Sachin S. Parikh, MD, WilliamKennedy, MD

2:05pm - 2:15pm The Minimal Access Deep Plane Extended(MADE) Vertical FaceliftAndrew A. Jacono, MD, Sachin S. Parikh, MD

2:15pm - 2:25pm Dry Eye Symptoms and Chemosis followingBlepharoplasty: A 10 Year Retrospective Review in a Single-Surgeon PracticeJess Prischmann, MD, Ahmed Sufyan, MD, Jonathan Ting, MD,Stephen W. Perkins, MD

2:25pm - 2:35pm Postoperative Fluid Collection after Rhytidec-tomy with the use of EvicelTMKristin Egan, MD, Douglas W. Halliday, PhD, MD

FPP5: ReconstructionFPP5: ReconstructionFPP5: ReconstructionFPP5: ReconstructionFPP5: Reconstruction (MCC 124)1:45pm - 1:55pm Prophylactic Endoscopic Midface Lifts inSevere Midfacial TraumaRyan Brown, MD, Yadranko Ducic, MD

1:55pm - 2:05pm Repairing Angle of the Mandible Fractureswith a Strut Plate: A Retrospective Review.William Marshall Guy, Michelle Naylor, MD, Anthony Brissett,M D

2:05pm - 2:15pm Facial Lesions and Affect Display: How FacialLesions Influence How We are PerceivedLisa Ishii, MD, Andres Godoy, MD, Kofi Boahene, MD, PatrickByrne, MD, Masaru Ishii, MD

2:15pm - 2:25pm Assessment of Psychosocial Distress andSurgical Outcomes following Nasal Reconstruction forCutaneous MalignancyJon-Paul Pepper, MD, Anna Eliassen, MD, Jennifer C. Kim, MD,Shan R. Baker, MD, Jeffrey S. Moyer, MD

2:25pm - 2:35pm Establishment of a Cutaneous Flap AnimalModel to Study Platelet and Leukocyte Dynamics FollowingIschemia Reperfusion InjuryTimothy Lian, MD, Andrew Compton MD, Rebecca Bowen,M D

FPP6: ReconstructionFPP6: ReconstructionFPP6: ReconstructionFPP6: ReconstructionFPP6: Reconstruction (MCC 123)1:45pm - 1:55pm Functional and Social Improvements AfterReanimation of the Paralyzed Face By Transfer of theTemporalis TendonDouglas Sidle, MD, Andrew J. Fishman, MD, Rakesh K. Chandra,M D

SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011FREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULE

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1:55pm - 2:05pm Orthodromic Temporalis Tendon Transfer: AnAnatomic StudyLindsay Eisler, MD, Lindsay Eisler, MD, Harley Dresner, MD,William Walsh, MD

2:05pm - 2:15pm Artificial Muscle for Reanimation of theParalyzed Face: Safety and Durability in an Animal ModelLevi G. Ledgerwood, MD, Travis T Tollefson, MD, Craig Senders,MD, AnnJoe Wong-Foy, PhD, Harsha Prahlad, PhD, Steven P.Tinling, PhD

2:15pm - 2:25pm PTH therapy Reverses Radiation InducedNon-union and Normalizes Radiomorphometrics in a MurineMandibular Model of Distraction OsteogenesisK. Kelly Gallagher, MD, Sagar Desphande, CN Tchanque-Fossuo,MS, MD, D. Sarhaddi, BA, A Donneys MS, MD, Douglas B.Chepeha, MD, Steven R Buchman, MD

2:25pm - 2:35pm Motor Nerve to Vastus Lateralis as a FacialNerve Cable Graft: An Anatomical and Clinical StudyPeter Revenaugh, P. Daniel Knott, MD, Michael A. Fritz, MD

FPP7: Reconstruction FPP7: Reconstruction FPP7: Reconstruction FPP7: Reconstruction FPP7: Reconstruction (MCC 122)1:45pm - 1:55pm Facial Reanimation Utilizing the TemporalisTendon Transfer with Fascia lata Sling ModificationNicole Fowler, MD, Peter C. Revenaugh, MD, Michael A. Fritz,M D

1:55pm - 2:05pm Predicting Pharyngocutaneous FistulaFollowing Laryngopharyngeal ReconstructionJessica Gullung, MD, Steven M. Andreoli, MD, J. Ken Byrd, MD,Joshua D. Hornig, MD, Judith M. Skoner, MD

2:05pm - 2:15pm Salvage of Failed lLcal and Regional Flaps withPorcine Extracellular Matrix Aided Tissue RegenerationGregory Kruper, MD, Zachary VandeGriend, MD, GiancarloZuliani, MD

2:15pm - 2:25pm Salvage of Free-flaps in Vessel-depletedMandibular Osteoradionecrosis Cases Using Catheter-DirectedThrombolysis and AngioplastyMatthew Tamplen, MD, Keith Blackwell, MD, Reza Jahan, MD,Vishad Nabili, MD

2:25pm - 2:35pm The Effects of Radiation on Functional andAesthetic Outcomes of Temporalis Tendon TransferGarrett Griffin, MD, Waleed M. Abuzeid, MD, Jennifer C. Kim,M D

FPP8: Evidence-Based/Practice Development FPP8: Evidence-Based/Practice Development FPP8: Evidence-Based/Practice Development FPP8: Evidence-Based/Practice Development FPP8: Evidence-Based/Practice Development (MCC 121)1:45pm - 1:55pm Post-Operative Scarring: ComparativeEffectiveness of Silicone Gel Sheeting to Paper Tape in a RabbitModelTravis Tollefson, MD, Shervin Aminpour, MD, Andrew Lee,MD, Faranak Kamangar, BSc, Blythe Durbin-Johnson, PhD,Steven Tinling, PhD

1:55pm - 2:05pm A Single-center, Prospective Study on theEfficacy of the Ulthera System for Tightening of Neck Skin inPatients with a History of Submentoplasty and Rhytidectomy vs.Patients Naïve to Submentoplasty or RhytidectomySteven H. Dayan, MD, John P. Arkins, BS

2:05pm - 2:15pm Incidence of Middle Ear Effusion in a CleftPopulationKristin Egan, MD, Scott A.Tatum, MD

2:15pm - 2:25pm A Comparison of Patient Objectives forAesthetic Facial Surgery in North and South AmericaKeith Ladner, MD, Edward H. Farrior, MD, Miguel Gonzalez,M D

2:25pm - 2:35pm The Financial and Clinical Value of SuperficialChemical PeelsJennifer Linder MD, Richard Linder, MBA

FPP9: Minimally InvasiveFPP9: Minimally InvasiveFPP9: Minimally InvasiveFPP9: Minimally InvasiveFPP9: Minimally Invasive (MCC 120)1:45pm - 1:55pm In Vivo Electromechanical Reshaping of EarCartilage in the Rabbit: A Minimally Invasive Approach forOtoplastySepehr Oliaei, MD, Cyrus Manuel, BS, Karam Badran, BS, SyedFowaz Hussain, Ashley Hamamoto, BS, Dmitriy Protsenko,PhD, Brian Wong, MD, PhD

1:55pm - 2:05pm Assessment of Pulsed Dye Laser Therapy forPediatric Facial Vascular Malformations Utilizing a Six PointScaleJavad Sajan, James Sidman, MD, Tim Lander, MD, RobertTibesar, MD, Noel Jabbour, MD

2:05pm - 2:15pm Percutaneous Suture Suspension Neck LiftRamtin Kassir, MD, Ray Paraiso, DO

2:15pm - 2:25pm Novel Nonablative Radiofrequency Rejuvena-tion Device Applied to the Neck and Jowls: Clinical Evaluationand 3-Dimensional Image AnalysisLisa K. Chipps, MD, Heidi B. Prather, MD, Jeffrey J. So, MS, PA-C, Ronald L. Moy, MD

2:25pm - 2:35pm The Subliminal Difference: Treating from anEvolutionary PerspectiveSteven H. Dayan, John P. Arkins, BS

FPP10: Other FPP10: Other FPP10: Other FPP10: Other FPP10: Other (MCC 114)1:45pm - 1:55pm Use of Kaolin-impregnated Gauze for Reduc-tion of Postoperative Hemorrhagic Complications followingFacial SurgeryCraig Czyz, Pooja Sharma, MD, Allan E. Wulc, MD, Douglas D.Dedo, MD, Jill A. Foster, MD, Kenneth V. Cahill, MD

1:55pm - 2:05pm A Novel Tool for the Evaluation ofPerioperative Midfacial Symmetry in Caucasian Adult PatientsSami P. Moubayed, MD, Frederick Duong, MD, VincentChapdelaine, PhD, Akram Rahal, MD

2:05pm - 2:15pm Atypical Beauty. Challenging the NormativeFacial AestheticThiru Siva, MD, Samuel MacKeith, MD

2:15pm - 2:25pm Dimple Creation Surgery: 15 ConsecutiveCasesUmang Mehta, MD

2:25pm - 2:35pm Multi-Probe Technique with a New RFSystem: A Retrospective Study of 1200 Skin Tightening PatientsMiodrag Milojevic, MD, Igor Jeremic, MD

SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011SATURDAY, SEPTEMBER 10, 2011FREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULEFREE PAPER SCHEDULE


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Sunday, September 11, 2011Sunday, September 11, 2011Sunday, September 11, 2011Sunday, September 11, 2011Sunday, September 11, 2011Please note that this joint session is part of the AAO-HNS AnnualMeeting, however all AAFPRS registrants with an AAFPRSbadge are welcome to attend.

(MCC 135)10:30am - 11:50am Joint Plenary Session with ARSJoint Plenary Session with ARSJoint Plenary Session with ARSJoint Plenary Session with ARSJoint Plenary Session with ARS

(CME credits will be issue by AAO-HNS)The Nose, Inside and OutMichael Setzen, MD; Paul H. Toffel, MD;Daniel G. Becker, MD; Steven J. Pearlman,MD; Richard E. Davis, MD; and RussellW.H. Kridel, MD

11:50am Meeting Adjourned

SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011SUNDAY, SEPTEMBER 11, 2011DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULE

Thank You!Thank You!Thank You!Thank You!Thank You!The AAFPRS Foundation wishes to thank the following companies for their support of our Annual Fall Meeting. (As of 8/15/11)

All financial and in-kind contributions received in support of the AAFPRS educational programs comply with theStandards for Commercial Support as specified by the Accreditation Council for Continuing Medical Education.

Video Learning CenterVideo Learning CenterVideo Learning CenterVideo Learning CenterVideo Learning CenterBooth 701-709The AAFPRS John Dickinson Memorial Library will bepresent at this meeting and will showcase its most recent agingface and rhinoplasty titles. All registered members and guestswill have access to the Video Learning Center and will be ableto request viewings from over 300 titles. Make sure you askto see the four new DVDs released this year. The VideoLearning Center will be in the Exhibit Hall right next to theAAFPRS Products Booth.

Did you know that the AAFPRS offers streaming videoson-line? Visit the AAFPRS Web site:http://streaming-video.aafprs.org/.

Educational Grants Educational Grants Educational Grants Educational Grants Educational Grants Non-Educational SupportNon-Educational SupportNon-Educational SupportNon-Educational SupportNon-Educational Support

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Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsAGING FACE, BLEPHAROPLASTY, HAIR RESTORATIONAGING FACE, BLEPHAROPLASTY, HAIR RESTORATIONAGING FACE, BLEPHAROPLASTY, HAIR RESTORATIONAGING FACE, BLEPHAROPLASTY, HAIR RESTORATIONAGING FACE, BLEPHAROPLASTY, HAIR RESTORATION

BS4 Title:BS4 Title:BS4 Title:BS4 Title:BS4 Title: Off Label Uses of Fillers and NeurotoxinsFaculty:Faculty:Faculty:Faculty:Faculty: Steven H. Dayan, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Fillers and neurotoxins are rapidly becoming theessential cornerstone of cosmetic procedures in the world. Facialplastic surgeons as experts in the face should lead this arena.Understanding novel ways of using these products fromreducing acne, skin pores, and smoothing texture to facialreshaping, neck tightening and cheek lifting are essential tomeeting the demands of our patients and staying relevant.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss new proven techniques toimprove the first impression one projects and enhancing one’squality of life with neurotoxin and filler; 2) Incorporate tips andadvance techniques for treating the lower face; and 3) Debatethe different brands on the market and which is best to use,when and why.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Practice-basedLearning and Improvement

BS5 Title:BS5 Title:BS5 Title:BS5 Title:BS5 Title: Integrating Hair Restoration into a Facial PlasticSurgery PracticeFaculty:Faculty:Faculty:Faculty:Faculty: John B. Bitner, MD; Jeffrey S. Epstein, MD; andLisa Ishii, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Hair restoration is a logical extension of a facialplastics practice. However, assembling a team, marketing,creating space and time for these labor intensive procedures canbe challenging. This course describes some of the basiccomponents of hair restoration and key mechanisms by which itcan be integrated into and existing practice. Pearls and pitfalls ofhow to organize will be discussed.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to:1) Delineate the basics components of a Hair Restorationprocedure; 2) Organize space within an existing practice toperform hair restoration; and 3) Discuss concepts for expandinga facial plastic surgery practice to include surgical hairrestoration.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC5 Title:IC5 Title:IC5 Title:IC5 Title:IC5 Title: The Difficult Neck in Facelift SurgeryFaculty:Faculty:Faculty:Faculty:Faculty: Keith A. LaFerriere, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: In facelift surgery, the neck is often the area thatcreates the most difficulty in achieving a long term satisfactoryresult, and is often the focus of post operative patient complaints.This course will cover the presenter’s approach to the difficultneck, describing the journey that has led to the currentapproach - the Feldman Corset Platysmaplasty. This techniquewill be presented in detail, with video, patient examples andcomplications.

Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Analyze many of the varioustechniques available for rejuvenation of the aging neck; and 2)Delineate the indications and technique of the Feldman CorsetPlatysmaplasty.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care, Practice-based Learningand Improvement

IC6 Title:IC6 Title:IC6 Title:IC6 Title:IC6 Title: Blepharoplasty, A Personal ApproachFaculty:Faculty:Faculty:Faculty:Faculty: Shan R. Baker, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: A 50-minute presentation discusses thepresenter’s personal approach to upper and lower lidblepharoplasty. A detailed discussion supplemented by videosegments explores surgical alternatives includingtransconjunctival and transcutaneous lower lid blepharoplasty.A number of techniques for treating pseudoherniation of orbitalfat are explored including fat excision, septal reset with fatadvancement, and reduction of the herniation with suturerepair. Risks and complications of blepharoplasty are noted.Prevention of complications and surgical sequelae are discussed.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Properly assess patients presentingfor blepharoplasty; and 2) Explain the advantages of fatpreservation lower lid blepharoplasty.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

IC15 Title:IC15 Title:IC15 Title:IC15 Title:IC15 Title: The Graduated Approach from Mini to Maxi Faceand Neck LiftingFaculty:Faculty:Faculty:Faculty:Faculty: Peter A. Adamson, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: There are an innumerable number of face liftprocedures to choose from today. This presentation simplifiesthe standard options available, from SMAS plication tosubSMAS to modified deep plane lifts. The roles of liposuctionand submentoplasty are also discussed. A graduated approach toface lifting is presented, such that the surgeon can move easilyand comfortably from a simpler to a more complex deep planetechnique with safety and security. Videos and patient resultsillustrate the application of these techniques. We present theresults of our study which revealed the differing amounts of liftachieved with the various techniques presented.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Explain the options for face andneck lifting ranging from SMAS plication to modified deep planelifting; and 2) Outline the options for face and neck lifting asdemonstrated through videos and patient results, such thatpatient selection may be improvedCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

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IC16 Title: IC16 Title: IC16 Title: IC16 Title: IC16 Title: Management of Facial Palsy: The OphthalmicPerspectiveFaculty: Faculty: Faculty: Faculty: Faculty: Stuart R. Seiff, MDTarget AudienceTarget AudienceTarget AudienceTarget AudienceTarget Audience Practicing PhysicianDescriptionDescriptionDescriptionDescriptionDescription: In this course the participant will be exposed to astaged approach to the management of the ophthalmiccomplications of facial palsy. The interdependence of facialfunction on ocular health will be discussed.The stages of management include supportive care, planning forgeneral facial reanimation, lower lid/midface support, passiveeyelid closure, dynamic eyelid closure, management of eyelidand brow redundancy, and management of aberrantregeneration and hypertonicity.Learning ObjectiveLearning ObjectiveLearning ObjectiveLearning ObjectiveLearning Objective: At the conclusion of this course, theparticipant will be able to: 1) Explain the importance of a stagedapproach to the management of facial palsy; 2) Describe therelationship between facial function and ocular health; and 3)Explain how to perform a variety of procedures to help restorecosmesis and function in the patient with facial palsy.Core Competencies: Core Competencies: Core Competencies: Core Competencies: Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC24 Title:IC24 Title:IC24 Title:IC24 Title:IC24 Title: Ptosis Repair Made EasyFaculty:Faculty:Faculty:Faculty:Faculty: John J. Martin, Jr., MD and Julie Woodward, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: In this course, we will discuss lid anatomy,

focusing on the levator and Muller’s muscle. We will then goover some techniques which can be used to help simplify ptosisrepair surgery. This will include use of the bovie for all incisionalwork, and minimal dissection of the levator. This allows for arapid, predictable result for physicians who want to incorporateptosis repair into their practice. It will also demonstrate newtechniques for those who are already doing levator resections. Asimple technique for Muller’s muscle resection will also bepresented. This will be done with both slides and videopresentations. We will show possible complications and discusshow to avoid these.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss the lid anatomy involvedwith a ptosis repair; 2) Explain how to perform a simple ptosisrepair when doing an upper lid blepharoplasty; and 3)Recognize the possible complications with ptosis repair surgery,and how to manage them.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

IC25 Title:IC25 Title:IC25 Title:IC25 Title:IC25 Title: New Hybrid Face Lifting Techniques IncludingShort Flap Techniques and the MADE (Minimal Access DeepPlane Extended) Vertical FaceliftFaculty:Faculty:Faculty:Faculty:Faculty: Andrew A. Jacono, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: There are many approaches in rhytidectomyfrom small incision, short skin flap SMAS plication techniques tolong flap deep plane techniques, with no consensus amongstfacial plastic surgeons which is the gold standard. This coursepresents logarithms to choose a customized rhytidectomyapproach for each patient, by analyzing facial glide planes andanatomy during evaluation prior to surgery. New hybrid

techniques using shorter incisions will be discussed. A focus willbe discussing a new technique the MADE (minimal access deepplane extended) vertical vector facelift. This is a hybridtechnique combining the optimal features of the deep planefacelift and short scar MACS-lift. This caudo-cranial vertical liftre-volumizes the midface by repositioning the malar fat padgiving a more youthful malar augmentation effect. Additionally,this technique utilizes an extended platysmal dissection with alateral platysmal myotomy, not traditionally included in thedeep plane facelift. This deep plane dissection combined with anextended lateral platysmal flap releasing it from the anteriorborder of the sternocleidomastoid muscle allows for 427%greater redraping of the midline platysma in comparison toSMAS purse string suture techniques. This obviates the need foradditional anterior platysmal surgery.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Master indications for minimallyinvasive short flap techniques versus deep plane surgicaltechniques based upon preoperative analysis; 2) Incorporatenew hybrid facelift approaches applying both short incision,extended SMAS dissection, and deep plane techniques; and 3)Incorporate vertical SMAS and skin suspension techniquesminimize post auricular incisionsCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC26 Title:IC26 Title:IC26 Title:IC26 Title:IC26 Title: Practical Applications of the Fractional Laser: SkinRejuvenation, Laser Assisted Lower Lid Blepharoplasty,Simultaneous Laser Resurfacing with Facelift SurgeryFaculty:Faculty:Faculty:Faculty:Faculty: William H. Truswell, MD and Harrison C. Putman,III, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: Faces age in different ways. Tissues descend,volume is lost, and the skin ages. There are different modalitiesfor dealing with aging skin. Fractional laser techniques offer thepractitioner a new dimension in skin rejuvenation. The resultsare predictable, reproducible, relatively risk free and allow avery rapid return to normal color. Wrinkles are reduced, poressmaller, dyschromias eliminated, skin tightened and collagenregenerated restoring skin volume. Fractional resurfacing is anexcellent adjunct to aging face surgery.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Explain the day to day practical useof fractional lasers; and 2) Discuss the process of counseling andpreparing the patient for the procedure, of using the laser, and ofproper post operative care.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC35 Title:IC35 Title:IC35 Title:IC35 Title:IC35 Title: New “Optimum Mobility” Facelift: A New‘Minimally Invasive’ Technique Using Special ‘Smart’ Suturesand Minimal Dissection for Maximal and Durable ResultsFaculty:Faculty:Faculty:Faculty:Faculty: Nabil Fanous, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The following is a familiar story to most plasticsurgeons: a middle-aged lady comes for a consultation regardinga facelift. She looks in the mirror, places one or two fingers onthe side of her face and moves them a few centimeters in a

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supero-lateral direction. The result of this simple minimalmanipulation is impressive, equal or even superior to a good facelift outcome. The patient rightly comments: “Doctor, all I want isjust this!” Reflecting on the above situation, two logical questionscome to mind: How is it that two fingers, placed externally onthe skin, can obtain, without any dissection and with negligibleforce, such a remarkable mobilization of the facial tissues thatmost extensive face lift struggle and may even fail to achieve?!There is only one possible explanation: the result of that fingermaneuver has to do with an intrinsic mobility of the facial tissues(in other words, a range of mobility that naturally exists withinthe different facial planes before any surgical intervention,unlike the acquired mobility achieved by surgical dissection). Inpart I of this course “The Theory” the naturally existing mobilityof facial planes and its mechanism will be analyzed. The secondquestion is: If we can achieve such a dramatic result with twofingers and no dissection, why couldn’t we do the same or evenbetter with limited surgery? In part II of this course “TheTechnique”, this novel face lift approach will be displayed step-by-step as a “live surgery” demonstration.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to implement the Optimum Mobilityface lift technique into their own practice.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Practice-basedLearning and Improvement

IC36 Title:IC36 Title:IC36 Title:IC36 Title:IC36 Title: Upper Face Rejuvenation: The Contribution ofFH/Brow Lifting with Peri-Orbital RejuvenationFaculty:Faculty:Faculty:Faculty:Faculty: Stephen W. Perkins, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: In this course the attendees will be shown theinterrelationship between the aging forehead and brow and theperiorbital region. Tips on properly “educating” the prospectivepatient in consultation as to why and how the brow needs to betreated to achieve the desired cosmetic result. Surgicaland non-surgical treatment options for the peri-orbitalregion will be presented. Detailed discussions of how tosuccessfully rejuvenate the forehead and brow withminimally invasive but lasting techniques. Learninghow to choose the appropriate surgical techniques andperform endoscopic forehead lifting WITH effectivemuscle treatments will be the goals for each attendee.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course,the participant will be able to: 1) Explain the inter-relationship of the aging forehead and peri-orbital region;2) Discuss how to properly counsel and educate theprospective patient about the need for FH/browrejuvenation; and 3) Demonstrate how to choose theappropriate procedures and techniques to achieve themaximum cosmetic result.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal andCommunication Skills, Medical Knowledge, PatientCare, Practice-based Learning and Improvement

IC41 Title:IC41 Title:IC41 Title:IC41 Title:IC41 Title: Management of the Aging ForeheadFaculty:Faculty:Faculty:Faculty:Faculty: Peter A. Adamson, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This presentation reviews the surgical anatomy ofthe forehead and pertinent signs of aging. Various surgicaltechniques are organized into the coronal forehead lift and itsmodifications, direct brow lift and its modifications, andendoscopic forehead lifting. The trichophytic forehead lift,endoscopic and direct brow lifts are illustrated with video.Patient results are illustrated and indications for specificprocedure selection are determined. A review of our applicationof these various procedures is presented.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identify the important surgicalanatomy of the forehead and classify the various surgicaltechniques that can be utilized to rejuvenate the aging forehead;2) Illustrate the various techniques through videos and patientresults; and 3) Utilize the indications and contraindications forappropriate patient selection for each approach as learnedthrough the results of our experience.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC42 Title:IC42 Title:IC42 Title:IC42 Title:IC42 Title: Simultaneous Facelift and Fat GraftingFaculty:Faculty:Faculty:Faculty:Faculty: Timothy J. Marten, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Discuss the technique of combined facelift and fat

grafting.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Describe the technique for fatharvest; 2) Describe the technique for facial fat injection; and 3)List areas where facial fat grafting can be used to improve facialappearance in facial rejuvenation proceduresCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care


Opened on November 12, 1936, Oakland-San Francisco Bay Bridgeremains one of the largest bridges in the world and carries moretraffic than any other toll bridge — over 270,000 vehicles each day.

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Video Learning CenterVideo Learning CenterVideo Learning CenterVideo Learning CenterVideo Learning CenterBooth 701-709The AAFPRS John Dickinson Memorial Library will bepresent at this meeting and will showcase its most recentaging face and rhinoplasty titles. All registered members andguests will have access to the Video Learning Center andwill be able to request viewings from over 300 titles. Makesure you ask to see the four new DVDs released this year.The Video Learning Center will be in the Exhibit Hall rightnext to the AAFPRS Products Booth.

IC45 Title:IC45 Title:IC45 Title:IC45 Title:IC45 Title: Avoiding Complications in Lower BlepharoplastySurgeryFaculty:Faculty:Faculty:Faculty:Faculty: Theda C. Kontis, MD and Elba Pacheco, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The key to avoiding postoperative complicationsin lower eyelid surgery lies in the preoperative assessment. Thesurgeon must obtain a thorough medical history for systemicdiseases, prior orbitofacial surgeries, and trauma. In addition, thepreoperative examination must include assessment of lower lidtone, determination of the amount of fat prolapse and skin laxitypresent and identification of the presence of a negative facialvector. This course will outline elements of the preoperativeevaluation which should be performed in order to minimizepotential complications including lower lid malposition, andinfraorbital hollowing. Surgical maneuvers which can be used tolimit or correct complications will be described in detail with theuse of intraoperative photographs. Finally, suggestions will bemade for postoperative management of unexpectedcomplications.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identify factors in the patient’shistory or examination that predispose to poor surgicaloutcomes; and 2) Manage unexpected lower eyelid surgerycomplications.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Practice-basedLearning and Improvement

IC48 Title:IC48 Title:IC48 Title:IC48 Title:IC48 Title: Fat Grafting AdvancesFaculty:Faculty:Faculty:Faculty:Faculty: Sam M. Lam, MD; Mark J. Glasgold, MD; and RobertA. Glasgold, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Fat transfer has become recognized as a majormethod to rejuvenate the aging face. However, manyconflicting reports have existed regarding safety, efficacy andlongevity. This course will teach a philosophical perspective onwhy to perform fat transfer, specifics on understandingparameters of safety and longevity, and focus also on techniquefor execution..Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss the aging face differentlyfrom a volumetric perspective; and 2) be able to undertake theprocedure by understanding the technical details on how to doso.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

IC57 Title:IC57 Title:IC57 Title:IC57 Title:IC57 Title: Low Morbidity Highly Effective FaceliftFaculty:Faculty:Faculty:Faculty:Faculty: Devinder S. Mangat, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course will present a very straight forwardapproach to facelift surgery that minimizes risk and producesgood results. Emphasis on proper patient selection, choice ofincisions, treatment of hairline and resulting imperceptible scars.Both technical surgical and pharmaceutical aids for successfuloutcomes will be discussed. Modifications and precautions inMales will be emphasized.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Perform a facelift with greater easeand sophistication; 2) Recognize and avoid some of the pitfalls infacelift surgery; and 3) Explain such a technique to othersCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Practice-basedLearning and Improvement

IC58 Title:IC58 Title:IC58 Title:IC58 Title:IC58 Title: Refinements in Endoscopic BrowliftFaculty:Faculty:Faculty:Faculty:Faculty: Tom D. Wang, MDCategory:Category:Category:Category:Category: Aging FaceTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: This course will review the anatomy fundamentalto brow and forehead surgery. Attention will be focused onclinically proven techniques and refinements related to theendoscopic approach. These refinements has led to stable

outcomes with less invasive maneuvers compared to standardtechniques.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the changes associatedwith upper facial aging; 2) Appropriately evaluate patients withproblems related to the aging face syndrome; and 3) Discussappropriate surgical treatments to address the changes associatedwith aging brow and forehead.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement


Did you know that the AAFPRS offers streamingDid you know that the AAFPRS offers streamingDid you know that the AAFPRS offers streamingDid you know that the AAFPRS offers streamingDid you know that the AAFPRS offers streamingvideos on-line? Visit the AAFPRS Web site:videos on-line? Visit the AAFPRS Web site:videos on-line? Visit the AAFPRS Web site:videos on-line? Visit the AAFPRS Web site:videos on-line? Visit the AAFPRS Web site:http://streaming-video.aafprs.org/.http://streaming-video.aafprs.org/.http://streaming-video.aafprs.org/.http://streaming-video.aafprs.org/.http://streaming-video.aafprs.org/.

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IC64 Title:IC64 Title:IC64 Title:IC64 Title:IC64 Title: Revision Rhytidectomy: What You Need to KnowFaculty:Faculty:Faculty:Faculty:Faculty: Neil A. Gordon, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Revision rhytidectomy patients can be patientspleased from a prior rhytidecomy that has aged or were neverplease form a suboptimal procedure. It is imperative tounderstand the anatomy and etiology of either recurrent agingchanges or the cause of suboptimal results such asundertreatment of ptotic soft tissue to ear distortions caused byexcess skin tension. Understanding these issues will direct therevision surgeon to what techniques should be preformed thatwill correct these issues and most importantly, how to avoidpitfalls seen in revision surgery. Ultimately avoiding the creationof excess skin tension is the key to the treatment of revisioncases. The deep-plane rhytidectomy will be emphasized.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss the etiology of bothrecurrent facial ptotic tissue and the its pertinent anatomy; 2)Discuss the etiology and anatomy in dissatisfied rhytidectomycases in order to effectively treat these issues; and 3) Recognizethe etiology of recurrent and undertreated soft tissues aging andwhat techniques would effectively treat these issues as well aswhat techniques to avoid.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement


IC65 Title:IC65 Title:IC65 Title:IC65 Title:IC65 Title: The Endoscopic Midface Lift – Pearls, Pitfalls, Stepby Step Surgical TechniqueFaculty:Faculty:Faculty:Faculty:Faculty: Anurag Agarwal, MD and Richard P. Maloney, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The endoscopic subperiosteal midface lift is atechnically challenging procedure, addressing an area of the facethat is often neglected in aging face surgery. With the recentsurge in popularity of fat grafting, we seek to re-establish theminimal incision endoscopic midface lift as the definitiveprocedure in restoring one’s own volume to the midface. Thesurgical technique will be highlighted, in a step-by-step fashion,focusing on intra-operative modifications based on individualpatient anatomy. Pearls and potential pitfalls will be shared. Forthe two instructors, the endoscopic midface lift is the procedureof choice in correcting adverse sequelae of prior facelifts.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to 1) Recognize the value of theendoscopic midface lift with buccal fat suspension in treatmentof the aging face and be ready to pursue additional training inthis technically difficult procedure; 2) Describe the surgical andaesthetic indications for performing this procedure, as well as thestep by step technique; and 3) Identify pearls and pitfallsassociated with this procedure.; Recognize the value of theendoscopic midface lift in both the primary and revision faceliftpatient population.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC66 Title:IC66 Title:IC66 Title:IC66 Title:IC66 Title: Comprehensive Lower Lid RejuvenationFaculty:Faculty:Faculty:Faculty:Faculty: Guy Massry, MD and Babak Azizzadeh, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The course will review the preoperativeevaluation, intraoperative techniques, and postoperative care ofthe patient seeking lower eyelid rejuvenation. It will focus on thekey elements of the examination of the lower lid, i.e.. anassessment of the skin, muscle, fat, tone and vector. Operativetechniques will include transconjunctival blepharoplasty, variousgraded aesthetic canthal suspension techniques (canthopexy,canthoplasty), fat repositioning, fat grafting, orbicularis muscleplication, modifications necessary for the prominent globe, andsome information on adding midface suspension whenapplicable. Special attention will be given to techniques foreffacing the lid/cheek junction. The management of commonpostoperative issues and complications will be discussed, withemphasis on reducing bruising and swelling and shorteningrecovery time. Important pearls relevant to the evaluation,surgery and postoperative care will be reviewed in detail.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Properly evaluate, outline asurgical plan, and manage the patient seeking lower eyelidaesthetic rejuvenation; and 2) Describe the various surgicaltechniques described above when performing lower lidblepharoplasty and adjunctive procedures.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Systems-based Practice

DisclaimerRegistrants for this course understand that medical andscientific knowledge is constantly evolving and that theviews and techniques of the instructors are their own andmay reflect innovations and opinions not universallyshared. The views and techniques of the instructors arenot necessarily those of the Academy or its Foundationbut are presented in this forum to advance scientific andmedical education. Registrants waive any claim againstthe Academy or its Foundation arising out of informationpresented in this course. Registrants also understand thatoperating rooms and health-care facilities presentinherent dangers. Registrants waive any claim against theAcademy or Foundation for injury or other damageresulting in any way from course participation. Thiseducational program is not designed for certificationpurposes. Neither the AAFPRS nor its Foundationprovides certification of proficiency for those attending.

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Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERY

BS6 Title:BS6 Title:BS6 Title:BS6 Title:BS6 Title: Superior Treatment Outcomes with Prescriptionand Cosmeceutical ProductsFaculty:Faculty:Faculty:Faculty:Faculty: Jennifer Linder, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Prescription medications provide a multitude ofbenefits for numerous cosmetic skin concerns; however, the useof prescription products alone typically does not offer the well-rounded topical regimen necessary for optimal skin function.The use of prescription products in combination withcosmeceuticals allows for a more holistic approach for faster,more dramatic results.Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss the most beneficialcosmeceutical ingredients for treating various skin concerns; and2) Identify superior at-home regimens that combinecosmeceuticals and common prescription medications.

BS9 Title:BS9 Title:BS9 Title:BS9 Title:BS9 Title: Understanding Why The C02 laser is the GoldStandard: From Fractional Resurfacing to Fully AblativeTreatments while Minimizing the RisksFaculty:Faculty:Faculty:Faculty:Faculty: J. Kevin Duplechain, MD and Bradford Patt, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: This course will review the science behind theGold Standard C02 laser. The course directors will presentmultiple clinical scenarios where laser skin rejuvenation shouldbe used and provide in detail treatment parameters for each

condition. These treatment scenarios will include aging faceincluding resurfacing of the neck with facelift, periocularresurfacing, scar revision and scar ablation, and full face ablativetreatments. Avoiding risky treatment parameters will be stressedin detail throughout the course.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theattendee will be able to: 1) Apply the concepts to any C02 laserand safely create treatment parameters for patients seeking skinrejuvenation; and 2) Recognize pitfalls of laser skin rejuvenationand modify treatment to avoid major and minor complications.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement.

IC19 Title:IC19 Title:IC19 Title:IC19 Title:IC19 Title: Endoscopic Techniques for Mandibular andMidface Fracture Reduction and FixationFaculty:Faculty:Faculty:Faculty:Faculty: Todd M. Brickman, MD and Timothy Doerr, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: Course will introduce participants to theendoscopic approaches to the facial skeleton. We willdemonstrate from case presentations with pictures and videosthe endoscopic techniques for reduction and fixation of midfaceand mandibular fractures. Will examine differences betweenopen, endoscopic assisted per-cutaneous, and trans-oralendoscopic procedures while discussing the equipment needed,advantages, and limitations for each. Will review outcome datafor each approach and strategies on implementing thetechniques into ones surgical treatment algorithm.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Explain the differences among theapproaches and appreciate the advantages and limitations ofeach; and 2) Implement the techniques into ones surgicalpractice.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

IC28 Title:IC28 Title:IC28 Title:IC28 Title:IC28 Title: Acne Rosacea: The Red FaceFaculty:Faculty:Faculty:Faculty:Faculty: David A.F. Ellis, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The aging facial skin produceshyperpigmentation, poor skin texture and tone, and broken

capillaries. Acne rosacea is the most common cause of brokencapillaries and occurs in about 20% of the Caucasian population.Certain conditions aggravate the redness and Rosacea can benicely classified so that the appropriate treatment to minimizethe redness can be performed. The blood vessels and flushing aretreated with various and combination laser technology.Classification a rosacea will be introduced so that the appropriatemanagement can be selected. From diffuse redness, capillaryformation and rhinophyma, this course will allow the facialplastic surgeon to treat his patients in the most effective way.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course theparticipant should be able to: 1) Select the best safest surgicaltherapy, laser therapy and which medical therapy would be bestfor the patient. The decisions would be based on patient’s desires,

and the laser therapy available; and 2) Properly classifythe problems associated with the acne rosacea and beable to advise the patient the best technologies in whichto get the optimal results.

Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal andCommunication Skills, Medical Knowledge, PatientCare, Practice-based Learning and Improvement

Once the chilling destination of maximum-securityconvicts, Alcatraz now sees hundreds of thousands moretourists per year than the total number of prisoners in itsentire 29-year life as a federal penitentiary.

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IC40 Title:IC40 Title:IC40 Title:IC40 Title:IC40 Title: Ablative Carbon Dioxide Fractional Resurfacing:Maximizing Results with a Minimally Invasive ToolFaculty:Faculty:Faculty:Faculty:Faculty: Ryan Heffelfinger, MD; Michael A. Persky, MD; LisaD. Grunebaum, MD; and Howard D. Krein, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: We will review the science and histologic datasupporting fractional lasers. There are many fractional CO2 lasersin the market, and we will examine the differences betweenthem. The presentation includes indications/contra-indications,proper patient selection, the treatment of multiethnic patients,limitations of the treatment, complications, and treatment pearls.We will present results on many patients with a wide variety ofconditions.Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Choose the appropriate andoptimal patients that would most benefit from fractional CO2

laser resurfacing; 2) Avoid patients at high risk for complicationsfrom fractional CO2 laser resurfacing; and 3) Make an educatedpurchasing decision on a fractional CO2 laser.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Practice-basedLearning and Improvement, Professionalism, Systems-basedPractice

Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERYMINIMALLY INVASIVE AND LASER SURGERY

IC53 Title: IC53 Title: IC53 Title: IC53 Title: IC53 Title: Energy Based Devices Versus TraditionalTherapies: An Evidence Based Approach to Minimally InvasiveRejuvenationFaculty: Faculty: Faculty: Faculty: Faculty: Vic A. Narurkar, MDTarget AudienceTarget AudienceTarget AudienceTarget AudienceTarget Audience: Practicing PhysiciansDescription:Description:Description:Description:Description: There is a great deal of confusion on the actualefficacy of lasers, light sources, radio frequency, cryolipolyticand ultrasound devices. This course will present an evidencebased approach on safety and efficacy of these modalities andcompare them with traditional therapies such as chemical peels,liposuction and surgical modalities. The course will also developalgorithms on how to best incorporate these technologies foroptimal outcomes. Complications and their management as wellas combination therapies with injectables and skin care will bediscussed.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Describe the current energy baseddevices and their strengths and limitations; 2) Create analgorithm to incorporate these devices in a practice; and 3)Compare traditional therapies with newer approaches inoutcomes and complications.Core Competencies: Medical Knowledge, Patient Care

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Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsPRACTICE MANAGEMENT, PROFESSIONAL DEVELOPMENT, AND ETHICSPRACTICE MANAGEMENT, PROFESSIONAL DEVELOPMENT, AND ETHICSPRACTICE MANAGEMENT, PROFESSIONAL DEVELOPMENT, AND ETHICSPRACTICE MANAGEMENT, PROFESSIONAL DEVELOPMENT, AND ETHICSPRACTICE MANAGEMENT, PROFESSIONAL DEVELOPMENT, AND ETHICS

BS1 Title:BS1 Title:BS1 Title:BS1 Title:BS1 Title: Seven-Step Marketing Plan: The Unique Needs ofFacial Plastic Surgeons (Not a CME Activity)FacultyFacultyFacultyFacultyFaculty: Candace CroweDescriptionDescriptionDescriptionDescriptionDescription: This will be an hour packed with “roll yoursleeves up and get to work” approach. Participants will receiveworksheets that we will complete to help determine the rightmix for their practice. We will go through several exercises,including: completing a creative brief and touch point map,identifying your USP (Unique Selling Position), writing a 30-secon “who you are” commercial, identifying your targetaudience and creating a customer profile, deciding on a budget,writing a month-by-month plan, developing a professionalimage, implementation, and tracking.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this course, theparticipant will be able to discuss the basic foundation andoutline of a usable and effective marketing plan that can befurther developed and implemented.Core CompetenciesCore CompetenciesCore CompetenciesCore CompetenciesCore Competencies: Professionalism

BS2 Title:BS2 Title:BS2 Title:BS2 Title:BS2 Title: Protection Against Frivolous Lawsuits: DeterringMeritless Cases and Holding Proponents of Those CasesAccountableFaculty:Faculty:Faculty:Faculty:Faculty: Jeff SegalDescription: Description: Description: Description: Description: A Harvard analysis indicates about 40% of themedical malpractice cases filed in the United States aregroundless. These groundless lawsuits accounted for 15 percentof the money paid out in settlements or verdicts. In 75 of thelargest US counties, approximately 67 percent of all malpracticetrials were against surgeons. Since 2002, Medical Justiceembraces judicious use of counterclaims so those who pursuemeritless claims are held accountable. The results: the averagedoctor is sued between 0.5 and 2 percent per year; significantlylower than those who are tagged in the traditional system.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to formulate a plan for avoiding orcontaining baseless lawsuits.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

BS3 Title:BS3 Title:BS3 Title:BS3 Title:BS3 Title: Managing Dissatisfied Patients—Legal, Ethical andFinancial ImplicationsFaculty:Faculty:Faculty:Faculty:Faculty: Catherine Winslow, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Patients dissatisfied with services or results afterreceiving procedures present a challenge to the practicingphysician, are burdensome for the staff and surgeon, andrepresent a potential legal and financial threat to the practice.Strategies and legal implications for dealing with differentscenarios will be addressed, to include surgical and non-surgicalalgorithms. This course specifically deals with management ofthe unhappy patient, not identifying the problematic patient inadvance of treatment.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of the course, theparticipant will be able to: 1) Manage patient dissatisfaction witha minimum of expense and time investment; and 2) Develop aprotocol for managing surgical and non-surgical complaints.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Patient Care, Professionalism

BS8 Title:BS8 Title:BS8 Title:BS8 Title:BS8 Title: Photography in Facial Plastic Surgery with anEmphasis on RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Stephen Weber, MD and Andrew Winkler, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Photography is a critical aspect of facial plasticsurgery. Acquisition of quality and reproducible images isrequired for operative planning, assessment of treatmentoutcomes, medicolegal documentation, self-assessment, teachingand marketing. The authors will present a “soup to nuts” reviewof cameras, photo studio equipment from bare bones to highend, software post-processing and “morphing” of images duringthe patient consultation. Pearls of operating room photographywill be described. Tools to produce consistent images will beprovided. Video will be shown to demonstrate the speakers’photo “morphing” technique using a low cost, widely-availablesoftware package (Adobe Photoshop).Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Elucidate the available hardwareincluding camera bodies and lenses; 2) Explain the salientfeatures of an in-office photo studio; 3) Achieve standardizationin office and operating room photography; and 4) Discuss howto “morph” patient images using an affordable, off-the-shelfsoftware package.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Practice-basedLearning and Improvement

BS10 Title:BS10 Title:BS10 Title:BS10 Title:BS10 Title: Raise Your Profile: Put Your Best Face Forward InYour Community (Not a CME Activity)Faculty:Faculty:Faculty:Faculty:Faculty: Deborah Sittig, Green Room PRTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Like first impressions, public perception isimportant. Before a patient ever meets you, he/she has alreadystarted to form opinions about you and your practice throughavailable information on-line, in the media, and more. Thisseminar provides the basics of public relations to help you "raiseyour profile" in your area. In addition to learning the "top 10tips for speaking to the media," our PR firm Green Room PublicRelations will help you develop your own bio for media use andwill provide an inside look of what to expect during a mediainterview. Attendees will also have the opportunity to take aprofessional headshot for media use.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to:.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and Communication Skills

BS11 Title:BS11 Title:BS11 Title:BS11 Title:BS11 Title: Web 2.0 –Physician Inflection Point: Ethical andLegal Boundaries for Use of Social Media in Your Practice(Not a CME Activity)Faculty:Faculty:Faculty:Faculty:Faculty: Joy TuTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: There is no question that social media tools suchas Facebook, Twitter, MySpace and more have changed theway we all communicate. Undoubtedly, social networks offerbusinesses a powerful viral vehicle for their advertising,marketing and customer support activities. After lagging everyother profession, physicians are flocking to blogs, Facebook,

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Twitter, YouTube, and LinkedIn. This, coupled with the highlycomplex and legally regulated relationship between physiciansand patients, creates unique rules of on-line engagement. Socialmedia networks are a challenge due to undefined expectationsof privacy, confidentiality, and appropriateness ofcommunications. Medicolegal barriers are also a concern sincephysicians have historically had to assume a defensive posturedue to the abrasive malpractice environment in our country andopen channels of on-line communication may create new nodesof vulnerability.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to discuss and debate the followingquestions: Should medical practices require their employees tosign a Social Media Policy? If so, what obligations should beincluded in such a policy? What are the patient communicationsboundaries in today’s social media-inspired world? Which socialmedia networks are effective marketing tools for my practice?How so? What are some crucial tactics to adopt to take the mostadvantage of on-line communities? How would one decipherthe AMA‘s policy about professionalism in use of social media?What is the difference between Friends, Fans and Followers?Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Professionalism

IC7/IC17 Title:IC7/IC17 Title:IC7/IC17 Title:IC7/IC17 Title:IC7/IC17 Title: Practice Financial Management for FacialPlastic Surgeons, Parts 1 and 2Faculty:Faculty:Faculty:Faculty:Faculty: Karen ZupkoTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription:Description:Description:Description:Description: This course is designed for facial plastic surgeonswho earn more than 60% of practice revenues from electiveprocedures. Surgeons who want to improve their understandingof audit controls, and revenue cycle and expense accounting in apractical way should attend.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the informationcontained in a Profit and Loss statement; 2) Create a practiceFinancial X-Ray Report (FXR) ™; 3) Evaluate the financialpolicies for aesthetic patients, including charging for consults,quotations, surgical scheduling deposits, timing of balancecollections, discounting, revisions, etc.; 4) Monitor financialcontrols that eliminate theft and creative bookkeeping; and 5)Set staff salaries, issue bonuses and rewards.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Professionalism

IC38 Title:IC38 Title:IC38 Title:IC38 Title:IC38 Title: How to Recognize Signs of Body DysmorphicDisorder and Other Personality DisordersFaculty:Faculty:Faculty:Faculty:Faculty: Henri P. Gaboriau, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The course will address signs and symptoms ofBody dismorphic disorder as well as other Personality disorders.Prevalence of such disorders in patients seeking cosmetic surgerywill be reviewed and compared to the general population.Finally we will look at the correlation between body dismorphicdisorder/personality disorders and lawsuits in the field of facialplastic surgery.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identifying patients exhibiting signsof body dysmorphic disorder; and 2) Recognize signs of otherpersonality disorders and act accordingly.

Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Patient Care, Professionalism

IC49 Title:IC49 Title:IC49 Title:IC49 Title:IC49 Title: Managing Your Social Network: The Rules ofEngagement For Facial Plastic Surgeons (Not a CME Activity)Faculty:Faculty:Faculty:Faculty:Faculty: Wendy LewisTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Using social media platforms (Facebook, Twitter,Linked In, YouTube, Blogs) can help surgeons create aprofessional presence on-line, express their points of view on avariety of topics, promote their practice and expertise, anddevelop relationships with consumers, patients, industry leaders,media and colleagues. Yet the evolving world of social mediaalso presents new challenges in terms of time management, stafftraining, and return on investment. This presentation shallprovide facial plastic surgeons with hands on instruction fordesigning a successful social media strategy to grow theirpractices and attract the right target audience.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Implement a social media programfor your practice or elevate your existing social media programto the next level to effectively attract new patients, generatevisibility for your practice and ethically market your surgicaland non-surgical services to new groups of consumers in a costeffective way; and 2) Design a Facebook page and populate it,activate a Twitter account, understand the uses of Linked In vsother social networking platforms, and create a YouTubechannel for your practice brand.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and Communication Skills

IC56 Title:IC56 Title:IC56 Title:IC56 Title:IC56 Title: The Internet: A Blessing or a Curse (Not a CMEActivity)Faculty:Faculty:Faculty:Faculty:Faculty: Paul S. Nassif, MD; Jeff Segal; and Domingo RiveraTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Blogs, medical Web sites, and Google containaspects of you and your practice that can advance your practiceand is a great source of advertisement such as a good doctorrating and simultaneously, slanderous and false information canbe disseminated across the Web from unhappy patients,competitors, disgruntled employees or peers. The course willdiscuss the approach to identify the negative posts and all optionsto minimize the catastrophic events that may occur due to thesenegative postings.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Design a complete reputationmanagement information system; and 2) Develop a means todefend her/himself and minimize defamation of character frominternet negative postings.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Professionalism

IC59 Title:IC59 Title:IC59 Title:IC59 Title:IC59 Title: Creating the Ideal Clinical Research Question: AHands-On EBM WorkshopFaculty:Faculty:Faculty:Faculty:Faculty: John S. Rhee, MD; Peter A. Hilger, MD; and Lisa Ishii,MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The practice of evidence based medicine (EBM)involves the integration of knowledge from clinical experienceand from the best available evidence to plan individual patient


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care. The steps for implementation of EBM include formulationof a relevant clinical question, systematic review of theliterature, study design, data collection and data analysis. Thiscourse will introduce the PICO method for developing arelevant clinical question and provide an introduction to thesteps in the EBM process. This will be done in a practical methodby using real clinical scenarios in the process of an evidencebased medicine approach to answering a clinical question.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course,participants should be able to: 1) develop a thoughtful clinicalquestion using the PICO method; and 2) Further be able tosearch electronic databases to review the existing evidence, anddistinguish between study design methods to obtain newevidence.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement, Systems-basedPractice

IC60 Title:IC60 Title:IC60 Title:IC60 Title:IC60 Title: Dealing with the Dissatisfied PatientFaculty:Faculty:Faculty:Faculty:Faculty: Sigmund L. Sattenspiel, MD and Donn R. Chatham, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: The primary purpose of this course is to provideinsight into dealing with dissatisfied patients. These patients areenormously challenging to and are the bane of every cosmeticsurgical practice. Why are patients difficult? What causesdissatisfaction? What are the keys to early identification? Thecourse will include strategies in management and illustrative casestudies. Presentation will be thought provoking conceptsregarding this most stressful and perplexing problem in ouremotionally charged specialty involving surgery of appearance.The views of two experienced facial plastic surgeons regardingthe assessment, evaluation and valuable management techniqueswill be offered. Interesting case studies illustrate the viewselaborated in the didactic discussions.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss how to reduce thefrequency of struggling with the challenging and sometimesdangerous post-operative dissatisfied patient; 2) Identifypotentially difficult patients pre-operatively; 3) Choose strategiesthat may help to manage the unhappy patient; and 4) Makeyour life a little happier. Should be able to potentially detect anddeal with the difficult patient.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Practice-basedLearning and Improvement, Professionalism

IC63 Title:IC63 Title:IC63 Title:IC63 Title:IC63 Title: Exponential Growth and Profitability in anAesthetic Surgical Practice During a Recession Market or anExtremely Competitive Practice EnvironmentFaculty:Faculty:Faculty:Faculty:Faculty: Edwin F. Williams, III, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: In this country we have just experienced theworst recession in decades. With healthcare reform lurking andcompetition soaring, it is imperative that we incorporate soundproven business principles and strategies into our surgicalpractices to ensure sustained growth, profitability anduncompromising patient outcomes. By incorporating a scientific


disciplined approach to the business of aesthetic surgical practiceas well as a culture of execution, one can see exponential growthand consistently post increases in profitability even in a difficultmarket. By understanding how to maximally leverage your timeand diversify risks one can begin to focus more on staying in the“blue part of the flame” of a surgical practice and doing whatyou enjoy rather then working harder. This approach hasproven successful during the 2008 – 2010 time periods.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Delineate the process of focuseddiscipline on the business aspects of the aesthetic, surgicalpractice; and 2) Incorporate strategies that have been proven toenhance patient care, relationships and outcomes.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care, Professionalism, Systems-based Practice

IC69 Title:IC69 Title:IC69 Title:IC69 Title:IC69 Title: The Psychology of Facial Plastic Surgery: How toSelect and Manage Your PatientsFaculty:Faculty:Faculty:Faculty:Faculty: Jonathan M. Sykes, MD and Donn R. Chatham, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course will teach the attendee theimportance of patient selection in facial plastic surgery. Varioustypes of patient psychopathology will be discussed. Lastly, theapproach and management of patient dissatisfaction will beoutlined.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss selection/deselectionpatients for plastic surgery; and 2) Explain strategies to managepatient dissatisfaction;Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Patient Care, Practice-based Learning and Improvement,Professionalism

IC70 Title:IC70 Title:IC70 Title:IC70 Title:IC70 Title: Reputation, Ratings & Reviews - Trends, Advances,Pitfalls, and Things to Avoid in this Evolving Arena(Not a CME Activity)Faculty:Faculty:Faculty:Faculty:Faculty: Robert BaxterDescription:Description:Description:Description:Description: With a decade's worth of experience in the fieldof Internet marketing and reputation management for aestheticphysicians, Mr. Baxter will guide participants through aninteractive session designed to discuss trends, advances, and issueswith reputation management for facial plastic surgeons. FromGoogle's groundbreaking ratings and reviews change on July22nd to reputation services that actually do more harm thangood, the session will provide specific details about enhancing,maintaining, and repairing your reputation.Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives:At the conclusion of this course, the participant will be able to: 1)Learn about compliance issues that must be adhered to byservice providers and how ignoring them can spell trouble; 2)Receive specific directions on claiming, setting up, andoptimizing your pages on review sites across the Web; and 3)Fix standardization issues that could keep you from great ratings,even if patients are out there providing reviews.

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Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsRHINOPLASTYRHINOPLASTYRHINOPLASTYRHINOPLASTYRHINOPLASTY

IC1/IC11 Title:IC1/IC11 Title:IC1/IC11 Title:IC1/IC11 Title:IC1/IC11 Title: Endonasal Mastery of the Nasal Tip andProblematic Rhinoplasty, Parts 1 and 2Faculty:Faculty:Faculty:Faculty:Faculty: Norman J. Pastorek, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: This is a two part course. The first hour details theexamination and diagnosis of all variations of nasal tip anatomypresenting for aesthetic change and specific detailed endonasaltechniques allowing the surgeon to provide consistent goodresults. The second hour will describes the approach tonumerous rhinoplasty problems including, the deviated nose (upper, middle, and lower thirds), severe hanging columella, deepradix, elevated alar margins, severely deviated nasal septum,unilateral hypoplastic maxilla.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the anatomic variationsof the underprojected and overprojected nose and be able to usea systematic surgical approach for a consistent good outcome; 2)Identify the multiple contributing factors of the crooked noseand apply proven techniques to correct them; and 3) Manage afew unusual nasal aesthetic problems that present rarelyCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC2 Title: IC2 Title: IC2 Title: IC2 Title: IC2 Title: The Art of Rhinoplasty and Facial ContouringFacultyFacultyFacultyFacultyFaculty: Raj Kanodia, MDTarget AudienceTarget AudienceTarget AudienceTarget AudienceTarget Audience: Practicing PhysiciansDescriptionDescriptionDescriptionDescriptionDescription: Rhinoplasty is about finesse and not change.During the consultation, I review the nose in 5-6 categories:breathing, length, tip, bridge, width of the nasal bones, width ofthe nostrils. Upon review, I normally discuss which of the abovecategories are in perfect harmony and those that need somerefinement. Preserving parts of the nose in its original formkeeps the integrity and the character of the nose. This becomesan important aspect of rhinoplasty because not only the patient,but also family and friends cannot pinpoint why it is that theyare suddenly looking great. Once the center of the face (nose) isanalyzed and dealt with, the attention then moves to the otherimportant structures: cheeks (upper vector), chin (lower vector),mouth. With the use of neurotoxins and fillers, I am able toimpart even more artistic harmony to the face.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss and evaluate the form andfunction of a patient’s nose during a rhinoplasty consultation; 2)Assess the artistic harmony of the face; 3) Select appropriateintegration of neurotoxins and fillers to improve the rhinoplastyresult and patient’s aesthetic appearance.Core CompetenciesCore CompetenciesCore CompetenciesCore CompetenciesCore Competencies: Medical Knowledge

IC3 Title:IC3 Title:IC3 Title:IC3 Title:IC3 Title: The Best of Both Worlds: The Hybrid RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: David W. Kim, MD and Patrick J. Byrne, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course reviews philosophy, principles,techniques and nuances pertaining to successful hybridrhinoplasty—nasal surgery with the aim of creating bothfunctional and cosmetic improvements. Structural principles andsurgical anatomy will serve as the foundation, emphasizing theareas in the nose in which the intersection of form and functionare most important. Surgical techniques will be analyzed withregard to their potential positive or negative impact on cosmeticrefinement as well as nasal airflow. Detailed instructionpertaining to the relevant analysis, technique selection, andsurgical execution will be presented through step-wise didacticand video presentations. Outcomes research pertaining to theimpact of cosmetic rhinoplasty maneuvers on nasal obstructionspecific quality of life will be reviewed.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of the course, theparticipant will be able to: 1) Perform functional and cosmeticanalysis of the nose allowing for correct selection of surgicaltechniques in rhinoplasty; and 2) Modify surgical techniquesbased on individual anatomy and goalsCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC12 Title:IC12 Title:IC12 Title:IC12 Title:IC12 Title: Fundamentals of Cartilage-Sparing Tip RefinementFaculty:Faculty:Faculty:Faculty:Faculty: Richard E. Davis, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: Surgery to refine and/or restore the nasal tipremains among the most challenging of all cosmetic procedures.Early surgical techniques have traditionally utilized excision oftip cartilage to achieve the desired cosmetic outcome. However,excisional techniques have proven haphazard andunpredictable. Consequently, the fundamentals of nasal tipsurgery are slowly evolving away from tip cartilage excision. Inconjunction with the external rhinoplasty approach, cartilage-sparing rhinoplasty techniques now offer reliable tip refinementvia repositioning and/or reshaping of tip cartilage (using suture-based techniques), rather than through aggressive cartilageexcision. Tip position is controlled long-term throughpreservation of the lateral crura and through the use of midlinestructural grafts. Durability, reproducibility, function, andcontour are all enhanced by virtue of greater structural integritywithin the nasal tip framework.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Develop an improvedunderstanding of structural tip dynamics; 2) Recognize thepotentially harmful effects of excisional rhinoplasty techniques;and 3) Demonstrate a knowledge of tissue-sparing techniquesthat enhance precision and reproducibility in tip refinementsurgery.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

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IC13 Title:IC13 Title:IC13 Title:IC13 Title:IC13 Title: The Wherewithal for Revision Rhinoplasty—Identifying and Avoiding DifficultiesFaculty:Faculty:Faculty:Faculty:Faculty: Edward H. Farrior, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This course is designed to create an algorhythmfor decision making with regard to revision rhinoplasty.Hopefully providing judgment regarding self assessment, patientassessment and expectation management. Surgical principles willbe reviewed and presented regarding specific deformitieshowever the overall emphasis of the course is the managementof the patient’s from consultation to completion.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant should be able to: 1) Guide the patient towardrealistic preoperative expectations; 2) Exhibit a basic knowledgeof the faculties required to achieve a successful outcome inrevision rhinoplasty; and 3) Avoid the unrealistic patient andrecognize their own limitations.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Patient Care, Practice-based Learning and Improvement

IC20 Title:IC20 Title:IC20 Title:IC20 Title:IC20 Title: The Art of Harmonizing Facial Profile byRhinoplasty and Chin AdvancementFaculty:Faculty:Faculty:Faculty:Faculty: Mohsen Naraghi, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The chin like the nose is in a prominent positionon the face and plays very important role in facial profile. The

important relationship between the nose and chin may beunderestimated by facial plastic surgeons who performrhinoplasty. In this course different nose and chin parameterscontributing to the facial profile harmony will be described.Chin analysis will be discussed according to the most consistentmethods. Surgical techniques for chin advancement includingalloplastic and osteoplastic advancement will be discussed. Highdefinition instructive videos of chin advancement procedure willbe presented including tips to prevent complications. Pre andpost operative results of chin advancement with rhinoplasty willbe the exciting ending of the course.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identify different nose and chinparameters contributing to the facial profile harmony; 2) Detectthe specific facial pathology of the nose and chin in any patientwho is seeking correction of facial profile; 3) Discuss surgicalcorrective techniques of choice for each patient withdisharmony in the facial profile; and 4) Select different surgicaltechniques for chin advancement with the least complicationsand impressive results.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning, Improvement

IC21 Title:IC21 Title:IC21 Title:IC21 Title:IC21 Title: Mastering the Nasal TipFaculty:Faculty:Faculty:Faculty:Faculty: Alvin I. Glasgold, MD and Robert A. Glasgold, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedLearning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Determine the appropriateapproach to structurally improve all types of tip problems; and2) Discuss the use of the variety of tip contour grafts.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

IC22 Title:IC22 Title:IC22 Title:IC22 Title:IC22 Title: Principles of Modern Functional and AestheticRhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Wolfgang Gubisch, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This interactive course will demonstrate thespeaker’s favorite techniques and tricks. Dr. Gubisch will play avideo which he will pause at any time to answer questions andgo more into details.

IC23 Title:IC23 Title:IC23 Title:IC23 Title:IC23 Title: Reconstruction of the Difficult Nose with Bone/Cartilage GraftFaculty:Faculty:Faculty:Faculty:Faculty: Nedim Pipic, MD, PhDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This presentation is intended to crystallize therhinologic surgeon‘s approach to the multiplicity of deformitieswhich occur in the twisted nose-septum complex, the previouslyoperated nose, the asymmetrical nose and the nose withdeficient tissue in one or more anatomic components. Thesepatients require the inclusion of a knowledge extension andmodifications of technique. The use of implants is frequentlyrequired and consideration is given particularly to dorsal,columella and tip implants. Autogenous implants are advised andused almost exclusively. Synthetic implants for the nose havebeen disappointing in the long term follow up. The rhinologicsurgeon must accept these challenges and certainly the patientshould not leave his care either breathing worse than he did

when he presented himself or looking worse.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Improve the airway whilemaintaining support of the nose; and 2) Focus on appearanceonly as a secondary surgery objective as opposed to airway andsupport. However, usually when the nose is shaped right itworks right and the appearance is improved.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement, Professionalism

IC29 Title:IC29 Title:IC29 Title:IC29 Title:IC29 Title: Septorhinoplaty : Middle East ExperienceFaculty:Faculty:Faculty:Faculty:Faculty: Alireza Mesbahi, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: Typical characteristics of middle eastern noseswill be addressed and which techniques work better forcorrection of apparent problems. Facts regarding the problemsafter rhinoplasty in thick skin patients (prevention andtreatment) will be discuss along with the role of depressor septi-muscle hyperactivity in these group of patients. Finally, thespeaker will share effective techniques regarding alar basewidening that is common in these patients.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Analyze the major problems intypical middle eastern noses do rhinoplasty in middle easternnoses with nice results; and 2) Explain the commoncomplications especially regarding thick skin after rhinoplasty inmiddle eastern noses and how to avoid and treat these types ofcomplications.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement, Professionalism


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IC31 Title:IC31 Title:IC31 Title:IC31 Title:IC31 Title: Rhinoplasty Step-by-StepFaculty:Faculty:Faculty:Faculty:Faculty: Leslie Bernstein, MD, DDSTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This very detailed 50-minute lecture contains150 slides, accompanied by explanations from the speaker, plusinvitations from the audience. This is the type of lecture thatcould be taken to the operating room and could well be thedirection of the surgery from A to Z! As the lecture proceeds,Dr. Bernstein often invites members of the audience to answerquestions— to see if they are awake and bright. This is a greatteaching lecture.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to demonstrate detailed knowledge ofhow to perform a confidential operation, step-by-step, and besatisfied with it, seriously determine that his/her job was welldone, in serious progressive steps.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Practice-basedLearning and Improvement, Professionalism, Systems-basedPractice

IC33 Title:IC33 Title:IC33 Title:IC33 Title:IC33 Title: The Hump Removal and the Hinge Osteotomiesfor the Straight and Crooked NosesFaculty:Faculty:Faculty:Faculty:Faculty: Fernando Pedroza, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: This course will present the technique that we use

to resect the hump and how we do the hinge osteotomies toclose the opened roof avoiding depression or asymmetries of thelateral nasal walls. The speaker will show the additionalprocedure used for crooked noses to straighten the dorsum. Dr.Pedroza will show pre and post photos, movies and illustrationsof each technique in detail.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Select approach to straightenadequately the crooked nose; 2) Discuss how to createosteotomies without depression or asymmetries of the lateralnasal walls; 3) Explain step by step how to do the hingeosteotomies for the hump removal.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

IC34 Title:IC34 Title:IC34 Title:IC34 Title:IC34 Title: Tips, Tricks and Pearls in RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Philip J. Miller, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Over the 15 years of performing rhinoplasty, Dr.Miller has accumulated dozens of tips, tricks and pearls onrhinoplasty techniques. These tips, tricks and pearls range fromfacilitating incisions to casting and post operative care. This is nota course on the step by step process of performing a rhinoplasty.It is focused on improving the speed and ease of executingspecific rhinoplasty maneuvers.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipants will be able to demonstrate improved technical skillsin executing specific rhinoplasty maneuversCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care


IC43 Title:IC43 Title:IC43 Title:IC43 Title:IC43 Title: Ethnic Rhinoplasty Case Presentations: Evaluationof the Initial Problem, Surgical Solutions, and Post-surgicalResultsFaculty:Faculty:Faculty:Faculty:Faculty: Roxana Cobo, MD and Gilbert Nolst Trenité, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Cosmetic rhinoplasty in ethnic patients has grownin demand over the past years. Different types of ethnic patientswill be presented where the participant will be able tounderstand how the patients specific problems were analyzed,what was considered important depending on the specific ethnicbackground, and what surgical solutions were used in eachspecific case. Cases will be presented showing definition ofproblems, approaches used including different surgicaltechniques and long term follow up pictures. Videodemonstrations of the different surgical approaches andtechniques used will be used in each case presented.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identify the most importantanatomic characteristics encountered in ethnic patients; 2)Discuss possible surgical solutions to the different types ofproblems found in ethnic rhinoplasty patients; and 3) Evaluatethe important anatomical characteristics in different ethnicpatients and depending on the findings should be able to discusspossible surgical solutions to each problem encountered.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC44 Title:IC44 Title:IC44 Title:IC44 Title:IC44 Title: Complicated RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Minas Constantinides MD and Daniel G. Becker, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: Even though all rhinoplasty is complicated, thereare some noses (primary and revision) that are morecomplicated than others. This course will examine the mostcomplicated rhinoplasties that the instructors have seen in theirpractices. Using extensive case-based analysis and intraoperativephoto and video documentation, the course will lead theaudience through a variety of scenarios in complex rhinoplasty.Unique solutions to complex problems will be discussed.Audience participation will encourage critical questions andfrank discussion of results and complications.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Display an improved awareness oftraps and pitfalls in primary and revision rhinoplasty; 2) Increasethe number of ways to address a given complex rhinoplastyproblem; 3) Decrease complications associated with ineffectiveanswers to complex rhinoplasty problems; 4) Identify at leasttwo new ways to approach a complex rhinoplasty problem; and5) Identify three new cautions to discuss with a patient before acomplex rhinoplasty.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement, Systems-basedPractice

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IC46 Title:IC46 Title:IC46 Title:IC46 Title:IC46 Title: Decision Making in Revision RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Steven J. Pearlman, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing Physician to AdvancedDescription: Description: Description: Description: Description: There are many options in revision rhinoplasty.This course will review the most common presenting complaintsin patients seeking revision rhinoplasty and provide guidance forchoosing the most appropriate reconstructive techniques foreach patient. First and foremost is identifying the problems fromtop to bottom; conditions will be addressed for the bony nasalvault, middle third, nasal tip, as well as alar and columellardeformities. The complexity of surgical technique should parallelthe patient’s needs. A sound foundation is necessary for bothfunctional and aesthetic rehabilitation of the nose. Structure isoften restored by the use of grafts. Choice of grafting materialbegins with autogenous cartilage; septal, conchal and ribcartilage. Other options include homogenous cadaver rib graftand alloplasts, including polydioxanone foil, ePTFE, porouspolyethylene and silastic. Surgical goals will be discussed alongwith a decision tree for how each area is surgically addressed andchoice of graft material is made. Sample case studies will bepresented to complement the presentation. If attendees wish tosubmit a case they can be done so in advance by e-mail to thepresenter for discussion at the end of the course.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipants will be able to: 1) Identify the most commonpresenting problems in patients seeking revision rhinoplasty; 2)Select appropriate grafts for each area of the nose; and 3) Bebetter equipped to formulate a surgical treatment plan.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical knowledge, Patient care,Practice-based learning and improvement

IC50 Title:IC50 Title:IC50 Title:IC50 Title:IC50 Title: Nasal Surgery on the Geriatric PatientFaculty:Faculty:Faculty:Faculty:Faculty: Fred J. Stucker MD; Stewart C. Little MD; andTimothy S. Lian, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course will address the aging nose withspecial emphasis on diagnosis and treatment of the ptotic nasaltip, nasal collapse with valve compromise, and management ofrhinophyma. The basis of the course is a review of over 400patients over 60 years of age who underwent reconstructiveand/or cosmetic nasal surgery.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to 1) Describe the functional andcosmetic sequelae of aging on the nose; 2) Recognize thefunctional and cosmetic challenges inherent in treating thosepatients with rhinophyma; 3) Identify the cosmetic andfunctional challenges of the ptotic nasal tip; and 4) Perform theappropriate maneuvers to surgically address the ptotic nasal tip,rhinophyma, and cosmetic rhinoplasty in the geriatricpopulation.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC51 Title:IC51 Title:IC51 Title:IC51 Title:IC51 Title: Complications in Rhinoplasty: Avoidance andManagementFaculty:Faculty:Faculty:Faculty:Faculty: Robert L. Simons, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: What differentiates this course is the use of thepresenter’s own cases representing complications or stigmata ofsurgery with long term follow-up. In addition, an explanation ofcausation as well as a rational for treatment of the problem willbe presented.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant should be able to: 1) Recognize and avoidcomplications with careful preoperative diagnosis; and 2)Recognize the need for conservative and appropriate surgicaltechnique.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

IC52 Title:IC52 Title:IC52 Title:IC52 Title:IC52 Title: What Surgeons Have to Know for a SuccessfulCorrection of Deviated NoseFaculty:Faculty:Faculty:Faculty:Faculty: Yong Ju Jang, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Correction of deviated nose is one of the mostchallenging areas in rhinoplasty. In this lecture, the speaker willtry to deliver important messages regarding what surgeons haveto know for a successful correction of deviated nose. Forcorrection of bony deviation, the usefulness of percutaneous

root osteotomy will be emphasized. Importance of septalstraightening by using the author’s novel techniques includingL-strut cut and suture technique, use of septal bone,extracorporeal septoplasty, will be introduced. The importanceof dorsal augmentation using processed fascia and some novel tipsurgery techniques such as modified vertical dome division willbe stressed. These new techniques will be introduced with vividvideo clips and patients photographs in an interactive way.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the importance of septalcorrection for overall success of correction of deviated nose; and2) Discuss the importance of aesthetic perfection achieved bydorsal augmentation and tip surgery and acquire the lecturer’snovel surgical techniques.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC54 Title:IC54 Title:IC54 Title:IC54 Title:IC54 Title: Evaluation and Treatment of the Non-functioningNose—The Fine Line Between Form and FunctionFaculty:Faculty:Faculty:Faculty:Faculty: H. Devon Graham, III, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This course will review normal nasal anatomy aswell as post trauma. Evaluation of patients as it relates to theircomplaints of nasal obstruction and aesthetic deformity will becovered. Correction of these deformities utilizing a myriad ofgrafting and/or implant techniques will be presented. Pre andPost-op photos will be reviewed and evaluated for aesthetic aswell as functional success.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Successfully evaluate patients asthey relate to nasal aesthetics and function; 2) Display an


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understanding of nasal anatomy and common deformities seen;3) Select a procedure to fit the patients problem and executecorrection with appropriate grafts and/or implants;Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC55 Title: IC55 Title: IC55 Title: IC55 Title: IC55 Title: Problems in Revision RhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Wolfgang Gubisch, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Revision cases are an increasing challenge and inour patients, around 50 percent are secondary ones. All parts ofthe nose are affected and in a great number, functional as well asaesthetic problems have to be corrected. This is demonstrated intypical cases. To enhance the interactive discussion, specificcases are included.

IC61 Title:IC61 Title:IC61 Title:IC61 Title:IC61 Title: Rhinoplasty: Before and AfterFaculty:Faculty:Faculty:Faculty:Faculty: Michael S. Godin, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Rhinoplasty is widely regarded as the mostchallenging of all plastic surgical procedures. Given this fact, it isindispensable for the surgeon to prepare both the patient andhimself for the operation, and to masterfully manage the patientafter it. This course provides time tested techniques which willhelp the attendee more frequently achieve a successful result.Meticulous gathering of information, screening out of unsuitablepatients, taking and analysis of preoperative photographs,planning of the operation, and preparation of the patient andsurgeon with the proper mindset for surgery are all discussed indetail. Postoperative care of the patient, management of thehealing nose, and using each operation to learn somethingvaluable to achieve a higher level of performance are topicswhich are also carefully described, with an emphasis onprotecting and enhancing the results of surgery. The goal of thiscourse is more than just to describe a few tricks and techniques;it is to make the participant a more effective surgeon in eachrhinoplasty he performs.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to implement strategies to achieve hisbest results in rhinoplasty by properly preparing both the patientand himself, and providing optimal care to protect the resultafter surgery.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

IC62 Title:IC62 Title:IC62 Title:IC62 Title:IC62 Title: “The Armamentarium”—Cartilage Grafts andWhat They DoFaculty:Faculty:Faculty:Faculty:Faculty: Steven H. Dayan, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Perhaps the pendulum has swung too far. Toomuch grafting may result in too big of a nose. Smaller, softerstrategic grafting and greater use of soft tissue grafting throughless invasive approaches seems to meet the surgeon’s objectivesalong with the modern patient’s desires.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the benefits ofemploying smaller grafts; 2) Discuss the importance of hiddenstructural grafts; 3) Identify techniques for harvesting soft tissue

and cartilage grafting; and 4) Discuss placement of strategicpockets for grafts in both the external and endonasal approach.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Practice-basedLearning and Improvement

IC67 Title:IC67 Title:IC67 Title:IC67 Title:IC67 Title: Managing the Skin and Soft Tissue in RevisionRhinoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Jung Dong Hak, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: The course aims to teach practical methods indealing with skin and soft tissue related challenges faced inrevision rhinoplasty including : techniques for scar revisions,elongating the skin and soft tissue envelope in the contractednose, innovative local and regional flaps for skin loss/necrosis andtechniques for dealing with excessively thick and bulbous skinenvelopes during rhinoplasty.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss methods to manageunacceptable scarring associated with rhinoplasty; 2) Performappropriate skin lengthening procedures and flaps for thecontracted nose; 3) Choose the appropriate local/regional flapfor skin loss and necrosis; and 4) Perform appropriate skinexcision for the excessively bulbous nose (in appropriate cases).Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Practice-based Learning andImprovement

IC68 Title:IC68 Title:IC68 Title:IC68 Title:IC68 Title: The Systematic Approach to the OverprojectedNoseFaculty:Faculty:Faculty:Faculty:Faculty: Fred G. Fedok, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: This course is a focused approach to a commonclinical problem that confronts those performing rhinoplasty.There are several techniques popularized to manage theoverprojected nose. The clinician best practices his craft inrhinoplasty when the particular patient’s rhinoplasty challengecan be optimally characterized, anatomically diagnosed, andthen managed using the best technique(s). In the course, theparticipant is offered a logical perspective and sequence ofapproach to achieve predictable and safe results.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize the features of theoverprojected nose and what anatomic characteristicscontribute to these features; 2) Delineate a number of thepopular techniques used to manage the overprojected nose andto execute them in a predictable and safe fashion; and 3)Implement a new paradigm with their own patients withoverprojected noses that will result in more predictable surgicalresults.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care, Practice-based Learningand Improvement


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IC4 Title:IC4 Title:IC4 Title:IC4 Title:IC4 Title: Fundamentals of Cleft Lip and Palate SurgeryFaculty:Faculty:Faculty:Faculty:Faculty: Tom D. Wang, MD and Scott J. Stephan, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This course will cover the overall management ofpatients with cleft lip and palate. The course will present themost current surgical techniques for repairing these complexdeformities. It will emphasize techniques in lip repair, palaterepair, and secondary cleft rhinoplasty, aided by video segmentsof surgical techniques.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Describe the anatomic andphysiologic nasal, oral, and oropharyngeal deformities in cleft lipand palate; 2) Discuss the management rationale for cleft lip andpalate patients; and 3) List the surgical techniques in cleft lip andpalate repair.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC8 Title:IC8 Title:IC8 Title:IC8 Title:IC8 Title: Reconstruction of Small to Moderate Nasal DefectsFaculty:Faculty:Faculty:Faculty:Faculty: William W. Shockley, MD and Brian S. Jewett, MDTarget AudienceTarget AudienceTarget AudienceTarget AudienceTarget Audience: Fundamental and Practicing PhysicianDescriptionDescriptionDescriptionDescriptionDescription: Nasal reconstruction continues to provide thereconstructive surgeon with management dilemmas. Small tomoderate nasal defects present significant reconstructivechallenges as the surgeon tries to balance aesthetic results andfunction with donor site morbidity. The instructors will present

their experience with the reconstructive options that work bestfor these defects. The optimal choice will vary based on the size,shape and location of the defect. The course covers skin grafts,composite grafts, local flaps and interpolated flaps.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Define reconstructive options forpatients with small to moderate nasal defects; 2) Choose whichoption is best for a given defect based on size, depth andlocation; 3) Delineate the potential risks and complicationsassociated with each of these reconstructive options; and 4)Explain the management algorithm involved with the repair ofsmall to moderate nasal defects.Core CompetenciesCore CompetenciesCore CompetenciesCore CompetenciesCore Competencies: Medical knowledge, Patient care

IC10 Title:IC10 Title:IC10 Title:IC10 Title:IC10 Title: Handling Extensive Facial Soft Tissue and SkeletalInjuriesFaculty:Faculty:Faculty:Faculty:Faculty: Fred G. Fedok, MD; Phillip R. Langsdon, MD; andJohn L. Frodel, Jr., MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: This course will discuss cases of extensive facialtrauma, from fractures to gunshot wounds. Presenters willdescribe methods to handle extensive fractures; from re-establishment of facial buttresses to handling palatal and othercomplicated unstable cases.Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives:Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Discuss options to reconstruct themassively fractured patient; 2) Explain total nasal reconstruction;and 3) Exhibit a new paradigm of understanding whenapproaching the trauma patient.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC14 Title:IC14 Title:IC14 Title:IC14 Title:IC14 Title: Reconstruction of Partial and Full-ThicknessDefects of the LipsFaculty:Faculty:Faculty:Faculty:Faculty: Gregory J. Renner, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course is intended to be a comprehensivereview and analysis of nearly every conceivable reconstructionfor lips with local or regional flaps. There is a remarkable varietyof reconstructive techniques available for reconstruction of thelips. Each has it own particular advantages and drawbacks. Thiscourse is intended to review reconstructions for both cutaneousand full-thickness tissue losses of the lip region, with examples ofeach that are analyzed for their particular merits and specialdifficulties. Strong emphasis is placed on good ultimate cosmesisand function, with a look at both short-term and long-termresults. Historical and current concepts are to be discussed.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Properly assess the needs forrestoration of both partial and full-thickness tissue losses of thelips; 2) Select best from the wide variety of options available forreconstruction with local or regional tissue transfer, giving strongconsideration to both cosmesis and function; and 3)Demonstrate an improved appreciation for the particular meritsand difficulties associated with the varied reconstructionsnormally available for local and regional flap reconstruction ofthe lips.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,

Practice-based Learning and Improvement

IC18 Title:IC18 Title:IC18 Title:IC18 Title:IC18 Title: Aesthetic Surgery of the Facial SkeletonFaculty:Faculty:Faculty:Faculty:Faculty: Jonathan M. Sykes, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: This course will teach the fundamentals ofanalysis and treatment of deformities of the facial skeleton. Thiswill include dentofacial analysis, 3-dimensional facial analysis,and technique involved to improve the facial skeleton. Theinterface of orthodontics and surgery is stressed to maximizefacial appearance.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Analyze both the skeleton and thesoft tissues of the face; and 2) Explain the procedures used toalter the facial skeleton to improve appearance.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC27 Title:IC27 Title:IC27 Title:IC27 Title:IC27 Title: Reconstruction of Complex Composite DefectsFaculty:Faculty:Faculty:Faculty:Faculty: Michael Fritz, MD; Daniel P. Knott, MD; and DanielS. Alam, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: While modern microvascular techniques yieldreliable and satisfactory outcomes when applied tostraightforward segmental facial bone and mucosal defects,more complex composite losses following tumor extirpation ortrauma continue to challenge reconstructive surgeons. Optimalmanagement of patients with these defects mandates innovativebony reconstruction and often a fusion of microvascular freetissue transfer and locoregional soft tissue techniques. In contrastto traditional head and neck reconstructions, a multistaged plan

Breakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsBreakfast Sessions and Course DescriptionsRECONSTRUCTION AND TRAUMARECONSTRUCTION AND TRAUMARECONSTRUCTION AND TRAUMARECONSTRUCTION AND TRAUMARECONSTRUCTION AND TRAUMA

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consisting of stepwise establishment of structure, function andfinally form is required. Importantly, rigid frameworks and softtissue are designed and tailored to optimally integrate withprosthetic rehabilitation. This course will outline this basicphilosophy through complex case examples which will includetotal palatomaxillary and extended orbital defects,reconstruction after gunshot trauma and advanced cutaneousmalignancies which involve bone.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Outline a fundamental approachfor planning reconstruction of complex composite facial defects;and 2) Describe novel and promising microvascular techniquesin extended orbitomaxillary reconstruction.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC30 Title:IC30 Title:IC30 Title:IC30 Title:IC30 Title: Prosthetic Rehabilitation of the FaceFaculty:Faculty:Faculty:Faculty:Faculty: Manoj T. Abraham, MD and Erin Donaldson, MSTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: Although the gold standard of facialreconstruction is to restore form and function using like tissue,there are many instances when prosthetic rehabilitation canprovide a better patient outcome. In this course, a teamconsisting of both a facial plastic surgeon and an anaplastologistwill provide perspective on this method of reconstruction. Theentire process of facial prosthetic reconstruction, fromindications and patient selection, optimal surgical placement of

osseointegrated implants for prosthetic retention, and design,fabrication, and fit of the prosthesis will be covered from start tofinish. The course will provide practical advice on implementingtechniques for extra-oral facial prosthetic rehabilitation.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Identify potential candidate forextra-oral prosthetic rehabilitation; and 2) Collaborate withanaplastologist to determine optimal implant placement site.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care,Practice-based Learning and Improvement

IC32 Title:IC32 Title:IC32 Title:IC32 Title:IC32 Title: Extreme Nasal ReconstructionFaculty:Faculty:Faculty:Faculty:Faculty: Frederick J. Mennick, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Although never routine, most primary nasalreconstructions can be repaired in standard fashion. However,unusual cases do present that require nontraditional approachesand a rethinking of common method and design. How do yourebuild a nose when the forehead vessels are absent, theforehead has been deeply scarred, no available lining aftercancer, cocaine or trauma?Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to determine the appropriate means todeal with the unusual defect or the case with limited donormaterials that seem to preclude repair.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC37 Title:IC37 Title:IC37 Title:IC37 Title:IC37 Title: Management of Complex Secondary Peri-Nasal,Orbital, and Frontal DeformitiesFaculty:Faculty:Faculty:Faculty:Faculty: John L. Frodel, Jr., MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: AdvancedDescription: Description: Description: Description: Description: The management of the nose, medial canthi, andorbit remain one of the most difficult aspects of primary trauma(e.g. NOE fractures). Despite the best of intentions, secondarydeformities involving 2 or more of these three areas are notuncommon. Additionally, a fronto-orbital component furtheradds complexity to the problem. In this course, we will discussthese unique and complex deformities, reviewing the evaluation,planning principles, and surgical management. Numerous caseexamples will demonstrate the humbling difficulty ofmanagement of such deformities, noting how experience andchange in technology have led to improved results.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Recognize mistakes that can lead tosecondary peri-nasal, canthal, orbital, and frontal; 2) Explain theprinciples and complexity of secondary orbital reconstruction;and 3) Identify well-established fronto-cranial reconstructiontechniques as well as on the use of computer-generated customimplants.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

IC39 Title:IC39 Title:IC39 Title:IC39 Title:IC39 Title: Otoplasty 2011: Improving Outcomes, ReducingBullying and Simplifying Surgical TechniqueFaculty:Faculty:Faculty:Faculty:Faculty: Steven R. Mobley, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: Otoplasty is an operation that should bereasonably quick to perform and provide reliably reproducibleresults. The instructor, who has a busy otoplasty practice, hasfound several ways to simplify this operation while minimizingvisible scars, decreasing post-operative discomfort of the patient,improve the ability to control the position of the conchal bowl,helical rim, helical root, and earlobe. Some of the current“debates” in otoplasty surgery will be covered in this course:cartilage cutting vs suture bending, dermabrading cartilageversus scoring cartilage, open incision vs “incision-less”technique, incision placement and amount of skin excised. Rarecomplications and their successful management will also betaught. A BRIEF discussion about providing otoplasty care willbe discussed.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to 1) Perform otoplasty more quicklyand have a better ability to control all aspects of ear shape:conchal bowl, helical rim, root of helix, and earlobe; 2) Avoidsurgical maneuvers that can result in an unnatural looking ear ora an ear that may re-protrude; and 3) Appropriately counselpatients on the pros and cons of various otoplasty techniquesand also better choose the proper technique for a given patientbased on their anatomical abnormality.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Interpersonal and CommunicationSkills, Medical Knowledge, Patient Care, Professionalism,Systems-based Practice


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BS7 Title:BS7 Title:BS7 Title:BS7 Title:BS7 Title: The Neurocognitive Basis of Facial Recognition andits Impact on Facial Plastic SurgeryFaculty:Faculty:Faculty:Faculty:Faculty: Daniel S. Alam, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: The way in which our brains understands andprocesses visual information of faces involves a complex holisticmechanism that ties to many of our critical centers for emotionand social connectivity. Individuals with severe deformitiesbecome isolated from others not just because of their injuries butmore so because of how others see them. In studying the facialprocessing of disfigured patients, we are learning the way ourbrain develops these complex relationships on a neurologicallevel. We intend to provide and interpret neurocognitive dataon the fundamentals of this process. While the research hasfocussed on the disfigured, these findings have significantimplications and shed light on the fundamental basis for themotivations and desires of patients seeking plastic surgery.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant should be able to: 1) Display a better foundation ofknowledge on human facial processing and its importance insocialization and emotional health; 2) Discern the impact ofphysical disfigurement on the way we perceive others; and 3)Discuss the way we cognitively process faces and the role thisplays on the motivations and psychological outcomes of facialplastic surgery.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care

IC9 Title:IC9 Title:IC9 Title:IC9 Title:IC9 Title: Neonatal Mandibular Distraction OsteogenesisFaculty:Faculty:Faculty:Faculty:Faculty: Saswata Roy, MD, MS, and Mark Ray, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: FundamentalDescription: Description: Description: Description: Description: Infants with Pierre Robin Sequence are bornwith micrognathia glossoptosis, cleft palate, and upper airwayobstruction. These are challenging airways to manage.Treatment options include positioning, tongue-lip adhesion,tracheostomy, and mandibular distraction osteogenesis. Thefacial plastic surgeon is often consulted for neonatal mandibularreconstruction surgery This course covers the utilization ofdistraction osteogenesis in managing micrognathic infants withairway obstruction.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Explain the treatment options formanaging neonates with micrognathia; 2) Identify the techniqueof mandibular advancement with an internal distraction deviceCore Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Medical Knowledge, Patient Care


IC47 Title:IC47 Title:IC47 Title:IC47 Title:IC47 Title: Reconstructive OtoplastyFaculty:Faculty:Faculty:Faculty:Faculty: Shan R. Baker, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: A 50 minute course will focus on reconstructionof auricular defects resulting from skin cancer excision ortrauma. The course is organized by topographical regions of theear and by the size of the defect. Skin grafts, helicaladvancement flaps and interpolated cutaneous tubed flapsharvested from the periauricular skin are among the techniquesdiscussed. Composite grafts and cartilagenous grafts for contourand support of the auricle are included in the presentation.Earlobe reconstruction is discussed. The advantages anddisadvantages of various methods of auricular reconstruction areexplored. Management of microtia is not part of the discussion.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Select the preferred method ofreconstructing auricular defects depending on anatomicaldeficits; and 2) Recognize the limitations confronting the surgeonrequired to reconstruct large defects of the auricle.Core Competencies:Core Competencies:Core Competencies:Core Competencies:Core Competencies: Patient Care

The most popular tourist destination in the city,Fisherman’s Wharf is still a working fishing pier,bringing in thousands of tons of fresh fish and crabsannually.

All photos in this brochure are courtesy of the SanFrancisco Convention & Visitors Bureau.

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WORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSAND SCHEDULEAND SCHEDULEAND SCHEDULEAND SCHEDULEAND SCHEDULE

Hair Restoration WorkshopHair Restoration WorkshopHair Restoration WorkshopHair Restoration WorkshopHair Restoration WorkshopFriday, September 9, 2011, 1:30pm - 3:20pm(MCC 134)

Title:Title:Title:Title:Title: Applications for Hair Restoration: A Review of the LatestTreatments--FUE and Automated Devices, and the Role inTreating the Aesthetic PatientFacultyFacultyFacultyFacultyFaculty: Jeffrey S. Epstein, MDTarget Audience:Target Audience:Target Audience:Target Audience:Target Audience: Practicing PhysicianDescriptionDescriptionDescriptionDescriptionDescription: As facial plastic surgeons, we are uniquelyqualified to provide aesthetic surgical hair restoration to ourpatients. While the gold standard technique is follicular unitgrafting, involving the transplanting of as many as 3000 or moregrafts in a single procedure, the newer technique of follicular unitextraction (FUE) expands for doctors the ability to provide hairrestoration. In particular, the pros and cons of the newerautomated devices is presented, within a discussion of how facialplastic surgeons can potentially offer surgical hair restoration totheir patients. This will include discussions on the role of hairtransplantation in the treatment of women, eyebrow and otherfacial area restoration, scarring (such as from prior facial plasticsurgery), and others.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this course, theparticipant will be able to: 1) Compare and contrast follicular unitgrafting and follicular unit extraction; 2) Delineate the pros andcons of the use of automated devices; and 3) Discuss treatmentoptions for various patient types, locations and types of hairrestoration.Core CompetenciesCore CompetenciesCore CompetenciesCore CompetenciesCore Competencies: Medical knowledge

Laser WorkshopLaser WorkshopLaser WorkshopLaser WorkshopLaser WorkshopFriday, September 9, 2011, 1:00pm - 6:10pm(MCC 133)

Title:Title:Title:Title:Title: Laser and Light Therapies WorkshopFacultyFacultyFacultyFacultyFaculty: Paul J. Carniol, MD, Director and Lisa D. Grunebaum,MD, Co-directorHarry Mittelman, MD; Louis DeJoseph, MD; Wendy Lee, MD; J. Randall Jordan, MD; ; Ryan Heffelfinger, MD; and Wm.Russell Ries, MDDescription:Description:Description:Description:Description: In this course we will discuss the latest lasers andtechnological innovations to address clinical challenges. This willinclude facial rejuvenation as well as: procedures for patients withethnic skin, treatment of scars and vascular lesions. There will betime for discussion in which we want the attendees to ask thespeakers challenging questions. Furthermore, there will be livedemonstrations of lasers and/or new technologies.Learning ObjectivesLearning ObjectivesLearning ObjectivesLearning ObjectivesLearning Objectives: At the conclusion of this program, theparticipant will be able to: 1) Discuss the latest about lasers andtechnology for facial rejuvenation; 2) Distinguish appropriatetreatment options for ethnic skin; 3) Define a treatment plan forscars; and 4) Define a treatment plan for facial vascular lesions

Schedule1:00pm Facial Rejuvenation

Harry Mittelman, MD and Louis DeJoseph, MD1:30pm Periorbital Rejuvenation

Wendy Lee, MD1:45pm Biophysics of treatment of Skin of Color

Paul J. Carniol, MD2:00pm Photodynamic Therapy

J. Randall Jordan, MD2:15pm Laser Treatment of Scars

Paul J. Carniol, MD; Lisa D. Grunebaum, MD; andRyan Hefflefinger, MD

3:00pm Treatment of Vascular LesionsWm. Russell Ries, MD

3:30pm Question and AnswersAttendees are asked to have challenging questions forthe speakers

4:00pm Laser Demonstrations6:10pm Adjournment

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Injectable Fillers WorkshopInjectable Fillers WorkshopInjectable Fillers WorkshopInjectable Fillers WorkshopInjectable Fillers WorkshopSaturday, September 10, 2011, 1:00pm - 5:00pm(MCC 133)

Title: Title: Title: Title: Title: Injecting in the 3rd Dimension: The Missing PieceFaculty: Faculty: Faculty: Faculty: Faculty: Mary Lynn Moran, MD, DirectorSteve Dayan, MD; Vic Narurkar, MD; Corey S. Maas, MD;Jonathan M. Sykes, MD; Thomas L. Tzikas, MD; KathleenWelch, MD; and John Joseph, MDTarget Audience: Target Audience: Target Audience: Target Audience: Target Audience: Practicing PhysicianDescription: Description: Description: Description: Description: As our understanding of the volumetric nature ofthe aging face evolves, so too does our appreciation for the rolethat fillers can play in enhancing our ability to achieve the resultsthat our patients desire. We are now using fillers in places that wenever previously noticed. Our workshop will reinforce goodbasic techniques as well as explore newer innovations in fillersusing all of the available products and approaches.Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: Learning Objectives: At the conclusion of this workshop,attendees will be able to: 1) Discuss important fundamentalprinciples of neurotoxins and soft tissue fillers; 2) Explain newconcepts in the use of fillers; 3) Describe nuances of the varioustechniques presented; and 4) Select appropriate techniques andproper safety precautions for the avoidance of complications.Core Competencies: Core Competencies: Core Competencies: Core Competencies: Core Competencies: Medical knowledge, Patient Care

This pin could be yours!This pin could be yours!This pin could be yours!This pin could be yours!This pin could be yours!

For more information,For more information,For more information,For more information,For more information,come visit Booth 704come visit Booth 704come visit Booth 704come visit Booth 704come visit Booth 704

or contact the AAFPRS Developmentor contact the AAFPRS Developmentor contact the AAFPRS Developmentor contact the AAFPRS Developmentor contact the AAFPRS DevelopmentOffice at (703) 299-9291, ext. 229.Office at (703) 299-9291, ext. 229.Office at (703) 299-9291, ext. 229.Office at (703) 299-9291, ext. 229.Office at (703) 299-9291, ext. 229.

WORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSWORKSHOP DESCRIPTIONSAND SCHEDULEAND SCHEDULEAND SCHEDULEAND SCHEDULEAND SCHEDULE

1:00pm IntroductionMary Lynn Moran, MD

1:10pm Less Is More: Volumizing The Face with MinimalVolume Of Injectable FillerKathleen Welsh, MD

1:30pm CahaVic Narurkar, MD

1:40pm Not So Basic Onabotulinum Toxin A TechniquesVic Narurkar, MD

1:50pm My Approach To VolumizationJonathan M. Sykes, MD

2:10pm PMMA: Update On Long-Term StudyJohn Joseph, MD

2:20pm Abobotulinum Toxin AJohn Joseph, MD

2:30om The Cutting Edge of Injectables: What's ComingAround The BendCorey S. Maas, MD

2:40pm Fillers For Facial AugmentationThomas L. Tzikas, MD

2:50pm Avoidance And Management of Filler Complications.DemonstrationsThomas L. Tzikas, MD

3:00pm Finesse In Lip Enhancement with HAVic Narurkar, MD

3:20pm Using Cannulas For HA in the Tear TroughThomas L. Tzikas, MD

3:40pm Volumizing With HA - DemonstrationKathleen Welsh, MD

4:00pm Video Demonstration: My Latest Injectable TechniquesCorey S. Maas, MD

4:20pm Using Cannulas for Immediate Results with No Bruisingand SwellingSteven H.Dayan, MD

4:30pm Sculpting with PLLA DemonstrationJohn Joseph, MD

4:45pm Volumization With PLLAJonathan M. Sykes, MD

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OPTIONAL WORKSHOPOPTIONAL WORKSHOPOPTIONAL WORKSHOPOPTIONAL WORKSHOPOPTIONAL WORKSHOP: Practice ManagementPractice ManagementPractice ManagementPractice ManagementPractice Management(Westin, Metropolitan I)Saturday, September 10, 20118:00am - 3:45pmRegistration is $595 per person. ($495 if already registeredfor AAFPRS Fall Meeting or OFPSA program). This work-shop is separate from the AAFPRS Fall Meeting but is beingoffered by Karen Zupko for those interested.

Title:Title:Title:Title:Title: How To Be The Most Successful PatientHow To Be The Most Successful PatientHow To Be The Most Successful PatientHow To Be The Most Successful PatientHow To Be The Most Successful PatientCoordinatorCoordinatorCoordinatorCoordinatorCoordinatorFacultyFacultyFacultyFacultyFaculty: Karen Zupko, President, KarenZupko &Associates, Inc.

Training designed to produce loyal patients and a busiersurgery schedule!Who Should Attend?• Patient Care Coordinators• Facial Plastic surgery managers• RNs with surgery scheduling responsibilities• And, facial plastic surgeons who want to take their practiceto the next level!

You will leave energized, entertained and ready to imple-ment new practical policies that will streamline the allimportant patient consultation experience. Using theworkbook filled with proven examples, you’ll have the toolsneeded to improve your already good practice.The brightening economy means interest and demand areup. Don’t squander the opportunity by “that’s good enough”or “this is the way we’ve always done it thinking.”You will improve your personal effectiveness in guidingpatients from prospect to scheduled patient.1. Dollars, Deals and Discounts: Everything you shouldconsider about your professional fees. How to present.2. Avoid five common mistakes that sabotage the schedulingprocess.3. Understand why tracking software is important and how itcontributes to success.4. Reduce no shows for new consults and injectable patients.5. Implement a consultation fee without losing patients.6. Improve your quotes! Seven mistakes you don’t want tomake.7. Implement a fool-proof, post-consult, follow-up system—getting beyond the lame “do you have any questions?”

Workbooks: All participants will receive a properly printedand bound workbook, which is not a collection of PowerPoint slides, but a useful training tool with examples and fill inthe blank sheets.

To register, visit the registration desk.

WORKSHOP DESCRIPTIONS AND SCHEDULEWORKSHOP DESCRIPTIONS AND SCHEDULEWORKSHOP DESCRIPTIONS AND SCHEDULEWORKSHOP DESCRIPTIONS AND SCHEDULEWORKSHOP DESCRIPTIONS AND SCHEDULEOPTIONALOPTIONALOPTIONALOPTIONALOPTIONAL

Essentials in Facial Plastic SurgeryEssentials in Facial Plastic SurgeryEssentials in Facial Plastic SurgeryEssentials in Facial Plastic SurgeryEssentials in Facial Plastic Surgery(Westin, Metropolitan III)Saturday, September 10, 20111:00pm -7:00pmDirector: Stephen S. Park, MDFree for residents, $150 for all others

1:00-1:10pm Introduction and WelcomeStephen S. Park, MD, Charlottesville, VA

1:10-1:50pm Cutaneous Lesions and FlapsStephen S. Park, MD, Charlottesville, VA

A review of common skin lesions in terms of diagnosis andtreatment options. Algorithms for local flap selection and properdesign will be covered.

1:50-2:30pm Browlift, Blepharoplasty, and Office-basedProceduresTom D. Wang, MD, Portland, OR

Rejuvenation of the aging upper face will include the analysis,indications, and various surgical techniques used. In addition,office-based procedures including fillers and botulinum toxin willbe covered.

2:30-3:10pm Syndromes and Congenital ProblemsJonathan M. Sykes, MD, Sacramento, CA

This will include an overview of craniofacial problems such asclefts, microtia, and syndromes involving the face, head,and neck. It covers the heredity, initial team management, andsurgical techniques.

3:10-3:20pm Break

3:20-4:00pm Head and Neck Reconstruction/Facial ParalysisTerry A. Day, MD, Charleston, SC

A review of the major flaps utilized in head and neck reconstruc-tion, including the "nuts & bolts" of myocutaneousand microvascular flaps. This also covers the basic managementand rehabilitation of facial paralysis.

4:00-4:40pm Facelift/Liposuction/Cutaneous ResurfacingEdward H. Farrior, MD, Tampa, FL

This will cover the management of the aging lower face withemphasis on patient selection, treatment options, surgicaltechniques, and complications.

4:40-5:20pm Maxillofacial and Soft Tissue TraumaJohn L. Frodel, Jr., MD, Danville, PA

An overview of soft tissue trauma and facial fractures in terms oftheir diagnosis and management will be provided.

5:20-6:00pm RhinoplastyDean M. Toriumi, MD, Chicago, IL

Cosmetic and functional aspects of rhinoplasty are coveredincluding evaluation, fundamental techniques and complications.

6:00-7:00pm Residents Reception

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Organization of Facial Plastic Surgery Assistants Program (OFPSA)Organization of Facial Plastic Surgery Assistants Program (OFPSA)Organization of Facial Plastic Surgery Assistants Program (OFPSA)Organization of Facial Plastic Surgery Assistants Program (OFPSA)Organization of Facial Plastic Surgery Assistants Program (OFPSA)Innovation and ImplementationInnovation and ImplementationInnovation and ImplementationInnovation and ImplementationInnovation and Implementation

Thursday, September 8, 2011Thursday, September 8, 2011Thursday, September 8, 2011Thursday, September 8, 2011Thursday, September 8, 2011(MCC 135)7:30am - 8:30am New Member Welcome Breakfast

Open to all members

8:30am - 9:00am Opening RemarksAAFPRS President Jonathan M. Sykes, MD

9:00am - 9:30am Writing your Ticket to Next Year's MeetingTriste Rosenbrough, RN

9:30am - 10:45am A New Era in Practice ManagementKaren Zupko, KarenZupko & Associates

10:45am - 11:00am Break

11:00am -Noon Creating Your Own Path for SuccessRichard Linder, PCA Skin

Noon - 1:00 pm Lunch in the Exhibit Hall(MCC Hall D)

1:00pm -1:45pm Mobile Marketing - Are You Ready?Featuring Live ExamplesCatherine Maley, MBA, Cosmetic ImageMarketing

1:45pm - 2:45pm Innovation 2.0 - How to Filter andIntegrate the Best of What's NextJon LoDuca, The Wisdom Link

2:45pm - 3:00pm Break

3:00pm - 3:45pm Your Web Voice - A Comprehensive Guideto Navigating the Virtual WorldTom Seery, RealSelf.com

3:45pm -4:15pm Making Lasting Connections in SocialMedia: Methods to the MadnessJeff Frentzen, Editor, Plastic SurgeryPractice (PSP)

4:15pm - 5:00pm From Problem to SolutionPeer Round Tables, Part 1

6:30pm - 8:30pm Welcome Reception in the Exhibit Hall(MCC Hall D)

Friday, September 9, 2011Friday, September 9, 2011Friday, September 9, 2011Friday, September 9, 2011Friday, September 9, 2011(MCC 135)7:30am - 8:30am From Problem to Solution

Peer Round Tables, Part 2

8:30am - 9:15am Raising Your PR Profile with the AAFPRSOn-line Tool Kit (Virtual Toolbox )Deborah Sittig, Green Room PR

9:15am - 10:00am Tough Choices, Righteous Decisions andEthicsSteven H. Dayan, MD

10:00am - 10:15am Break

10:15am - 11:20am Thriving though ChangeLesia Cartelli, Angel Faces

11:20am - Noon Jack Anderson Lectureship(MCC 134)Mohit Bhandari, MD

Noon - 1:00pm Lunch in the Exhibit Hall(MCC Hall D)

1:00pm - 2:15pm Strategic CoachingPeter A. Adamson, MD andPhilip J. Miller, MD

2:15pm - 2:30pm Break

2:30pm - 3:15pm Enhancing Results and Revenue withClinical Skin CareJennifer Linder, MD, PCA Skin

3:15pm - 3:45pm The Big Give Giveaway (Don't Miss!)and Officer/Committee Updates

3:45pm - 4:30pm Mystery Call Critiques - WhatYou Needto Hear!Catherine Maley, MBA

4:30pm - 5:00pm The New Playground: ReputationManagementRobert Baxter, Surgeons Advisor

5:00pm - 5:30pm Ask the Attorney - Open Q and A ForumMichael J. Sacopulos, JD

5:30pm Closing Notes and OFSPA 2012We, the OFPSA and the AAFPRS Foundation, wish tothank PCA Skin for underwriting the OFPSA AnnualMeeting. We also wish to thank Smile Reminder andMerz Aesthetics for their additional support of themeeting.

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FPPI RhinoplastyFPPI RhinoplastyFPPI RhinoplastyFPPI RhinoplastyFPPI Rhinoplasty1:45pm - 1:55pmDoes Placement of Alar Batten Grafts Alleviate the Need forLong-Term Nasal Steroid Use?Ahmed Sufyan, Emily N. Hrisomalos, Taha Z. Shipchandler, MDNasal airway obstruction (NAO) is commonly due to nasal valvecollapse (NVC) and is a common health condition that affectsmany people. An estimated 13 percent of the general populationhas NAO due to NVC. Based on US Census data, this translates toapproximately 28 million individuals who are 18 years or olderwith this problem in the United States alone. These patientstypically live with this condition for many years before seekingtreatment from their primary care physicians. Patients arefrequently treated with nasal steroids and decongestions beforebeing referred to an otolaryngologist who is responsible fordiagnosing the correct cause(s) of obstruction and the need forsurgical intervention. The annual cost of medically treating NAOis estimated to be 5 billion dollars annually and an additional 60million dollars is spent on surgical intervention. The use of long-term steroid use after surgical intervention has not beenexplored. We believe that the potential complications of long-term nasal steroid use may be greater than previouslyacknowledged. The long-term morbidity of continued nasalsteroids may be more significant than surgical intervention. Weintend to examine the need for long-term steroid use in thispopulation and perform a cost analysis of steroid use versussurgical correction and compare overall patient satisfaction.

1:55pm - 2:05pmGender Differences in Nasal AestheticsBradley Seaman, Adam Satteson, Patrick J. Byrne, MD, MichaelReilly, MDAs is true for other regions of the face, there are clear differencesnasal attractiveness based on gender. These differences areimportant to define as they impact the selection of appropriateprocedures for each rhinoplasty patient.

2:05pm - 2:15pmFull Thickness Skin and Auricular Cartilage Graft Constructs forNasal Alar ReconstructionDavid Zopf MD, Jeffrey Moyer MD, Michael Brandt MD,Wade Iams BSReconstruction of complex alar defects often requires multiplestages to achieve an optimal aesthetic and functional outcome.For some patients, a staged repair is not possible. In this study,we present a method and our experience for single stagereconstruction of nasal alar defects utilizing a full thickness skinand auricular cartilage graft.

2:15pm - 2:25pmEthical Considerations in Aesthetic RhinoplastyKian Karimi MD, Peter A. Adamson MDObjective(s): 1) The purpose of this study is to explore ethicalconsiderations in aesthetic rhinoplasty surgery. This would beaccomplished by taking a poll of the opinions of AmericanAcademy of Facial Plastic and Reconstructive Surgery(AAFPRS) facial plastic surgery fellowship directors and facialplastic surgery fellows with regards to rhinoplasty; and 2)Establish a “Rhinoplasty Code of Ethics” which can be utilized

for guidance in situations where dilemmas in aestheticrhinoplasty are encountered.Design: Fifteen clinical vignettes addressing ethical dilemmasrelated to rhinoplasty were created on a web-based survey. Thequestions were reviewed by a statistician and ethicist andmodified appropriately. Approval for the study was obtainedfrom the University Health Network Research Ethics Board(REB). For each vignette, one of four answer choices wereselected by participating AAFPRS fellowship directors andfellows. An opportunity would be available to write-in atheoretic action or opinion if the surveyed individual so wished.The online survey was anonymous, except to acquire generaldemographic data, and was distributed through an encryptedwebsite that was password protected. 3. Setting: Well-established, metropolitan, private facial plastic surgery practiceaffiliated with academic center located in Toronto, Ontario,Canada.Patients or Other Participants: The subjects selected will becurrent fellowship directors and fellows (2010-11) of theAAFPRS that are willing participants in the anonymous survey.5. Intervention: Survey results will be analyzed and statisticallyevaluated.Main Outcome Measure(s): The main outcome measure is thecurrent state of thinking and decision making of well-establishedfacial plastic surgeons (fellowship directors) that hold leadershippositions in training the upcoming generation of facial plasticsurgeons, and comparing these opinions to those of the trainees(fellows).Results: The results of the survey will be broken down based onthe anonymous responses given by the participants.Comparisons will be performed statistically of the responsesgiven by the fellowship directors and by the current fellows.Conclusions: Aesthetic rhinoplasty is an integral part of thesurgical armamentarium of the facial plastic surgeon and isemphasized during the education of facial plastic surgery fellows.By polling the current opinions of the leaders and students of ourAcademy, we can create an ethical framework that most wouldagree on and use. By establishing these guidelines and a“Rhinoplasty Code of Ethics”, we may better serve our patientsespecially when faced with the inherent ethical dilemmas.

2:25pm - 2:35pmInjectable Fillers in the Nose: Current Use, Surgical Implications,and ComplicationsRyan M. Greene, MD, PhD, Lisa D. Grunebaum, MD, AnthonyBared, MD, Leslie Baumann, MD, Richard E. Davis, MDThe shape and contour of the nose is determined by both theunderlying bone and cartilaginous framework and the soft tissuethat drapes over these rigid structures. Recently syntheticmaterials have been used to fill in nasal contour deformities.Despite the associated advantages, there have been unpublishedanecdotal reports suggesting that revision nasal surgery is mademuch more difficult once a synthetic material has been injected.This study was undertaken to determine the incidence andextent of complications arising from the use of injectable fillers inthe nasal soft tissues and to understand the overall experience,usage, and perceptions of synthetic injectable materials by facialplastic surgeons. A questionnaire was sent to all members of theAAFPRS and generated responses from 149 Academy members.

Free Paper AbstractsFree Paper AbstractsFree Paper AbstractsFree Paper AbstractsFree Paper Abstractspresented on Saturday, September 10, 2011 from 1:45pm - 2:35pmpresented on Saturday, September 10, 2011 from 1:45pm - 2:35pmpresented on Saturday, September 10, 2011 from 1:45pm - 2:35pmpresented on Saturday, September 10, 2011 from 1:45pm - 2:35pmpresented on Saturday, September 10, 2011 from 1:45pm - 2:35pm

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This survey specifically looked at the current usage,complications encountered, and effects on subsequent nasalsurgery. Approximately 75% of respondents reported usinginjectable fillers in the nose; the most common areas were thenasal dorsum and tip. However, a number of respondents notedinjecting fillers into the nasal ala and columella. 9.7% ofrespondents noted major complications following injection,while 38.1% and 26.5% encountered minor complications andpost-injection cosmetic issues, respectively. And while mostsurgeons who encountered major complications did notrecommend using fillers prior to rhinoplasty, those whoexperienced minor complications were more likely torecommend injectables in the nose prior to surgery than thosewho did not experience complications. Finally, thoserespondents who had previously operated on an injected patientwere much more likely to recommend the use of injectablesboth following, and also prior to, rhinoplasty

FPP2 RhinoplastyFPP2 RhinoplastyFPP2 RhinoplastyFPP2 RhinoplastyFPP2 Rhinoplasty1:45pm - 1:55pmFinite Element Modeling of the Nasal Tip and External NasalValve During InspirationCyrus Manuel, Dmitriy Protsenko, Brian J-F Wong, MDA finite element model (FEM) was developed using COMSOL tosimulate the mechanical behavior of the nose include the lowerlateral cartilage, upper lateral cartilage, septum, skin, andvestibular soft tissue envelope. Parametric analysis wasperformed by discretely varying the angle between the ULC fiveways, and mechanical properties of the ULC thru five values. 25distinct nasal tips were constructed and the stress distribution inthe tip cartilages and the change in cross-sectional area duringinspiration was computed. Numerical analysis shows that noseswith smaller airway cross-sectional area and softer ULC tend tocollapse during inspiration more readily than a nose with a largecross-sectional areas, as expected. The mechanical analyses showthat stresses are concentrated at the apex of the ULC. This is afirst attempt at modeling the dynamic mechanical behavior ofthe nose. As expected, the angle of the ULC and its stiffness playa vital role to resist external nasal valvular collapse. This modelwill undergo continued refinement to more accurately predictnasal airflow.

1:55pm - 2:05pmComparative Study Between Percutaneous Auricular CartilageInjection and Cartilage Graft Implantation in the RabbitOlivier X. Beaudoin, MD, Andrew Mitchell, MD,Akram Rahal, MDCartilage injection is promising and this technique should berefined to achieve increased long-term cartilage viability.Development of an appropriate injection instrument isrecommended in order to facilitate the technique.

2:05pm - 2:15pmHistopathological Analysis of Irradiated Costal CartilageHomograft versus Costal Cartilage Autograft in the RabbitModelIbrahim Alava III, Jordan L. Pleitz, MD, Christina A.Samathanam, MD, Tang Ho, MDTitle: Histopathological analysis of irradiated costal cartilagehomograft versus costal cartilage autograft in the rabbit modelObjective: Structural cartilage grafting is essential in functionaland aesthetic nasal reconstruction. In this study we compare andcontrast the structural changes seen in irradiated costal cartilagehomografts and costal cartilage autografts in a validated animalmodel.Study Design: Randomized, prospective animal trial Setting:Academic tertiary referral center.Methods: Nine New Zealand White rabbits, including eightexperimental animals and 1 homograft donor animal were usedfor this study. The sample size was calculated based on anordinal logistic regression model according to Stephen Walterssample size estimator to achieve optimal power for the study. Atotal of 30, 0.5cm2 costal cartilage homografts were harvestedfrom the donor animal and irradiated to a total dose of 25,000cGy using a Cesium-137 source. The remaining 8 study rabbitsunderwent surgical costal cartilage graft harvest andimplantation. Three irradiated homografts and 3 fresh costalcartilage autografts were implanted along the midline nasaldorsum of each experimental animal. The animals weresacrificed on post-implantation day 85. Chondrocyte density,resorption, calcification and degree of fibrosis were analyzedhistologically based on Hematoxylin-eosin-stained sections of thecartilage grafts.Results: Chondrocyte density of irradiated homografts andautografts were found to be similar (51.125/60x and 51.3125/60x, p=0.0085). There were no live chondrocytes seen in theirradiated homograft group. The irradiated homografts hadminimal induction of inflammation and but did havereplacement of graft with calcifications. The autografts inducedvigorous inflammation, but all centrally located chondrocytesremained alive. The average perichondrial fibrosis thickness forthe autografts was significantly greater than that of the irradiatedhomografts (3.86 um vs. 1.32 um, p = 0.0005).Conclusions: In this validated animal model, irradiatedhomografts were found to induce less surrounding tissueinflammation, cause less scarring, but are resorbed more whencompared with fresh autograft. The costal cartilage autograftsinduce a more vigorous fibroblastic response and cause moretissue scarring around the graft.

2:15pm - 2:25pmComputer-aided Rhinoplasty with Real-time IntraoperativeFeedbackAndres Godoy, Lisa Ishii, Jose M. Godoy, Masaru IshiiObjective: To study the feasibility and efficacy of computeraided surgery with real time intraoperative morphometricmeasurements in the setting of rhinoplasy surgery. In this paperwe introduce a low cost computer aided surgery paradigm andworkflow based on three-dimensional surface scanningmethodologies. We hypothesize that real time intraoperativemorphometric feedback will improve surgical outcomes ofpatients undergoing rhinoplasty.


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Methods: Our experimental set up consisted of a computeraided design (CAD) workstation, custom data collection andanalysis software, a 3D surface scanner, and an intraoperativedisplay unit. Patients were scanned preoperative and virtualsurgery was performed on the scanned data sets using the CADworkstation. The patients proceeded to surgery. During surgerythe patients were repeated scanned and difference mapsbetween achieved and preplanned surgical outcomes weredisplayed to the surgeon. Patients were scanned post operativelyand pre, planed, and post operative results were compared.Results: Computer aided surgeries based on real timeintraoperative morphometric measurements are feasible.Subjective and objective measures suggest that real timefeedback provides useful information intraoperativeinformation and may improve patient outcomes.Conclusion: We establish a framework for objective real timemorphometric analysis applicable to any plastic and orreconstructive surgery, allowing the surgeon to gain completeinsight into the consequences of his surgical routine with theultimate goal of improving surgical outcomes.

2:25pm - 2:35pmMechanical Analysis of the Effects of Cephalic Trim on LowerLateral Cartilage StabilitySepehr Oliaei, MD, Cyrus Manuel, BS, Allison Zemek, BS,Ashley Hamamoto, BS, Davin Chark, MS, MD, Brian Wong,MD, PhDOur results provide the mechanical basis for suggested clinicalguidelines stating that a residual strut of less than 6mm can leadto suboptimal cosmetic results due to poor structural support ofthe overlying skin soft tissue envelope by a overly thin LLC.

FPP3 Aging FaceFPP3 Aging FaceFPP3 Aging FaceFPP3 Aging FaceFPP3 Aging Face1:45pm - 1:55pm paper cancelled

1:55pm - 2:05pmA Comparison in Tensile Strength between Barbed Suture andConventional Monofilament Suture for SMAS Imbricationduring RhytidectomyHelen Perakis, Jason P. Champagne, MD, Nishant Bhatt, MD,Achih H. Chen, MDOver the last several years barbed sutures such as the Quillsuture (Angiotech, Vancouver, British Columbia) or the V-Locsuture (Covidien, Dublin, Ireland) have gained popularityamongst surgeons due to the perceived reduced operative timeas these sutures allow one to perform a progressive tensionclosure without needing to knot individual sutures. Barbedsutures also enjoyed a transient popularity amongst cosmeticsurgeons in open and closed â€œthreat liftingâ€• techniques. Asthe efficacy, and longterm results for barbed suture in threadlifting suspension has been in question, barbed suture use insuperficial musculoaponeurotic system (SMAS) facelifttechniques empirically makes sense. Here we compare thebarbed V-Loc Suture with a conventional monofilament suture(PDS) in respects to tensile strength.

2:05pm - 2:15pmComputed Tomography Characterization of Orbital Changeswith AgeHeather H. Waters, MD, Peter C. Revenaugh, MD, Daniel S.Alam, MDLearning Objectives: At the conclusion of this presentation, theparticipants should be able to describe the orbital volumetricand positional changes that occur with age and understand thesurgical implications this provides in correction of the aging face.Method: Facial bone computed tomographic (CT) scans wereobtained from 60 female and 60 male Caucasian subjects.Twenty male and 20 female subjects were placed in three agecategories (20 to 40 years, 41 to 60 years, 61 to 80 years). EachCT scan underwent three-dimensional reconstruction withvolume rendering. The relationship of the globe to thesurrounding periorbital soft tissue and orbital rims was evaluatedfrom standard reference points.Results: One hundred and twenty patients were evaluated.Volumetric and soft tissue changes occurred with increasing ageacross all groups. Total inferior and superior orbital fat volumewas calculated for all patients. Periocular soft tissue in theinferior and superior plane was calculated by its relationship tothe mid-pupillary line. Periocular soft tissue was noted to beincreasing in the superior plane, while decreasing in the inferiorplane for both male and female subjects with increased age.Globe height therefore decreased with increasing age across allsubjects studied. Patients were evaluated for the relationship ofthe globe and periocular soft tissue to the bony orbital rims. TheStudent t test was used to identify trends between age groups.Conclusions: Volumetric and positional changes of the globeoccur with increasing age for both male and female subjects.These changes have important implications in the surgicaloptions for correction of the aging face. This unique large seriesretrospective review examines these changes and provides validinsight into the techniques associated with appropriate surgicalenhancement of the aging periorbita.

2:15pm - 2:25pmThe Laser Face and Neck LiftDouglas Dedo, MD, Douglas D. Dedo, MD, Neil Goodman, MDFacial aging is a multifactorial process that is controlled by thegenetic makeup and modified by the lifestyle that each personlives. The predictable loss of skin elasticity with aging isexacerbated by sun, diet and social habits of each patient. Withthe concomitant volume loss of the skull and subcutaneous fat,the cheeks, jowls and neck become ptotic and show the typicalchanges of the aging face. The standard solution to correct thisaging process was the cervicofacial rhtyidectomy. Regardless ofthe degree of undermining significant anesthesia, down time,risks and expense were all part of the equation to achieve a moreyouthful visage. Recent advances in laser fiber technology, andmore importantly internal temperature monitoring, haveprovided the next generation of facelifts that involve lessdowntime, less anesthesia and less expense. From his work withsurface temperature monitoring for liposuction that wasmodified to internal real time temperature monitoring, Dr.Goodman enhanced the results of body liposuction withconcomitant skin tightening. But, more importantly, the risk ofburns has been virtually eliminated which has been a known


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complication of laser liposuction. By modifying the laser powersettings and applying the internal temperature monitor to thehead and neck, effective and remarkable results can be achievedin a matter of minutes. Not only has this laser facelift been doneas a primary stand alone procedure, but the technique has beenapplied to tighten the standard facelift patient who develops thepredictable laxity several months after a facelift. The authors willpresent their laser facelift with appropriate clinical examples.

2:25pm - 2:35pmRecognition and Treatment of Non-Infectious Hyaluronic AcidReactionsJeanne L. Goins, MD, Neal Goldman, MDFacial rejuvenation has become a focus for patients as they seekto appear not only younger but healthier. Over recent years,there has been a shift from surgical procedures to those whichare less invasive. Multiple fillers are available now which havebeen approved by the United States Food and DrugAdministration (FDA). Bovine collagen was the originaltemporary injectable filler though proved to come withsignificant hypersensitivity reactions. Hyaluronic acid wasintroduced in 1998 and manufactured to be identical acrossspecies drastically reducing the rate of reaction and thusavoiding the need for preinjection dermal testing to diagnosehypersensitivity. We present here both a rare case of non-infectious inflammatory reaction without granuloma formationfollowing hyaluronic acid injection and a review of the literatureon injectable filler complications. This is a report of non-infectious hyaluronic acid reaction and recommendations formanagement. The patient’s electronic and paper medicalrecords were reviewed and summarized to present the findingsof this rare and unique complication of hyaluronic acidinjection. Multiple discussions were held with the manufacturingcompany physicians to determine their experience with thissituation and what if any recommendations they could make toproperly treat the reaction. Recommendations are thensuggested that are contrary to the medical recommendations ofthe manufacturer. A 46 year old woman underwent routinehyaluronic acid injection at the nasolabial folds. Five days laterthe injection the sites became swollen and erythematous. Theapparent cellulitic process worsened, advancing toward to theorbits, on both oral and intravenous antibiotics as recommendedby the manufacturer; the patient remained afebrile and had anormal white blood cell count. Purulent material was neverexpressed from the injection sites and fluid which was returneddid not grow any organisms in culture. The patient hadresolution of this inflammatory process only with initialintravenous steroid therapy which was then transitioned to anoral regimen and later local steroid injection. For six months thepatient experienced relapsing inflammatory lesions in varyinglocations of the midface without development of infection orgranuloma formation each time the steroids were stopped. Afterreviewing the literature, non-granulomatous inflammatoryreaction following hyaluronic acid injection is exceedingly rarewith only one other reported case. Cellulitic skin in the weekfollowing hyaluronic acid injection for dermal filler withoutother infectious markers including fever and elevated whiteblood cell count or suggestive gram stain, is an inflammatoryreaction which should be treated with steroid therapy. If, based

on history of atopic disease, the surgeon is concerned thatsignificant reaction may occur with injection, we recommendthe surgeon consider preinjection dermal testing in aninconspicuous location. Despite this reaction, hyaluronic acidinjection remains a safe cosmetic procedure with low rates ofcomplications which include infection, granuloma formation,and rarely non-infectious inflammatory reaction.

FPP4 Aging FaceFPP4 Aging FaceFPP4 Aging FaceFPP4 Aging FaceFPP4 Aging Face1:45pm - 1:55pmThe Use of Selphyl in Facial Plastic SurgeryAaron L. Shapiro,MDUntil recently Platelet-rich Fibrin Matrix was difficult to obtainand utilize for aesthetic purposes. Studies have shown that thissubstance may have a significant impact on wound healing, scarformation and fat graft survival. A new FDA cleared device,Selphyl, has simplified the method for obtaining autologousPlatelet-rich Fibrin Matrix. It can now be obtained easily in anoffice setting. Clinical applications for this substance include usein wound healing, scar revision surgery and fat grafting. Thisnew collection technique has opened the door for the study ofthe impact of Platelet-rich Fibrin Matrix in aesthetic andreconstructive surgery. In this paper we investigate potentialuses for Platelet-rich Fibrin Matrix in facial plastic surgeryutilizing the Selphyl collection technique.

1:55pm - 2:05pmAn Anatomic Comparison of Platysmal Tightening using SMAS-Plication vs. Deep Plane Rhytidectomy TechniquesAndrew A. Jacono MD, Sachin S. Parikh, MD, WilliamKennedy, MDObjective: To quantify the degree of submental platysmaltightening that can be accomplished with SMAS plication vs.deep-plane rhytidectomy techniques in a cadaveric anatomicstudy. This information will help dictate the need for midlineplatysmal surgery when utilizing different rhytidectomytechniques.Methods: The lateral distraction of the medial edge of theplatysma muscle was measured during tightening of the SMAS/platysmal complex on five cadaver heads. The measurementswere taken after three different rhytidectomy techniques: 1)SMAS/platysmal plication, 2)deep-plane rhytidectomy and3)extended deep-plane rhytidectomy, continuing the flap belowthe angle of the mandible into the neck with release of theplatysma and cervical retaining ligaments.Results: The medial edge of the platysma was distracted laterally420% greater with a deep-plane rhytidectomy when comparedto SMAS/platysmal plication (p=0.00009). Extending the deep-plane rhytidectomy flap into the neck to release the cervicalretaining ligaments resulted in a 30% greater lateral distractionof the medial edge of the platysma when compared to thetraditional deep-plane technique (p=0.05).Conclusion: Extending a traditional deep-plane rhytidecotmyinferiorly to release the lateral platysmal and cervical retainingligaments to the sternocleidomastoid muscle achieves thegreatest lateral motion of the midline platysma, theoreticallyobviating the need for midline platysma plication. Due to thelimited platysmal motion during SMAS-plication, midlineplatysmal plication should routinely be utilized as an adjunctprocedure.


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2:05pm - 2:15pmThe Minimal Access Deep Plane Extended (MADE) VerticalFaceliftAndrew A. Jacono, Sachin S. Parikh, MD The MADE (minimal access deep plane extended) verticalvector facelift is a hybrid technique combining the optimalfeatures of the deep plane facelift and short scar MACS-lift.1The deep plane dissection releases the zygomatico-cutaneousligaments allowing for more significant vertical motion of themidface and jawline during suspension. Our technique utilizes anextended platysmal dissection with a lateral platysmal myotomy,not traditionally included in the deep plane facelift. The lateralplatysmal myotomy allows for separation of the vertical vectorof suspension in the midface and jawline from the superolateralvector of suspension that is required for neck rejuvenation. Thisobviates the need for additional anterior platysmal surgery.Over a two-year period of 181 facelifts performed, 153 patientswere candidates for the MADE vertical facelift. The averagelength of follow-up was 12.7 months. There was a 3.9% revisionrate, 1.9% hematoma rate, and 1.3% rate of temporary facialnerve injury. We believe this technique yields superior results inthe midface and neck where many short scar techniques fail.This procedure can be performed with the patient under localanesthesia.

2:15pm - 2:25pmDry Eye Symptoms and Chemosis following Blepharoplasty: A10 Year Retrospective Review in a Single-surgeon PracticeJess Prischmann, MD, Ahmed Sufyan, MD, Jonathan Ting, MD,Stephen W. Perkins, MDDry eye symptoms (DES) and chemosis are well-recognizedsequelae following blepharoplasty. Despite this, the incidence ofDES and chemosis is under-reported in the literature. Aretrospective chart review was conducted analyzing theincidence of DES and chemosis in upper and lower lidblepharoplasty over a 10 year period in a single-surgeon facialplastic surgery practice. Known risk factors for DES, includingautoimmune disease, hormone replacement therapy, refractiveor cataract eye surgery, antihistamine use, and preoperative dryeye symptoms were also recorded. Preoperative photos wereanalyzed for lid laxity, negative vector, and scleral show. Thesurgical approach for blepharoplasty was correlated withpostoperative findings of DES and chemosis. Clinical notes andpatient questionnaires were reviewed for the presence andduration of symptoms following surgery. The incidence of DESand chemosis was found to be greater than previously reportedin the literature. Surgeons performing blepharoplasty shoulddiscuss DES and chemosis with patients and be prepared tomanage these sequelae following surgery.

2:25pm - 2:35pmPostoperative Fluid Collection after Rhytidectomy with the useof EvicelTMKristin Egan, Douglas W. Halliday, PhD, MDObjective: To determine the incidence of postoperative fluidcollections after rhytidectomy with the use of EvicelTM.Methods: A retrospective analysis of operative reports over atwo year period to determine the incidence of postoperativefluid collection after rhytidectomy with the use of EvicelTM.

Results: 530 operative reports were examined. 267 of these wereperformed with the use of EvicelTM while 263 were performedwithout the use of EvicelTM. 7 patients presented with apostoperative hematoma after the use of EvicelTM (2.6%) while7 patients presented with a postoperative hematoma afterrhytidectomy without the use of EvicelTM (2.7%). Thisdifference in the incidences of postoperative hematoma afterrhytidectomy was analyzed using standard statisticalmeasurements and was found to not be statistically significant (pvalue <0.05).Conclusions: The postoperative occurrence of hematoma is onethat every clinician strives to prevent. This study demonstratesthat the use of EvicelTM, a fibrin sealant does not lower theincidence of postoperative hematoma by a statistically significantfactor.

FPP5 ReconstructionFPP5 ReconstructionFPP5 ReconstructionFPP5 ReconstructionFPP5 Reconstruction1:45pm - 1:55pmProphylactic Endoscopic Midface Lifts in Severe MidfacialTraumaRyan Brown, Yadranko Ducic, MDAbstract Objective: To review our favorable experience in theutilization of prophylactic midface lifts in the setting of severemidfacial trauma.Study Design: Retrospective review of a consecutive series ofpatients undergoing prophylactic midface lifts at the time ofdefinitive fracture repair Setting: Level 1 trauma center.Methods: All patients undergoing midface lifts at the time offracture repair by the senior author from July 1998 to July 2005were included in this review. Patients™ post-operative midfacialsymmetry was evaluated by two blinded facial plastic surgeons.Results: A total of 72 cases were reviewed, with 63 patientshaving a minimal follow-up of at least 3 months. Nocomplications were noted that were felt to be related to themidfacial suspension such as frontal nerve paralysis or post-operative ectropion. Patients™ post-operative midfacialsymmetry was felt to be excellent in 53 patients, good in 9, fairin 1, and poor in none.Conclusions: The force of trauma necessary to elicit a severemidfacial fracture and the subsequent subperiosteal dissectionrequired to expose the fractures for rigid fixation, results insevere laxity of the midfacial soft tissue envelope which canresult in significant facial asymmetry. Prophylactic endoscopicmidface suspension at the time of fracture repair appears to be asafe and effective method of largely eliminating this problemand should be considered in the setting of severe midfacialfractures.

1:55pm - 2:05pmRepairing Angle of the Mandible Fractures with a Strut Plate: ARetrospective Review.W. Marshall Guy, MD, Michelle Naylor, MD, Anthony Brissett,MDBackground: Several options exist for the fixation of angle of themandible fractures including reconstruction plates, single miniplates, two miniplates, and most recently strut plates. A search ofthe otolaryngology literature shows the data regarding theoutcomes using a strut plate for internal fixation is lacking. Thepurpose of this study is to evaluate the outcomes at a single level


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I trauma center regarding the use of strut plates for fixation ofthese difficult fractures.Method: A retrospective chart review will be performed at alevel I county trauma center involving noncomminuted angle ofthe mandible fractures repaired by the otolaryngology service.Charts will be selected by diagnosis code involving mandibularfractures operated on by the otolaryngology service. Only thosecharts involving angle of the mandible fractures will be included,although multiple mandibular fractures will not be excludedprovided they also had an angle of the mandible fracture.Results: Outcomes that will be assessed include rates of infection,wound dehiscence, malunion and nonunion, need for repeatoperations, operative time, mandibulo-maxillary fixation, andpatient satisfaction stratified based on mechanism of injury,demographics, concurrent injuries, fracture characteristics, useof perioperative antibiotics, and time delay until operation.Conclusions: Based on the results of this researchrecommendations will be provided regarding the use of a strutplate in repairing angle of the mandible fractures.

2:05pm - 2:15pmFacial Lesions and Affect Display: How Facial Lesions InfluenceHow we are PerceivedLisa Ishii, Andres Godoy, Kofi Boahene, Patrick Byrne, MasaruIshiiObjective: To evaluate affect display in patients with faciallesions. We hypothesized that patients with large central faciallesions would have impaired affect display and be perceived asexpressing negative affect as compared to normals, and faceswith small peripheral lesions.Methods: Forty five casual observers naÃ¯ve to the purpose ofthe study viewed pictures of patients with facial lesions andnormal faces. Observers classified the affect display of thepatients using a survey containing choices consisting of primaryemotions and personal attribute. Two factors were considered,size and location.Results: A latent class analysis was performed on the surveyresults to determine how the facial lesions and normal facescould be categorized into one of four types, happy, sad, angry orneutral. Faces with small peripheral facial lesions were classifiedas sad 6 %, angry 25.8%, neutral 35.9 %, and happy 32.4 %.Faces with small central lesions in comparison were classified assad 38.7 %, angry 7.3%, neutral 23.8 %, and happy 30.2 % ofthe time. Larger lesions revealed on average lower probabilitiesof being considered happy, with an increase of the probability ofbeing viewed as sad and angry compared to small lesions. Whencomparing large peripheral lesions to large central lesions asimilar effect was revieled (sad: 26.2% large peripheral - 39.27%large central; angry: 15.3% large peripheral - 23.2% largecentral).Conclusion: Patients with facial lesions were likely to be classifiedby normal observers as displaying a negative affect display.Classification differences were dependent on lesion size (smallversus large) and location (central versus peripheral). Theseresults provide the first evidence that emotional expression isimpaired in faces with lesions as compared to normals. Thiscould have significant impact on the ability of patients with faciallesions to communicate and maintain interpersonal relations.

2:15pm - 2:25pmAssessment of Psychosocial Distress and Surgical Outcomesfollowing Nasal Reconstruction for Cutaneous MalignancyJon-Paul Pepper, MD, Anna Eliassen, Jennifer C. Kim, MD, ShanR. Baker, MD, Jeffrey S. Moyer, MDThis data suggests that postoperative distress levels tend tonormalize after a 12 week period or greater. In addition,properly selected and counseled patients tend to experienceequivalent and acceptable levels of long term distress whetherthey are reconstructed via full thickness skin graft orinterpolated flap, despite differences in defect size and depth.

2:25pm - 2:35pmEstablishment of a Cutaneous Flap Animal Model to StudyPlatelet and Leukocyte Dynamics following IschemiaReperfusion InjuryTimothy Lian, Andrew Compton MD, Rebecca Bowen MDReconstructive surgery of the head and neck frequently involvesuse of various flaps and grafts. Successful reconstructions rely onthe survival of these transferred tissues. Flaps and free grafts thathave been subjected to a period of ischemia are at risk for partialor total failure following reperfusion. Analysis of themicrovasculature may provide insight to cellular and molecularprocesses that occur in cutaneous flaps that have been subject toischemia followed by reperfusion. The objective of this study isto analyze platelet and leukocyte dynamics with intravitalmicroscopy in a cutaneous flap ischemia reperfusion animalmodel. Such an animal model is described to include the use offluorescence and intravital microscopy to characterize plateletand leukocyte dynamics within the microvasculature ofcutaneous flaps subjected to ischemia reperfusion injury. Ifapplied to an ischemic flap animal model, pharmacologicalinterventions can be studied with respect to cellular activity inthe microvascular of ischemic tissues. Such studies may aid in theanalysis of which pharmacological interventions might bebeneficial to flap survival in a clinical setting.

FPP6 ReconstructionFPP6 ReconstructionFPP6 ReconstructionFPP6 ReconstructionFPP6 Reconstruction1:45pm - 1:55pmFunctional and Social Improvements After Reanimation of theParalyzed Face by Transfer of the Temporalis TendonDouglas Sidle, Andrew J. Fishman, MD, Rakesh K. Chandra, MDObjectives: To describe changes in functional and socialparameters following temporalis tendon transposition fordynamic reanimation in patients with long-standing andpermanent facial paralysis. Methods We report a case series of10 consecutive patients with facial paralysis who underwentminimally invasive temporalis tendon transposition surgery fordynamic facial reanimation. After a minimum of 3 months,patient outcomes were measured using the validated FaCE scaleand the EORTC quality of life questionnaire head and neckmodule. Pre- and postoperative data were compared statisticallyacross a total of 25 functional and social parameters. ResultsSignificant improvement was observed in 11/25 variablesevaluated. Patients reported significant improvements in oralcommissure movement (p=0.016), how they perceivedtreatment by others (p=0.011), willingness to eat in a restaurant(p=0.036), self-perceived appearance (p=0.009), eating meals(0.028), talking to others (p=0.017), talking on the telephone


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(p=0.017), social contact with family (p=.024), social contactwith friends (p=.007), going out in public (p=0.038), and havingphysical contact with friends (0.038). Worsening was notobserved for any of the social or functional parameters studied.Conclusions This novel report demonstrates that orthodromictransfer of the temporalis tendon for the patient with aparalyzed face markedly improves multiple measures ofspeaking, eating, and social interaction.

1:55pm - 2:05pmArtificial muscle for Reanimation of the Paralyzed Face: Safetyand Durability in an Animal ModelLevi G. Ledgerwood, MD, Travis T. Tollefson, MD, CraigSenders, MD, AnnJoe Wong-Foy, PhD, Harsha Prahlad, PhD,Steven P. Tinling, PhDAdults and children with permanent facial paralysis suffer from adecreased quality of life due to both functional deficits as well asgrossly asymmetric facial appearance. Surgical managementcenters on nerve grafting and muscle transfer; however,limitations call for other options. The use of artificial muscles torestore facial movement is a new concept. Electroactivepolymer artificial muscle, or EPAM, was developed to replaceactuators in robotics and hydraulic engineering. The authorshave been developing EPAM as a potential implantable devicefor generating facial movement. The current study was aimed atdetermining the safety and durability of the EPAM devices in ananimal model.

2:05pm - 2:15pmPTH Therapy Reverses Radiation Induced Non Union andNormalizes Radiomorphometrics in a Murine MandibularModel of Distraction OsteogenesisK. Kelly Gallagher, Sagar Desphande, CN Tchanque-Fossuo, MS,MD, D. Sarhaddi, BA, A. Donneys MS, MD, Douglas B.Chepeha, MD, Steven R Buchman, MDPurpose: The authors have investigated therapies to circumventthe ravaging effects of radiation in the setting of mandibulardistraction osteogenesis (MDO). Our global hypothesis is thatradiation induced bone damage is partly driven by thepathologic depletion of both the number and function ofosteogenic cells. Parathyroid Hormone (PTH) is an FDA-approved anabolic hormonal therapy that has demonstratedefficacy for increasing bone mineral density for the treatment ofosteoporosis. We posit that intermittent systemic administrationof PTH will serve as a stimulant to cellular function which willact to reverse radiation induced damage and enhance boneregeneration in a murine mandibular model of DO.Methods: 20 isogenic male Lewis rats were randomly assignedinto 3 groups: group 1 (XRT-DO, n=7) and group 2 (XRT-DO-PTH, n=5) received a human bioequivalent dose of 70Gyfractionated over 5 days. All groups including group 3 (DO, n=8)underwent a left unilateral mandibular osteotomy with bilateralexternal fixator placement. Four days later, MDO wasperformed at a rate of 0.3 mm every 12 hours to reach amaximum gap of 5.1mm. Group 2 was injected PTH (60mg/kg)subcutaneously daily for 3 weeks following the start of MDO.On post-operative day 40, all left hemimandibles wereharvested. CT at 45 m voxel size was performed andradiomorphometrics parameters of bone mineralization were

generated. Union quality was evaluated on a 4 point Likert scale.All data was analyzed using one-way ANOVA. Statisticalsignificance was considered at 0.05.Results: Groups 1 and 2 appropriately demonstrated clinical signsof radiation induced-stress ranging from alopecia to mucositis.Union quality was statistically significantly higher in PTH-treated groups, compared to XRT-DO group (p=0.02).Mineralization metrics, including Bone Volume Fraction (BVF),Bone Mineral Density (BMD) also showed statistical significantimprovement (Fig. 1 & 2). The groups that were treated withPTH showed no statistical differences in Union norradiomorphometrics when compared to DO in non-radiatedanimals.Conclusion: We have successfully demonstrated the therapeuticefficacy of PTH to stimulate and enhance bone regeneration inour irradiated murine mandibular model of DO. Ourinvestigation effectively resulted in statistically significantincrease in BMD, BVF, and clinical unions in PTH-treatedmandibles. PTH demonstrates immense potential to be takenfrom the bench to the bedside to treat clinical pathologies whereremediation of bone regeneration is essential.

2:15pm - 2:25pmMotor Nerve to Vastus lateralis as a Facial Nerve Cable Graft:An Anatomical and Clinical StudyPeter Revenaugh, P. Daniel Knott, MD, Michael A. Fritz, MDBackground: Cable nerve grafting is an important procedure toconsider in a comprehensive approach to reconstruction andrehabilitation of facial nerve deficits following facial nervesacrifice. Sensory nerve grafts such as the sural nerve havetraditionally been used in instances where nerve grafting isrequired. However, there is increasing evidence that matchingnerve modality (motor to motor) when cable grafting may yieldsuperior outcomes. The motor nerve to the vastus lateralis(MNVL) is commonly encountered during anterolateral thigh(ALT) harvest and occasionally portions are sacrificed for safedissection without significant functional deficits. The nerve hasan appropriate size, length, and branching pattern for cablegrafting of the facial nerve, and is readily available duringanterolateral thigh flap harvest. We describe the anatomicdistribution of the MNVL in cadaveric dissections and highlightthe novel use of the nerve as a cable graft in facial nerve grafting.Methods: Ten fresh human cadaveric legs were dissected todescribe the anatomic location and branching pattern of themotor nerve to the vastus lateralis. Secondarily, we performed aretrospective review of 5 patients who underwent cable graftingof at least one facial nerve branch to the main trunk using aportion of the MNVL. Patients were assessed post-operativelybased upon facial movement and symmetry as well as functionaldeficits in the donor leg. Results: There were 3-6 (mean 4.4)nerve branches supplying the vastus lateralis. Mean branchlength was 93.8mm (range 51-196) and each primary branchhad an averages of 2.3 branches. Commonly, there were at leasttwo larger branches (>2mm in diameter) supplying the proximaland distal muscle. The nerve branches are variable in theirrelation to the vascular pedicle and perforating vessels of thedescending branch of the lateral circumflex femoral artery. Fivepatients underwent cable grafting of the facial nerve using aredundant branch of the MNVL as part of a comprehensive


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approach to facial rehabilitation following facial nerve sacrifice.Mean graft length was 10.4 cm and coaptation was performedin 2 or 3 branches per patient. There were no donor-sitecomplications. All patients received radiation therapy and atleast one adjunctive procedure to treat facial paralysis and allhad good symmetry at rest at last follow-up (mean 8.2 months).Follow-up time was too short to assess return of functionalthough one patient did demonstrate lower facial movement at10 months.Conclusions: The nerve to the vastus lateralis is a readilyavailable, redundant motor nerve suitable for facial nerve cablegrafting without apparent donor site morbidity.

FPP7 ReconstructionFPP7 ReconstructionFPP7 ReconstructionFPP7 ReconstructionFPP7 Reconstruction1:45pm - 1:55pmFacial Reanimation Utilizing the Temporalis Tendon Transferwith Fascia lata Sling ModificationNicole Fowler, Peter C. Revenaugh, Michael A. FritzObjective: To describe a modification of the temporalis tendontransfer (TTT) with fascia lata sling, our surgical experience andoutcomes. Introduction: Facial paralysis is one of the mostchallenging diagnoses encountered by facial plastic surgeons.Fundamental human interaction is blunted and a wide array ofcomplications from ocular to oral occur. We present ourexperience with a minimally invasive transoral/transfacialmodification of the mini-TTT as well as a variation of the fascialata sling placement to improve oral competence as part of acomprehensive approach to the management of facial paralysis.Study design: Retrospective chart review.Methods: Consecutive patients who underwent a TTT and fasicalata sling by our senior author between April 2007 and March2011. Twenty-four patients were identified who underwent atotal of 26 procedures.Results: Average age was 58.9 years old (range 20-82). Etiologyof facial paralysis included otologic complications or CPA tumor41.7%, parotid neoplasm or metastasis 45.8%, meningitis 4.2%,buccal malignancy 4.2% and Moebius Syndrome 4.2%.Average time from paralysis to TTT was 5.8 years (range 0-35years) except in cases of Moebius syndrome and concurrenttumor extirpation with facial nerve sacrifice, which occurred in7 cases. In 5 of these cases (71%) vascularized free tissue transferwas performed as well. The temporalis tendon transfer wasperformed in conjunction with ancillary reinnervation or staticprocedures (gold weight, brow lifts, tarsal strip or lip wedgeresections) in 65% of patients. Facial symmetry at rest and oralcompetence were accomplished in all patients. Oral commissuredynamic movement was achieved in 96% patients. Minorpostoperative infections occurred in 3 patients, all resolvedfollowing antibiotics with or without drainage. Revision surgeryto improve oral competence occurred in three patients leadingto an adaptation of the fascia lata sling placement as described.Three patients underwent preoperative radiation therapy and 6patients underwent postoperative radiation therapy withoutdeleterious effects to the reconstruction.Conclusions: Temporalis tendon transfer with fascia lata slingoffers a single stage method to immediately and reliably establishfacial symmetry, oral competence and dynamic movement inthe setting of pre-exisiting total facial paralysis or facial nervesacrifice from tumor extirpation. It can be performed safely

unilaterally, bilaterally, alone or in conjunction with otherreinnervation techniques and extensive resections, as well as onpreviously or soon to be irradiated patients. Facial symmetry atrest and oral competence were achieved in every case and 96%of patients re-established oral commissure dynamic movement.

1:55pm - 2:05pmPredicting Pharyngocutaneous Fistula FollowingLaryngopharyngeal ReconstructionJessica Gullang, Steven M. Andreoli, MD, J. Ken Byrd, MD,Joshua D. Hornig, MD, Judith M. Skoner, MDFever and leukocytosis are commonly observed following headand neck reconstruction involving the pharynx. This is oftenattributed to atelectasis secondary to lengthy surgical proceduresdespite constant positive end expiratory airway pressure. Thesurgical field has often been previously radiated. Furthermore,many of these patients are long term smokers, have prolongeddysphagia, and a history of chemotherapy resulting in poornutritional status. These variables contribute to wound healingproblems and may contribute to the formation of pharyngo-cutaneous fistula. The purpose of this study is to determine post-operative predictors of pharyngocutaneous fistulas followinglaryngectomy and laryngopharyngectomy defect reconstruction.

2:05pm - 2:15pmSalvage of Failed Local and Regional Flaps with PorcineExtracellular Matrix Aided Tissue RegenerationGregory Kruper, Zachary VandeGriend, Giancarlo ZulianiLocal and regional flap failure can be a major complication inhead and neck surgery. These failures continue to be prevalentfor a number of reasons including but not limited to poor flapdesign, improper surgical technique, and medical co-morbidities,which impair tissue vascularity. With the advent ofmicrovascular free tissue transfer, even in experienced hands aflap failure rate of approximately 5%. (Spiegal and Polat 2007).Traditional use of wet to dry dressing to enable proper woundgranulation and possible subsequent closure with additional flapsor skin grafts is a laborious process. Such treatments place greattime burdens on the patient, physicians, and home care nurses.Because the face and neck possess a complex three-dimensionaltopography, wound dressings themselves are inherently complexto design and change. In addition, many patients require post-operative treatments such as radiation and chemotherapy totreat highly aggressive malignancies, and any delay in woundhealing necessarily means a delay in adjuvant treatment.Recently, advances in regenerative medicine, specificallyxenogeneic extracellular matrix compounds, have been shownto promote tissue growth in various areas of the body (Badylak2004). In this article we present, to our knowledge, the first caseseries using the porcine extracellular matrix (P-ECM) to salvageflaps with extensive wound breakdown on the face, head, andneck.


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2:15pm - 2:25pmSalvage of Free-flaps in Vessel-depleted MandibularOsteoradionecrosis Cases using Catheter-directed Thrombolysisand AngioplastyMatthew Tamplen, Keith Blackwell, Reza Jahan, Vishad NabiliObjectives: Evaluate the efficacy of highly selective catheterdirected thrombolysis (CDT) and angioplasty for salvage ofcompromised free-flaps performed for mandibularosteoradionecrosis (ORN).Methods: Review of two patients who underwent highlyselective CDT to salvage free flaps performed for MandibularOsteoradionecrosis. Patient 1 is an 81-year-old woman whounderwent her second osteocutaneous fibular free flapreconstruction and presented with arterial thrombosis 8 dayspostoperatively. Patient 2 is a 58-year-old man with a previousradial forearm flap who underwent osteocutaneous fibular free-flap reconstruction and developed a central venous thrombosisthreatening the flap pedicle 2 hours postoperatively.Results: Patient 1 had a flap pedicle arterial thrombosis, whereasPatient 2 had a central venous thrombosis threatening the flappedicle. Both patients underwent successful thrombolysis aftersuper-selective angiograms. Patient 1 developed focal stenosisand recurrent thrombosis after CDT requiring repeated CDTand angioplasty. Patient 2 had continuous infusion of TPA for24 hours. Average length of stay post CDT was 12 days with noperioperative complications. Long-term follow-updemonstrated 100% flap salvage with no soft tissue or bone loss.Conclusion: Free-flaps performed for mandibularosteoradionecrosis have increased complication rates and thesurgical options for these complications are often limited. Thesefree flaps are further complicated when there is a history ofprior flap surgery and options for recipient vessel are exhausted,as was the case for both patients. Aggressive CDT andangioplasty was a successful option in both cases with excellentlong-term flap results. CDT appears to be a useful modality inmanaging difficult cases of free-flap salvage in patients withmandibular osteoradionecrosis.

2:25pm - 2:35pmThe Effects of Radiation on Functional and Aesthetic Outcomesof Temporalis Tendon TransferGarrett Griffin, Waleed M. Abuzeid, MD, Jennifer C. Kim, MDApproval: This submission has been approved by all authors.Affiliations: Department of Otolaryngology Head & NeckSurgery, University of Michigan Health System and MedicalSchool, Ann Arbor, MI 48109 Authors: Garrett R. Griffin, MD;Waleed M. Abuzeid, MBBS; Jennifer C. Kim, MD Topic Areas:Reconstructive surgery Comments: GRG and WMA contributedequally to this study. Presentation: Either Web site: We agree tohave our abstract published on a website prior to the meetingbeing held.Disclosure: The authors have no significant relationship with acommercial entity. Conflict: The authors have no commercialinterests or associations with any commercial entities related tothis study. Registration: At least one author will register in full toattend the conference and present the paper.

FPP8 Evidence-Based/Practice DevelopmentFPP8 Evidence-Based/Practice DevelopmentFPP8 Evidence-Based/Practice DevelopmentFPP8 Evidence-Based/Practice DevelopmentFPP8 Evidence-Based/Practice Development1:45pm - 1:55pmPost-Operative Scarring: Comparative Effectiveness of SiliconeGel Sheeting to Paper Tape in a Rabbit ModelTravis Tollefson, Shervin Aminpour, MD, Andrew Lee, MD,Faranak Kamangar, BSc, Blythe Durbin-Johnson, PhD, StevenTinling, PhDSurgical patients often inquire as to what over-the-counter scartreatments are worth using. Many treatment modalities (somevery costly) exist to prevent hypertrophic scarring after surgery.Existing studies are equivocal about the efficacy of silicone gelsheeting and microporous paper tape, but favor positive effects.Recently, a rabbit model of hypertrophic scarring has beenintroduced that allows direct comparison of scar prevention andtreatment. This study is the first comparative study to assess theeffectiveness of Silicone gel sheeting and paper tape directly inan animal model. We hypothesized that the scars treated withtopical SGS or paper tape, when compared to controls, woulddemonstrate less hypertrophic scar formation both histologicallyand photographically.

1:55pm - 2:05pmA Single-center, Prospective Study on the Efficacy of theUlthera System for Tightening of Neck Skin in Patients with aHistory of Submentoplasty and/or Rhytidectomy vs. PatientsNaïve to Submentoplasty or RhytidectomySteven H. Dayan, MD, John P. Arkins, BSBackground: With the increased popularity of minimallyinvasive cosmetic treatments, a non-surgical alternative tosubmentoplasty and rhytidectomy that offers minimaldowntime and efficacious results would better meet our patients’demands. We present a clinical study using the Ulthera Systemfor the treatment of neck skin laxity.Method: Thirty subjects, 15 with history of submentoplasty/rhytidectomy and 15 naïve to submentoplasty/rhytidectomy,were enrolled and treated with the Ulthera System to the lowerface and neck in order to tighten the skin of the neck and lowerface. Subjects were followed for six months with additional visitsat 14, 30, 60 and 90 days post-treatment. Submental volumeand cervicomental angle were measured at all visits using theCanfield® Vectra 3D imaging system. In addition, the PI andsubject complete a Global Aesthetic Improvement Scale (GAIS)assessment of overall aesthetic improvement at days 14, 30, 60,90 and 180, and the subject completed a satisfactionquestionnaire at days 90 and 180.Results: Preliminary findings indicate that the treatments weretolerated well. Physician GAIS scores have demonstratedimprovement in 80% of subjects after one month and subjectGAIS scores have demonstrated improvement in 70% ofsubjects after one month. At the day 90 timepoint, 80% ofsubjects have noticed marked improvement in the appearanceof the skin of their lower face and neck. Additional data with theadditional measurements and extended timepoints will beforthcoming.Conclusion: The Ulthera System results in a markedimprovement in skin laxity in the lower face and neck.


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2:05pm - 2:15pmIncidence of Middle Ear Effusion in a Cleft PopulationKristin Egan, MD, Sherard TatumObjective: To determine the incidence of middle ear effusion ina population of cleft patients.Methods: A retrospective analysis of operative reports over athree year period to determine the presence of middle eareffusion during surgical examination. Results: 115 operativereports were examined and 81 (70%) showed the presence ofmiddle ear effusion while 34 (30%) showed no fluid present. Ofthose patients with no effusion: 6 had cleft lip only (18%), 9 hadcleft palate only (26%) and 19 (56%) had cleft lip and palate. Ofthose patients with effusions: 11 (14%) had cleft lip only, 28(35%) had cleft palate only, and 42 had cleft lip and palate(52%). 62 (76.5%) of the patients with middle ear effusions hadbilateral effusions and 19 (23.5%) of them had unilateraleffusions.Conclusions: A significant percentage of children with cleftinghave Eustachian tube dysfunction and subsequent middle eareffusion. Although aggressive management of middle eareffusion is controversial, analysis of middle ear fluid presence inthis population supports the routine use of ventilation tubes toeliminate the middle ear fluid if the goal is elimination of thefluid.

2:15pm - 2:25pmA Comparison of Patient Objectives for Aesthetic Facial Surgeryin North and South AmericaKeith Ladner, MD, Edward H. Farrior, MD, Miguel Gonzalez,MDTo our knowledge, no study has been performed that comparespatient characteristics and patient objectives for thoseundergoing aesthetic facial procedures in North and SouthAmerica. Patients who were scheduled to undergo one or morefacial aesthetic procedures at Farrior Facial Plastic SurgeryCenter in Tampa, FL were asked to voluntarily complete aneight question survey. This same survey was translated intoSpanish and was similarly distributed at the Facial Plastic SurgeryCenter in Bogota, Colombia. The purpose of the survey was toidentify the motivating factors and goals for the upcomingprocedure(s). The survey also sought to identify patientcharacteristics that could be used to stratify and compare theresults. Using the data, a comparison of the motivating factorsfor patients in North America and South America wasperformed. At the time of this abstract submission, data was stillbeing collected. The study will be completed in June, 2011.However, based on the completed surveys, many conclusionscould be drawn. All facial aesthetic procedures were representedin both locations. The average age of patients enrolling in thestudy in the U.S. was 52 y.o. The majority of patients in NorthAmerica had undergone previous cosmetic surgeries prior tocompleting the survey. Furthermore, nearly all patients enrolledin the study were female. Most patients reported a householdincome between $100K and $250K. In the United States, themost important identifiable factor when considering cosmeticfacial surgery, by far, was self-image. Furthermore, nearly allpatients reported that they were happy with their appearancebut thought that it could be improved. Perhaps not surprisingly,the second leading motivator in aesthetic facial surgery was

workforce demands. Based off of these findings and the data thatis still being collected, facial plastic surgeons should now be ableto more objectively identify patient concerns and goals for theirsurgery.

2:25pm - 2:35pmThe Financial and Clinical Value of Superficial Chemical PeelsJennifer Linder MD, Richard Linder, MBAImpressive increases in profitability can be achieved by offeringpatient-friendly, customizable in-office treatments that providedramatic, consistent results. A review of the currently availabledata regarding various chemical peeling agents and theirmechanism of action will assist the physician in choosing themost appropriate solutions for their practice. In addition, thisunique discussion will cover the equal importance of science andbusiness to a practice success. Learn how results-oriented, nodowntime chemical peels will deepen the physician-patientrelationship and, ultimately, increase a practice bottom line.

FPP9 Minimally InvasiveFPP9 Minimally InvasiveFPP9 Minimally InvasiveFPP9 Minimally InvasiveFPP9 Minimally Invasive1:45pm - 1:55pmIn vivo Electromechanical Reshaping of Ear Cartilage in theRabbit: A Minimally Invasive Approach for OtoplastySepehr Oliaei, MD, Cyrus Manuel, BSc, Karam Badran, BSc,Syed Fowaz Hussain, Ashley Hamamoto, BSc, DmitriyProtsenko, PhD, Brian Wong, MD, PhDThis is the first successful study of in vivo electromechanicalreshaping of the ear in rabbits. EMR allows excellent creationand retention of shape in the rabbit ear, with limited skin andcartilage injury. Needle EMR is a viable technique for minimallyinvasive tissue reshaping with potential applications in otoplasty,septoplasty, and rhinoplasty. Further studies to refine dosimetryparameters will be required before clinical trials.

1:55pm - 2:05pmAssessment of Pulsed Dye Laser Therapy for Pediatric FacialVascular Malformations Utilizing a Six Point ScaleJavad Sajan, James Sidman, MD, Timothy Lander, MD, RobertTibesar, MD, Noel Jabbour, MDPulsed dye laser therapy is an effective therapy to treat pediatricfacial vascular malformations. Some patients may not be satisfiedwith laser therapy and can achieve excellent results with surgicalresection and reconstruction. Our six point scale is a valuabletool that can help consistently analyze results from laser andsurgical treatment.

2:05pm - 2:15pmPercutaneous Suture Suspension Neck-liftRamtin Kassir, Ray Paraiso, DOMultiple options are available for patients who seek to haveneck rejuvenation to improve neck contour. Most proceduresinvolve submental incisions with the associated risk of scarformation and extensive subcutaneous flap elevation. With thepopularity of minimally invasive procedures, we present asurgical technique that only requires local anesthesia, has a shortoperative time with minimal morbidity, and has a shortrecovery period. Using a percutaneous method, suspensionsutures are inserted through the platysma and anchored to themastoid periosteum. For those patients with an excessive


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accumulation of submental fat lipoplasty is added to theirtreatment. This combination allows for the repositioning of theplatysma muscle and the redefining of the cervicomentalcontour to obtain the overall look that patients seek. We alsoaim to review and discuss different surgical and non-surgicalmethods of cervicoplasty in published literature.

2:15pm - 2:25pmNovel Nonablative Radiofrequency Rejuvenation DeviceApplied to the Neck and Jowls: Clinical Evaluation and 3-Dimensional Image AnalysisLisa K. Chipps, Heidi B. Prather, MD, Jeffrey J. So, MS, PA-C,Ronald L. Moy, MDNonablative monopolar RF as applied in this study is anefficacious treatment modality for neck tightening as analternative to more invasive and painful measures for facialrejuvenation. Few reports have previously been published onthe utility of nonablative RF for targeting jowls and neck laxity.Further, nonablative facial rejuvenation often has more subtleand natural results than ablative or surgical interventions makingobjective, computer-based analysis an optimal tool to minimizeinvestigator bias.

2:25pm - 2:35pmThe Subliminal Difference: Treating from an EvolutionaryPerspectiveSteven H. Dayan, MD, John P. Arkins, BSBackground: In its most basic form, beauty serves as asubconscious form of communication, signaling our health,vitality and, most importantly, our ability to produce viableoffspring. What stimulates, attracts and offends us has beeninstilled into our brains and bodies through the emotionlessprocess of natural selection. Understanding the subtleties ofbeauty through the evolutionary lens in which it was shaped isparamount to successful patient treatment. We describe atreatment strategy that emphasizes the subliminal forces behindfemale beauty.Method: We describe how evolutionary forces have shaped ourcurrent concepts of beauty and present evidence of non-surgicaltreatment options that highlight this subliminal form ofcommunication.Results: We describe a treatment regimen that results in a facethat conveys femininity, youthfulness and beautify whileremaining subtle, natural and within the context of the patient’sage.Conclusion: As cosmetic providers, we have many tools at ourdisposal to enhance one’s physical and psychology well-being. Attimes, it may be most appropriate to use surgical treatments,other times non-surgical alternatives and sometimes our bestintervention is nothing at all. It may take years to cultivate andunderstand all that is necessary to make someone appear andfeel more physically attractive, but if we view beauty within thecontext of an evolutionary adaptive trait that is influenced byboth physical and psychological factors, then reaching thepatient’s goals becomes straightforward. Using evolutionaryscience as our roadmap, the destination is more clearly defined.

FPP10 OtherFPP10 OtherFPP10 OtherFPP10 OtherFPP10 Other1:45pm - 1:55pmUse of Kaolin-impregnated Gauze for Reduction ofPostoperative Hemorrhagic Complications following FacialSurgeryCraig Czyz, Pooja Sharma, MD, Kevin Kalwerisky, MD, Allan E.Wulc, MD, Douglas D. Dedo, MD, Jill A. Foster, MD, KennethV. Cahill, MDBackground: Perioperative bleeding is a complication of anyinvasive surgical procedure and is associated with increasedmorbidity and mortality in the postoperative period.Frequently, uncontrolled perioperative bleeding requires re-exploration of the wound, evacuating any hemorrhage, andidentifying the bleeding vessel(s), if possible. Surgical hemostasisis typically accomplished by cauterizing the bleeding vessel withan electrical current, forming a clot. However, cautery has beenshown to cause thermal damage to surrounding tissues, andexcessive use may result in tissue necrosis. Other methods tocontrol intraoperative bleeding include application of directpressure or ligating the bleeding vessel with a suture, both cansignificantly increase operative time. Kaolin, a naturallyoccurring mineral that is known to promote clotting in vitro.Kaolin activates clotting factors XI and XII when exposed toplasma, accelerating the clotting cascade. It also fosters plateletadhesion and adsorbs water from blood. Numerous studies fromthe trauma and emergency medicine literature show Kaolin-impregnated gauze to be safe and effective in controllinghaemorrhage.Method: This prospective, randomized, double blinded studyrecruited 25 patients who underwent bilateral functional orcosmetic facial surgery including blepharoplasty, ptosis repair,and facelift. During surgery a standardized size (based on surgicallocation) of kaolin impregnated gauze was placed on one sideand cotton gauze on the other. The gauze was left in place forfour and a half minutes. The gauze was irrigated and gentlyremoved. Individual areas of bleeding were noted, recorded,and addressed with electrocautery. Standardized pre andpostoperative photographs were obtained on postoperative daysone, four and ten. Any instances of postoperative hemorrhageor other complications were documented. The photographswere graded for edema and ecchymosis by blinded observers.The patients completed a self-assessment questioner at each visitpertaining to pain, bruising, and swelling. The data was analyzedusing the appropriate statistical tests for data type.Results: Kaolin-impregnated gauze provides improvedperioperative hemostasis compared to the control group. Thereis no increase in the incidence of postoperative hemorrhagiccomplications with the use of kaolin cause. Anecdotally, the useof kaolin gauze reduced the need for electrocautery therebyreducing the amount of thermal tissue damage.Conclusion: Peri and postoperative bleeding is an undesirablecomplication of any surgical procedure, and particularly anelective procedure. Surgical hemostasis requiring excessivecautery can produce thermal damage to delicate facial tissues.The utilization of kaolin-impregnated gauze is a viable option toaid in perioperative hemostasis and does not result in anyincrease in postoperative hemorrhagic complications.


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1:55pm - 2:05pmA Novel Tool for the Evaluation of Perioperative MidfacialSymmetry in Caucasian Adult PatientsSami P. Moubayed, MD, Frederick Duong, MD, VincentChapdelaine, PhD, Akram Rahal, MDStudies evaluating midfacial symmetry in the normal Caucasianadult population are lacking. Prevalence data in this populationis useful for preoperative planning and postoperativemeasurement of midfacial asymmetry in this population.Moreover, there is no widely used tool for precise evaluation formidfacial symmetry. Cephalometric studies using 3D-CTreference landmarks are rare, use varying planes and do notinclude soft-tissue reference points.

2:05pm - 2:15pmAtypical Beauty. Challenging the Normative Facial AestheticThiru Siva, Dr Samuel MacKeith MRCS DOHNSExtensive study of the human face to determine the response itillicits in others has been done. These help to delineate thenormative aesthetic well known to every facial plastic surgeon.This gives us ideal angles and proportions within the face that aredocumented in texts of surgery. It is known that relativesymmetry of the face and facial sexual dimorphism is anattractive feature. However many examples exist where facialharmony is not disrupted by a facial feature that is clearlyoutside the normative aesthetic. We aim to challenge theconventional wisdom of the normative aesthetic by useprinicipally of examples of celebrities and models to demonstratethis fact. These findings do not mean that normative aesthetic isnot useful but that caution should be exercised in theconsultation room when one percieves a pleasing facial aestheticin a patient, although they are correct that in fact they have aprominent feature that is technically undesirable. Althoughmany lucrative careers have been aided by surgicalenhancement a few would have been lost if surgery had beenpursued.

2:15pm - 2:25pmDimple Creation Surgery: 15 Consecutive CasesUmang Mehta, MDLearning Objectives: Discuss the patient assessment, surgicaltechnique, risks, and benefits of dimple creation surgery.Method: Retrospective review of fifteen consecutive patientswho underwent bilateral dimple creation surgery under localanesthesia in the office setting between June 2010 and March2011. Data reported includes patient demographics, operativetime, technique utilized, and complications.Results: Thirteen women and two men (n=15) underwentbilateral dimple creation surgery in this time period. One was arevision of an outside procedure. Symmetric cheek dimpleswere successfully created in all patients. Mean surgical time was38 minutes. Complications included premature falling of thedimples requiring a revision procedure (n=1), and mucoceleformation (n=1). There were no instances of facial nerve injury,hematoma, or infection. Patient satisfaction was generally high.Conclusion: Dimple creation surgery is a safe and effectiveprocedure for creating cheek dimples in the office setting, underlocal anesthesia.

2:25pm - 2:35pmMulti-Probe Technique with a New RF System: A RetrospectiveStudy of 1200 Skin Tighetening PatientsMiodrag Milojevic, Igor Jeremic, MDOver 1200 patients have been treated with new RF System(Pelleve) utilizing four sequential electrodes headpieces ofincreasing surface area. These headpieces are connected to aspecially designed 4MHz high-power 120 Watt generator,manufactured by Ellman. Patients in age from 35-72 (mean age42) received three to six 35 minute treatments depending onskin-age with 4 headpieces ranging in diameter from 5/7.5mmto 20mm diameter. The practicing physician utilizes a two handtechnique for maximum effect: one for rapid probe movementand the other equally importantly for skin tightening.Treatments are preformed at 3-5 week intervals and followedfor 4 months to many years depending on patient. Physiciansand patient have seen excellent outcomes, with the results ofsignificant improvement in facial and neck wrinkles and skintightness without skin burning, scaring or discoloration. Suchresults are documented in multiple before, during and afterphotographs.


Mark your calendars for the upcoming meetings.

JANUARY 18-22, 2012Rejuvenation of the Aging Face

Co-chairs: Mary Lynn Moran, MD andSam P. Most, MD

San Diego, CA

MARCH 5-9, 2012Caribbean Facial Plastic Surgery UpdateDirectors: Stephen W. Perkins, MD and

Capi Wever, MDSan Juan, PR

APRIL 18-22, 2012Combined Otolaryngological Spring Meetings (COSM)

Co-chairs: Scott A. Tatum, III, MD andBenjamin C. Marcus, MD

San Diego, CA

MAY 9-12, 2012THE 7th INTERNATIONAL MEETING

IN FACIAL PLASTIC SURGERYRome, Italy

Co-Sponsors: IFFPSS, EAFPS, and AAFPRS

SEPTEMBER 5-8, 2012FALL MEETING

Co-chairs: Craig S. Murakami, MD andDaniel S. Alam, MD

Washington, DC

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POSTER PRESENTATIONSPOSTER PRESENTATIONSPOSTER PRESENTATIONSPOSTER PRESENTATIONSPOSTER PRESENTATIONS

PP1 Deep Plane Face Lifting as an Alternative in the SmokingPatientSachin S. Parikh, MD, Andrew A. Jacono, MDObjective: To evaluate the safety of performing a deep-planefacelift with extensive undermining in patients who are smokers.Methods: A retrospective review of medical records andphotographs of 181 consecutive patients who underwent adeep-plane facelift.Results: 16 (8.7%) of the 183 patients were smokers who chosenot to quit smoking preoperatively after appropriate counseling,and continued their habit postoperatively. The 16 patientssmoked an average of 0.94 packs-per-day (ppd). One (6.3%) ofthe patients formed a hematoma. None of the smoking patientsexperienced epidermolysis or skin slough. There were 167patients in the non-smoking group. There were three cases ofhematoma (1.8%). There was a 1.2% rate of skin necrosis, withone case of superficial epidermolysis, and one case of full-thickness skin slough.Conclusions: A deep-plane facelift can be performed in smokerswith minimal complications.

PP2 The Role of Midfacial Implant Augmentation in the AgingFaceNishant Bhatt, Helen Perakis, Jason P.Champagne, JasonDiamond, Achih ChenIn the past, the majority of procedures to provide midfacerejuvenation focused on lifting tissue in an effort to provide ahigh vector pull. As more understanding about the aging face isgained, we have come to the realization that in addition togravitational forces, it is the loss of fatty tissues in the midfacethat leads to an aging face. The popularity of minimally invasivetechniques has led to the use of fat transplantation and fillers toaugment the midface. Unfortunately fat transplantationtechniques cannot provide standardize results and fillers onlyprovide temporary results. Midface implants providepredictable and permanent results that can be individualized foreach patient. The post-operative complication rate and patientsatisfaction for midface implants is assessed.

PP3 A Computed Tomographic (CT) Study of the Osseous andSoft Tissue Changes of the Aging MidfaceSanaz Harirchian MD, Paul Carniol MD, Shawn Li, Soly BaredesMDIntroduction: Currently, the concepts of midfacial aging withloss of volume are well accepted based on clinical observations.In the recent past, volume replacement procedures have gainedwidespread use. This leads to questions such as: Is there ameasurable volume loss? If there is a loss in which layers doesthis occur. Prior studies have compared osseous changes in scansin different age groups. Comparisons of scans over time in thesame patient have not previously been performed. Serial CTscan soft tissue changes have not been previously studied andquantitated.Methods: The electronic UMDNJ radiologic database of 15,000patients was reviewed for all patients with more than 1 thin cutcomputed tomography (CT) of the facial bones separated bygreater than 5 years. Patients with facial fractures, prior surgery,and significant sinus disease were excluded. Nine out of the15,000 patients met this criteria. Their CTs of the facial bonesand soft tissues were reformatted in the standard sella-nasion

plane and 3-dimensional (3D) reconstructions were generated.Soft tissue area from the nasal process of the maxilla to thejunction of the zygoma was measured on axial CT, and did notinclude the region of the malar fat pad. Patient information onweight changes during the time interval was not available.Osseous thickness of the anterior maxillary sinus wall was alsomeasured. Orbital height, width, aperture area and pyriformaperture area were calculated on 3D reconstructions. Allmeasurements were compared over both CT scans. The intervalbetween scans ranged from 5.3 – 8.3 years (mean 6.2, mode5.5).Results: Changes in the midface soft tissue areas over theinterscan time interval varied depending on the patient’s age. Inthe 4 patients aged 20-40, mean midface soft tissue areaincreased. It did not change in the 3 patients aged 53-62. In the2 patients aged > 70 years, the mean midface soft tissue areadecreased, with an 18% loss in the eldest patient. Over the studyinterval, there was no change in thickness of the anteriormaxillary sinus wall. Orbital aperture area increased in 7 out of 8patients over 33 years of age and decreased in the 2 patientsyounger than 30 years. There was no uniform change in thecross sectional area of the pyriform aperture. Conclusions:This limited study demonstrated mean soft tissue area decreaseand orbital aperture area increase in older patients. However itdid not demonstrate this in patients 62 and younger. The reasonfor this is not immediately apparent but there are severalpossibilities. First it may be that our clinical observations do notreflect what is actually occurring. Another might be that inyounger patients these changes occur more slowly than in olderindividuals and the mean interval might be too short for anobservable change. The results may have been influenced byother factors. For example we could not obtain patient serialweights that temporally correlated with the CT scans. Weightchange can affect the volume of facial soft tissue. The onlyosseous change in the majority of these patients was an increasein the orbital aperture. This underlying change could affect theappearance of the midface and of the periocular region. Theimplications of this change should be evaluated further withadditional studies.

PP4 Inflammatory Markers in Prolonged Post ResurfacingErythemaAgata K. Brys, Daniel E. Rousso, MDProlonged post resurfacing erythema is defined as erythema thatlasts more than 12 weeks following a resurfacing procedure.Explanations for prolonged erythema include multiple laserpasses, type of laser used, taping after phenol peels and treatmentwith retinoids, hydroquinone or glycolic acids. It is unknownwhether intrinsic elevations of inflammatory markers canidentify patients who may be more susceptible to thisphenomenon. This study aims to identify whether markers suchas C-Reactive Protein, Erythrocyte Sedimentation Rate (ESR),Complement proteins, Antinuclear antibody (ANA), perinuclearand cytoplasmic anti-neutrophil cytoplasmic antibodies (p- andc-ANCA), and Rheumatoid factor (RF) can identify patients atrisk for prolonged erythema following resurfacing procedures.This study aims to measure these inflammatory markers in aprospective manner in patients undergoing dermabrasion,medium and deep chemical peels, as well as laser resurfacing.Postoperatively, patients will be monitored for resolution oferythema. Statistical analysis using ANOVA for each laboratoryvalue will be used to determine whether there is a statistically

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significant correlation between any of the serologic tests andprolonged erythema (more than 12 weeks of erythema) orspeedy recovery (less than 4 weeks of erythema). It isanticipated that patients with prolonged post resurfacingerythema may have elevations of certain inflammatorymarkers. These markers can then be easily tested preoperatively,and can be used to guide future patients in their peri-operativehealing process.

PP5 Vascular Compromise Following Facial Dermal FillerInjection: Review of the Literature and Proposed TreatmentAlgorithmsCraig N. Czyz, DO, Shannon H. Allen, MD, Jill A. Foster, MD,Allan E. Wulc, MD, Kevin Kalwerisky, MD, Kenneth V. Cahill,MDBackground: Utilization of dermal fillers for soft tissueaugmentation is a rapidly growing component of the aestheticphysicians’ practice. The procedures are considered to bereasonably safe, though as with any surgical intervention adverseevents can and do occur. The majority of complications haveshown to be transient and resolve following a brief period ofsupportive therapy. More serious side effects including focalnecrosis and ophthalmic injury have been reported. Wereviewed the literature for reports of facial filler injectioncomplications, their proposed etiology, and treatments.Method: A MEDLINE-based (1980 to 2011) review ofreported complications and treatments of injectable fillermaterials was performed. Any consensus between complicationsite, proposed etiology, and treatment outcome was noted. Thisreport represents a summary of the most commonlyimplemented treatment plans based on clinical presentation andlocation of tissue injury.Results: Tissue ischemia resulting in necrosis has been reportedfollowing injection all compound types of commerciallyavailable dermal fillers. Necrosis is associated most commonlywith injections in the regions of the glabella and nasolabial folds.More serious complications may arise following injection nearthe glabella where retrograde vascular embolization may causeophthalmic injury. The proposed algorithms for management ofvascular compromise vary depending on the injected materialand site. There lacks a consensus in regards to optimal therapy,however there are some commonly reported guidelines. Allreviewed reports emphasize the importance of earlyrecognition, rapid intervention, and prevention of furthervascular compromise.Conclusion: The popularity of dermal fillers as a minimallyinvasive facial tissue augmentation method continues to increaseyearly. Patients and practitioners should be aware of the serious,albeit rare complications of vascular compromise, tissue necrosis,and ophthalmic injury. There exists no present standard of care,but generalized guidelines exist based upon the suspectedmechanism of injury. As always, the most effective treatment isprevention.

PP6 Retrospective Patient Reported Outcomes Analysis ofSubperiosteal Endoscopic Browlift Evaluating Improvement inHeadache Symptoms, Patient Aatisfaction, Facial Symmetry anda Description of Expected Complications and Recovery with andwithout ConcurrentJordan L. Wallin, MD, Nicholas J. Panella, BS, Neal D. Goldman,MDSEBLS is well tolerated according to patient report and most arehappy with the outcome. In an effort to achieve goodoutcomes, the surgeon must understand the common risks ofSEBLS and inform the patient appropriately. Concurrentrhytidectomy with SEBLS has minimal additional morbiditywith the exception of a longer recovery time and could beincluded for the appropriate patient with insignificant additionalcomplaints.

PP7 Patient Characteristics at Time of Primary Rhytidectomythat Predict Need for Early Revision RhytidectomyAgata K. Brys, Daniel E. Rousso, MDCertain patients who undergo rhytidectomy are more apt todevelop early recurrence of neck ptosis and may require earlyrevision rhydidectomy to address this issue. This study aims toidentify patient characteristics at initial evaluation that canpredict need for early revision rhytidectomy. A retrospectivechart review of patients who have undergone primary andrevision rhytidectomy by the senior author will be performed.Patient characteristics such as age, sex, race, and body massindex, as well as neck exam findings, such as skin laxity, neckheaviness and platysmal banding, will be identified. A scale forconsistent evaluation of neck skin ptosis, platysmal banding andheaviness will be described in detail. Comparison of patientcharacteristics between those undergoing a revisionrhytidectomy within 18 months, between 18 months and 5years, between 5 and 10 years, and more than 10 years fromtheir original facelift will be made using standard statisticalmethods. It is anticipated that patients with certaincharacteristics at presentation for primary rhytidectomy will bemore likely to undergo earlier revision rhytidectomy.

PP8 The Use of Silhouette Threads in the Open Mini-FaceliftAaron L. Shapiro,MDRecently Silhouette Threads have been introduced as aminimally invasive technique for facial rejuvenation. Thesethreads have proved superior to their predecessor, the ContourThread, with improved results and fewer complications.Introduction of these threads has allowed their application toother more invasive procedures. In this paper we describe ourtechnique, results and complications from incorporating thesethreads into our mini-facelift procedure. Obtaining excellentresults in the nasolabial area has always proved difficult withmore limited surgery. The use of Silhouette Threads hasimproved our results in this difficult area.

PP9 Concurrent Lateral Browlift and Sub-brow UpperBlepharoplastyJustin C. Cohen, MD, Albert Jen, MDSub-brow upper eyelid blepharoplasty is a well describedtechnique and provides optimal results for rejuvenation of theupper eyelids in the well selected patient. There are patients whoare ideal candidates for sub-brow blepharoplasty but also havelateral brow ptosis in addition to dermatochalasis of the uppereyelid. In those patients, we applied a simple adjuvant technique


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of repositioning and fixating the brow through the same incisionas the sub-brow blepharoplasty. This provided not onlyrejuvenation of the upper eyelid but also rejuvenation of thebrow.

PP10 Platysma Chemical Denervation with Botox DuringNeckliftRami K. Batniji, MDThere are several methods to address the aging neck. Recurrentplatysmal bands is an issue these methods attempt to address.These methods include anterior platysmal plication through asubmental incision and latero-superior re-positioning of SMAS/platysma flap through a lateral incision. Prado et aldemonstrated the potential benefit of platysma chemicaldenervation with Botox before neck lift surgery in 2010. Wereport on our experience using Botox at the time of surgery todecrease activity of anterior platysmal bands, thus allowing theanterior plication and lateral re-positioning to take effectwithout the competing forces of platysma muscle function.

PP11 A Posterior Approach to Address Persistent Lateral NeckRhytids After FaceliftDavid W. Rodwell III, Ahmed Ibrahim El Sayed, John M.Hodges, MDCervicofacial rhytidectomy offers outstanding benefits to mostpatients who choose to undergo the procedure. However, wereport 2 cases of patients who were dissatisfied with persistentdeep lateral neck rhytids. These patients had previously beentreated with a cervicofacial rhytidectomy. They both hadsimilar skin characteristics with laxity and redundancy in thelateral neck causing deep rhytids. This was exacerbated byunderlying muscle atrophy and loss of subcutaneous fat.Treatment involved a modification of the posterior neck lift. Aposterior midline excision of excess skin was performed, and skinand subcutaneous fat flaps were advanced bilaterally. Excess skinwas trimmed leaving a vertically oriented midline scar on theposterior neck extending into the hairline.

PP12 A Prospective, Randomized, Open-Label, 2-Arm ParallelStudy Comparing the Safety and Efficacy of Single Therapyversus Double Therapy using the Surgitron® Dual RF™ S5 withthe Pellevé™ Wrinkle Treatment Handpiece and Pellevé™Treatment Gel for the TreatmeSteven H. Dayan, MD, John P. Arkins, BSBackground: Use of high frequency radiowaves to preciselydeliver energy through the skin to the dermal tissue beneathwithout damaging the epidermis has been promising. The gentleheating of deep dermal tissue induces collagen denaturization,contraction and subsequent synthesis. The collagen synthesis, inturn, creates a tightening effect that helps to eliminate mild tomoderate facial wrinkles and rhytids. We present the findings ofa clinical study into the efficacy of one vs. two treatments withthe Pelleve radiofrequency device.Method: Thirty subjects were enrolled and randomized toreceive one or two treatments with the Pelleve radiofrequencydevice. Subjects were followed for three months following theirlast treatment. Efficacy was assessed using the 9-point FitzpatrickWrinkle Assessment Scale (FWAS) at baseline and 30, 60 and 90days post-treatment. Additionally, three independent, blindedevaluators assessed randomized photographs from baseline and30, 60 and 90 days post-treatment using the FWAS. The PI andsubject completed a Global Aesthetic Improvement Scale

(GAIS) assessment of overall aesthetic improvement aftertreatment and at days 30, 60 and 90. Subject completed asatisfaction questionnaire after treatment and at days 30, 60 and90. Discomfort was measured on a 100 mm visual analog scale.Volumetric analysis of all visits was performed using the CanfieldVectra 3D imaging system was performed at conclusion of thestudy.Results: Preliminary findings indicate that treatment with thePelleve radiofrequency device resulted in statistically significantimprovement in FWAS following the first treatment andcontinuing through the 60-day mark. Physician rated GAISdemonstrated improvement in 83.33% of patients at 60 daysand the subject rated GAIS demonstrated improvement in72.22% of patients. Additional data with the additionalmeasurements, extended timepoint and comparing the twotreatment groups s will be forthcoming.Conclusion: Radiofrequency treatment to the face results in amarked improvement in fine facial lines and wrinkles.

PP13 The Effect of Calcium Hydroxylapatite Injections to theMalar Area on Self-esteemSteven H. Dayan, MD, John P. Arkins, BSBackground: Fat loss in the malar area is a sign of aging andgreatly impact the psyche and self-esteem of a patient. Previousstudies have demonstrated cosmetic enhancements can improvefirst impression and self-esteem; however, these studies focusedon treatments of the forehead, crows™ feet and nasolabial folds.This study aimed at determining the effects of calciumhydroxylapatite injections to the malar area had on self-esteemand self-assessed first impression.Method: Twenty subjects received injections of calciumhydroxylapatite into the malar area. Subjects completed twosurveys consisting of a self-assessment of first impressionprojected and the Heatherton & Polivy State Self-Esteem(HPSS) Scale at baseline, optimal correction visit and four weekspost-optimal correction visit. Results: Statistically significantimprovements (p<0.05) were observed in subjects treated withCaHA in the malar area in self-esteem in the categories ofconfidence in abilities, satisfaction with body appearance,confidence in performance, feeling of admiration from others,self-consciousness, intellect, self-worth, appearance,comprehension, attractiveness, feeling less concerned aboutimpression, scholastic ability, less worried about looking foolish,performance-related self-esteem, social-related self-esteem,appearance-related self-esteem and total self-esteem.Additionally, subjects™ self-assessments of firs impressiondemonstrated statistically significant improvements in the areasof social skills, dating success, attractiveness, relationship success,athletic success and overall first impression.Conclusion: Our findings demonstrated that correction of themalar area using calcium hydroxylapatite resulted inimprovements in self-esteem and self-assessed first impression.


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PP14 Volumetric Analysis following Injection of CalciumHydroxylapatite to the Malar AreaSteven H. Dayan, MD, John P. Arkins, BSBackground: As cosmetic physicians, it is important to know thedynamic properties of injecting fillers. During a touch-upinjection, recognizing the end result prior to its actualization isextremely beneficial to deciding how much filler to inject.Method: Twenty subjects received injections of calciumhydroxylapatite into the malar area at baseline with an optionaltouch-up injection two weeks post-treatment. Three-dimensional photography was performed at baseline, touch-up,two weeks post touch-up and six weeks post injection.Volumetric analysis including volume and area change wasperformed on follow-up visit images as compared to baselineimages.Results: Our findings indicate that the injection process createstrauma to the area corresponding to 147.38% of the injectedvolume at two weeks following injection. After six weeks, theswelling subsided and the resulting volumetric differencecorresponded to 98.26% of the volume injected.Conclusion: Following injection of CaHA into the malar area,patients can expect localized swelling in the area. Over thesubsequent four weeks, it can be expected that the area willreduce in size by approximately one-third. Consequently,cosmetic providers should consider the ensuing volumereduction when considering the amount of product to injectduring a touch-up procedure.

PP15 A Blinded Evaluation of the Effects of CalciumHydroxylapatite Injections on First ImpressionsSteven H. Dayan, MD, John P. Arkins, BSBackground: First impressions are an important aspect to dailylife and can have lasting consequences. As our face is often thefirst part of us that comes in to contact with someone, we haveevolutionary developed the ability to quickly assess specificfacial characteristics to help identify them as friend or foe. Thisstudy aimed at determining the effects of malar augmentationusing calcium hydroxylapatite on first impressions.Method: Twenty subjects received injections of calciumhydroxylapatite into the malar area. Photographs of the face in arelaxed pose were taken at baseline, optimal correction visit andfour weeks after optimal correction. Blinded evaluatorscompleted a survey rating first impression on various measuresof success for each photo.Results: Preliminary findings suggest improvement in mean firstimpressions in various categories. Blinded evaluator assessmentdata will be completed prior to presentation.Conclusion: Correction of the malar area using calciumhydroxylapatite results in a perceivable improvement in firstimpression projected.

PP16 New Treatment Regimen for Hypertrophic ScarsSteven H. Dayan, MD, John P. Arkins, BS, Divya Vaswani, MDBackground: Hypertrophic and keloid scar management poses aconsiderable challenge in cosmetic medicine, as they are knownto be resistant and can recur. With the advancements inminimally invasive treatments, non-surgical procedures withequal or superior results are increasingly preferred over moreinvasive alternatives. We present the use of a non-surgicalregimen for the treatment of hypertrophic scars that equals theefficacy of a surgical excision.

Method: Case studies will be presented in which hypertrophicscars are treated with a mixture containing 5-FU,onabotulinumtoxinA and triamcinolone.Results: We have successfully treated 48 patients withhypertrophic scars with this non-surgical treatment protocol.Conclusion: Our use of a non-surgical treatment regimencontaining 5-FU, onabotulinumtoxinA and triamcinolone is asuccessful treatment option for treating hypertrophic scars thatequals the efficacy of a surgical excision.

PP17 Management of Impending Necrosis Associated with SoftTissue Filler InjectionsSteven H. Dayan, MD, John P. Arkins, BS, Clyde C. Mathison,MDBackground: As the number of soft tissue filler injectionsincreases, the number of adverse events associated with injectionmay rise. Impending necrosis represents a serious complicationthat, if not treated correctly and timely, may have graveconsequences.Objective: We recommend a protocol that may be used to treatimpending necrosis subsequent to injection with soft tissue fillersutilizing our protocol.Method: Case studies will be presented in which impendingnecrosis associated with soft tissue fillers was successfully treatedwith hyaluronidase, nitroglycerin paste, aspirin, antacid andtopical oxygen cosmeceutical.Results: We have successfully treated nine post filler injectionadverse events involving impending necrosis or necrosisfollowing both HA and CaHA injections using our protocol.Conclusion: Proper management of complications associatedwith soft tissue fillers is imperative as both the number ofinjections and fillers expands.

PP18 Dimpleplasty: A Series of Twenty Consecutive ProceduresJason P. Champagne, MD, Helen Perakis, MD, Nishant Bhatt,MD, Achih H. Chen, MDIn some cultures, dimples are a sign of good luck and arebelieved to bring good fortune to the family. Although themedical literature does not extensively describe dimpleplasty,this is a procedure that appeals to many patients. Here wedescribe a variation of permanent dimple creation that may beperformed under local anesthesia in a quick and reproduciblemanner with a relatively short recovery time.

PP19 Anatomical Investigation of the Lower Eyelid TarsusEstelle S. Yoo, MD, Sunny S. Park, MD, MPH, Fred J Stucker,MD, Timothy S. Lian, MD, John W. Mooring, MD, Fleurette WAbreo, MDObjectives: To characterize and compare gross and microscopicanatomy of the lower eyelid tarsus to that of the upper eyelidtarsus, and to describe and compare patterns of collagen I, II,and III expression in upper and lower tarsi.Methods: A total of 20 human cadaver right upper and lowereyelids were harvested. Upper tarsi were used for comparison.Height, width, depth and weight of these formalin-fixed tarsiwere measured. Eleven male and nine female upper and lowertarsi were processed for histology using hematoxylin and eosinstain. Immunohistochemistry for collagens I, II, and III wereperformed. Gross and microscopic anatomy, andimmunohistochemistry characterization of the upper and lowertarsi were compared.


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Results: The gross anatomic evaluation with macroscopicmeasurement of the upper and lower eyelids demonstratedmean density of upper tarsus 0.79Â±0.36 mg/cm3 vs. lowertarsus 1.15Â±0.55 mg/cm3 with statistically significantdifference in the mean density 0.36Â±0.28 mg/cm3 (p=0.00270). Immunohistochemistry to collagen I and III revealedstronger uptake of collagen I and III in lower eyelid tarsicompared to upper eyelid tarsi. Collagen II stained non-specifically.Conclusions: Gross examination of the inferior tarsus revealedsignificant higher density when compared to the superior tarsus.Though similar patterns of collagen I and III were detected, thelower eyelid tarsus had more stromal collagen and abundantextracellular matrix implying its key role in maintainingstructural support of the lower eyelid.

PP20 UK Hair and Beauty Analysis: A Structured Approach toConservative Management of the Facial Cosmetic Patient’sConcernsThiru Siva, Miss Thamina RossAlthough surgical alteration of appearance is the domain ofsurgeon, and human biological interaction with therapies are thedomain of physicians as whole, that of aesthetic analysis andmanipulation is open to all. Anyone with a critical and analyticalmind may contribute to the assessment of the face and neck inits overall context to solve cosmetic issues and concerns to apatient. In many instances the anomalies of facial structure areto great to significantly correct or compensate for with non-surgical approaches, such as syndromic dysmorphia. Howeverthe phenotypically normal patient may have valid subtlecosmetic concerns. In the abscence of true pathology, the stakesof operating are great and adverse outcomes are not welltolerated. This can be minimised by good surgical training. Itshould remembered that this training includes consultationtechnique and as with all surgery a knowledge of assessmentwith regard to all options of patient management is key. It isimperative to be aware of the potential contribution of hair andbeauty issues to know if a conservative option is possible orsuitable and whether it has already been tried by the individual.This paper uses established theory as it is practiced in the hairand beauty industry under the government training andaccreditation professional body Habia (Hair and beauty industryauthority) to aid with surgical assessment of the face prior toadvising patients of their options.

PP21 Volumetric Analysis of Patients with Facial Paresis orParalysisJonathan Kulbersh, Babak Azizzadeh, MD, Samual Pierce, PaulNassif, MDUnilateral facial paralysis results in significant functional andphysiological morbidity to the patients. Many procedures havebeen described to improve the form and function of a pareticface. Facial volume loss has been observed, but not quantified,due to deinnervation or altered innervation of the facialmusculature. Facial symmetry is central in the rehabilitation ofthe paretic face and changes in facial volume have yet to beanalyzed. Our objective is to quantitatively measure the changeof facial volume secondary to facial nerve weakness or paresis inorder to highlight this aesthetic dimension and suggest additionaltherapies to achieve facial symmetry and harmony.

PP22 Revisiting the Labial-buccal Flap Technique for NasalSeptum Perforation ClosureGailushas S, Shane Gailushas, MD, Ben Marcus, MDObjective: Multiple methods have been utilized to attemptclosure of nasal septum perforations. Many of these techniquesare technically challenging and have higher than desired failurerates. We recently have revisited the use of labial-buccalmucosal flaps for closure first described by Tardy in 1973. Therehas since been limited literature on this unique approach. Wewill review this technique and provide data on our recent seriesof 12 patients highlighting successes with this approach.Methods: After clearance from the UW-IRB a series of 12patients was selected who had undergone nasal septumperforation repair with a labial buccal flap closure technique.Information including perforation location, size, the cause ofperforation, known risk factors, and success of closure wereobtained from retrospective chart review. Analysis of thesefactors and success rates were conducted. A detailed descriptionof the labial-buccal flap technique is described.Conclusions: We will present data to demonstrate that the labialbuccal flap is a robust option for closure of anterior defects ofthe nasal septum with a high rate of successful closure. We hadonly one failure out of 12 patients. We attribute this toperioperative smoking habit. Additionally it is a simplertechnique that results in less operative time and anestheticduration. We will present a strong argument that this techniqueprovides an easily learned and highly successful alternative tostandard closure procedures.

PP23 Computed Tomography Scan does not Correlate withPatient Experience of Nasal ObstructionFarhad Ardeshirpour, MD, Kate E. McCarn, MD, Rick M.Odland, MD, PhD, Bevan Yueh, MD, MPH, Peter A. Hilger,MDA correlation does not exist between septal deviation findings onCT scans and symptoms of nasal obstruction. A CT scan is notgood diagnostic test for nasal obstruction secondary to septaldeviation.

PP24 The Use of Hollow Fiber Catheters for Delivery ofBotulinum Toxin Type AFarhad Ardeshirpour, MD, Joseph Kim, MS, Carrie E. Flanagan,MD, Rick M. Odland, MD, PhDHollow fiber catheters infuse dye and BoNT/A solutions withmore even and controllable distributions than standard needletip catheters. Future animal and clinical studies are needed toassess the efficiency of hollow fiber catheters in infusing BoNT/A.

PP25 Healthy Behaviors and Changes after Operation amongFacial Cosmetic Surgery PatientsJames M. Pearson, MD, Vito C. Quatela, MDObjective: To investigate the prevalence of various healthybehaviors and any durable changes after operation among facialcosmetic surgical patients.Methods: For this prospective study, subjects who had notundergone facial cosmetic surgical procedures in the previousfive years and who were about to undergo an eligible facialcosmetic surgical procedure were included in this study. Eligibleprocedures include forehead lift, rhytidectomy, minirhytidectomy, midface lift, blepharoplasty, cosmetic rhinoplasty,augmentation with facial implant, full face or segmental


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resurfacing, and scar revision. Each subject completed a 12-question survey on healthy behaviors preoperatively and againpostoperatively 19-23 months later. Mean scores and subject-specific changes were calculated and compared for pre- andpost- operation.Results: In the preoperative surveys, behavior prevalence islowest for prescriptive skin products use and spa-basedprocedures. On average, both are reported as practiced˜never”™ to ̃ sometimes”.™ In the postoperative surveys, thesame two behaviors demonstrate the lowest prevalence, andagain are reported on average as practiced ̃ never”™ to˜sometimes”.™ The remaining examined behaviors were fairlyprevalent preoperatively and remained so postoperatively. Eachremaining behavior is reported on average as practiced˜often”™ to ̃ always”™ in both the preoperative andpostoperative surveys. Postoperatively, the largest averageincreases in responses were recorded for the use of sunprotection (p=0.005) followed by weight control efforts(p=0.055) and use of prescriptive skin products (p=0.069).However, the mean score for regular exercise performancedecreased postoperatively (p=0.038). Using subject-specificmethodology, the most frequent result in 8/11 areas is nointerval behavior change. Subject specific score increases wererecorded for more than a third of subjects in 4/11 areasincluding use of sun protection, weight control, use ofprescriptive skin products, and spa-based skin care.Conclusions: Facial cosmetic surgery patients display anincreased practice of sun protection, weight control, andprescriptive skin product use and spa-based skin care. Specificpostoperative instructions may be useful in influencing healthybehavioral changes both in the immediate and laterpostoperative periods.

PP26 Effect of “Single” vs. “Double” Eyelid on the PerceivedAttractiveness of Chinese WomenHarry S. Hwang, M.D., Jeffrey H. Spiegel, MDAsian and non-Asian observers considered the presence of anupper eyelid crease to be more attractive. The results of thisstudy can be used to better counsel patients on realisticexpectations and perceived attractiveness of certain lid heights.

PP27 Intravascular Papillary Endothelial Hyperplasia(Masson’™s Tumor) Presenting as a Temporal Mass: A Reportof Two CasesSeth E. Kaplan, MD, Howard D. Krein, MD, PhDThe presentation of a head and neck mass requires meticuloushistory taking and physical examination to help differentiate andprioritize the suspected pathology. Often the diagnosis cannot bemade until the mass is excised and reviewed by a pathologist.Here we report two cases of intravascular papillary endothelialhyperplasia, also known as a Masson’™s tumor, presenting in thesuperficial temporal vein. This often-overlooked vascular lesion,to the best of our knowledge has not been previously reportedin the temporal region. Here we discuss the management of thislesion while performing office-based excision, with emphasis onacceptable cosmetic results.

PP28 Alteration of the Footplates of the Medial Crura DuringSeptoplastyJoseph E. Hall, Wm. Russell Ries, MDTitle: Alteration of the Footplates of the Medial Crura DuringSeptoplastyBackground: While standard septoplasty typically involvesmanipulation of intranasal structures, the footplates of themedial crura are often not addressed. We investigated atransnasal suture through the medial crura footplates todetermine the effect on the external nose postoperatively.Methods: Retrospective chart review of 9 consecutive patientsundergoing septoplasty with transnasal suture through themedial crura footplates at Vanderbilt University Medical Center.Demographic data, age at operation, reason for operation, andpre and post-operative measurements (at 6 months) includingcolumellar width at mid nare, columellar length, and nasal basewidth were collected.Results: This patient group consisted of 6/9 (66.7%) females withan average age of 42.7 years. The average distances for thesuture group preoperatively were 1.25 cm and 1.96 cm forcolumellar width at mid nare and columellar length,respectively. The average distances for the suture grouppostoperatively were 1.15 cm and 1.80 cm for columellar widthat mid nare and columellar length, respectively. Pre and post-operative differences were not statistically significant followingutilization of the transnasal suture through the medial crurafootplates for columellar width (p=0.40) or columellar length(p=0.25). The nasal base was found to be 3.85 cmpreoperatively and 3.72 cm postoperatively, which also was notstatistically significant (p=0.21).Conclusions: Although the results of this study revealed a trendof decreasing width at the mid nare columella, length of thecolumella, and width at the nasal base following transnasal suturethrough the medial crura footplates during septoplasty, thedifferences were not statistically significant. However, this stitchmay have a positive impact on facial aesthetics followingseptoplasty and should be considered in patients with increasedcolumellar width or significant asymmetry.

PP29 Success of Microvascular Head and Neck ReconstructionUsing Small Caliber Anastomotic Vessels and Minimal AccessApproachesPeter C. Revenaugh, MD, Michael A. Fritz, MD, P. DanielKnott, MDBackground: The success of free tissue transfer depends in largepart on anastomotic patency. As techniques, indications, andsuccess rates for free flaps are expanding, so too is the incentiveto offer minimal access for such procedures as midface and scalpreconstruction as well as facial soft tissue contouring. Thisevolution contradicts pre-existing dogma in microvascularreconstruction that the largest available caliber vessels should beused. The purpose of this study is to describe the success ofmicrovascular reconstruction undertaken for midfacial andscalp reconstruction and soft tissue contouring using small calibervessels with minimally invasive approaches.Methods: A retrospective review was conducted, identifying allpatients who underwent microvascular free flap using distalfacial vessels or superficial temporal vessels over a 3 year period.All types of flaps were included and outcomes and complicationswere reported.Results: 37 patients were identified who underwent free tissuetransfer for reconstruction or augmentation of facial and scalp


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wounds, scars, or asymmetries. There were no instances of flapfailure or compromise. Minimally invasive incisions were usedincluding face-lift incisions for access to superficial temporalvessels and small (<3cm) peri-mandibular incisions with tunneledpedicles for mid-face reconstruction. There were no instances oflong-term marginal mandibular or frontal branch nerveweakness. All patients had satisfactory reconstructive orcosmetic results.Conclusions: Concomitant with the evolution of techniques andtechnology, indications for free tissue transfer are expanding.Increasingly, free flaps are employed for reconstructive andcosmetic purposes in the central and upper third of the headwhere pedicle length does not permit access to large calibervessels in the neck. Reconstruction of these anatomic sitestherefore relies upon more distal, small caliber vessels, whichmay be used without compromising microvascular outcomes.Sufficient access is available through minimally invasiveapproaches yielding improved cosmesis without incurring nervedeficits.

PP30 Suprastomal Cutaneous Monitoring Paddle for Free FlapReconstruction of Laryngopharyngectomy DefectsPeter Revenaugh, MD, P Daniel Knott, MD, Joseph Scharpf,MD, Heather H Waters, MD, Michael A Fritz, MDBackground: Although rare, total or partial flap loss inmicrovascular free tissue transfer can have devastatingconsequences. Direct clinical observation remains the gold-standard for recognition of microvascular compromise.However, defects such as those created after laryngopharyn-gectomy necessitate a buried flap. We propose a novel methodfor externalizing a cutaneous skin paddle incorporated into thereconstruction offering direct monitoring without furtherprocedures.Methods: A retrospective review of pharyngoesophagealreconstruction of laryngopharyngectomy defects wasperformed between 8/2008 and 8/2010. Fifteen patients wereidentified where the anterolateral thigh (ALT) flap with asuprastomal cutaneous monitoring paddle was used inreconstruction. Post-operative complications and functionalspeech and swallowing outcomes were studied.Results: Fifteen patients with mean age of 64 years (range 39-81)underwent total laryngectomy with near-total or totalpharyngectomy and immediate reconstruction with ALT freeflap. The reconstructions were planned to include a de-epithelialized portion of the flap distal to the pharyngoeso-phageal anastomosis followed by a cutaneous monitor paddle incontinuity. This cutaneous paddle was then inset into theposterior-superior aspect of the stoma. All 15 patients weretreated for squamous cell carcinoma, whether recurrent (53%)or primary (47%). All but 1 patient received adjuvant orneoadjuvant radiation therapy. There were no partial or totalflap losses. Mean flap size was 126.4 cm2. Two patients (13.3%)developed pharyngocutaneous fistulae, one resolving with localwound care and correction of hypothyroidism, and the otherrequiring exploration after late fistula at 6 weeks. There werethree instances of anastomotic stricture (20%) requiring dilationand all but one patient were able to swallow solid foods at meanfollow-up of 9.5 months (range1-53). Twelve (80%) patientsunderwent primary tracheoesophageal puncture (TEP) and 1patient had a secondary TEP. All patients receiving TEP hadintelligible voice at last follow-up. Two patients (13%) hadstomal stenosis requiring surgical management.

Conclusions: The suprastomal cutaneous monitoring paddle(SCMP) provides direct monitoring capability of an otherwiseburied reconstructive flap. This method allows direct clinicalobservation for microvascular compromise without a need forfurther procedures and without an increase in morbidity orcompromise of speech and swallow functional outcomes.

PP31 Surgical Misadventures of Free FlapsLindsay Young, MD, Larry Myers, Joseph Leach, MDUnexpected events may occur during free flap surgery. Thesurgeon must be aware of potential pitfalls and be ready to altersurgical plan when indicated.

PP32 Treatment of Acne Keloidalis Using CO2 Laser Excisionand Secondary Intention HealingMark Dammert, MD, Fred Stucker, MD, Tim Lian, MD, StewLittle, MDAcne keloidalis is a chronic folliculitis that causes keloid-likescarring of the occiput and nape of the neck. Found mostcommonly in young black men, it stems from an inflammatorycondition as a result of chronic folliculitis, local trauma, orchronic nuchal irritation. It begins as individual pustules orpapules that coalesce into a large raised plaque, usually resultingin extensive and disfiguring hypertrophic scarring of the occiputwith associated alopecia. Various treatment options have beendescribed, with surgery being the mainstay. The approachemployed at our institution involves en bloc excision of thelesion with the CO2 laser down to the fascia. Areas that can beeasily approximated without tension are closed with eitherstaples or suture without undermining, but the majority of thewound is left open to heal by secondary intention. Patient-directed wound care consists of cleansing the wound with gentlesoap and water twice daily and applying Vitamin A&D ointmentfollowed by a non-adherent dressing until healing is complete.Healing time ranges between three to nine weeks and results in acontracted, flat scar bed that is appreciably smaller than theoriginal lesion. We present the largest published series to date ofcases using this method resulting in acceptable cosmesis, nofunctional morbidity, and no recurrence of disease.

PP33 Effects of Copaxone on Murine Facial Nerve InjuryMelynda A Barnes, Sam P. Most, MDFacial nerve injuries are an important cause of morbidity aftertrauma and surgery due to the debilitating effects on facialfunction and facial aesthetics. Axonal degeneration distal to theperipheral nerve injury is a well-described phenomenon mostresponsible for muscle paralysis and atrophy. Muscle functionafter nerve regeneration is not only affected by preservation ofthe target muscle but also by the number of surviving motorneurons present. Loss of central motor neurons after peripherallesions is well described and may ultimately affect musclefunction after a period of recovery and reinnervation. Facialnerve crush injuries result in loss of neurons in the facial motornucleus and thus affect the extent of recovery of movementachieved after reinnervation of the facial muscles. In the lab ofDr. Sam Most, a mouse model of facial nerve injury that allowsfor testing recovery of function as well as assessing loss of centralmotor neurons after peripheral lesions via histopathology of thefacial nerve nucleus was developed. In acute neurodegenerativeconditions caused by crush injury or axotomy as well asbiochemical insults such as glutamate toxicity, more neuronssurvive in the presence of a regulated anti-self T cell-mediated


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response than in its absence. This protective T cell-mediatedresponse can be augmented without risk of autoimmune diseaseby administration of Copaxone, a synthetic polypeptideconsisting of the amino acids tyrosine, glutamate, alanine andlysine. Copaxone has been found to be neuroprotective againstnumerous animal models of neuro-degenerative conditions suchas glaucoma, Multiple Sclerosis, Parkinson’s Disease and ALS.Using this mouse model, our specific aims are three-fold: toexamine the effect of Copaxone on the time to completefunctional recovery in adult mice, the amount of functionalrecovery in juvenile mice and its effect on facial motor neuronsurvival. Adult and juvenile mice will be sorted into treatmentand control groups. After undergoing unilateral facial nervecrush injury, mice in the treatment group will receive aninjection of Copaxone and the control mice an injection ofsaline. Functional recovery was monitored by measuringwhisking activity over 40 days. Immunohistochemistry of thefacial nucleus will assess the number of surviving motor neurons.

PP34 Effects of Glucocorticoids on Facial Nerve Grafting.Peter Revenaugh, MD, Rahul Seth, MD, James A. Kaltenbach,PhD, Debabrata Ghosh, MDBackground: This study aims to examine the effect of systemicdexamethasone administration on neural regeneration afterfacial nerve axotomy and cable graft. Previous research hasindicated a possible benefit of systemic glucocorticoidadministration on facial nerve functional return after axotomyand immediate coaptation. Clinically, cable grafts are employedin situations where neural extension is needed. We hypothesizethat any benefit of post-operative dexamethasoneadministration will be tempered in the face of two neuralanastomoses.Methods: 18 Wistar rats underwent facial nerve axotomy andremoval of a 3-4 mm segment of the nerve with reconstructionusing a motor nerve cable graft. The rats were then randomizedinto three groups including: Control (no steroid therapy),systemic dexamethasone 1 mg/kg and systemic dexamethasone5 mg/kg for three doses postoperatively. Blinded, standardizedfacial assessments, slow motion videography, and nerveconduction studies were performed.Results: Currently, more rats have been operated and are beingassessed in order to reach sufficient power.Conclusions: In a rat facial nerve axotomy and cable graftmodel, post-operative systemic dexamethasone administrationdoes not provide statistically significant benefit over in regard tofunctional or neurophysiological outcomes when dosed at 1 and5 mg/kg. More animals have been operated in order tosufficiently power the study.

PP35 The Rabbit Costal Cartilage Surgical ModelKaram Badran, BSc, Ashley Hamamoto, BSc, Cyrus Manuel,BSc, Brian Wong, MD, PhDRib grafts in facial plastic surgery, particularly for rhinoplasty arebecoming more and more frequently used. As ex vivo surgicalmodels, porcine and bovine costal cartilage mimic their humancounterparts in terms of their ability to be carved, sutured, andreshaped. In-vivo studies utilizing large mammals however, areimpractical due to the substantial costs involved. Small animalmodels, while not ideal may be used to emulate costal cartilagebased procedures, particularly to evaluate new instrumentation,pharmaceuticals, or tissue engineered technologies.

PP36 The Use of Hair Transplantation for Periorbital ScarRevisionHootan Zandifar, MD, Jason S. Hamilton, MD, Raphael Nach,MDTwo subjects present to the clinic with peri-orbital scars withinthe hair bearing skin. Subject 1 has a scar of her right uppereyebrow while Subject 2 has a scar of her lower lid with loss ofeyelashes. Follicular unit hair transplantation was utilized in bothcases to camouflage their scars. Post-operative images showexcellent results demonstrating the utility of hair transplantationin peri-orbital reconstruction.

PP37 Pediatric Reconstruction Following Resection of Head &Neck MalignancyDonald B. Yoo, MD, Satyen Undavia, MD, Evan Garfein, MDObjective: To evaluate the reconstructive methods andoutcomes of pediatric patients following the removal ofmalignant neoplasms of the head and neck.Methods: Pediatric patients undergoing immediatereconstruction following extirpation of head and neck cancerduring 2008-2010 were identified and restropectively reviewed.Type of defect, reconstructive method, complications, andtherapeutic outcome were analyzed.Results: Five patients were identified with an average age of 12years (range, 2-19 years), and were observed for an average of22 months (range, 6-31 months). Patients underwent resectionfor rhabdomyosarcoma (2), osteosarcoma (1), chondrosarcoma(1), and malignant fibrohistiocytoma (1). Defects encounteredwere maxillectomy (4), orbit (2), and mandible (1). Flapstransferred included vertical rectus abdominus myocutaneousflap (3), fibular free flap (2), and anterolateral thigh free flap (1).One flap developed a venous thromboembolus, but wassuccessfully recovered after thrombectomy. One patientdeveloped recurrence after free flap reconstruction andrequired re-resection and an additional free flap. All patientsdemonstrated gross facial symmetry and growth at the donorsites, and were able tolerate regular diets with normal dentalocclusion.Conclusion: Malignancies of the head and neck in the pediatricpopulation present a unique set of challenges for thereconstructive surgeon due to the differing pathologies, clinicalpresentations, functional goals and growth considerations ofpediatric patients. Excellent functional and aesthetic outcomesare attainable even in the very young, and judiciousreconstruction should incorporate the special considerations ofpediatric head and neck malignancy.

PP38 Non-Surgical Rhinoplasty: Techniques and EfficacyMohsen Naraghi MDNon-Surgical Rhinoplasty: Techniques and EfficacyBackground: nonsurgical correction of the nose shape is anexciting procedure that is witnessing progressive growth; in somecases, this method is considered as an alternative to traditionalrhinoplasty procedures.Objective: in this study, we present various conditions and caseswhich are candidate for non-surgical rhinoplasty and discusspersonal experience on a wide range of techniques in non-surgical rhinoplasty on subjects of primary and revisionrhinoplasty cases assisting high definition videos. Comparingresults of non-surgical rhinoplasty with surgery is the impressiveconclusion of this presentation. Study design: retrospective caseseries.


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Methods: Seventy four selected patients underwent simple butdelicate techniques to change the shape of the nose by means ofneedles and a wide range of non-permanent dermal fillers tocamouflage defects or irregularities, correct deviations andadjust proportions such as increasing tip rotation and projectionor decreasing nasofacial angle. The procedures were performedwithout the use of general or infiltration anesthesia. Some caseshad improvement in function other than form. The duration ofeach procedure was less than fifteen minutes in most of cases.Results: Outcomes were satisfactory in all cases with a meanfollow up of 13 months. One revision case showed skinInflammation which was subsided with antibiotic and anti-inflammatory prescription.Conclusion: Non-surgical rhinoplasty procedures could be analternative for selected patients with minimal to moderate nasalshape problems. Besides the time and cost effectiveness, theseprocedures are very flexible, repeatable and have lesscomplications.

PP39 A New Technique for Osteotomies Using Powered MicroSaw Instrumentation in RhinoplastyRami K. Batniji, MD, Kamal A. Batniji, MDA series of new powered instrumentation for rhinoplasty offersan alternative method for both dorsal hump reduction andosteotomies. Powered instrumentation in rhinoplasty is not anew concept; Becker et al described the use of a powered drillfor dorsal hump reduction in 1997. Becker described the use ofa powered rasp for dorsal refinement following dorsal humpreduction in 2002 and Davis et al further reported on the use ofthis powered rasp in 2003. While these previous poweredinstrumentations were designed to address the dorsal hump, thisnew series of powered instrumentation is designed for bothdorsal hump reduction and osteotomies. The series of micro sawrhinoplasty instruments (Bien Air Surgery, Le Noirmont,Switzerland) include a reciprocating micro saw for dorsal humpreduction, powered fine rasp for dorsal hump refinement, aspecially designed micro osseoscalpel blade for medialosteotomy, and a micro saw blade for precise lateral osteotomy.We report on our experience using this series of newinstrumentation in rhinoplasty, including intraoperative videopresentation.

PP40 Negative Vector Digital Imaging Assisted RhinoplastyJason Hamilton, MD, Hootan Zandifar, MDThree subjects presented with the need for revision rhinoplastywhere cartilage onlay grafting was necessary for the correctionof nasal deformity. Negative Vector Digital Imaging was utilizedin preoperative planning as well as, intraoperatively, to optimizeplanning, sizing, and postioning of cartilage grafts. NegativeVector Digital Imaging assisted rhinoplasty is a valuable additionto the rhinoplasty surgeon.

PP41 Surgical Technique and Long-term Outcomes of AllodermWrapped Diced Cartilage Graft in Nasal Dorsal AugmentationKenneth M. Rosenstein, Alexander OvchinskyNasal dorsal deficiency is a challenging anatomical deformity forthe facial reconstructive surgeon to address. Our modification ofthe “Turkish Delight” was designed to address the traditionalgoals associated with this type of surgery: achievement of long-lasting results, successful dorsal recontouring, and minimizationof donor site morbidity and operative time. In our series, wewere reproducibly able to achieve a stable and improved nasal

profile with no additional donor site morbidity for each patient.As a result of limiting second site issues, this technique isadditionally successful in terms of minimizing operative time.The main negative aspect of this particular technique is theadditional cost related to the use of Alloderm graft; however,many rhinoplasty surgeons are using Alloderm routinely forother rhinoplasty purposes. We believe that Alloderm wrappeddiced cartilage graft has potential to become another usefultechnique for nasal dorsal augmentation in the armamentariumof the rhinoplasty surgeon.

PP42 The Septal-Domal Ligament (SDL): A Newly IdentifiedSource of Nasal Valve CollapseDonald B. Yoo, MD, Bianca Siegel, MD, Howard Stupak, MDObjective: To evaluate and describe the anatomic relationshipbetween the anterior septal angle, the alar domes, theintervening connective tissue (SDL), and their role in causingnasal valve collapse.Background: This is a descriptive study of the SDL, a novelsource of nasal obstruction. The tripod/septal pedestal theory ofnasal tip dynamics has been well established. Absence orweakening of the septal pedestal is a known source of tip ptosis,nasal obstruction and valve collapse. However, dynamicinferomedial pulling of the alar cartilages by an inferiorlydisplaced septum via its interconnections by the intact SDL hasnot been described. The association of the interiorly displacedcaudal septum, dorsal fullness, deviated septum and ptotic tipcausing valve collapse forms a common pattern of presentation.Design: Consecutive patients undergoing functional rhinoplasty,with preoperative sagittal CT scan evaluation, wereretrospectively reviewed for the presence of an intact SDL, nasalobstructive symptoms, and anatomic features. The SDL wasidentified as a sharp chevron shaped lucency located at theconvergence between the anterior septal angle and the alardomes on sagittal CT viewed in soft tissue windows.Results: Eleven consecutive patients undergoing functionalseptorhinoplasty were identified. One patient was excluded forhaving previous rhinoplasty surgery. All 10 remaining patientscomplained primarily of nasal obstruction (100%). Review ofCT and physical exam findings revealed all patients had somedegree of septal deviation (100%). Eight patients were noted tohave dorsal fullness (80%). All 10 patients (100%) had anidentifiable septal-domal ligament on sagittal CT scan.Conclusions: We found a high correlation of an intact SDL onsagittal CT scan with symptomatic nasal obstruction in patientsrequiring functional rhinoplasty. These findings, while notclearly demonstrating cause and effect, suggest that the tripod/pedestal theory alone may not fully explain tip position, but thatan active pulling by the septal-domal ligament displacing the tipinferomedially may also be an important contributing factor.Release and repair of the septal-domal ligament may beindicated to adequately address this insufficiency.

PP43 Cephalic Turn-in: A Cadaveric Comparative Analysis andin vivo DemonstrationBenjamin Westbrook, MD, Joseph Shvidler, MDObjective: To compare the cephalic turn-in technique tostandard rhinoplasty techniques of achieving tip definition andlateral crura structural augmentation, namely, cephalic trim andlateral crura strut grafting. Also, to demonstrate in vivotechnique and operative results.


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Method: Open rhinoplasty was performed on 10 cadaver heads.Precise measurements of the lateral crura position and inter-crural distances were measured in native position. Themeasurements were repeated after performing the cephalicturn-in technique, cephalic trim and placement of lateral cruralstrut grafts. We evaluated for trends and statistical significance.We also compare to in vivo operative results of the cephalic turnin technique.Results: No statistically significant trends were demonstratedbetween the modification techniques of the lateral crura.Conclusions: We attribute the lack of statistical trends betweenthe lateral crura modifiction techniques to the significantvariability of the cartilage between specimens. This negativefinding highlights the point that a surgeon must be familiar withmultiple techniques to achieve desired rhinoplasty results. Thechosen technique should be dictated by patient anatomy overthe pre-operative plan. Patient experience and reports in theliterature indicate that the cephalic turn-in technique is a viableoption for improving nasal tip definition and augmenting lateralcrural strength to prevent external valve collapse.

PP44 Functional and Aesthetic Aspects of the Upper and LowerLateral Cartilage JunctionProf. Alexander BerghausThe junction between the ULC and LLC plays an important rolewith respect to function and aesthetics of the nose. Functionally,this complex is responsible for stability and patency of the nasalvalve. Aesthetically, the configuration of the middle third, butalso nasal length, tip rotation and projection depend in part onthe anatomy of this area. In order to alter the position and shapeof this cartilaginous junction, the surgeon may choose betweenresection, sutures, grafts and implants. Thus, through both openand endonasal approaches, the stability of the nasal valve andthe proportions of the nose can be improved evensimultaneously, if needed.

PP44 Middle East Nose in RhinoplastyProf. Sameer Bafaqeeh MDOperative Techniques The fundamental concept is to set theideal profile line first and then create the desired tip. Theprocedure usually consists of the following sequence: 1) openapproach with optional skin de-fatting, 2) tip analysis, 3) dorsalreduction and modification of caudal septum anterior nasalseptum (ANS) as indicated, 4) septal surgery including septalcartilage harvest, 5) osteotomies, 6) insertion of spreader grafts,7) columellar strut and tip sutures, 8) tip and radix grafts asneeded, 9) closure with alar base modification as indicated, and10) alar rim grafts as necessary. Obviously, only those steps aredone that are indicated, and other steps are added if necessary.Procedure becomes a “functional reduction• rhinoplasty asmost men are bigger than the ideal. Skin Envelope Quitesurprisingly, the majority if the Middle Eastern patients havenormal to slightly thick than normal skin thickness, whichrequires no direct modification of the skin envelope. About onethird of patients have thick, heavy, sebaceous skin, in which caselobular skin envelope de-fattening by dissecting in the subdermalplane would be necessary. Care as always needs to be taken toavoid being close to the dermis. he Dorsum Surgical planning forthe dorsum involves the radix relationship and intrinsicallyheight and base width of the osseocartilaginous vault. Dorsalreduction Is done in an incremental fashion using rasps for thebony vault and scissors for the cartilaginous vault. The dorsal

hump in Middle Eastern patients vary widely, the greatestreductions are done in the cartilaginous hump, which makesspreader grafts essential to avoid an inverted-V deformity.Upper Lateral Cartilaginous One unique anatomic finding is theextreme width of the upper lateral cartilages. Surgically, it isnecessary to disrupt the lateral junction between the upperlateral cartilage and the lateral crura either by resection of excesscephalic lateral crura or by a sharp direct division with cartilagepreservation. Alar cartilages Generally mid east alae are larger incomparison to the Caucasian ones. Hence the wide and heavytip. Almost all cases require columellar struts to prevent the tipfrom drooping particularly while smiling and for support. AlarBase Most of the men have a wide and big alar base whichwould require alar basal resection, but not as much as thoserequired by the black, asian or Hispanic group. Septal Deviationand Asymmetry Significant caudal septal deviation as well asbony-cartilagenous vault is almost always present. Asymmetryof the face in general is also very common. Rarely do we comeacross cases where surgery can be done without osteotomies,which in many cases need to be asymmetrical. AstheticsFunctional preservation may be the priority for us surgeonsduring surgery but most of the MER patients have strongopinions about their aesthetic goals and outcomes. While theolder patients tend to feel their noses to be large with boxy,droopy tip and a deviated profile, the younger want good tipprojection and rotation with a slightly curved bridge. Most ofthe younger patients have a particular nose in mind before thecome to the surgeon.

PP46 Middle Eastern Rhinoplasty —An Analysis of Features,Techniques, and ResultsKailash Narasimhan, MD, Giancarlo Zuliani, MD, Jamie Segel,Johnny Mao, MD, Michael Carron, MD, Robert Mathog, MDThis study affirms the defined appearance and unique challengeof the Middle Eastern nose. Our techniques yield statisticallysignificant improvement in facial aesthetics. Based on our largevolume of cases, the tip and dorsum are nearly alwaysaddressed, and common complications include pollybeak andtip deformity. The methods we utilize are statistically sound interms of correcting nasal deformity and appearance, and proveto be durable and reliable techniques.

PP47 The Application of Demineralized Bone Graft in NasalReconstruction: A Case Series Reviewing the Use of a NewMaterialHoward D. Stupak, MD, Seema Pai, MD MPHIn repairing nasoseptal contour and structural defects, currentoptions include autologous bone or cartilage, an implantmaterial, or harvested cadaveric allograft tissues. The idealimplant or graft material has not been found. Autologous grafts,particularly when bulk is required, (i.e. rib graft to the dorsum)have significant associated donor site morbidity. Contouringdifficulties and rib warping create additional technical problems.Allograft irradiated rib also presents contouring difficulties,warping, and viral infection risk. Synthetic implants, like siliconeand goretex, do not have donor site morbidity and can be easilycontoured, but have a lifetime risk of extrusion or infection. Inthis case series, we evaluated demineralized bone matrix (DBM)as a nasal dorsal implant, which theoretically, lacks donor-siteand contouring issues while also avoiding risk of infection andextrusion. The osteoinductive potential of DBM has been wellestablished by Urist et al., and extensively applied as an


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alternative bone graft material in the fields of orthopaedics andoral-maxillofacial surgery. Grafton DBM (Osteotech®) supportsosteogenesis and osteoconduction by providing a scaffold for theactive recruitment of stem cells.

PP48 Treatment of the Bulbous Tip in Primary and RevisionRhinoplasty: Revisiting the Lateral Crural OverlayMarcelo B. Antunes, MD, Evan R. Ransom, MD, Daniel G.Becker, MDBackground The wide and poorly defined contour of a bulbousnasal tip disrupts the brow-tip aesthetic line and commonlyrequires reduction. Bulbosity has a vertical and horizontalcomponent. Overresection or aggressive repositioning may leadto poor aesthetic and functional results and fail to address thehorizontal component of bulbosity. The LCO is a well describedtechnique for tip rotation. The LCO may also elegantly reducehorizontal bulbosity and address any existing asymmetries, whilestrengthening the nasal tip. Critically, the LCO can reducebulbosity without rotating the nasal tip. Methods Retrospectivereview of a single-surgeon, consecutive cases series of tiprhinoplasties performed for treatment of a bulbosity. Each caseincluded a unilateral or bilateral LCO in the treatment of thenasal tip. Demographics, patient characteristics, previousoperations, surgical techniques, complications or revisions, andlength of follow up were recorded for each patient. The pre andpostoperative nasolabial angle was measured to assess tiprotation. In addition,subjective evaluation of aesthetic result wasundertaken by independent evaluators using preoperative andpostoperative photographs. Results Eleven patients underwentrhinoplasty with LCO. All eleven patients were female, with amean age of 35 years. Three cases were revisions from othersurgeons, while eight were primary rhinoplasties performed bythe senior author (DGB). Bilateral LCO was employed in ninecases (82%) and unilateral LCO in two cases (18%). Othertechniques employed included: tongue-in-groove (73%), intra/interdomal sutures (55%), and cephalic trim (45%). No lateralcrural strut grafts or repositioning maneuvers were used. Eightpatients (73%) required spreader grafts for support of the nasalvalve. No significant tip rotation occurred in patients who didnot desire it. No revisions have been performed to date, and allpatients report stable or improved nasal function with anaverage follow up of 12 months. In all cases, independentsubjective evaluation showed improvement in the tip bulbosity.Conclusions: The LCO is a useful technique for treatment of thebulbous tip, resulting in improved nasal tip contour andrestoration of the brow-tip aesthetic line without compromisingnasal valve function. The LCO technique does not require grafts,and in certain patients with extremely excessive horizonal lengthof the lateral crus, it may be a more effective alternative to thelateral crural strut graft. Addition of the LCO to the rhinoplastyarmamentarium will help facial plastic surgeons to treatbulbosity in a wide variety of both primary and revision cases.


PP49 Treatment Outcome of Deviated Nose According to theDifferent Types of DeviationGye Song Cho, Yong Ju Jang, MD, PhD, ProfessorSurgical correction of deviated nose entails significant risk ofunsatisfactory surgical outcome, particulalry depending on thetypes of the deviation.

PP50 Bilateral Cryptotia Repair in an African American Patientwith Superior Auricular Myocutaneous FlapsDaniel A. Glass, MD, H. Devon Graham, III, MDBackground: Cryptotia is a congenital deformity in which theupper third of the auricular cartilage is buried beneath thetemporal skin. It is prevalent and well described among theAsian population, particularly in those patients of Japanesedescent, and bilateral cases are not uncommon. However, todate a case of bilateral cryptotia in an African American patienthas not been described in the English literature. Cryptotia isfrequently associated with auricular adhesion malformations,and classification schemes exist to describe these abnormalities.The etiology of this disease is not well understood, althoughproposed mechanisms include intrauterine pressure orabnormalities of the ear musculature. Several methods oftreatment have been described, including both surgical and non-surgical approaches. Surgical repair is generally favored for theadult patient population. Conventional surgical techniquesinclude skin grafting, tissue expansion as well as various localflaps. Local flaps are the preferred method of reconstruction,and many techniques have been described such as V-Y flap,rotation flap, transposition flap, subcutaneous pedicled flap, Z-plasty, square flap, switched double banner flap and mastoidfascia flap. Established surgical procedures are oftenaccompanied by the complications of flap loss, reformation ofthe original deformity, visible scarring and alteration of thenatural hairline. A new method of repair utilizing anadvancement flap supplied by both the superior auricularmuscle and skin pedicle was recently described. This method ofrepair provides a durable blood supply and avoids visible scarlines or movement of the hairline. Its use in the correction ofbilateral deformities in a patient of African American descent isdescribed, accompanied by a review of the etiology andmanagement principles of this disease.Methods: A single case report of bilateral cryptotia in an AfricanAmerican patient corrected with superior auricularmyocutaneous flaps.Results: Repair of bilateral cryptotia in an African Americanpatient with a local flap based on the superior auricular muscleand skin resulted in an uncomplicated and cosmeticallyacceptable outcome.Conclusions: A superior auricular myocutenous flap for repairof cryptotia provides a reliable method of reconstruction and anexcellent cosmetic outcome. Keywords: Cryptotia, surgicalmanagement, superior auricular myocutaneous flap method.

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Manoj T. Abraham, MD, Clinical Assistant Professor, New YorkMedical College, Valhalla, NY*

Waleed M. Abuzeid, MD, Resident Surgeon, University ofMichigan, Ann Arbor, MI*

Peter A. Adamson, MD, Professor and Head, Division of FacialPlastic and Reconstructive Surgery, Department of OTO-HNS,University of Toronto, Toronto, Ontario, Canada (Consultant:Allergan Canada)

Anurag Agarwal, MD, The Aesthetic Surgery Center, Naples, FL*

Daniel S. Alam, MD, Section Head: Facial Plastic andReconstructive Surgery, Cleveland Clinic, Cleveland, OH*

Ibrahim Alava III, MD, The University of Texas-Health ScienceCenter at Houston, Houston, TX*

Shervin Aminpour, MD, West Hills, CA*

Steven M. Andreoli, MD, Medical University of South Carolina,Charleston, SC (Grant: AAOA; Grant, Research Support: MedicalUniversity of South Carolina)

John P. Arkins, BS, Chicago, IL*

Babak Azizzadeh, MD, Assistant Clinical Professor, UCLA,Beverly Hills, CA (Consultant, Stock Purchase: Myoscience;Consultant, Speakers Bureau: Sanofi-Aventis; Consultant: SkinMedica)

Karam Badran, BSc, University of California Irvine, Irvine, CA*

Shan R. Baker, MD, Director, Center for Facial CosmeticSurgery; Professor and Chief, Section of Facial Plastic andReconstructive Surgery, University of Michigan, Dept. ofOtolaryngology, Ann Arbor, MI*

Anthony Bared, MD, Fellow, Miami, FL*

Leslie Baumann, MD, CEO, Baumann Cosmetic and ResearchInstitute, Miami Beach, FL (Consulting and Research: Allergan,Aveeno, Dornier, Johnson & Johnson, Medicis, Neutrogena,Perlane, Sanofi-Aventis, Schick, Sculptra; Research: Avon,Galderma, Genzyme, L'Oreal, Mary Kay, SoPhyto, Stiefel,Ulthera, Unilever; Consulting: Coria, Cutera, LV)

Robert Baxter, President, Surgeon's Advisor (Other: Owner,Surgeon's Advisor)

Olivier X. Beaudoin, MD, University of Montreal, Montreal,Quebec, Canada (Grant: Stryker)

Daniel G. Becker, MD, Clinical Associate Professor, University ofPennsylvania, Philadelphia, PA (Consultant, Ethicon)

Alexander Berghaus, MD, Professor, Ludwig-Maximillians; Dept.of OTO-HNS; Grossharden Medical Center (Consultant: KarlStores Germany Reserch suppport: Porex Company USA)

Prof. Leslie Bernstein, MD, DDS, Clinical Professor, University ofCalifornia, San Francisco, CA*

Mohit Bhandari, MD, PhD, McMaster University, Hamilton,ON Canada (Research Support: Stryker, Smith and Nephew,Amgen)

Nishant Bhatt, MD, Department of Otolaryngology Head andNeck Surgery, Georgia Health Sciences University, Augusta, GA*

William J. Binder, MD, Assistant Clinical Professor, Departmentof Head and Neck Surgery, UCLA, Los Angeles, CA (Consultant,Stock Purchase: Implantech Associates, Inc.)

John B. Bitner, MD, PhD, Layton, UT*

Keith Blackwell, MD, Professor, Division of Head and NeckSurgery, UCLA, Los Angeles, CA*

Kofi Boahene, MD, Assistant Professor of Facial Plastic Surgery,Johns Hopkins University, Baltmore, MD*

Rebecca Bowen, MD, Louisiana State University Health SciencesCenter - Shreveport, Shreveport, LA*

Michael Brandt, MD, Adjunct Clinical Lecturer, University ofToronto, Toronto, Ontario, Canada*

Todd M. Brickman, MD, PhD, Director of Maxillofacial Trauma,St Louis University, St. Louis, MO (Consultant: Osteomed)

Anthony Brissett, MD, Director of Facial Plastic & Reconstruc-tive Surgery, Baylor College of Medicine, Houston, TX*

Ryan F. Brown, MD, Dept. of OTO-HNS at the University ofTexas Southwestern Medical Center in Dallas, Texas and Oto-laryngology and Facial Plastic Surgery Associates in Fort Worth,Texas*

Michael Bublik, MD, Los Angeles, CA*

Steven R. Buchman, MD, Professor of Surgery and Neurosur-gery, University of Michigan, Ann Arbor, MI*

J. Ken Byrd, MD, Medical University of South Carolina, Charles-ton, SC*

Patrick J. Byrne, MD, Director of Facial Plastic and Reconstruc-tive Surgery, The Johns Hopkins University School of Medicine,Baltimore, MD (Speakers Bureau: Medicis, Merz)Kenneth V. Cahill, MD, Grant Medical Center, SectionOculofacial Plastic and Reconstructive Surgery, Columbus, OH*

FACULTY AND DISCLOSURESFACULTY AND DISCLOSURESFACULTY AND DISCLOSURESFACULTY AND DISCLOSURESFACULTY AND DISCLOSURESSpeakers, presenters, paper authorsSpeakers, presenters, paper authorsSpeakers, presenters, paper authorsSpeakers, presenters, paper authorsSpeakers, presenters, paper authors

6 76 76 76 76 7

Paul J. Carniol, MD, Clinical Professor, New Jersey School ofMedicine, Summit, NJ (Speakers Bureau: Allergan, Innotec,Medicis, Ortho Nutrogenia, Reliant-Solta, Sandstone; ResearchSupport: Allergan, Arthrocare, Candela-Syneron, Cutera,Cynosure, Innotec, Iridex, Lumenis, Medicis)

Jason P. Champagne, MD, Clinical Instructor, Facial PlasticSurgery, UCSF, San Francisco, CA*

Rakesh K. Chandra, MD, Associate Professor, NorthwesternUniversity, Chicago, IL (Consultant: Medtronic, Olympus,Intersect ENT)

C.W. David Chang, MD, Assistant Professor, University ofMissouri, Columbia, MO*

Vincent Chapdelaine-Couture, PhD, Université de Montréal,Montréal, Québec, Canada*

Davin Chark, MS, MD, Chief Resident, University of CaliforniaIrvine, Orange, CA*

Donn R. Chatham, MD, Clinical Instructor, University ofLouisville Medical School, Department of Otolaryngology,Louisville, KY*

Achih H. Chen, MD, Assistant Professor, Georgia Health SciencesUniversity, Augusta, GA*

Douglas B. Chepeha, MD, University of Michigan Dept. of OTO-HNS, Ann Arbor, MI*

Lisa K. Chipps, MD, MS, Director of Dermatologic Surgery,Harbor-UCLA Medical Center, Los Angeles, CA (Grant, ResearchSupport: Ellman)

Roxana Cobo, MD, Cali, Colombia*

Andrew Compton, MD, Louisiana State University HealthSciences Center - Shreveport, Shreveport, LA*

Minas Constantinides, MD, Director of Facial Plastic & Recon-structive Surgery, Dept. of OTO-HNS, New York UniversitySchool of Medicine, New York, NY (Consultant: Mentor Corp.,Ethicon Corp.)

Peter D. Costantino, MD, Executive Director: New York Head &Neck Institute; Senior Vice-President: Head & Neck SurgeryService Line-The North Shore-LIJ Health System; Director:Center for Cranial Base Surgery, NYHNI at Lenox Hill Hospital-MEETH, Co (Consultant: Stryker-Liebinger)

Candace Crowe, President/Creative Director, Orlando, FL*

Craig N. Czyz, DO, Ohio Health/Doctors Hospital, SectionOculofacial Plastic and Reconstructive Surgery, Columbus, OH*

Richard E. Davis, MD, Professor of Otolaryngology (Voluntary),The University of Miami, Miller School of Medicine, Miami, FL*

Terry A. Day, MD, Professor & Director, Head & Neck TumorCenter, Medical University of South Carolina, Charleston, SC(Speakers Bureau: Bristol Myers, Eli Lilly; Consultant: Merck)

Steven H. Dayan, MD, Clinical Assistant Professor, University ofIllinois, Chicago, IL (Research Support: Allergan, Inc., AstraZenica, Merz, Brigham Women's Hospital, Coapt, Contra,Cynosure, Ellman, Forest Research, Intracenticals, Medicis,Oxygen Botherapeutics, Mentor, Standard Process, Ulthera;Consultant: Merz, Kythera, Ellman, Pallett)

Douglas D. Dedo, MD, Dept. of OTO-HNS, University of MiamiSchool of Medicine, Miami, FL*

Louis M. DeJoseph, MD, Facial Plastic Surgery Clinical Instruc-tor, Emory University, Atlanta, GA (Speakers Bureau: Merz,Allergan; Speakers Bureau, Consultant: Medicis)

Steven M. Denenberg, MD, Clinical Assistant Professor ofOtolaryngology and Maxillofacial Surgery, University ofNebraska Medical Center, Omaha, NE*

Sagar Desphande, University of Michigan, Ann Arbor, MI*MaryAnn Digman, Senior Risk Consultant, University of St.Francis, Joliet, IL*

Timothy Doerr, MD, Associate Professor, Director of FacialPlastic Surgery, University of Rochester, Rochester, NY (Speak-ers Bureau: Synthes USA)

Erin Donaldson, MS, Instructor of Otolaryngology, New YorkMedical College, Valhalla, NY*

Alexis Donneys, MS, MD,, University of Michigan, Ann Arbor,MI*

Yadranko Ducic, MD, Dept. of OTO-HNS at the University ofTexas Southwestern Medical Center in Dallas, Texas and Oto-laryngology and Facial Plastic Surgery Associates in Fort Worth,Texas*

Frederick Duong, MD, Université de Montréal, Montreal,Quebec, Canada*

J. Kevin Duplechain, MD, Lafayette, LA (Speakers Bureau:Lumenis, Allergan; Material: Cutagenesis)

Blythe Durbin-Johnson, PhD, Principal Statistician, University ofCalifornia Davis, Davis, CA*

Kristin K. Egan, MD, Manhattan Beach, CA*

*Nothing to Disclose


6 86 86 86 86 8

Anna Eliassen, BS, University of Michigan, Ann Arbor, MI*

David A.F. Ellis, MD, Professor, Division of Facial Plastic Surgery,Dept. of OTO-HNS, University of Toronto, Toronto, Ontario,Canada (Speakers Bureau: Cutera Laser Corporation, AllerganCanada Physician Advisory Board)

Jeffrey S. Epstein, MD, Assistant Voluntary Professor, Universityof Miami, Miami, FL*

Nabil Fanous, MD, Associate Professor, McGill University,Montreal, Quebec, Canada*

Edward H. Farrior, MD, Visiting Clinical Associate Professor,University of Virginia, Charlottesville, VA*

Fred G. Fedok, MD, Professor and Chief - FPS-OTO/HNS,Pennsylvania State University, Hershey, PA (Speakers Bureau:AO)

Andrew J. Fishman, MD, Associate Professor Otolaryngologyand Neurosurgery, Northwestern University, Chicago, IL*

Katherine (Kat) Forsythe, MSW, President, Get A Second Wind,San Francisco, CA*

Jill A. Foster, MD, OhioHealth/Doctors Hospital, SectionOculofacial Plastic and Reconstructive Surgery, Columbus, OH(Consultant, Speakers Bureau: Allergan; Consultant: Medicis;Research Support: Merz)

Nicole M. Fowler, Cleveland Clinic, Cleveland, OH*

Michael A. Fritz, MD, Staff Surgeon, Head and Neck Institute,Cleveland Clinic, Cleveland, OH*

John Frodel, Jr., MD, Director, Facial Plastic Surgery, GeisingerMedical Center, Danville, PA*

Henri Gaboriau, MD, Sammamish, WA (Consultant: Merz)K. Kelly Gallagher, MD, University of Michigan Dept. of OTO-HNS, Ann Arbor, MI*

Julio F. Gallo, MD, Medical Director, Miami-Institute; ClinicalInstructor, University of Miami, Miami, FL (Speakers Bureau:Allergan, Lumenis, Arteriocyte)

Alvin I. Glasgold, MD, Clinical Professor, Robert Wood JohnsonMedical School, New Brunswick, NJ*

Robert Alexander Glasgold, MD, Clinical Assistant Professor ofSurgery, UMDNJ - Robert Wood Johnson Medical School, NewBrunswick, NJ (Consultant: Ethicon; Research Support: Medicis)

Mark J. Glasgold, MD, Clinical Assistant Professor of Surgery,Robert Wood Johnson Medical School, New Brunswick, NJ*

Michael S. Godin MD, Director of Facial Plastic Surgery, Dept. ofOTO-HNS, Virginia Commonwealth University, Richmond, VA(Consultant, Speakers Bureau: Allergan, Medicis, Merz Aesthet-ics; Consultant, Speakers Bureau, Stock Puchase: SurgiformTechnologies)

Andres Godoy, Johns Hopkins School of Medicine, Departmentof Otolaryngology-Head & Neck Surgery, Baltimore, MD*

Jose M. Godoy, Clinica Las Condes, Santiago, Chile*

Jeanne L. Goins, MD, Wake Forest University Baptist MedicalCenter, Winston Salem, NC*

Neal Goldman, MD, Director, Facial Plastic Surgery, WakeForest University, Winston Salem, NC*

Miguel Angel Gonzalez Romero, MD, Hospital De San Jose,Bogota, Columbia*

Neil Goodman, MD, Palm Beach Gardens, FL*

Neil A Gordon, MD, Clinical Assistant Professor of Surgery, YaleUniversity School of Medicine, Wilton, CT*

H. Devon Graham, III, MD, Director Division of Facial Plastic &

Reconstructive Surgery/Dept. of Otolaryngology, OchsnerMedical Center, New Orleans, LA*

Ryan M. Greene, MD, PhD, Director, Greene, MD Facial PlasticSurgery, Fort Lauderdale, Florida, and Voluntary AssistantProfessor of Otolaryngology, The University of Miami MillerSchool of Medicine, Miami, FL*

Garrett R. Griffin, Department of Otolaryngology, University ofMichigan, Ann Arbor, MI*

Ronald P. Gruber, MD, Clinical Assistant Professor, University ofCA, San Francisco, CA & Stanford University, Oakland, CA*

Lisa D. Grunebaum, MD, Assistant Professor of Facial Plastic &Reconstructive Surgery and Dermatology, Co-Director CosmeticMedicine, University of Miami Miller School of Medicine,Miami, FL (Research: Allergan; Material: Medicis (Reliant) Solta;Material, Research Support: Cutera; Consultant: Elizabeth Arden,Merz Aesthetics)

Wolfgang Gubisch, MD, Professor, Marien Hospital, Stuttgart,Germany (Speakers Bureau: Medicon; Consultant: Ethicon,Diomed in Thieme Compliance)

Jessica Gullang, MD, Resident Physician, Medical University ofSouth Carolina, Charleston, SC*

W. Marshall Guy, MD, Resident, Dept. of OTO-HNS, BaylorCollege of Medicine, Houston, TX*


6 96 96 96 96 9

Douglas W. Halliday, PhD, MD, SUNY Upstate Medical Center,Syracuse, NY*

Ashley Hamamoto, BS, University of California Irvine, Irvine,CA*

Richard Hayden, MD, Professor & Chair, Mayo Clinic Arizona,Pheonix, AZ*

Ryan Heffelfinger, MD, Assistant Professor, Department ofOtolaryngology, Thomas Jefferson University Hospital, Philadel-phia, PA*

Peter A. Hilger, MD, Professor of Facial Plastic Surgery, Univer-sity of Minnesota, Minneapolis, MN (Consultant: Medtronic)

David Henry Hiltzik, MD, Clinical Assistant Professor, ColumbiaUniversity, New York, NY*

Tang Ho, MD, MSc, Assistant Professor, Facial Plastic andReconstructive Surgery, The University of Texas Health ScienceCenter at Houston, Houston, TX*

Marcelo Hochman, MD, Medical Director, HermangiomaInternational Treatment Center, Charleston, SC (Other:Hermangioma Treatment Foundation)

Joshua D. Hornig, MD, Medical University of South Carolina,Charleston, SC*

Emily N. Hrisomalos, Indiana University School of Medicine,Indianapolis, IN*

Syed Hussain, University of California Irvine, Irvine, CA*Wade Iams, BS, University of Michigan Medical School, AnnArbor, MI*

Masaru Ishii,MD, Associate Professor, Johns Hopkins School ofMedicine, Baltimore, MD*

Lisa Ishii, MD, MHS, Assistant Professor, John Hopkins School ofMedicine, Baltimore, MD*

Noel Jabbour, MD, Resident, University of Minnesota,Minneapolis, MN*

Andrew A. Jacono, MD, Clinical Assistant Professor Facial PlasticSurgery, Albert Einstein College of Medicine, New York, NY*

Reza Jahan, MD, Associate Professor, UCLA, Los Angeles, CA*

Yong Ju Jang, MD, Professor, University of Ulsan, Seoul, Korea*

Igor Jeremi, MD, Dermatology Center, Belgrade, Serbia (Con-sultant: Ellman International)

Brian S. Jewett, MD, Facial Plastic & Reconstructive Surgery-Division Chief, Dept. of OTO-HNS, UM Miller School ofMedicine, Miami, FL*

J. Randall Jordan, MD, Professor, University of Mississippi,Jackson, MS*

John H. Joseph, MD, Assistant Clinical Professor, UCLA, LosAngeles, CA (Research Support, Consultant, Speakers Bureau,Stock Purchase: Medicis; Research Support, Consultant, SpeakersBureau: Sanofi-Aventis; Research Support, Consultant: Suneva)

Dong Hak Jung, MD PhD, Professor, Inha University, YonseiUniversity, Seoul, South Korea*

Kevin Kalwerisky, MD, OhioHealth/Doctors Hospital, SectionOculofacial Plastic and Reconstructive Surgery, Columbus, OH*

Faranak Kamangar, BSc, University of California, Davis MedicalSchool, Sacramento, CA*

Raj Kanodia, MD, Beverly Hills, CA*

Kian Karimi MD, Santa Monica, CA*

Ramtin Kassir, MD, Attending Surgeon, Dept. of Otolaryn-gology, Lennox Hill, Northshore LIJ; Chairman, Dept. of Oto-laryngology, St. Joseph's Wayne (Consultant, Speakers Bureau:Medicis)

Robert M. Kellman, MD, Professor & Chair, Depatrment ofOtolaryngology & Comm. Sciences, SUNY-Upstate MedicalUniversity, Syracuse, NY (Consultant: Revent Medical)

William Kennedy, MD, Attending Surgeon, Division of FacialPlastic & Reconstructive Surgery North Shore UniversityHospital*

Kriston J. Kent, MD, Naples, FL*

Adam Khan, California Institute of Technology, Pasadena, CA*

Maurice M. Khosh, MD, Assistant Clinical Professor, ColumbiaUniversity, New York, NY (Consultant: Mentor Surgical)

Jennifer C. Kim, MD, Associate Clinical Professor, University ofMichigan Hospital and Health Syatems, Ann Arbor, MI*

David W. Kim, MD, Associate Clinical Professor, UCSF, SanFrancisco, CA*

P. Daniel Knott, MD, Associate Professor, University ofCalifornia San Francisco, San Francisco, CA*



7 07 07 07 07 0

Theda C. Kontis, MD, Assistant Professor, Johns Hopkins MedicalInstitutions, Baltimore, MD (Speakers Bureau: Sanofi-Aventis,Allergan, Medicis)

Howard D. Krein, MD, PhD, Assistant Professor, Dept. of OTO-HNS, Thomas Jefferson University, Philadelphia, PA*

Russell W.H. Kridel, MD, Director & Clinical Professor, Divisionof Facial Plastic & Reconstructive Surgery, Dept. of OTO-HNS,University of Texas Health Science Center & Medical School atHouston, Houston, TX (Consultant, Speakers Bureau: LifeCellCorp.)

Gregory J. Kruper, Wayne State University School of Medicine -Dept. of OTO-HNS, Detroit, MI*

Keith Ladner, MD, Farrior Facial Plastic & Cosmetic SurgeryCenter; University of South Florida, Dept. of OTO-HNS*

Keith A. LaFerriere, MD, Clinical Professor, Dept. of OTO-HNS,University of Missouri, Springfield, MO (Research Support:Cynosure)

Samuel M. Lam, MD, Director, Willow Bend Wellness Center,Plano, TX (Other: Book Royalties)

Val Lambros, MD, Clinical Professor of Surgery, University ofCalifornia Irvine, Irvine, CA*

Timothy A. Lander, MD, Assistant Professor of Otolaryngology,University of Minnesota, Minneapolis, MN*

Phillip R. Langsdon, MD, Professor & Chief, Division of FacialPlastic Surgery, Dept. of OTO-HNS, University of TennesseeHealth Science Center, Memphis, TN*

Levi G Ledgerwood, MD, UC Davis Medical Center, Dept. ofOTO-HNS, Facial Plastics and Reconstructive Surgery, Sacra-mento, CA*

Andrew Lee, MD, Ontario, CA*

Wendy W. Lee, MD, Assistant Professor of Clinical Ophthalmol-ogy, Oculofacial Plastic & Reconstructive Surgery, BascomPalmer Eye Institute, University of Miami Miller School ofMedicine, Miami, FL (Consultant: Allergan Medical, ElizabethArden; Speakers Bureau: Medicis Aesthetics)

Paul L. Leong, MD, Director - Ideal Facial Plastic & LaserSurgery, Pittsburgh, PA*

Wendy Lewis, President, Wendy Lewis & Co Ltd. GlobalAesthetics Consultancy, New York, NY*

Timothy S. Lian, MD, Associate Professor, Residency ProgramDirector, Louisiana State University Health Sciences Center-Shreveport,Shreveport, LA*

Jennifer Linder, MD, Assistant Clinical Professor, WOS. Depart-ment of Dermatology, University of California, San Francisco,CA (Consultant, Speakers Bureau: Sanofi-Aventis, Allergan;Speakers Bureau: Medicis; Other: PCA SKIN)

Richard Linder, MBA, San Francisco, CA (Consultant, SpeakersBureau (spouse of): Sanofi-Aventis, Allergan; Speakers Bureau(spouse of): Medicis; Material: PCA SKIN)

Richard M. Linnehan, DVM, MPA, Director, Space Science,Policy and Education, The Texas A&M University System/TIPS,College Station, TX*

Stew Little, MD, Assistant Professor, LSU Health Sciences Center,Shreveport, LA*

Corey S. Maas, MD, Associate Clinical Professor, University ofCalifornia, San Francisco, CA (Speakers Bureau, Stock Purchase:Lumenis; Consultant, Grant, Research Support: Mentor; Consult-ant, Research Support, Speakers Bureau: Inamed; Grant,Research Suport, Speakers Bureau, Stock Purchase: Allergan;Research Support: Colbar; Speakers Bureau: Int)

Samuel A.C. MacKeith, ENT Special Regstrar, Oxfordshire, UK

Richard W. Maloney, MD, Naples, FL*

Devinder S. Mangat, MD, Clinical Professor, Dept. of OTO-HNS,University of Cincinnati, Cincinnati, OH*

Cyrus Manuel, BSc, University of California, Irvine, CA*

Timothy J. Marten. MD, Founder and Director, Marten Clinic ofPlastic Surgery, San Francisco, CA*

John J. Martin, Jr., MD, Coral Gables, FL (Other-Peer Trainer:Medicis)

Guy Massry, MD, Director Ophthalmic Plastic Surgery, SpaldingDr. Cosmetic Surgery and Dermatology, Beverly Hills, CA*

Umang Mehta, MD*

Frederick Menick, MD, Tucson, AZ*

Alireza Mesbahi, MD, Shiraz, Fars*

Philip Miller, MD, Assistant Professor, New York University,New York, NY*

Miodrag Milojevic, MD, PhD, Professor of Dermatology*

Andrew Mitchell, MD, University of Montreal, Montreal,Quebec, Canada (Research Support, Speakers Bureau: Stryker)


7 17 17 17 17 1

Harry Mittelman, MD, Los Altos, CA; Associate Clinical Profes-sor, Stanford University Medical Center, Palo Alto, CA (StockPurchase: Implantech)

Steven R. Mobley, MD, Associate Professor, University of Utah,Salt Lake City, UT*

Mary Lynn Moran, MD, Woodside, CA*

Sami P. Moubayed, MD, Division of Maxillofacial Surgery andOtolaryngology-Head and Neck Surgery, Department ofSurgery, Maisonneuve-Rosemont Hospital, Montreal, Canada*

Ronald L. Moy, MD, Professor, UCLA, Los Angeles, CA (Grant,Research Support: Ellman)

Jeffrey S. Moyer, MD, Associate Professor, University ofMichigan, Ann Arbor, MI*

Craig S. Murakami, MD, Clinical Associate Professor, Universityof Washington, Department of Otolaryngology, Seattle, WA*

Vishad Nabili, MD, Assistant Professor, Division of Head andNeck Surgery, UCLA, Los Angeles, CA*

Mohsen Naraghi MD, Assistant Professor, Division of Rhinologyand Facial Plastic Surgery, Department of Otorhinolaryngology,Head and Neck Surgery, Tehran University of Medical Sciences,Tehran, Tehran*

Vic A. Narurkar, MD, Chairman, Dermatology, California PacificMedical Center, San Francisco, CA (Research Support: Allergan,Solta Medical, Palomar Medical, Kythera, Myoscience,Photocure; Consultant: Merz Aesthetics, Medicis Aesthetics)

Paul S. Nassif, MD, Assistant Clinical Professor, University ofSouthern California School of Medicine, Los Angeles, CA(Consultant: Merz Aesthetics, Mentor)

Michelle Naylor, MD, Baylor College of Medicine, Houston, TX*Gilbert Nolst Trenite, MD, PhD, Professor, University ofAmsterdam, The Netherlands*

Sepehr Oliaei, MD, Department of Otolaryngology, University ofCalifornia Irvine, Irvine, CA*

Elba M. Pacheco, MD, Assistant Professor of Ophthalmology,Johns Hopkins University School of Medicine, Severna Park,MD*

Pietro Palma, Dott., Professor, University of Insubria, Varese,Milan, Italy*

Ira D. Papel MD, Associate Professor, The Johns HopkinsUniversity, Baltimore, MD (Speakers Bureau: Medicis; Consult-ant: Lifecell, Camfield Scientific)

Rey Paraiso, DO, Summit, NJ*

Sachin S. Parikh, MD, Director, California Center for FacialPlastic & Laser Surgery, Campbell, CA*

Stephen S. Park, MD, Director: Division of Facial Plastic Surgery;Professor & Vice-chair: Dept. of Otolaryngology; University ofVirginia, Charlottesville, VA*

Norman J. Pastorek, MD, Clinical Professor, Facial PlasticSurgery, New York Presbyterian Hospital-Cornell MedicalCenter, New York, NY*

Bradford S. Patt, MD, Clinical Assistant Professor, University ofTexas Medical Branch, Galveston, TX*

Steven J. Pearlman, MD, PL, Associate Professor of ClinicalOtolaryngology, Columbia University, New York, NY (SpeakersBureau, Stock Purchase: Ethicon, Corp.)

Fernando Pedroza, MD, Director of Facial Plastic SurgeryFellowship, CES University, Bogotá*

Jon-Paul Pepper, MD, University of Michigan, Dept. of OTO-HNS, Ann Arbor, MI*

Helen Perakis, MD, Dept. of OTO-HNS, Georgia Health SciencesUniversity, Augusta, GA*

Stephen W. Perkins, MD, President, Meridian Plastic SurgeryCenter; Clinical Associate Professor, Indiana University School ofMedicine, Indianapolis, IN*

Michael A. Persky, MD, Encino, CA*

Annette Pham, MD, Rockville, MD*

Nedim Pipic, MD, PhD, Vienna, Austria*

Jordan L. Pleitz, MD, The University of Kentuncky, Lexington,KY*

Kim Pollock, RN, MBA, CPC, Consultant, Karen Zupko &Associates, Inc., Dallas, TX*

Harsha Prahlad, PhD, Senior Research Engineer, SRI Interna-tional, Menlo Park, CA (Material, Research Support: SRIInternational)

Heidi B. Prather, MD, University of Pittsburgh Medical Center,Pittsburgh, PA*

Jess Prischmann, MD, Edina, MN*

Dmitriy Protsenko, PhD, Assistant Project Scientist, University ofCalifornia Irvine, Irvine, CA*



7 27 27 27 27 2

Harrison C. Putman, III, MD, Associate Clinical Professor, Dept.of OTO-HNS, SIU Medical School, Springfield, IL*

Vito C. Quatela, MD Clinical Associate Professor, University ofRochester, Rochester, New York*

Akram Rahal, MD, Assistant Professor, University of Montreal,Montreal, Quebec, Canada (Grant: Stryker Canada)

Jeffrey R. Raval, MD, Owner & Medical Director, Raval FacialAesthetics, Denver, CO (Speakers Bureau: Medicis)

Michael Reilly, MD, Assistant Professor, Georgetown UniversityMedical Center, Washington, DC (Consultant: LifeCell)

Gregory J. Renner, MD, Professor of OTO-HNS University ofMissouri, Columbia, MO*

Peter C. Revenaugh, MD, Cleveland Clinic, Cleveland, OH*

John S. Rhee, MD, MPH, Professor & Chairman, MedicalCollege of Wisconsin, Milwaukee, WI*

Wm. Russell Ries, MD, Professor, Dept. of OTO-HNS, VanderbiltUniversity Medical Center, Nashville, TN*

Domingo J. Rivera, Esq., Attorney at Law, Richmond, VA*

Thomas Romo III, MD, Director: Facial Plastic and Reconstruc-tive Surgery, Lenox Hill Hospital, New York, NY*

Daniel E. Rousso MD, Director, Rousso Facial Plastic SurgeryClinic, Assistant Professor, Department of Surgery, University ofAlabama Birmingham, Birmingham, AL (Consultant: LutronicLaser)

Saswata Roy, MD, MS, Director, Facial Anomalies and Skull BaseProgram, Nemours Children's Clinic, Chief, OtolaryngologyHead & Neck Surgery, Wofson Children's Hospital, Jacksonville,FL*

Michael J. Sacopulos, JD, Terre Haute, IN (Consultant: MedicalJustice)

Javad Sajan, MD, University of Minnesota, Minneapolis, MN*

Christina A. Samathanam, MD,PhD, MBA, The University ofTexas - Health Science Center at Houston, Houston, TX*

Deniz Sarhaddi, BA,, University of Michigan, Ann Arbor, MI*

Sigmund L. Sattenspiel, MD, Teaching Faculty, Mount SinaiHospital, New York, NY*

Adam Satteson, Georgetown University School of Medicine,Washington, DC*

Bradley Seaman, MD, Georgetown University, Washington, DC*

Stuart R. Seiff, MD, Professor of Ophthalmology, Senate Emeri-tus, University of CA, San Francisco, CA; Consultant, Orbit andOculofacial Plastic Surgery, California Pacific Medical Center,Mills Peninsula Medical Center*

Craig Senders, MD, UC Davis Medical Center, Dept. of OTO-HNS, Facial Plastics and Reconstructive Surgery, Sacramento, CA(Grant, Consultant: Stanford Research Institute)

Aaron L. Shapiro, MD, Thomas Jefferson University Hospital*Pooja Sharma, MD, Department of Ophthalmology, DrexelUniversity, Philadelphia, PA*

Taha Z. Shipchandler, MD, Director, Assistant Professor, FacialPlastic & Reconstructive Surgery, Indiana University School ofMedicine, Indianapolis, IN*

William W. Shockley, MD, Chief of Facial Plastic and Recon-structive Surgery, University of North Carolina, Chapel Hill, NC*

Douglas M. Sidle, MD, Northwestern University, Chicago, IL*

James Sidman, MD, University of Minnesota, Minneapolis, MN*

Robert L. Simons, MD, Clinical Professor-Voluntary, Universityof Miami Dept. of OTO-HNS, Miami, FL*

Deborah Sittig, Principal, Green Room Public Relations,Boonton, NJ*

Thiru Siva, Oxford University Deanery, John Radcliffe HospitalOxford*

Judith M. Skoner, MD, Assistant Professor, Dept. of OTO-HNS,Medical University of South Carolina, Charleston, SC*

Jeffrey J. So, MS, PA-C, Physician Assistant, Los Angeles, CA(Grant, Research Support: Ellman)

Jeffrey H. Spiegel, MD, Chief, Facial Plastic & ReconstructiveSurgery, Boston University, Boston, MA*

Scott Stephan, MD, Assistant Professor, Facial Plastic & Recon-structive Surgery, Dept. of OTO-HNS, Vanderbilt UniversityMedical Center, Nashville, TN*

Fred J. Stucker, MD, Professor, LSU Health Sciences Center-Shreveport, Shreveport, LA*

Ahmed S. Sufyan, MD, Dept. of OTO-HNS, Indiana UniversitySchool of Medicine, Indianapolis, IN*


7 37 37 37 37 3

Jonathan M. Sykes, MD, Professor and Director Facial PlasticSurgery, University of California, Davis Medical Center, Sacra-mento, CA (Speakers Bureau: Medicis, Sanofi-Aventis; Consult-ant: Mentor)

Matthew Tamplen, Division of Head and Neck Surgery, DavidGeffen School of Medicine at UCLA, Los Angeles, CA*

Scott A. Tatum, MD, Professor, Division of Facial Plastic &Reconstructive Surgery, Dept. of OTO-HNS, Upstate MedicalUniversity, Syracuse, New York*

Catherine Tchanque-Fossuo, MS, MD,, University of Michigan,Ann Arbor, MI*

Robert J. Tibesar, MD, University of Minnesota, Minneapolis,MN*

Jonathan Ting, MD, MEEI/Harvard, Boston, MA*

Steven P. Tinling, PhD, Director of Research, Department ofOtolaryngology, UC Davis Medical Center, Sacramento, CA*

Travis T. Tollefson, MD, Associate Professor, UC Davis MedicalCenter, Sacramento, CA*

Dean M. Toriumi, MD, Professor, University of Illinois atChicago, Chicago, IL (Consultant: Mentor Worldwide)

William H. Truswell, MD, Aesthetic Laser & Cosmetic SurgeryCenter, Northampton, MA; Clinical Instructor, University ofConnecticut Medical School, Farmington, CT (Stock Purchase:Lumenis; Consultant: Merz Aesthetics)

Joy Tu, Director, Strategic Partnerships & Marketing, Greens-boro, NC (Other: Employee, Medical Justice)

Thomas L. Tzikas, MD, Delray Beach, FL*

Zachary VandeGriend, MD, Wayne State University School ofMedicine - Dept. of OTO-HNS, Detroit, MI*

Tom D. Wang, MD, Professor, Oregon Health & ScienceUniversity, Portland, OR*

Heather H. Waters, MD, Cleveland Clinic Head and NeckInstitute, Cleveland, OH*

Ivan Wayne, MD, Assistant Professor University of Oklahoma,Facial Plastic and Reconstructive Surgery, Oklahoma City, OK*

Stephen Weber, MD, PhD, Assistant Professor, Oregon Health &Science University, Portland, OR*

Kathleen M. Welsh, MD, Director, Bay Area Cosmetic Derma-tology, San Francisco, CA*

Edwin F. Williams, III, MD, Clinical Professor of Surgery, AlbanyMedical Center, Albany, NY (Consultant, Stock Purchase:Allergan; Consultant, Research Support: Sanofi-Aventis; SpeakersBureau: Medicis)

Andrew A. Winkler, MD, Assistant Professor, University ofColorado, Denver, CO*

Catherine Winslow, MD, Assistant Clinical Professor, IndianaUniversity School of Medicine, Indianapolis, IN (Consultant,Speakers Bureau: Allergan)

Brian J.F. Wong, MD, PhD, Professor, University of CaliforniaIrvine, Irvine, CA (Consultant: Johnson and Johnson; Consultant,Stock Purchase, Other: Praxis BioSciences, LLC; Consultant,Stock Purchase: Silhouette Medical; Grant: Lockheed MartinCorp., OCT Medical Corp. Candela Corp.; Material, Grant,Research Support: Newstar Lasers;)

AnnJoe Wong-Foy, PhD, Senior Research Engineer, SRI Interna-tional, Menlo Park, CA (Material, Research Support: SRIInternational)

Julie Woodward, MD, Duke University Medical Center,Durham, NC (Consultant: Skin Ceuticals, Lutronic; SpeakersBureau: Medicis)

Allan E. Wulc, MD, Department of Ophthalmology, TheUniversity of Pennsylvania, Philadelphia, PA*Allison Zemek, BS, School of Medicine, Stanford University,Stanford, CA*

David Zopf, MD, University of Michigan, Ann Arbor, MI*

Giancarlo Zuliani, MD, Vice-Chief Facial Plastic and Reconstruc-tive Surgery; Assistant Professor Department of Otolaryngology,Wayne State University School of Medicine, Detroit, MI*

Karen Zupko, President, KarenZupko & Associates, Inc.,Chicago, IL



7 47 47 47 47 4

AAFPRS Foundation BoardAAFPRS Foundation BoardAAFPRS Foundation BoardAAFPRS Foundation BoardAAFPRS Foundation BoardPaul J. Carniol MD, Clinical Professor, New Jersey School ofMedicine, Summit, NJ (Speakers Bureau: Allergan, Innotec,Medicis, Ortho Neutrogenia, Reliant-Solta, Sandstone; ResearchSupport: Allergan, Arthrocare, Candela-Syneron, Cutera,Cynosure, Innotec, Iridex, Lumenis, Medicis)

Minas Constantinides, MD, Director of Facial Plastic & Recon-structive Surgery, Dept. of Otolaryngology, New York Univer-sity School of Medicine, New York, NY (Consultant: MentorCorp.)

John L. Frodel, Jr. MD, Danville, PA*

Corey S. Maas MD, Associate Clinical Professor, University ofCalifornia, San Francisco, CA (Speakers Bureau, Stock Purchase:Lumenis; Consultant, Grant, Research Support: Mentor; Consult-ant, Research Support, Speakers Bureau: Inamed; Grant,Research Support, Speakers Bureau, Stock Purchase: Allergan;Research Support: Colbar; Speakers Bureau: Integra Life Science;Research Support, Speakers Bureau: Medicis; Consultant,Speakers Bureau, Stock Purchase: BioForm/Merz)

Mary Lynn Moran MD, Private Practice, Woodside, CA*

Stephen S. Park, MD, Director Division of Facial Plastic Surgery,University of Virginia, Charlottesville, VA*

Daniel E. Rousso MD, Director, Rousso Facial Plastic SurgeryClinic, Assistant Professor, Department of Surgery, University ofAlabama Birmingham, Birmingham, AL (Consultant: LutronicLaser)

Jonathan M. Sykes MD, Professor and Director, Facial PlasticSurgery, University of California, Davis Medical Center, Sacra-mento, CA (Consultant: Mentor; Speakers Bureau: Sanofi-Aventis; Research Support, Speakers Bureau: Medicis)

Tom D. Wang MD, Professor, Oregon Health & Science Univer-sity, Portland, OR*

Edwin F. Williams, III, MD, Clinical Professor of Surgery, AlbanyMedical Center, Albany, NY (Consultant, Stock Puchase:Allergan; Consultant, Research Support: Sanofi-Aventis; SpeakersBureau: Medicis)

CME CommitteeCME CommitteeCME CommitteeCME CommitteeCME CommitteeManoj T. Abraham, MD, Clinical Assistant Professor, New YorkMedical College, Valhalla, NY*

Babak Azizzadeh, MD, Assistant Clinical Professor, UCLA,Beverly Hills, CA (Consultant, Stock Purchase: Myoscience;Consultant, Speakers Bureau: Sanofi-Aventis; Consultant: SkinMedica)

Sumit Bapna, MD, Columbus, OH (Other: Medicis)

Rami K. Batniji, MD, Newport Beach, CA*

Daniel G. Becker, MD, Clinical Associate Professor, University ofPennsylvania, Philadelphia, PA (Consultant, Ethicon)

Randolph B. Capone, MD, Director, The Baltimore Center forFacial Plastic Surgery; Assistant Professor, The Johns HopkinsUniversity, Baltimore, MD*

Paul J. Carniol MD, Clinical Professor, New Jersey School ofMedicine, Summit, NJ (Speakers Bureau: Allergan, Innotec,Medicis, Ortho Neutrogenia, Reliant-Solta, Sandstone; ResearchSupport: Allergan, Arthrocare, Candela-Syneron, Cutera,Cynosure, Innotec, Iridex, Lumenis, Medicis)

Kyle Choe, MD, Virginia Beach, VA*

J. Jared Christophel, MD, University of Virginia, Charlottesville,VA*

Richard E. Davis, MD, Professor of Otolaryngology (VoluntaryFaculty), The University of Miami, Miller School of Medicine,Miami, FL*

Timothy Doerr, MD, Associate Professor, Director of FacialPlastic Surgery, University of Rochester, Rochester, NY (Speak-ers Bureau: Synthes USA)

Brian Downs, MD, Morganton, NC*

Fred G. Fedok, MD, Professor and Chief - FPS-OTO/HNS,Pennsylvania State University, Hershey, PA (Speakers Bureau:AO);

John L. Frodel, Jr. MD, Danville, PA*

Stephen A. Goldstein, MD, University of Arizona, Tucson, AZ*

Tessa Hadlock, MD, Associate Professor, Harvard MedicalSchool, Boston, MA*

Grant S. Hamilton, III, MD, Associate Professor, University ofIowa Hospitals and Clinics, Iowa City, IA*

Jenifer L. Henderson, MD, Assistant Professor of Surgery,Uniformed Services University of the Health Sciences, Bethesda,MD*

Anna P. Hsu, MD, Assistant Clinical Professor, University ofSouthern California, Los Angeles, CA*

Andrew A. Jacono MD, Assistant Clinical Professor, Division ofFacial Plastic Surgery, New York Medical College, New York,NY*

J. Randall Jordan, MD, Professor and Medical Director, Univer-sity of Mississippi Medical Center, Jackson, MS*

COMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDDisclosuresDisclosuresDisclosuresDisclosuresDisclosures

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Samuel M. Lam MD, Director, Willow Bend Wellness Center,Plano, TX (Other: Book Royalties)

Phillip R. Langsdon, MD, Professor, Chief of Facial PlasticSurgery, University of Tennessee Health Science Center, Mem-phis, Memphis, TN*

Thomas T. Le, MD, Ellicott City, MD*

Alexander Markarian, MD, Assistant Professor, University ofSouthern California, Los Angeles, CA*

Sam P. Most MD, Chief, Division of Facial Plastic and Recon-structive Surgery, Stanford University School of Medicine,Stanford, CA*

Vishad Nabili, MD, Assistant Professor Microvascular Recon-struction, David Geffen School of Medicine at UCLA, Division ofHead & Neck Surgery, Los Angeles, CA*

Paul S. Nassif, MD, Assistant Clinical Professor, University ofSouthern California School of Medicine, Los Angeles, CA(Consultant: Merz Aesthetics, Mentor)

Sunny S. Park, MD, Assistant Professor, Cooper UniversityHospital, Camden, NJ*

Bradford S. Patt, MD, Clinical Assistant Professor, University ofTexas Medical Branch, Galveston, TX*

Steven J. Pearlman, MD, Associate Clinical Professor, ColumbiaUniversity Physican Surgeons, New York, NY (Speakers Bureau:Ethicon, Corp.)

Gregory J. Renner, MD, Professor of OTO-HNS, University ofMissouri, Columbia, MO*

Ryan B. Scannell, MD, Newbury Port, MA*

Anthony P. Sclafani, MD, Director of Facial Plastic Surgery, TheNew York Eye and Ear Infirmary, New York, NY; Professor ofOTO-HNS, New York Medical College, Valhalla, NY (AdvisoryBoard: Contura, Inc.; Research Support, Consultant: AestheticFactors, Inc.)

David Stepnick, MD, Associate Professor of OTO-HNS andPlastic Surgery, Case Western Reserve University School ofMedicine, Cleveland, OH*

Michael J. Sullivan, MD, Columbus, OH*

Edwin F. Williams, III, MD, Clinical Professor of Surgery, AlbanyMedical Center, Albany, NY (Consultant, Stock Puchase:Allergan; Consultant, Research Support: Sanofi-Aventis; SpeakersBureau: Medicis)

Seth A. Yellin, MD, Private Practice, Marietta, GA*

Kenneth C.Y. Yu, MD, Chairman, Dept. of OTO-HNS, WilfordHall Medical Center, Lackland Air Force Base, TX*

Evidenced - Based Medicine CommitteeEvidenced - Based Medicine CommitteeEvidenced - Based Medicine CommitteeEvidenced - Based Medicine CommitteeEvidenced - Based Medicine CommitteePatrick J. Byrne MD, Associate Professor and Director of FacialPlastic Surgery, The Johns Hopkins University School of Medi-cine, Baltimore, MD (Speakers Bureau: Medicis, Merz)

Peter A. Hilger, MD, Professor, University of Minnesota,Minneapolis, MN (Speakers Bureau: Medtronic)

Lisa Ishii, MD, MHS, Assistant Professor, John Hopkins School ofMedicine, Baltimore, MD*

Theda C. Kontis, MD, Assistant Professor, Johns Hopkins MedicalCenter, Baltimore, MD (Speakers Bureau: Allergan, Sanofi-Aventis, Medicis)

Paul Leong, MD, Director - Ideal Facial Plastic & Laser Surgery,Pittsburgh, PA*

Sam P. Most MD, Chief, Division of Facial Plastic and Recon-structive Surgery, Stanford University School of Medicine,Stanford, CA*

David Reiter, MD, MBA, Professor of Otolaryngology (Divisionof Facial Plastic Surgery), Jefferson Medical College of ThomasJefferson University, Philadelphia, PA*

John S. Rhee, MD, MPH, Professor, Medical College of Wiscon-sin, Milwaukee, WI*

Anthony P. Sclafani, MD, Director of Facial Plastic Surgery, TheNew York Eye and Ear Infirmary, New York, NY; Professor ofOtolaryngology - Head & Neck Surgery, New York MedicalCollege, Valhalla, NY (Advisory Board: Contura, Inc.; ResearchSupport, Consultant: Aesthetic Factors, Inc.)

Jonathan M. Sykes MD, Professor and Director, Facial PlasticSurgery, University of California, Davis Medical Center, Sacra-mento, CA (Consultant: Mentor; Speakers Bureau: Sanofi-Aventis; Research Support, Speakers Bureau: Medicis)


COMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDCOMMITTEE AND BOARDDisclosuresDisclosuresDisclosuresDisclosuresDisclosures

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New and Upgraded MembersNew and Upgraded MembersNew and Upgraded MembersNew and Upgraded MembersNew and Upgraded MembersCongratulationsCongratulationsCongratulationsCongratulationsCongratulations

Congratulations to the new and upgraded members (June 2010to May 2011).

FellowFellowFellowFellowFellowRobert J. Chiu, MDBen Cilento, MDDavid H. Harley, MDKevin Kevorkian, MDRaymond Lee, MDRaymond E. Lee, MDGuy Lin, MDPeter Maurice, MDAmir Moradi, MDAkram Rahal, MDStephen Smith, MD

MemberMemberMemberMemberMemberZahi Abou-Chacra, MDBradford A. Bader, MDJohn B. Bitner, MDStephanie M. Cole, MDRavinder Dahiya, MDChi Ha, MDPaul K. Holden, MDRoger E. Horioglu, MDPaula J. Jackson, MDLamont Jones, MDThomas C. Kelly, MDWilliam D. Losquadro, MDTimothy J. Minton, MDTam Q Nguyen, MDShari D. Reitzen, MDChristopher R. Savage, MDNima Shemirani, DOMatthias Solomon, MDThomas C. Spalla, MDAnthony Michael Sparano, MDGregory John Vipond, MDP. Daniel Ward, MD

If you are interested in becoming an AAFPRS member, visit theAAFPRS Booth (701) for an application form. The deadline forthe next round of application submission is November 1, 2011.

Awards and Grant RecipientsAwards and Grant RecipientsAwards and Grant RecipientsAwards and Grant RecipientsAwards and Grant RecipientsCongratulationsCongratulationsCongratulationsCongratulationsCongratulations

Congratulations to the following AAFPRS members who will berecognized on Friday, September 9, 2011 at 1:00pm for theiroutstanding research in facial plastic surgery.

Leslie Bernstein GrantRobinW. Lindsay, MDRobinW. Lindsay, MDRobinW. Lindsay, MDRobinW. Lindsay, MDRobinW. Lindsay, MD"Development of Comparative Effectiveness Tools in FacialParalysis"The amount of the grant is $24,798

Leslie Bernstein Investigator Development GrantJ. Regan Thomas, MDJ. Regan Thomas, MDJ. Regan Thomas, MDJ. Regan Thomas, MDJ. Regan Thomas, MD"Experimental Studies on Photo Aging in the Mouse Model"The amount of the grant is $15,000

Leslie Bernstein Resident Research GrantSang Kim, MDSang Kim, MDSang Kim, MDSang Kim, MDSang Kim, MD"Histologic Changes Following Sensory Neuroprotection of FacialMusculature"The award amount is $5,000

Orlando Roe AwardKian Karimi, MDKian Karimi, MDKian Karimi, MDKian Karimi, MDKian Karimi, MD“Ethical Considerations in Aesthetic Rhinoplasty: A Survey,Critical Analysis and Revie”

Sir Harold Delf Gillies AwardCharles Woodard, MDCharles Woodard, MDCharles Woodard, MDCharles Woodard, MDCharles Woodard, MD“Intraoperative Angiograph using Laser-Assisted IndocyanineGreen Imaging to Map Perfusion of Forehead Flaps”

Other award recipients (unknown at the time of brochureprinting) will receive their awards during this time as well.

The AAFPRS Foundation wishes to thank PCA Skin for theircontinued support of the Awards Program.

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AAAHCBooth 6215251 Old Orchard Road, Ste. 3200Skokie, IL 60077847-853-6060847-853-9028, faxwww.aaahc.orgThe Accreditation Association for Ambulatory Health Care(AAAHC/Accreditation Association) is the leader in ambulatoryhealth care accreditation. Among the almost 5,000 AAAHC-accredited organizations in the US and abroad are a broad rangeof ambulatory surgery centers, office-based surgery centers, andmedical and dental group practices. AAAHC surveyors arepracticing health care professionals who bring a real-worldunderstanding and a collaborative approach to the reviewprocess.

AAFPRS Membership Booth and Video Learning CenterBooth 701-709310 S. Henry StreetAlexandria, VA 22314703-299-9291703-299-8898, faxwww.aafprs.orgThe AAFPRS Membership Booth will have all you need to knowabout membership and its privileges. Come see our patientbrochures, The Face Book, our brand new PR Tool Kit, andmany more. The AAFPRS John Dickinson Memorial Library willbe present at this meeting and will showcase its most recent agingface and rhinoplasty titles. All registered members and guests willhave access to the Video Learning Center and will be able torequest viewings from over 300 titles. Make sure you ask to seethe four new DVDs released this year.

AAFPRS: The Many Faces of Generosity, Facing the Future andBeyond--An Investment in the Future of the Academy, ItsMembers, and the ProfessionBooth 704310 S. Henry StreetAlexandria, VA 22314703-299-9291703-299-8898, faxwww.aafprs.orgA medical organization, such as the AAFPRS, that wishes tothrive in a competitive environment, needs to continuallyadvance its specialty. The various programs of the Academy andFoundation must grow to meet the needs of all facial plastic andreconstructive surgeons as well as the public. There will be manyFaces of Generosity to accomplish our vision. We will be meetingthe needs of the future on three fronts: educational excellence,research and humanitarian programs.

ACellBooth 9036640 Eli Whitney DriveColumbia, MD 21046410-953-8578410-715-4511, faxwww.acell.comNext generation "ECM" devices that repair and remodeldamaged tissues, includes an intact epithelial basement mem-brane, releases bioactive components triggering abundant newblood vessel formation and recruiting numerous cells to the

wound, including progenitor cells, which differentiate into site-specific tissues, leaving new tissue where scar tissue wouldnormally be expected.

ACell Products include: MatriStem® Wound Sheets,MatriStem MicroMatrix® Micronized Particles, MatriStemSurgical Matrix, MatriStem Hernia Matrix, MatriStem PlasticSurgery Matrix, MatriStem Pelvic Floor Matrix

Advanced Bio-Technologies, Inc.Booth 10081100 Satellite Blvd.Suwanee, GA 30024678-684-1426678-684-1422, faxwww.advancesbiotech.comAdvanced Bio-Technologies, Inc. is a world leader in the globalscar treatment market. ABT's innovative products include Kelo-cote® Advanced Formula Scar Gel, a proprietary siliconetechnology used to treat and prevent abnormal scarring such askeloids and hypertrophic scars, and physician onlybioCorneum®+, the only 100% silicone scar product with SPF30 UV protection ingredients.

Aesthetic Factors, LLCBooth 414147Heather DriveNew Hope, PA 18938215-582-8200215-862-5345, faxwww.selphyl.comAesthetic Factors, LLC, is focused on autologous therapies toenhance rejuvenation in dermatology and plastic surgery. It'slead product, SELPHYL® Brand Autologous System is a platelet-rich fibrin matrix produced from a patient's own blood andinjected into the skin to address a variety of unmet needsaesthetic medicine. Unlike hyaluronic acid based dermal fillersthat are synthetic or produced from animal or bacterial sources,SELPHYL uses a patient's own blood to naturally produce andrelease a host of biologic growth factors that promote tissueregeneration.

AllerganBooth 8192525 Dupont DriveIrvine, CA 92612714-246-3678714-796-3090, faxwww.allergan.comAllergan Medical, a division of Allergan, Inc., offers the mostcomprehensive, science-based, aesthetic product offerings underits Total Facial Rejuvenation portfolio, including BOTOX®Cosmetic; hyaluronic acid and collagen-based dermal fillers;LATISSE™ (bimatoprost ophthalmic solution) 0.03%; andphysician-dispensed skin care products.

EXHIBITORSEXHIBITORSEXHIBITORSEXHIBITORSEXHIBITORS

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Anthony ProductsBooth 5017740 Records StreetIndianapolis, IN 46226800-428-1610317-543-3289, faxwww.anthonyproducts.comFor 41 years, Anthony Products has specialized in the distribu-tion of ENT, Plastic Surgery and Dermatology instruments andequipment. Gio Pelle, specializes in customized skincare andmicrodermabrasion. Gio Pelle offers personalized gel packs forpost procedure recovery. Private label opportunities areavailable.

ASSI - Accurate SurgicalBooth 617300 Shames DriveWestbury, NY 11590800-645-3569516-997-4948, faxwww.accuratesurgical.comASSI will display New Noble Non-Stick Bipolar Forceps &MicroMonopolar Forceps, Bipolar Scissors, Facelift Retractorswith Fiber Optic & Suction, Engler Facelift Retractor, StaySharpSupercut Face Lift & Ceramic Coated SuperCut Scissors,Microdissection Needles, Campbell Lip Awl, Ear Lobe Clamp,Eye & Face Masks, ASSI's Forehead Lift Instrumentation, NasalRasps, Rakes Retractors, Aufricht Retractors, Lalonde Skin HookForceps, Instrumentation for Plastic Surgery original ASSIHandcrafted Microsurgical Instruments and MicrovascularClamps.

Bien-Air SurgeryBooth 5215 Corporate Park, Ste. 160Irvine, CA 92606800-433-2436949-477-6061, faxwww.bienair.comBien-Air, a Swiss company, is a leading manufacturer of special-ized microsurgery products, including a revolutionary newproduct for facial plastic surgery: The Powered Micro Saw(PMS) Rhinoplasty. This is the most innovative, precise and safetechnique developed to prevent the multiple complicationsassociated to manual osteotomies.

Black & Black SurgicalBooth 815/8174896 N. Royal Atlanta Drive, Ste. 302Tucker, GA 30084770-414-4880770-414-4879, faxwww.blackandblacksurgical.comBlack & Black Surgical, former owners of Snowden Pencer, withover 90 years combined experience offer a full line of highquality plastic surgical instruments featuring NexEdge® Rasps,endoscopic plastic, Tebbetts, and Ramirez instruments. Black &Black is also proud to introduce the iGuide® Surgical SutureSystem, the new minimally invasive soft tissue suspensionprocedure.

Candace CroweBooth 7143452 LK. Lynda Drive, Ste. 160Orlando, FL 32817407-384-7676407-384-7672, faxwww.candacecrowe.comCANDACE CROWE DESIGN has delivered patients for aestheticpractitioners throughout the U.S. and Canada since 1999.REVENEZ, our suite of expert marketing tools, leads the way ininnovation with educational videos for your website, visual menuof services, patient education CD for the consult, and both full-service and self-admin branded e-campaigns.

CandelaBooth 407530 Boston Post RoadWayland, MA 01778508-358-7400508-358-5602, faxwww.syneron.comSyneron and Candela are the global leaders in medical-aestheticsoffering the industry's most comprehensive product portfoliocombined with world-class service and support. The Syneronline for the face and body is based on revolutionary el?s technol-ogy which delivers a wide variety of safe and effective treat-ments.

Canfield Imaging SystemsBooth 409253 Passaic AvenueFairfield, NJ 07004973-276-0336973-276-0339, faxwww.canfieldsci.comCanfield Imaging Systems is the leading worldwide developer ofimaging software and photographic systems for the medical andskin care industries. Product lines include Mirror® imagingsoftware, VISIA® Complexion Analysis, VECTRA® 3D Systems,Reveal® facial imagers, customized photographic studio solutionsand numerous specialized imaging devices and lighting systemsfor clinical photography.

CareCreditBooth 5082995 Red Hill Ave., Ste. 100Costa Mesa, CA, 92626866-247-3049866-894-4093, faxwww.carecredit.comCareCredit, a part of GE Capital, is a health and beauty creditcard designed to give patients a low monthly payment option topay for their cosmetic procedures. CareCredit is offered in morethan 140,000 enrolled practices nationwide and has helped morethan 7 million patients get the care they need and want. Formore information on the CareCredit program or to enroll, call866-247-3049, ext. 2 or visit www.carecredit.com.


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Ceatus Media Group, LLCBooth 405960 Grand AvenueSan Diego, CA 92109858-454-5605858-454-5668, faxwww.ceatus.comCeatus Media Group is the dominant online plastic surgerypublishing company. We offer board-certified plastic surgeonsInternet visibility through practice profiles in our comprehensiveweb portal, Consumer Guide to Plastic Surgery, which receivesmore than 2 Million visitors per year. We also offer customizedpractice websites and premium website SEO.

ChaseHealthAdvanceBooth 6091717 Hermitage Blvd.Tallahassee, FL 32308888-388-7633877-758-7633, faxwww.chasaehealthadvnce.comChaseHealthAdvance makes it easy to increase treatmentacceptance with these great options: -12, 18 & 24 Month NoInterest Payment Plans, Extend Payment Plans up to 48 monthsand generous credit lines for comprehensive care. Visit us on thetradeshow floor at booth #609 or atwww.advancewithchase.com to learn more.

Colin/Mediana Tech.Booth 8135850 Farinon DriveSan Antonio, TX 78249800-289-6427210-696-8808, faxwww.medianatech.comColin/Mediana Tech's Product Mission is to satisfy our custom-ers' needs by developing, manufacturing and selling state-of theart and affordable medical technology. We have a variety ofselection of products; patient monitor, vital signs monitor,diagnostic ultrasound scanner, and more.

CryoProbeBooth 1001022 Ewall StreetMt. Pleasant, SC 29464843-388-9220843-375-5440, faxwww.cryoprobe-us.comThe CryoProbe is an effective, portable and practical cryosurgi-cal device which facilitates perfect control and pinpoint accuracyin the removal of lesions regardless shape or size in cosmeticdermatology, such as but not limited to skin tags, lentigo, actinicand seborrheic keratosis. Perfect for the treatment of faciallesions.

CuteraBooth 9203240 Bayshore Blvd.Brisbane, CA 94005415-657-5500415-330-2444, faxwww.cutera.comCutera is a leading provider of laser and other energy-basedaesthetic systems for practitioners worldwide. Cutera is excited tolaunch two breakthrough systems, the Excel V and GenesisPluslasers in Fall 2011. In addition, Cutera's multi-application Xeoplatform combines the most versatile laser and light technologiesin a single, upgradeable system. Since 1998, Cutera has beendeveloping innovative, easy-to-use products that enable physi-cians and other qualified practitioners to offer safe and effectiveaesthetic treatments to their patients. For more information, call1-888-4CUTERA or visit www.cutera.com.

Cynosure, Inc.Booth 3005 Carlisle RoadWestford, MA 01886978-256-4200978-513-4627, faxwww.cynosure.comCynosure, Inc. develops and markets aesthetic treatment systemsthat are used by physicians and other practitioners to performnon-invasive and minimally invasive procedures to remove hair,treat vascular and pigmented lesions, rejuvenate the skin, liquefyand remove unwanted fat through laser lipolysis and temporarilyreduce the appearance of cellulite.

Dermik a business of sanofi-aventisBooth 21955 Corporate DriveBridgwater, NJ 08807908-981-6662908-575-4469, faxwww.sanofi-aventis.comDermik is the dermatology business of sanofi-aventis and hasdeveloped, marketed and distributed innovative prescriptionpharmaceutical products for nearly 60 years.

Digital AssentBooth 40675 Fifth Street, Ste. 210Atlanta, GA 30308404-382-7589404-935-05497, faxwww.patient-pad.comDigital Assent offers the PatientPad® to Aesthetic Physicianpractices (Dermatologists, Plastic and Facial Aesthetic Surgeonsand Med Spas) at this time. Future plans include potential tomove into other clinical specialties. Currently, Digital Assent has167 customers with 251 total locations in 30 states and continuesto seek growth throughout the US. For more information aboutDigital Assent and the company's rapidly growing PatientPad®point-of-care network, please visit www.patient-pad.com.


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Ellman InternationalBooth 8013333 Royal AvenueOceanside, NY 11572516-267-6582516-267-6583, faxwww.ellman.comEllman International, a worldwide leader and manufacturer ofhigh frequency radiosurgical equipment, presents the SurgitronIEC Dual Frequency. This device utilizes 4.0 MHz for cut, blend,and coag. Bipolar utilizes 1.7 MHz. It provides pressurelessincisions with minimal tissue alteration, superior biopsy specimensand excellent cosmetic results. Please visit our booth for ademonstration on how radiosurgery can benefit your practice.

ElsevierBooth 9121125 Ferry Street, Box 1027)Marshfield, MA 02037781-837-0797781-837-1437, faxwww.elsevier.comELSEVIER, a premier worldwide health science publishingcompany, incorporating SAUNDERS, MOSBY, CHURCHILLLIVINGSTONE, BUTTERWORTH HEINEMANN andHANLEY-BELFUS presents our latest titles in Facial PlasticSurgery. Visit and browse through our complete selection ofpublications including books, periodicals, and software.

EyemaginationsBooth 615600 Washington Ave., Ste. 100Towson, MD 21204410-321-5481410-616-8658, faxwww.eyemaginations.comEyemaginations LUMA is the most innovative form of patienteducation and marketing software available. Driven by 3D-animated visuals and an intuitive interface, LUMA lets youpresent complex information to patients in an engaging, easy-to-understand manner.

Implantech Associates, Inc.Booth 6076025 Nicolle St., Ste. BVentura, CA 93003800-733-0833877-733-0838, faxwww.implantech.comImplantech is the recognized leader in manufacturing innovativesilicone facial implants for aesthetic and reconstructive surgery.We have over 150 sizes and designs available, including therevolutionary Conform Facial Implants, ePTFE products and 3DAccuscan custom implants. Visit Implantech at Booth 607 orwww.implantech.com.

Institute for Medical QualityBooth 604221 Main Street, Ste. 210San Francisco, CA 94105415-882-5073415-882-5149, faxwww.imq.orgThe Institute for Medical Quality (IMQ) has been offeringaccreditation surveys and consultations for outpatient settings(e.g., ambulatory surgery centers, office-based surgery practices,and medical and dental group practices) since 1996. Surveys aretimely, cost effective, and available nationwide. We providefriendly customer service.

Integra MiltexBooth 401/403589 Davies DriveYork, PA 17402866-854-8300717-840-9335717-840-9347, [email protected] Miltex is recognized for our premium surgical instrumen-tation and Padgett® Instrument line manufactured from thehighest quality stainless steel by skilled German craftsman toexacting specifications. Our dependable products, full serviceinstrument repairs and sharpening capabilities provide a combi-nation of choice and quality unmatched by any other instrumentcompany.

Iridex CorporationBooth 4021212 Terra Bella AvenueMount Air View, CA 94043650-962-8848650-940-4738, faxwww.iridex.comIRIDEX is a leading provider of therapeutic based laser systems.The VariLite™ system is the complete skin lesion laser solutionfor treating vascular, pigmented, and cutaneous lesions and acnevulgaris. Gemini® gives you both a KTP laser and an Nd:YAGlaser to treat a vast array of conditions including acne, wrinkles,redness diffusion, age spots and unwanted hair.

Jan Marina Skin Research, Inc.Booth 5136951 Via Del OroSan Jose, CA 95119800-347-2223408-362-0140, faxwww.janmarini.comJan Marini Skin Research markets therapeutic topical skincareproducts through physician offices, which include resurfacingagents, growth factors, topical lipid soluble Vitamin C, TGF beta -1, Thymosin beta - 4 and recent eyelash and hair enhancementbreakthroughs. Jan Marini Skin Research products achieveoutstanding results that have not been possible prior to theseadvancements.


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Karl Storz Endoscopy-America, Inc.Booth 8022151 E. Grant AvenueEl Segundo, CA 90245800-921-0837424-218-8537, faxwww.ksea.com

KLS - Martin, LPBooth 700PO Box 16369Jacksonville, FL 32245904-641-7746904-641-7378, faxwww.klsmartin.comKLS Martin is a company dedicated to providing innovativemedical devices and power systems for craniomaxillofacialsurgery. The company's rich history began with surgicalinstrument production in Tuttlingen, Germany in 1896 andcontinued with miniplate production in 1975. KLS Martin hasadvanced the capabilities of distraction osteogenesis, and revolu-tionized resorbable fixation with the SonicWeld Rx system.

LifeCell CorporationBooth 6011 Millennium WayBranchburg, NJ 08876908-947-1044www.lifecell.comLifeCell™ is a pioneer in the field of regenerative medicine. BothAlloDerm® Regenerative Tissue Matrix and Strattice™ Recon-structive Tissue Matrix support tissue regeneration through rapidrevascularization, cell repopulation and white cell migration.Both products can be used in surgical applications includinghernia repair, breast reconstruction and breast plastic surgeryrevisions.

Lifestyle LiftBooth 201/203100 Kirts Blvd.Troy, MI 48084248-519-9134248-519-9122, faxwww.lifestylelift.comLifestyle Lift provides facial rejuvenation - using surgical andnon-surgical procedures provided by physicians who are guidedby a team of Regional Medical Directors and our PhysicianCouncil.

LiposeBooth 506531 Versailles Drive, Ste. 100Maitland, FL 32751212-572-2122212-583-0324, faxwww.viafill.comLipose™ Corp. - The Viafill™ Fat Transfer System is a sterile,single use, disposable kit used in the aspiration, harvesting,filtering and reinjection of autologous fat. The system is designedto maximize the transfer of live cells. We also offer a full line ofdisposable cannulas. All products FDA cleared.

LookingYourBestBooth 807829 South 2120 EastOrem, VT 84058562-882-0591801-922-9065, faxwww.lookingyourbest.comLookingYourBest™ provides highly specialized services alldesigned to grow your practice; including: Search EngineOptimization, Website Design, Social Media, Google Places, BlogCreation, Link Building, Hosting, and Logo Creation. Ourcomprehensive marketing services for individual practices andour proven track record bring a solid relationship you can buildon.

LumenisBooth 6055302 Betsy Ross DriveSanta Clara, CA 95054408-264-3511408-764-3660, faxwww.aesthetic.lumenis.comLumenis is the leading developer, manufacturer and marketer ofproprietary laser and intense pulsed light (IPL) systems. Lumenisaesthetic systems are reknown worldwide for advanced applica-tions including scar reduction, fractional resurfacing,photorejuvenation, hair removal, improvement of vascular andpigmented lesions, and wrinkle reduction. Leading productsinclude DeepFX and ActiveFX with UltraPulse, AcuPulse,LightSheer Duet, LumenisOne and M22

Lutronic, Inc.Booth 42051 Everett Drive, A-50Princeton Junction, NJ 08550609-275-1565609-275-3800, faxwww.lutronic.comA global leader in aesthetic and medical laser systems, Lutronic isfocused on providing advanced technology at an exceptionalvalue. Our proven product portfolio reflects the company's corecompetency of excellence in creating innovative, intuitive andversatile laser systems that deliver long-lasting results for cliniciansand patients worldwide. Products include systems for fractionallaser resurfacing, tattoo and pigmented lesion removal, nonablative rejuvenation, laser surgery, body and facial contouring.

Marina Medical InstrumentsBooth 808955 Shotgun RoadSunrise, FL 33326954-924-4418954-924-4419, faxwww.marinamedical.comMarina Medical Instruments provides surgeons with the bestvalue and selection of surgical instruments and equipment.Whether you specialize or only do sporadic minor procedures,Marina Medical is your best source for quality, service, andprice. Please stop by our booth and see why Marina Medical isthe best choice for your surgical instrument needs.


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MedDev CorporationBooth 718730 North Pastoria AvenueSunnyvale, CA 94085800-543-2789408-730-9702408-730-9732, faxwww.meddev-corp.comMedDev is the leading provider of specialty devices for themanagement of paralytic lagophthalmos. MedDev offers Goldand Platinum Contour™ and ThinProfile™ (40% reducedthickness) Eyelid Weight Implants, Tantalum Eyelid SizingWeights, and Blinkeze® External Lid Weights for the non-surgical eyelid weight treatment of temporary facial paralysis.

Medical JusticeBooth 7022007 Yonceyville St., Ste 3210Greensboro, NC 27405336-691-1286208-988-5897, faxwww.medicaljustice.comMedical Justice® is a membership-based organization, run byphysicians, that offers patented services to protect physicians'most valuable assets - their practice and reputation. Ourprograms include affordable services to: (1) Deter frivolousmalpractice claims; (2) Address unwarranted demands forrefunds; (3) Provide proven strategies for successful counter-claims; and (4) Prevent Internet defamation while promotingphysicians' online reputations. For information visitwww.MedicalJustice.com or call 877.MED.JUST(877.633.5878).

Medical ProtectiveBooth 708Fort Wayne, IN 46835260-486-0334260-486-0808, faxwww.medicalpro.comMedical Protective/Berkshire Hathaway is the only carrier withthe expertise, capabilities and financial strength to meet thechanging needs of all healthcare providers coast to coast. MedicalProtective offers complete solutions that range from "first-dollar"coverage all the way up to large deductibles, SIRs and captivesupport. www.medpro.com. 800-4MEDPRO.

Medicis Aesthetics, Inc.Booth 600/6027720 N. Dobson Rd.Scottsdale, AZ 85256480-206-1874480-291-8959, faxwww.medicis.orgMedicis Aesthetics is dedicated to helping patients attain a healthyand youthful appearance and a positive self-image. MedicisAesthetics is dedicated to helping healthcare professionalsredefine a patient's beauty. That dedication is at the heart ofeverything we do. And it is why we offer a comprehensivecollection of products for the facial aesthetics practice.

Mentor CorporationBooth 519/519201 Mentor DriveSanta Barbara, CA 93111805-879-6440805-879-6002, faxwww.mentorwwllc.comMentor Worldwide LLC is a trusted global leader in aestheticmedicine among both consumers and clinicians by providing abroad range of innovative, science and clinical-based solutions tomaintain, enhance, and restore self-esteem and quality of life.

Mertz AestheticsBooth 500/5031875 S. Grant St., # 200San Mateo, CA 94402650-286-4023658-286-4090, faxwww.mertzaesthetics.comMerz Aesthetics, Inc., formerly BioForm Medical, is a globalmedical aesthetics company which provides minimally invasiveproducts to enhance a patient's appearance. Its product lineincludes RADIESSE® filler, for long lasting wrinkle correction,and Asclera™ (polidocanol) Injection, an FDA-approvedsclerosing agent

MicroAire Surgical InstrumentsBooth 3011641 Edlich DriveCharlottesville, VA 22911434-975-8000434-975-8018, faxwww.microaire.comMicroAire Aesthetics is a world leader in aesthetic plastic surgerythrough two groundbreaking products: the PAL® LipoSculptor(power-assisted lipoplasty); and Endotine® bioabsorbable multi-point fixation devices for cosmetic facial procedures. MicroAireAesthetics also proudly makes EpiCut? (epithelium tissue re-moval), SurgiWire™ and ReleaseWire? (subcutaneous dissection).For more information, please visit microaire.com.

Microsurgery Instruments, Inc.Booth 612PO Box 1378Bellaire, TX 77402713-664-4707713-664-8873, faxwww.microsurgeryusa.comMicrosurgery Instruments is one of the leading suppliers ofsurgical instruments and loupes. Our new instruments include:titanium scissors, needle holders, and Debakey forceps. OurSuper-Cut scissors are the sharpest in the market, and our newlydesigned surgical loupes offer up to 130mm field of view, and upto 11x magnification.


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MJD - Patient CommunicationsBooth 6034915 St. Elm Ave., Ste. 306Bethesda, MD 20814301-657-8010301-657-8023, faxwww.mjdpc.comGet Listed, Get Found! Triple your website presence withTOPDOCS.COM. UseMJD's top rated Websites, DVDs Procedure Brochures andMessages-On-Hold to give your facial plastic practice a boost.

MTFBooth 515125 May StreetEdison, NJ 08837800-946-9008732-661-2572, faxwww.mtf.orgMTF a non-profit tissue bank dedicated to providing qualitytissue through a commitment to education, research, recoveryand care for recipients, donors and their families. BellaDerm, ouracellular dermal matrix, provides advantages of biologics withenhanced performance characteristics. It is used by plasticsurgeons to address naturally occurring defects in breast and face.

Mybody SkincareBooth 9135080 N. 40th Street, Ste. 375Phoenix, AZ 85018602-393-4668602-393-4174, faxwww.lovemybody.commybody™ is an exciting new skincare company that offerssuperior products developed to correct, protect and maintainhealthy skin for a lifetime. Focusing beyond the visible symptomsof problematic skin conditions, mybody is founded on the basicidea that when the mind and body are in optimal health, the skinlooks and acts younger longer-regardless of age.

NeograftBooth 914419 Southfork, Ste. 103Lewisville, TX 75057972-219-5600972-534-1575, faxwww.neograft.comNeoGraft, the global leader in hair restoration treatments andtherapies and the provider of the NeoGraft Automated FollicularUnit Extraction (FUE) and Implantation Hair Transplant System,focuses on new innovative technologies for the treatment of hairloss. We provide advances in technology and clinical techniquesdesigned to promote efficiency for the benefit of both the patientand the physician.

NewBeauty MagazineBooth 3193731 NW 8th AvenueBoca Raton, FL 33431646-805-0223NewBeauty is changing the way women learn about beauty.Dedicated to educating our readers about the latest advances inplastic surgery, NewBeauty features prominent board-certifiedplastic surgeons from across the United States, Canada andbeyond. Committed to providing scientifically accurate andethically balanced information, NewBeauty is the trusted guideto all things beauty.

NextechBooth 3135550 W. Executive Dr., Ste 350Tampa, FL 33609813-425-9200813-425-9292, faxwww.nextech.comNexTech Practice 2011 is fully integrated Practice Management,Marketing, and EMR/EHR software designed specifically forPlastic Surgeons, Cosmetic Medical Practices, and Medical Spas.With a client base of over 3500 physician clients and 30,000 instaff worldwide, Practice 2011 is comprehensive, completelymodular, and CCHIT 2011 certified.

Organization of Facial Plastic Surgery Assistants (OFPSA)Booth 806845 N. Michigan Avenue, Ste. 972WChicago, IL 60611312-335-1700The OFPSA is a sister organization to the American Academy ofFacial Plastic and Reconstructive Surgery. Established overtwenty years ago, it is comprised of practice managers, nurses,estheticians, patient coordinators and other personnel who playimportant roles in their physician's office. The OFPSA offersmembers opportunities to learn the latest ways to help their growpractice.

Palomar Medical Technologies, Inc.Booth 30815 Network DriveBurlington, MA 01803781-418-1117781-93-2330, faxwww.palomarmedical.comPalomar Medical Technologies, Inc., provides the most ad-vanced energy based and surgical systems for aesthetic applica-tions including true laser body sculpting, fractional skin resurfac-ing, pigment and vessel clearance, permanent hair reduction, andfat grafting. Palomar systems empower aesthetic providers tooffer remarkable results with exceptional versatility, ease of useand comfort. Discover "From Light Comes Beauty" withPalomar.


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PCA SkinBooth 6196710 East Camelback Road, Ste. 230Scottsdale, AZ 85251480-281-5349480-946-5690, faxwww.pcaskin.comPCA SKIN® is a healthcare company providing daily careproducts and chemical peels for physicians and cliniciansworldwide to address their patients' acne, aging skin, sensitiveskin and hyperpigmentation. PCA SKIN is a trusted educationalresource with over a 20-year history of helping to improve skinhealth and people's lives.

Pierre Fabre Dermo-CosmetiqueBooth 4189 Campus DriveParsippary, NJ 07054973-355-8002973-898-0420, faxwww.pierre-fabre.comPierre Fabre Dermo-Cosmétique is a global leader in dermato-logical skincare. Brands include: Eau Thermale Avène®, adermo-cosmetic brand based on hydrotherapy, dedicated tosensitive skin; Glytone®, a skin rejuvenation system offering higheffective skincare regimens, through in-office procedures(glycolic acid and salicylic acid peels), as well as at-home treat-ments.

Plastic Surgery StudiosBooth 9098667 Haven Avenue, Ste. 200Rancho Cucamonga, CA 91730909-758-8300909-758-8384, faxwww.plasticsurgerystudios.comPlastic Surgery Studios provides plastic surgeons all over thecountry with total internet marketing solutions. As a part of theirpackage, medical professionals have the opportunity to furtherincrease their visibility on the Internet regionally and nationally.Specializing in Web Design, Search Engine Optimization (SEO),Social Media, Directories, Blogs, and Video Marketing, PlasticSurgery Studios can make marketing easier

PracticeDockBooth 8041060 Woodcock RoadOrlando, FL 32803407-206-0700407-206-3376, faxwww.practicedock.comPracticeOnline Marketing Suite PracticeDock is an onlinemarketing suite providing patient generation, conversion,communication and retention tools in real-time and at business-speed to optimize internet presence and grow private practices.PracticeDock powers the market leading LocateADoc.com,drives per click(PPC) and search engine optimization (SEO), keyword market-ing solutions and offers doctors the tools to build their websiteand content management systems, track phone performance,deliver patient education material, and to create and post relatedvideos online. PracticeDock truly transforms quality prospectsinto real patients and business. www.PracticeDock.com

Restoration Robotics, Inc.Booth 3091383 Sherbird WayMountain View, CA 94043650-965-3612650-965-3624, faxwww.restorationrobotics.comRestoration Robotics, Inc. manufactures the ARTAS Systemwhich is a FDA cleared, physician controlled, interactive,computer assisted, image-guided technology to enhance thequality and productivity of follicular unit harvesting in hairrestoration procedures.

Sandstone Medical TechnologiesBooth 606/608105 Citation CourtHomewood, AL 35209205-290-8251205-290-4289, faxwww.sandstonemedicaltechnologies.comSandstone Medical Technologies provides state of the artaesthetic lasers at an affordable price. Our products include: TheMatrix Co2 Laser for fractional skin resurfacing, Cheveux 810nmlaser for permanent hair reduction, the Apollo IPL, theUltraLight-Q for the removal of tattoos and the Whisper-3GErbium Yag System. All systems include a 2-year warranty andour unmatched "Buy-Back Guarantee".

Scissor DepotBooth 71225 Plant AvenueHauppauge, NY 11788631-963-7084931-273-6199, faxwww.scissordepot.comScissor Depot is proud to display the largest selection of SuperCutScissors. In addition to the largest selection, Scissor Depot scissorscome with free repair and sharpening for the life of the instru-ment. Our new service for Custom etching and color dippingfor proper placement in your surgical trays.

ScitonBooth 720925 Commercial StreetPalo Alto, CA 94303650-493-9155650-493-9146, faxwww.sciton.comSciton provides best-in-class laser and light source solutions formedical professionals who want superior durability, perfor-mance, and value. We offer high quality, expandable platformswith modules for fractional skin resurfacing, superficial and deepskin peeling, laser-assisted lipolysis, wrinkle reduction, hairremoval, treatment of vascular and pigmented lesions, photo-therapy, scar reduction, and treatment of varicose veins andacne.


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Silhouette LiftBooth 4041 Technology DriveIrvine, CA 92618951-734-7701www.silhouette-lift.comSilhouette Lift™ is a medical devise manufacturer based in Irvine,California. The Silhouette Sutures™ are manufactured in theUSA; they were cleared by the US FDA for market use in 2006and are CE marked. In the last five years, more than 17,000 midface lifts cases have been performed in 50 countreis, with morethan 3 year average follow up.

Smile ReminderBooth 8053098 Executive Parkway,Ste. 300Lehi, UT 84043801-331-7114801-772-2034, faxwww.smilereminder.comSmile Reminder is a patient engagement software servicedesigned to maintain and retain existing patients while identifyingand acquiring new patients. Utilizing the latest automated text/email messaging technologies and social media tools, SmileReminder helps you to increase productivity and grow yourpractice, while you focus on your patients.Smile Reminder is anaward winning patient engagement service designed to increaseproductivity and grow your practice - delivering text/emailautomated appointment reminders, recare/recall reminders,birthday messages, e-newsletters, e-surveys, and custom promo-tions to your patient's mobile devices. Includes an unlimited, flatfee service, with a 60-day trail. Visit us at booth 805.

Sontec Instruments, Inc.Booth 4127248 S. Tucson WayCentennial, CO 80112303-790-9411303-792-2606, faxwww.sontecinstruments.comSontec offers headlights and loupes and the most comprehensiveselection of exceptional hand held surgical instruments availableto the discrimination surgeon. There is no substitute for qualityexpertise and individualized service. Sontec's vast array awaitsyour consideration at out booth.

Stiefel, a GSK CompanyBooth 6161212 White StreetAtlanta, GA 30310404-921-5182404-921-3373, faxwww.stiefel.comStiefel, a GSK company, is committed to advancing dermatologyand skin science around the world in order to help people betterachieve healthier skin. Stiefel's dedication to innovation, alongwith its sole focus on dermatology, has established Stiefel as aworld leader in the skin health industry. To learn more aboutStiefel, visit www.stiefel.com.

StrykerBooth 312Booth 750 Trade Center Way, Ste. 200Portage, MI 49002269-323-4081269-585-5981, faxwww.stryker.comStryker is one of the world's leading medical technology compa-nies and is dedicated to helping healthcare professionals performtheir jobs more efficiently while enhancing patient care. TheCompany offers a diverse array of innovative medical technolo-gies including reconstructive implants, medical and surgicalequipment, and neurotechnology and spine products to helppeople lead more active and more satisfying lives. For moreinformation about Stryker, please visit www.stryker.com.

Suneva MedicalBooth 5045870 Pacific Center Blvd.San Diego, CA 92102858-550-9999858-550-9997, faxwww.artefill.comSuneva Medical, Inc. is a medical technology company focusedon developing, manufacturing and commercializing novel,differentiated aesthetic products for the dermatology, plastic andcosmetic surgery markets. Suneva Medical's flagship product,Artefill®, is the first and only FDA-approved microsphere-enhanced collagen filler for the correction of nasolabial folds.

Surgeon's AdvisorBooth 9163415 Royal Palm AvenueMiami Beach, FL 33140305-428-3518954-671-5893, faxwww.surgeonsadvisor.comSurgeon's Advisor is a leading provider of Internet marketing andpatient acquisition strategies for plastic surgeons. Using anaggressive approach to SEO, link building, content development,technology, and regular updates with immediate turnaround,Surgeon's Advisor is the right choice for plastic surgeons lookingto get to the next level.

SurgiSilBooth 6136020 W. Plano Pkwy.Plano, TX 75093888.511.5477972.543.2493, faxwww.surgisil.comSurgiSil is a medical device company specializing in the design,development, and commercialization of silicone-based productsfor plastic and cosmetic surgery. We are proud to introduce ourflagship products - the PermaLip™ and Perma Facial Implant™.


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Synthes CMFBooth 4081301 Goshen ParkwayWest Chester, PA 19380610-719-6873610-719-6533, faxwww.synthes.comSynthes is a leading global medical device company. We develop,produce and market instruments, implants and biomaterials forthe surgical fixation, correction and regeneration of the humanskeleton and its soft tissues. Synthes CMF also supports NorthAmerican AO ASIF Continuing Education courses.

Thieme Medical Publishers, Inc.Booth 902333 Seventh AvenueNew York, NY 10001212-584-4706212-947-1112, faxwww.theimeinc.comSee new books by prominent authors: P. Bradley, R. Casiano, A.Desmond, E. Dunnebier, H. Francis, R. Gentile, M. Godin, R.Pollock, M. Sanna, E. Smouha, A. Stamm

Tulip ProductsBooth 8004360 Morena Blvd., Ste. 100San Diego, CA 92117858-270-5900858-270-5901, faxwww.tulipmedical.com"Tulip's commitment to fat as a viable resource for regenerativetherapy led to the development of our CellFriendly technology.Find out why Tulip instrumentation is widely recommended bythe world's leading fat transplant surgeons. For delicate work,Tulip's 0.7mm and 0.9mm CellFriendly micro-fine injectorsexcel. Tulip - Simply The Best."

Ulthera, Inc.Booth 618/6202150 S. Country Club Drive, Suite 21Mesa, AZ 85210480-619-4069480-619-4071, faxUltherapy is the first and only FDA cleared, non-invasive LIFTindication for facial aesthetic improvement. Ultherapy's micro-focused ultrasound combines the benefit of precise energydelivery with ultrasound imaging. Foundationally different inprecision, depth and temperature than other energy-basedtechnologies, Ultherapy® presents a brand new patientoffering...non-invasive lift.

VitaMedica, Inc.Booth 6141140 Highland Avenue, Suite 196Manhattan Beach, CA 90266888-367-8605310-374-2128, faxwww.vitamedica.comVitaMedica offers a targeted line of nutritional products forrecovery and wellness. Our Recovery products are formulatedwith nutrients to help patients heal more quickly after a surgicalor non-surgical procedure. The Wellness products are formu-lated with nutrients to enhance health and well-being. Discoverwhy for over a decade aesthetic surgeons have trustedVitaMedica products for their discerning patients.

YodleBooth 70650 West 23rd Street, Ste. 401New York, NY 10010646-770-8728646-770-8928, faxwww.yodle.comYodle, a leader in local online advertising, connects thousands oflocal businesses with consumers in a process so simple and cost-effective that business owners can't imagine any other way toadvertise.


Special thanks go out to the following companiesSpecial thanks go out to the following companiesSpecial thanks go out to the following companiesSpecial thanks go out to the following companiesSpecial thanks go out to the following companiesfor their support of the meeting by means offor their support of the meeting by means offor their support of the meeting by means offor their support of the meeting by means offor their support of the meeting by means of

advertising.advertising.advertising.advertising.advertising.

Anthony ProductsAnthony ProductsAnthony ProductsAnthony ProductsAnthony ProductsBooth 501Booth 501Booth 501Booth 501Booth 501

Bien-Air SurgeryBien-Air SurgeryBien-Air SurgeryBien-Air SurgeryBien-Air SurgeryBooth 52Booth 52Booth 52Booth 52Booth 52

Canfield ScientificCanfield ScientificCanfield ScientificCanfield ScientificCanfield ScientificBooth 409Booth 409Booth 409Booth 409Booth 409

CareCreditCareCreditCareCreditCareCreditCareCreditBooth 508Booth 508Booth 508Booth 508Booth 508

ImplantechImplantechImplantechImplantechImplantechBooth 607Booth 607Booth 607Booth 607Booth 607

Medical ProtectiveMedical ProtectiveMedical ProtectiveMedical ProtectiveMedical ProtectiveBooth 708Booth 708Booth 708Booth 708Booth 708

PCA SkinPCA SkinPCA SkinPCA SkinPCA SkinBooth 619Booth 619Booth 619Booth 619Booth 619

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About the AAFPRSAbout the AAFPRSAbout the AAFPRSAbout the AAFPRSAbout the AAFPRSThe American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) was founded in 1964 and represents more than 2,700facial plastic and reconstructive surgeons throughout the world. The AAFPRS is a National Medical Specialty Society of the AmericanMedical Association (AMA). The AAFPRS holds an official seat in the AMA House of Delegates and on the American College ofSurgeons board of governors. The majority of AAFPRS members and fellows are certified by the American Board of Otolaryngology-Head and Neck Surgery,which includes examination in facial plastic and reconstructive surgery procedures, and the American Board of Facial Plastic andReconstructive Surgery. Other AAFPRS members are surgeons certified in ophthalmology, plastic surgery, and dermatology.

About the AAFPRS FoundationAbout the AAFPRS FoundationAbout the AAFPRS FoundationAbout the AAFPRS FoundationAbout the AAFPRS FoundationIn 1974, the Educational and Research Foundation for the American Academy ofFacial Plastic and Reconstructive Surgery (AAFPRS Foundation) was created toaddress the medical and scientific issues and challenges which confront facial plasticsurgeons. The AAFPRS Foundation established a proactive research program andeducational resources for leaders in facial plastic surgery. Through courses,workshops, and other scientific presentations, as well as a highly respected fellowshiptraining program, the AAFPRS Foundation has consistently provided qualityeducational programs for the dissemination of knowledge and information amongfacial plastic surgeons. In the early 1990s, FACE TO FACE humanitarian programs were established sothat AAFPRS members could use their skills and share their talents in helping the lessfortunate individuals here and abroad.

EXECUTIVE COMMITEEThe year indicates the expiration of term as a board member.Jonathan M. Sykes, MD, President (2012)Daniel E. Rousso, MD, Immediate Past President (2011)Tom D. Wang, MD, President-elect (2013)Stephen S. Park, MD, Secretary (2013)Paul J. Carniol, MD, Treasurer (2013)Corey S. Maas, MD, Group VP for Public and Regulatory Affairs (2011)John L. Frodel, Jr., MD, Group VP for Education (2012)Minas Constantinides, MD, Group VP for Research, Awards and Development (2012)+Mary Lynn Moran, MD, Group VP for Membership and Society Relations (2013)+Edwin F. Williams, III, MD, Group VP for Public and Regulatory Affairs-elect (2014)*+Stephen C. Duffy, Executive Vice President*+* Ex-officio member of the Executive Committee+ Non-voting member of the Executive Committee

BOARD OF DIRECTORSThe Board also includes all those listed under the Executive Committee.Scott A. Tatum, III, MD, Director-at-Large (2013)Corey C. Moore, MD, Canadian Regional Director (2011)Harrison C. Putman, III, MD, Midwestern Regional Director (2011)Eugene L. Alford, MD, Southern Regional Director (2011)David A. Sherris, MD, Eastern Regional Director (2013)Sam P. Most, MD, Western Regional Director (2013)David W. Kim, MD, Young Physician Representative (2011)Harvey D. Strecker, MD, Canadian Regional Director-elect (2014)Richard E. Davis, MD, Southern Regional Director-elect (2014)J. David Kriet, MD, Midwestern Regional Director-elect (2014)

PAST PRESIDENTSDaniel E. Rousso, MD 2009Donn R. Chatham, MD 2008Vito C. Quatela, MD 2007Peter A. Hilger, MD 2006Ira D. Papel, MD 2005Steven J. Pearlman, MD 2004Keith A. LaFerriere, MD 2003Dean M. Toriumi, MD 2002Shan R. Baker, MD 2001Russell W.H. Kridel, MD 2000Devinder S. Mangat, MD 1999Stephen W. Perkins, MD 1998G. Richard Holt, MD 1997Peter A. Adamson, MD 1996Wayne F. Larrabee, Jr., MD 1995Roger L. Crumley, MD 1994H. George Brennan, MD 1993J. Regan Thomas, MD 1992Fred J. Stucker, MD 1991Norman J. Pastorek, MD 1990Ted A. Cook, MD 1989Frank M. Kamer, MD 1988John R. Hilger, MD 1987E. Gaylon McCollough, MD 1986Robert L. Simons, MD 1985Richard L. Goode, MD 1984Howard W. Smith, MD, DMD 1983M. Eugene Tardy, Jr., MD 1982Charles J. Krause, MD 1981Sidney S. Feuerstein, MD 1980*Jerome A. Hilger, MD 1979*George A. Sisson, MD 1978Leslie Bernstein, MD, DDS 1977*Richard C. Webster, MD 1976*Carl N. Patterson, MD 1975*Trent W. Smith, MD 1974G. Jan Beekhuis, MD 1973Walter E. Berman, MD 1972*Jack R. Anderson, MD 1971*William K. Wright, MD 1970*Ira Tresley, MD 1969*Morey L. Parkes, MD 1968Richard T. Farrior, MD 1967*John J. Conley, MD 1966*John T. Dickinson, MD 1965*Irving B. Goldman, MD 1964*Deceased

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Howard W. Smith Legacy SocietyHoward W. Smith Legacy SocietyHoward W. Smith Legacy SocietyHoward W. Smith Legacy SocietyHoward W. Smith Legacy SocietyThe Howard W. Smith Legacy Society recognizes individuals, foundations, and corporations whose cumulative life-time gifts to theAAFPRS Foundation and the FPS Fellowship Examination Corporation total $50,000 or more. Those who achieved this goal bythe fall of 2004 were accorded the status of charter members in the society, which was founded in 2002. The Howard W. SmithLegacy Society 2011 member list:

Distinguished Philanthropists ($500,000+)Distinguished Philanthropists ($500,000+)Distinguished Philanthropists ($500,000+)Distinguished Philanthropists ($500,000+)Distinguished Philanthropists ($500,000+)Dr. and Mrs. Jack R. AndersonAllerganMedicis AestheticsHoward W. Smith, MD, DMD, and Smith Family Foundation

Patrons ($250,000 to $499,999)Patrons ($250,000 to $499,999)Patrons ($250,000 to $499,999)Patrons ($250,000 to $499,999)Patrons ($250,000 to $499,999)Leslie Bernstein, MD, DDSMerz Aesthetic, Inc.CareCreditLifeCellPCA SKINsanofi-aventisSYNTHES Maxillofacial

Benefactors ($100,000 to $249,999)Benefactors ($100,000 to $249,999)Benefactors ($100,000 to $249,999)Benefactors ($100,000 to $249,999)Benefactors ($100,000 to $249,999)Canadian Foundation Facial Plastic SurgeryJohn J. Conley, MD Stryker LeibingerETHICON, Inc. Robert L. Simons, MDJohn M. Hodges, MD M. Eugene Tardy, Jr., MDAndrew J. Jacono, MD

Members ($50,000 to $99,999)Members ($50,000 to $99,999)Members ($50,000 to $99,999)Members ($50,000 to $99,999)Members ($50,000 to $99,999)Peter A. Adamson, MDAndrew C. Campbell, MDT. Susan HillRussell W. H. Kridel, MDKeith A. LaFerriere, MDLeibingerDevinder S. Mangat, MDE. Gaylon McCollough, MDIra D. Papel, MDJohn W. Pate Jr., MDStephen Perkins, MDHarrison C. Putman III, MDVito C. Quatela, MDThomas Romo, MDWilliam E. Silver, MDFred J. Stucker, MDDean M. Toriumi, MDWilliam J. Wolfenden, Jr., MD

For more information,contact Laurie Wirth, Execu-tive Director, ABFPRS andFPS FEC, 115C South St.Asaph Street, Alexandria, VA22314; phone (703)549.3223; [email protected].

The nation’s only moving national historiclandmarks, the cable cars still run on 8.8miles of track along three of their originalhundred-year-old routes. These motorlesscarriages travel by gripping onto theconstantly-running underground cable onthe ascent and releasing on the descent.

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