January/February 2017 Vol. 38, No. 1 · sessions and impressive roster of international ... attend...

January/February 2017 Facial Plastic Times 1

WHILE SUNNY SAN DIEGO WELCOMES COSM DELEGATES,

THE WINDY CITY HOSTS THE WORLD OF RHINOPLASTY

January/February 2017Vol. 38, No. 1

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Start making arrangements for Advances inRhinoplasty, May 4 - 7, 2017, in Chicago.From consultation to the management of themost challenging rhinoplasty cases, the

sessions and impressive roster of internationalfaculty will provide a premier learning experience.

Directors Peter A. Adamson, MD; Sam P. Most,MD; and Oren L. Friedman, MD, have organized aninnovative and remarkable educational event withthis year’s theme, World of Rhinoplasty. Throughoutthe four days, a variety of teaching formats willinclude panels, interactive forums, pre-recordedsurgical cases, special lectures, and a dissectionlaboratory.

Challenging and thought-provoking panels arenot to be missed.

On the first day, A Challenging Case and How IApproached It, will be moderated by Benjamin C.Marcus, MD. Faculty will cover wide tip, deviatednose, droopy tip, dorsal hump, overprojected nose,wide alar bases, short nose, and crooked nose.

There will be a panel debate, Conquering theNasal Tip: What is the Best Method for AlteringProjection, Rotation, Geometry, and Size?, on thesecond day. Join Dean M. Toriumi, MD; Peter A.Hilger, MD; Richard E. Davis, MD; Mark B.Constantian, MD; and Rollin K. Daniel, MD, as theyexamine various approaches, moderated by StephenW. Perkins, MD.

On day three, Controversies in Rhinoplasty,promises to be a stimulating panel with provocativequestions. Dogma will be challenged and alternativeapproaches to common problems may be considered.Dr. Toriumi will moderate this debate-style session,with panelists Bahman Guyuron, MD; Jonathan M.Sykes, MD; Olney Pitombo, MD; Russell W.H. Kridel,MD; Robert L. Simons, MD; and Dr. Perkins.

In the evening, RealSelf and the AAFPRS partnerfor the first time to review cases posted by RealSelfusers. The panel will be streamed live via socialmedia. It will highlight the benefits and pitfalls ofsocial media in plastic surgery, and rhinoplasty inparticular.

See Who “Nose” Where We Go Next?, page 8

Looking for some better weather? Plan now toattend the Combined Otolaryngology SpringMeetings (COSM), April 28, in San Diego.The weather is fabulous in the spring and

San Diego is a great city to experience and explore.The mission of this meeting is to bring together themembership of the COSM societies—AAFPRS, Ameri-can Broncho-Esophagological Association, AmericanHead and Neck Society, American LaryngologicalAssociation, American Neurotology Society, AmericanOtological Society, American Rhinologic Society(ARS), American Society for Pediatric Otolaryngology,and The Triological Society—along with otolaryngol-ogy residents, medical students, and other healthprofessionals for the purpose of discussing anddisseminating the latest cutting edge clinical andbasic scientific research.

Co-chairs Lisa Grunebaum, MD, and J. RandallJordan, MD, have crafted a program that combines abalance of the latest scientific paper presentationswith multidisciplinary keynote speakers on a varietyof topics in facial plastic surgery. Facial plasticsurgeons Fred G. Fedok, MD; Jill Hessler, MD; andSarmela Sunder, MD, will speak on their approachesto facial rejuvenation. Robert M. Kellman, MD, willupdate us on Current Trends in CMF Trauma.

See Rib Cartilage, page 3

2 Facial Plastic Times January/February 2017

Articles signed by their authors express theviews of those authors only and do notnecessarily express official policy of theAcademy. The Academy does not necessarilyendorse the products, programs, andservices that appear in paid, non-AAFPRSadvertisements.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Executive Editor: Steven JurichMedical Editor: Steven H. Dayan, MDManaging Editor: Rita Chua MagnessFreelance Writer: Lynnette SimpsonFacial Plastic Times is published by theAmerican Academy of Facial Plastic andReconstructive Surgery (AAFPRS)310 S. Henry St., Alexandria, VA 22314;Phone: (703) 299-9291; Fax: (703) 299-8898E-mail: [email protected]; www.aafprs.org.

January/February 2017Vol. 38, No. 1BOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORSBOARD OF DIRECTORS

Fred G. Fedok, MD*President

Edwin F. Williams, III, MD*Immediate Past President

William H. Truswell, MD*President-elect

Minas Constantinides, MD*Secretary

Harrison C. "Chris" Putman, III, MD*Treasurer

Richard E. Davis, MD+Group VP for Education

Paul J. Carniol, MD*Group VP for Membership & Society Relations

Wm. Russell Ries, MD*Group VP for Public & Regulatory Affairs

Sam P. Most, MD+Group VP for Research, Development, and

Humanitarian Programs

Theda C. Kontis, MD+Secretary-elect

Patrick J. Byrne, MD+Group VP for Public & Regulatory Affairs-elect

Andres Gantous, MDCanadian Regional Director

Theresa A. Hadlock, MDEastern Regional Director

John S. Rhee, MDMidwestern Regional Director

Phillip R. Langsdon, MDSouthern Regional Director

Travis T. Tollefson, MDWestern Regional Director

J. David Kriet, MDDirector-at-Large

Lisa E. Ishii, MDYoung Physician Representative

Anthony E. BrissettSouthern Regional Director-elect

Benjamin C. Marcus, MDMidwestern Regional Director-elect

Jamil Asaria, MDCanadian Regional Director-elect

Steven J. Jurich+Executive Vice President

*Member of the Executive Committee+ Ex-officio member of the Executive Committee

PRESIDENT’S MESSAGE:

We are off to an exciting start of 2017. External media attention and much of the thought in the minds of many people is

the U.S. elections. Expected changes in theadministration are both feared and wel-comed by many. Changes will occur in theeconomy, the workforce, and in the deliveryof health care. This will impact us in thedelivery of facial plastic surgery. We mustnavigate in response to these currents ofchange.

On a smaller scale, closer to home, changes are taking place in theadministration of the AAFPRS. The timing should be an advantage. Forthe AAFPRS, change will be a key word. It is the intent. The goal is toimprove the performance of the administration so that we can providemembers not only quality educational opportunities but also organiza-tional growth and tangible benefits.

The top of the administrative change has been the recruitment ofSteve Jurich to the helm as executive vice president. Overall, we aremoving to a more interactive central administration group with closeaccountability to each other. There has been some staff reduction;additionally, new staff roles will be created to provide a chain of com-mand dynamic. Staff changes and improvements in job descriptionsand duties and responsibilities have been updated.

“No margin; no mission,” is one of my favorite expressions regardingthe administrative goals of the organization. You must be solvent to fuelyour operations and to invest in new projects. Despite a changingeconomy, fiscal 2016 was completed favorably.

Following is a recap of what has happened in the Academy andwhat has been accomplished in 2016.

The 2016 Facial Rejuvenation meeting in Beverly Hills was anexploratory effort to get down to work and plan a meeting that could belooked at with a new face on our aging face meeting. Intense contentplanning and the consideration of branding an exciting location werepart of the process. Overall, the meeting was a huge success with manycompliments on the precision of the lecture schedule and about thebeautiful California location.

The 2016 AAFPRS Fall Meeting in Nashville was a huge success inthe introduction and reintroduction of speakers that had not beenfrequently seen in past meetings. The following excerpt is from ModernAesthetics, written by Phillip R. Langsdon, MD, and Rami K. Batniji, MD:

The American Academy of Facial Plastic and Reconstructive Surgery(AAFPRS) Fall 2016 Meeting, held in Nashville, TN, was markedly differ-ent from previous meetings. One of the unique features was the creation ofcomprehensive, topic-focused tracks: rhinoplasty, surgical facial rejuvena-tion, non-surgical/minimally invasive facial rejuvenation, facial recon-structive surgery, and practice management.

The rhinoplasty track included a full day of lectures and panel discus-sions. Each faculty member spoke on a technique that they invented orperfected and their lectures were focused on answering the age-old ques-tion in surgery of “how I do it and why I do it.” Dispersed throughout thisday were three panel discussions: one on patient analysis, another on thechallenging primary rhinoplasty, and the final covered secondary rhino-plasty.

The facial rejuvenation main session focused on the forehead/brow,the lower eyelid, face lifting, management of the neck and restoring volumeto the face. One of the highlights included an in-depth panel discussion onnuances in lower eyelid surgery moderated by Dr. Massry. Volumizationhas been, and continues to be, a pillar in facial rejuvenation.


○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

WHAT TO LOOK FORWARD TO IN 2017

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

The minimally invasive/emerging trends main session waspopular among attendees. Some ofthe highlights included in-depthpresentations on non-surgical skintightening procedures usingradiofrequency, ultrasound, andlaser. These presentations pro-vided a realistic analysis ofattributes as well as the limita-tions of these devices.

“I have heard incrediblereviews on the part of the attend-ees who were excited to see newvoices from across the world andyounger, more vibrant individualspresent new topics,” says meetingco-chair Samuel M. Lam, MD,FACS, a facial plastic and hairrestoration surgeon in Plano,TX.

“The meeting did a great jobintroducing new speakers, topics,and treatments,” adds AngelaSturm, MD, a facial plastic surgeonin Houston and volunteer facultymember at University of TexasHealth Science Center at Houston.“I love that the organizers havebeen open to broadening the scopeand depth of our practices with thelatest non-invasive technologiesand cutting-edge surgical tech-niques,” she says. “I definitelycame away with information thatwill change my practice!”

One of the central goals of themeeting was to engage all mem-bers of the AAFPRS.

So, what is coming up?Although there was a significantdelay, the site contract for the2017 AAFPS Fall Meeting wasfinally settled. The meeting willtake place in Phoenix at theSheraton Grand Phoenix Hotel,October 26-28. Phoenix hasfantastic weather in October withnumerous cultural and geo-graphic attractions to allowparticipants to have a favorablemix of work and play. Mr. Jurichdid a site visit to ensure it satis-fies all of our operational needsand provides a fresh perspectiveon a Fall Meeting location. Wefound the contract arrangementsto be very accommodating andwill make for a pleasant andenjoyable meeting.

We have assembled a fantas-tic team of course chairs anddirector: Jaimie DeRosa, MD;Louis M. DeJoseph, MD; and Dr.Langsdon. With the introductionof some new personalities in themeeting planning, this group willprovide an exciting high-energyapproach to meeting developmentcoupled with the time provenexperience of Dr. Langsdon.Whether a member is academi-cally based, part of a largemultispecialty institution, or in asmaller private practice, therewill be something of interest atthe meeting. There will be oppor-tunities for many to take aposition at the podium andpresent their valuable perspec-tives based on years of practice offacial plastic surgery.

We will continue to embraceall aspects of facial plastic sur-gery. Although we are a surgicalsubspecialty, the field haschanged with the introduction ofseveral technologies. Already,facial plastic surgery is no longeran exercise in surgical rhino-plasty, face lifting, andblepharoplasty. Each of thesedisciplines has been improvedand impacted by various tech-nologies. There is new poweredinstrumentation and materials tobe used in rhinoplasty. There isan increasing palette of fillers,neuro-modulators, andbiologicals to be used in facialrejuvenation. There is an ex-panding use of laser and lighttechnologies to improve the skinand to remedy various skinproblems and disorders. Hence,facial plastic surgery encom-passes not only the surgicalaspects of the craft but also thenon-surgical and non-invasive.

Additionally, facial plasticsurgery is not only facial rejuve-nation and rhinoplasty but alsoincludes a body of knowledge andexperience in all forms of facialreconstruction. As a group, weare experts in the special recon-struction of the face necessaryafter cancer surgery and in themanagement of facial cutaneousmalignancy. Our educational

programs will reflect these prin-ciples.

So, what else? Next month, Iwill review some of the highlightsof our 2016 member survey andgive you details on the upcoming2017 AAFPRS Advances inRhinoplasty course in Chicago. Itis slated to be an over-the-topmeeting. The utmost planningand attention are being investedby Peter A. Adamson, MD; Sam P.Most, MD; Oren Friedman, MD;Mr. Jurich, and JackieGunderson. More to come.

Fred G. Fedok, MD

From Cover Story, page 1Plastic surgeon Jonathon Kaplan,MD, will enlighten us with prac-tice management tips for cosmeticsurgeons; and Babak Azizzadah,MD. will give us his perspectiveon facial reanimation. This year’smeeting features two panels: thefirst on Minimally Invasive FacialAesthetics with Drs. Hessler,Sunder, Grunebaum, and ourdermatology colleague SabrinaFabi, MD. The second is a co-sponsored panel with the ARSon Nasal Valve Dysfunctionfeaturing facial plastic surgeonSam P. Most, MD, and otherrhinologists.

The scientific presentationswill cover a variety of topics ofinterest including: BiochemicalComposition of Cadaveric RibCartilage, Willingness to Pay forIncreased Attractiveness throughRhinoplasty, Analysis ofNanofiber Neurografts and Bi-lobed Flaps for Single Stage NasalReconstruction, among others.

A detailed program withspeakers appears on page 9 ofthis issue of Facial Plastic Times.We look forward to seeing you insunny San Diego. M

RIB CARTILAGE


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

Recently, Ihad afellow inmy office

at the tail end of hisfellowship. He had made thedecision to go off into privatepractice, on his own far from hisfamily and friends. As he preparesfor a new life in a new city and anew existence….he paid me a visitseeking any pearls of wisdom Icould provide. Many can remem-ber this time period with multiplestressors, board exams, a newjob, strange unfamiliar responsi-bilities, possibly a young family oron the precipice of starting one…and all the decisions made in thisshort span of time seem to havevast importance.

I get visceral pangs of excite-ment, nausea, and anxiety allbrewing together when I thinkback on that period. But mostly, Ireminisce positively. Even thoughI may have not realized it, themoment was fertile with endlesspotential. Our first true opportu-nity, a tabula rasa to createwhatever desired. Nothing isimpossible and all is at stake.And I certainly had my fair shareof mistakes… none of which I cansay I truly regret, but there weremany potholes I probably couldhave avoided. However, I ne-glected to tell him how to steerclear; instead of giving him thepracticalities, I fell in line andreflexively spit out the standardidealist mantras that we alreadyall know and that can be founddraped all over the self-helpsection of any local bookstore.

Love what you do; always dothe right thing; treat patients notdiseases; don't cheat steal or lie;marry for love; and always callyour mother.

However, I missed out givinghim the tips that probably really

MESSAGE FROM THE MEDICAL EDITOR: TOP 10PRACTICAL PEARLS OF PRACTICE

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

matter the most—the somewhatsalty, certainly cynical, nitty grittypearls to survive and thrive inpractice. But after he left, I gave itmore thought. I came up with abetter list. Although not inclu-sive—as I didn't want to over-whelm—I narrowed it down to 10.

1. Never fully trust yourprofessional advisors (accoun-tants, lawyers, money mangers,CFOs, business manager, etc.).This goes under the philosophythat nobody will ever care aboutyour finances as much as you do.While we all likely hire top notchprofessionals, most of us whohave been in practice longenough recognize that there aretimes, perhaps rare but nonthe-less, when our accountant orlawyer may overlook a fact that iscritical to our existence or situa-tion. Keep your eyes on yourbooks. I recommend having athird set of eyes look them overbecause if you are in practicelong enough, eventually someonewill try to steal from you. And redlights should go off if someone yourecently met regardless of theirprofession, tries to convince youto partake in a "great" deal that issure to deliver fantastic returns.

2. Hire the best talent avail-able regardless of the positionneeded. My experience has beenthat strong talent always finds ameaningful purpose. And oftentimes, it may take me in a direc-tion different than what I ex-pected. Regardless, that personwas passionate and productive,and my practice always was thebetter for it. The corollary, how-ever, is that truly talented peoplewill likely eventually want to growbeyond your realm. And that is oktoo. Their next stop may alsoprove valuable to you.

3. "I told you so" gets younowhere. It may make you feelbetter in the short term but it hasno redeeming value. This goesunder the philosophy of notletting your ego get in the way of

good medical judgement or aprudent business decision.Having a healthy ego is probablya necessary character trait tobeing a surgeon, but learning todampen it will bode well for bothprofessional and personal growth.Success resides in an ability tocontrol your appetite and emo-tions. Few will fancy angry out-bursts, as anger always leads todestruction. Learn to compro-mise; the greatest leaders andmost productive pioneers allcommanded this strength.

4. An absent leader is anoxymoron. A captain needs to beat the helm directing the shipand forging the route. He or shemust lead by example as his orher actions and behaviors arebeing watched. Beware of compla-cency, for it leads to death;uncertainty heeds discontent.Consistency though breedscomfort.

5. Your enemy today may beyour best friend tomorrow andvice versa. Measure your wordsand actions carefully; one dayyou may be surprised by who willbe the one to back you in a crisis.We all take different routes fordifferent reasons. Taking prideand appreciating those differ-ences quells adversary, temperscompetition, and often leads tosymbiotic relationships.

6. You have to make a mean-ingful difference to be relevant.Don't confuse being busy withbeing productive or making adifference. Today, it is mucheasier to be flashy and to sparkinterest, but to make a meaning-ful and lasting impact you willneed to find a creative insightthat has yet to be expounded.And once you do don't be sur-prised if others think you arepushing the envelope, that maybe good, but always know whereboundaries lie.

7. The best resources fromwhich to create something special See Skill of Listening, page 14


AMA REPORT: HOUSE OF DELEGATES INTERIM MEETING UPDATE

By J. Regan Thomas,MD, Delegate to theAMA House ofDelegates, andSteven J. Jurich,AAFPRS ExecutiveVice President

O n November 12-15, we gathered in Orlando for

the 2016 InterimMeeting of theAmerican Medical Association(AMA) House of Delegates (HOD),along with Andrew C. Campbell,MD (your AMA alternate delegateto the AMA HOD), Scott R. Chaiet,MD (your AMA young physicianrepresentative), and hundreds ofother physicians, medical stu-dents, residents, fellows, andstate and specialty societies toreflect upon a diverse mix ofproposals and topics. As weconsidered various resolutionsthat were crafted with the intentto help assure we are all collabo-rating in the best ways possibleto promote medicine and improvepublic health, your AAFPRS teammade sure to thoroughly reviewmany such proposals to safe-guard the unique clinical andprofessional needs of our vitalspecialty.

Where our Academy is specifi-cally concerned, there were tworesolutions in particular thatprovided the opportunity for us todirectly impact, and protect, ourfield—and we took the formalstance of promoting these resolu-tions, in partnership with severalother specialty societies. Onesuch resolution, which the AAFPRSformally co-sponsored, addressedhaving the AMA take a stanceagainst CMS’ recently expressedintent to inappropriately bundlefunctional and aestheticblepharoplasty and ptosis repair.In advocating for such a resolu-tion, we engaged in many discus-sions about how this issue wasimportant for all physicians, asCMS bundling of functional andaesthetic blepharoplasty andptosis repair could “open the

door” for other inappropriatebundling, as well. In fact, Dr.Thomas spoke on the floor of theHOD addressing the delegatesdirectly to articulate and rein-force our stand on the “bundlingissue” on behalf of the AAFPRS.

Recognizing this larger chal-lenge, in the end, the AMA HODadopted a revised, broaderversion of Resolution 217: THERIGHTS OF PATIENTS, PROVID-ERS, AND FACILITIES TO CON-TRACT FOR NON-COVEREDSERVICES, resolving that “ourAMA engage in efforts to convincethe CMS to rescind the CMS toabstain from inappropriatebundling in situations in whichfunctional and aesthetic consid-erations should be consideredseparately; and be it furtherresolved that our AMA activelyoppose further regulations thatwould interfere with the rights ofpatients, providers, and facilitiesto privately contract for non-covered services.”

The other key issue yourAAFPRS team engaged inpartnering with others to addressat the interim meeting was aresolution regarding the protec-tion of individualized compound-ing in physicians’ offices as apractice of medicine. In August2016, the FDA issued a draftguidance entitled, “InsanitaryConditions at CompoundingFacilities,” that effectively cir-cumvents the USP Chapter<797> revision process by indi-cating that states should enforcea set of standards for compound-ing facilities, including consider-ing to be insanitary any com-pounded material not mixedunder those standards, andspecifically including physicianin-office compounding in itsdefinition of “compoundingfacilities.” In this regard and atthe Academy Board’s direction,the AAFPRS had already submit-ted formal comments to the FDAon October 11, 2016, respectfullyurging that the Administrationnot adopt the draft guidance inits current form. In those com-ments, we also further communi-

cated to the FDA that, for manyyears, surgeons have success-fully combined standard drugsfor anesthetic purposes (forinstance, preparing bufferedlidocaine for office surgery) andthat we are aware of no scientificevidence that any “un-sanitaryfacilities” have created anyadverse consequences fromsurgeons doing that. We furtherobserved that requiring air-flowmachinery and facilities andattendant monitoring for thoseactivities would, as a practicalmatter, stop a practice that has along track record of patient safetyand cost-effectiveness.

To build on our earlier efforts,your AAFPRS team worked inOrlando with other groups topromote a sound resolution thatwould serve to support thiscritical aspect of our clinicalpractice. Ultimately, via suchardent advocacy efforts, the AMAHOD adopted a revised, broaderversion of Resolution 219: PRO-TECT INDIVIDUALIZED COM-POUNDING IN PHYSICIANS’OFFICES AS PRACTICE OFMEDICINE, resolving that “ourAmerican Medical Associationadvocate that the US Food andDrug Administration (FDA) removephysician offices and ambulatorysurgery centers from its defini-tion of a compounding facility.”

And lastly, during the openingsession of its 2016 Interim Meet-ing, the AMA presented StephenC. Duffy, former executive vicepresident of the AAFPRS, with theMedical Executive LifetimeAchievement Award. The award

See Mr. Duffy, page 15

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○


From Cover Story, page 1This panel, How

Technology will Shapethe Future of Rhinoplasty,will launch the fourthday of the course.Moderator Brian J.Wong, MD, will elicitpredictions on the futureof rhinoplasty frompanelists Olivier Gerbault, MD; Julian M. Rowe-Jones, MD; Abel-Jan Tasman, MD; Milos Kovacevic,MD; George R. Dodge, PhD; and Theda C. Kontis, MD.

The afternoon panels emphasize success and thefuture. Minas Constantinides, MD, will moderate,Success in Rhinoplasty, which will attempt to answerquestions regarding patient satisfaction and how wecan measure and predict it. Who "Nose" Where We GoNext?, will be an informal panel discussion coveringany controversial topics that may have come upduring the four-day meeting. An exchange of ideaswill be encouraged with the attendees.

While you take advantage of the exceptionaleducational venue, there is also a wonderful city toexplore and experience. The host hotel, the SheratonGrand Chicago, is located just steps from MichiganAvenue where you can stroll down the MagnificentMile—a 13-block stretch with 460 stores offeringeverything from luxury items to bargain finds. TheNavy Pier is the Midwest's top tourist destination andjust a short walk away from the hotel.

The restaurant scene is unbelievable with el-egant dining spots, charming cafes, and endlessethnic choices.

Come to Chicago for the instruction and network-ing—then stay to experience the Windy City.

Refer to the enclosed brochure for programdetails. Visit the AAFPRS Web site, www.aafprs.org, toregister and peruse recent updates to the program.Don't delay; take advantage of pre-registration feesoffered only through April 7, 2017. M

WHO “NOSE” WHERE WE

GO NEXT?

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Over three years ago, at the 2013 Advancesin Rhinoplasty meeting. the AAFPRSFoundation launched LEARN, the LifelongEducational and Research Network portal.

Since then, the LEARN Enhancement Committee,Theda C. Kontis, MD, committee chair, has workeddiligently to enhance and grow the platform. Thereare many educational benefits afforded to members,residents, and fellows, many at no cost. If you havenot accessed your personal LEARN account, pleasetake a moment to check out the site.

Benefits for membersO A number of surgical videos are available forstreaming at no cost (additional videos are availableat a reduced cost)O Online CME courses at reduced costO Free CME for select videos available soonO Online meeting evaluation and CME certificatesO Access to Community, an internal communicationvehicle for physiciansO Access to keynote speakers from AAFPRS spon-sored meetingsO Complete transcripts of all AAFPRS sponsored CMEactivitiesO Ability to track all non-AAFPRS CME activitiesO Direct access to JAMA Facial Plastic SurgeryO Online access to the Membership DirectoryO Access to electronic copies of the member newslet-ter, Facial Plastic Times

Benefits for fellows in an Academy fellowshipO Access to over 48 surgical and practice manage-ment videos at no costO Direct access to the Fellowship Curriculum Bibliog-raphyO Track surgical logsO Complete program evaluationsO Robust search of job postings

Benefits for residentsO Webster classic, soft tissue videos available at nocostO Wound Suture and Soft Tissue Manual, available atno cost

If you have questions onhow to navigate the LEARNsite or need your AAFPRSusername and password toaccess the members onlybenefits, contact KarenSloat, [email protected] www.aafprs-learn.orgtoday. M

HAVE YOU

VISITED

LEARN LATELY?


7:55am-8:00am Opening Remarks by Program ChairsLisa Grunebaum, MD andJ. Randall Jordan, MD

8:00am-8:35am Current Trends in CMF TraumaRobert M. Kellman, MD

Paper Presentations8:37am-8:45am Change in Columellar-Philtral Angle

Over Time after Rhinoplasty: An OriginalReport and Guide for the BeginningRhinoplasty SurgeonTara E. Brennan, MD

8:47am-8:55am The impact of an Alar Base Reductionon the Nasal AirwaySai Sumana Gupta, MD

8:57am-9:05am Severe Thyroid-Associated OrbitopathyLeads to Attentional Distraction: A 3-DEye-Tracking StudyDavid Liao, BA

9:05am-9:40am Practice Management for CosmeticSurgeonsJonathan Kaplan, MD

9:45am-10:15am Break

10:15am-10:50am Facial ReanimationBabak Azizzadeh, MD

Paper Presentations10:52am-11:00am Electrophysiologic Assessment of a

Nanofiber Neurograft for Facial ParalysisJacqueline J. Greene, MD

11:02am-11:10am Measuring Facial Paralysis Severity –Do Our Tools Match Social Perceptions?Jason C. Nellis, MD

11:12am-11:20am Turn-in Modification of Bilobed Flap forSingle Stage Reconstruction of a FullThickness Nasal DefectDenzel A. Cole, MD

11:22am-11:30am Equivalent Outcomes of Nasal TipReconstruction: A RetrospectiveComparison of Double Half Bilobe Flapto Traditional BilobeBrandon Jackson Baird, MD

11:32am-12:08pm Multidimensional Facial RejuvenationFred G. Fedok, MD

12:08pm-1:00pm Lunch

1:00pm-1:45pm Facelift Pearls:A Woman’s ViewJill Hessler, MDand SarmelaSunder, MD

1:45pm-2:15pm Quick Tips for Achieving the BestOutcomes in Minimally InvasiveCosmeticsPanelists; Jill Hessler, MD; SarmelaSunder, MD; Lisa Gruenbaum, MD; andSabrina Sabi, MD

Paper Presentations2:17pm-2:25pm Long-Term Review of the Lateral Crural

Steal: Its Effect on Nasal Tip Projectionand Rotation in RhinoplastyChristian P. Conderman, MD

2:27pm-2:35pm Biochemical Compositional Analysis ofCadaveric Rib CartilageJeffrey Teixeira, MD

2:37pm-2:44pm Quantification of Rhinoplasty InstrumentSharpness Using Optical CoherenceTomographyJeffrey T. Gu, MD

2:45pm-3:15pm Break

Paper Presentations3:15pm-3:23pm Comparison of Spreader Graft

Outcomes and Operative Times Basedon Open Versus Endonasal ApproachJason Talmadge, MD

3:25pm-3:33pm Opening the Black Box of NasalOsteotomies: Navigation-AssistedRhinoplastyElizabeth H. Wick, MD

3:35pm-3:43pm The M-Plasty Technique for Correctionof Internal Valve Obstruction: ObjectiveAssessment of Functional andAesthetic OutcomesDr. Garrett D. Locketz, MD

3:45pm-3:53pm Willingness to Pay for IncreasedAttractiveness through RhinoplastyDavid Chen MD

4:00pm-5:00pm Nasal Valve Dysfunction PanelCo-sponsored by ARSModerator: Lisa Grunebaum, MDPanelists: Sam P. Most, MD; RichardHarvey, MD PhD; and Leigh Sowerby, MD

AAFPRS Spring Meeting (Part of COSM)Friday, April 28, 2017

F J. RANDALL JORDAN, MD

LISA GRUNEBAUM, MD ECO-CHAIRS

To register, visist: http://cosm.md/COSM Registration Officec/o American College of Surgeons633 N. Saint Clair St.Chicago, IL 60611

Headquarter HotelManchester Grand Hyatt San Diego1 Market Place, San Diego, CA 92101(888) 421-1442 (reference COSM toreceive the discounted rate)


○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

In October 2016, a team ofsurgeons traveled to Kijabe,Kenya, to help treat childrenborn with cleft lip and palate

deformities. AAFPRS members ofthe team included David Chang,MD; Jewel Greywoode, MD; andEric Dobratz, MD (Dr. Dobratz ispictured below with child). Othermembers of the team includedpracticing otolaryngology andfamily practice residents, ajournalist, and other volunteers(see team photo below).

The AAFPRS Foundation'sFACE TO FACE program helped toprovide surgical and medicalsupplies that were utilized to carefor these children. ENT and facialplastic surgeons have beentraveling to Kijabe to help care forcleft patients for more than 10years and have treated thou-sands of children with cleftdeformities. This year, the teamwas also able to perform auricu-lar reconstruction on a child bornwith microtia/atresia.

On this most recent trip, theteam performed 56 cleft surgeriesat the AIC-Cure InternationalChildren's Hospital, which is

FACE TO FACE TRIPS: KENYA, AFRICA AND LIMA, PERU

located in Kijabe (90 minutesnorth of Nairobi). The proceduresperformed included cleft lip, cleftpalate, and fistula repairs. Chil-dren and their parents from allover Kenya, as well as Somalianrefugees living in Kenya, traveledto Kijabe to have surgery per-formed. Each patient and theirfamily member stayed betweentwo to three days, depending onwhether they had a cleft lip orpalate surgery performed. Some ofthe volunteers that were notsurgeons spent time visiting withthe families and entertaining thechildren as they began healing.

The team operated for fivedays in order to care for thesechildren coming from resource-limited areas of Kenya. Whiledoing so, the team also promotedthe educational exchange amongthose traveling and the localmedical staff. During these tripsto Kenya, the team works hand inhand with local medical profes-sionals.

The physicians and staff atAIC-Cure do an excellent job infollowing up on the children vialocal and mobile clinics. It isalways encouraging to hear abouthow much of an impact thesetrips have made on the lives ofthose affected. Many children andcaregivers go from being sociallyisolated and ostracized to beingwelcomed back to their communi-ties after the surgeries are per-formed.

Another successful trip to LimaNovember 5 - 12, 2016, FACETO FACE sponsored anothercleft surgery mission to Lima,Peru. This is the fifth trip toLima, and each year themission keeps growing. Theteam was led by Ryan Brown,MD, and included AAFPRSmembers Charlie Finn, MD,and Shaun Desai, MD.

This year's group consist-ed of 25 people includingsurgeons, anesthesia, nurses,speech therapy, audiology,and optometry. The team

returned to the same govern-ment hospital in Lima andwas able to follow up onseveral patients from previousmissions.

There were 116 proceduresperformed on 81 patients withalmost entirely cleft lip and cleftpalate. Speech therapists pro-vided 63 speech and languagesessions. For the first time, anoptometrist and audiologistparticipated in the mission andprovided free glasses and hearingaids to dozens of patients.

The training of local healthprofessionals and medical stu-dents continues to be an empha-sis for each FACE TO FACEmission. Medical individualsworked side by side with the teamphysicians and ancillary staff topromote a collaborative educa-tional environment and enhancethe experiences of all involved.

The generous grant fromFACE TO FACE helped covertravel costs for patients who camefrom the mountainous and jungleareas of Peru. These impover-ished patients often have to travela day or more to reach the Limamission. It also helped buy newequipment to provide hearingscreenings and hearing aids forpatients.

For those interested in par-ticipating in future trips, pleasecontact Karen Sloat at the Acad-emy office, [email protected]. M

CHARLIE FINN, MD (LEFT) AND RYAN BROWN,MD, SEEN HERE WITH A CLEFT LIP AND PALATEPATIENT AND PARENT.


PR COLUMN: MAKING HEADLINES...LET 2017 BE THE YEAR

YOU BECOME A MEDIA DARLING

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

Make 2017 the year thatall of your mediadreams come true.Resolve to stop griping

about why the doctor down thestreet is getting all of the pressand you're getting none. Instead,follow this five-step action planfor guaranteed results.

Step 1: Visualize. Whether inyour mind or via pictures onprominently displayed ideaboards, visualization can helpdelineate and achieve mediagoals. Aim high. Picture yourselfwhere you want to be, whetherchatting it up on the “Dr. OzShow,” or trying a new device outon one of the women of “TheView.” Many studies show thatsuch visualization tactics worklargely by boosting confidenceand encouraging creative solu-tions. As famed futurist FaithPopcorn says, "If the vision isthere, the means will follow." Nowthat you know what you want, it'stime to take steps to get it.

Step 2: Re-evaluate andreimagine your strategy. How hasyour media outreach looked inthe past? Do you have an in-house staff person responsible?Have you outsourced this task?Were you happy with the returns,i.e., placements and opportuni-ties? If your 2016 media coveragewas less than spectacular,2017 is the year to shake thingsup.

Step 3: Do some trend fore-casting. Carve out some “you-time” to think about trends andnew technologies that are here orcoming soon. (As far as trends go,the results from the 2017 annualAmerican Academy of FacialPlastic and Reconstructive Sur-gery survey can certainly help getthe ideas flowing.) The goal of thisexercise is to identify hot topicson which you can speak withauthority. Are you seeing moretransgender patients? Are youperforming filler rhinoplasty moreregularly? Are patients asking to

look like a certain celebrity? Isthat new lip filler a big hit?

Step 4: Reach out. If you haveyour own list of media contacts,shoot them an email letting themknow what 2017 may hold forfacial aesthetics. Make sure theyknow you are available to discussall of the above. Media also lovenew studies published in peer-reviewed journals. Do you haveany articles coming up in JAMAFacial Plastic Surgery or FacialPlastic Surgery? If so, consider anews release or news alert.Distribution over a service suchas Newswise may increase expo-sure and coverage.

Step 5. Put yourself out there.To be an expert, you must posi-tion yourself as one. Publish blogposts on important subjects andcurrent trends, post about thesetopics on social media, and makesure your Web site offers detailedinformation on the latest tech-niques and technologies. Theseall get crawled by search engines,so when a reporter types insomething like "fat grafting to theface expert," your content endsup on top of the page. Once onereporter quotes you, others willfind you more easily. When you doget quoted, share the article onsocial media and elsewhere toexponentially increase the num-ber of eyes on it. Signing up forProfnet from CISION as an expertin facial aesthetics is yet anotherway for a reporter or editor to findyou—especially when they are ona tight deadline.

If media coverage is importantto you, make sure your staffknows. Journalists have littlepatience for being put on hold orpassed around when they areexpecting an interview. If you arerunning late or need to resched-ule, reach out in advance and letthe reporter know. Such commoncourtesy goes a long way towardestablishng and fostering goodrelations with media.

See you in the headlines! M

Editor’s note: This column wasprepared by the Academy’s publicrelations firm, KELZ PR.

KELZ PR is eager to hear aboutyour dynamic patient cases thatthey can share with the media. Ifyou have a story to share, pleasee-mail Patty [email protected].

○

○

○

○

○

○

○

○

○

○

○

○

○

○

CALL FOR AWARDSIn an effort to present theseprestigious awards to well-deserved facial plastic sur-geons, consider nominatingyour colleagues. E-mail GlendaShugars at the AAFPRS office([email protected]) toreceive a nomination form orvisit the AAFPRS Web sitewww.aafprs.org/research/awards/ for more information.

William K. WrightThis award may be presentedeach year to an AAFPRSmember who has made out-standing contributions tofacial plastic and reconstruc-tive surgery.

John Dickinson TeacherThis award honors an AAFPRSfellow or member for sharingknowledge about facial plasticsurgery with the effective useof audiovisuals in any oneyear.

F. Mark Rafaty MemorialThis award may be presentedeach year to any AAFPRSmember who has made out-standing contributions tofacial plastic and reconstruc-tive surgery.

Community ServiceThis award may be presentedeach year to an AAFPRSmember who has distinguishedhimself or herself by providingand making possible freemedical service to the poor inhis or her community.


○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

From Medical Editor, page 4is nothing. This goes under thephilosophy of don't spend whatyou don't have. It is easy to wantthe latest and greatest new toy,but often it doesn't turn out to beas great as anticipated. When youstart with nothing, you get aw-fully creative in finding a new andbetter way to get to the sameplace as everyone else. If, how-ever, a purchase is necessary,then always get three quotesbefore deciding.

8. Those who boast they willsend you patients, often don't.Beware of the bearer of gifts andfear the flatterers. They quiteoften expect something of greatervalue in return.

9. Be aggressive in thought,but cautious in action andspeech. Think big, but planactions one or two steps ahead.

Reflexive behavior and rashdecisions often lead to a quickdemise. Anything good neverhappens fast. Allow things todevelop, including the latesttrends. Don't be in such a hurryto be the first to adopt a newtechnology or procedure. Realizethat those in the front of thecharge usually take the mostarrows.

10. Listen, listen, and thenlisten some more. This couldsingle handily be the most impor-tant tip I can provide, whether inconsultation with a patient, in areview with an employee, or in atiff at home. You are more likely tomake the correct diagnosis andchoose the best course of action ifyou master the skill of listening.

While not a complete list, it ismy top 10 practical pearls ofpractice. What would be yours? M

MASTER THE SKILL OF LISTENING

This is the fourth year ofimplementation for thethree projects funded byThe Many Faces of Gener-

osity campaign. Culminating atthe 2012 Fall Meeting in Wash-ington, DC, the campaign raisedover four million dollars to sup-port three core projects identifiedby the AAFPRS leadership andmembers as critical to the ongo-ing success of the specialty offacial plastic surgery.

O Excellence in educationO Expansion of the Foundation's research programsO Support for the FACE TO FACE humanitarian effortsDuring the 2014 Fall Board of

Directors meeting, recognizing thevalue of online learning, theBoard approved a new standingcommittee under the Foundation,the LEARN Enhancement Com-mittee. The primary charge of thisgroup, chaired by Theda C.Kontis, MD, is to develop anoverall strategy for enhancing allaspects of the LEARN educationalportal and to assure consistencyand continuity with all otherAAFPRS committees, particularlythe Membership/ResidencyRelations Committee, MultimediaCommittee, CME Committee, andFellowship Committee. Conveningapproximately every eight weeksduring 2016, committee membersfocused on making the platformmore user friendly and developingthe site for members, residents,and fellows.

The Research Center Commit-tee, Lisa Ishii, MD, MHS, commit-tee chair, continued to emphasizethe need for research in thespecialty of facial plastic andreconstructive surgery. TheResearch Center distributed$67,500 in grants and scholar-ships in 2016. The third ResearchForum was also held during the2016 Annual Meeting in Nash-ville.

In 2016, we continued toenhance the database con-structed in 2014 for the FACE TO

YEAR IN REVIEW, PROGRESS REPORT

FACE programs, Manoj T.Abraham, MD, committee chair.This database provides thefunctionality to store and trackinformation about the three FACETO FACE programs and providesthe ability for individuals toindicate and submit informationindicating interest in one or moreof the programs. Since its imple-mentation, physicians haveoffered ideas to streamline theplatform for more effective analy-sis of the data.

In 2016, AAFPRS membersreceived over $45,000 in stipendsto offset expenses for AAFPRSsanctioned international mis-sions, and $30,000 has alreadybeen approved for six sanctionedtrips in 2017.

A more detailed report will bee-mailed to all members. Mean-while, if you have any questionsabout any of the three projectssupported by the campaign,please contact senior projectconsultant, Karen Sloat by e-mailat [email protected]. M

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

The Robert L. Simons Archivaland Heritage Center is in needof your help. We are looking forcopies of the AAFPRS' NewsBulletins to add to our ar-chives. Please send archivistLinda Rothbart an e-mail [email protected], if youhave some copies to spare.Thank you in advance.

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○


2017JANUARY 13-15*ASAPS LAS VEGAS 2017 FACIALAND RHINOPLASTY SYMPOSIUMLas Vegas, NVCo-chairs: Charles H. Thorne, MD, andLouis P. Bucky, MD

APRIL 26-30AAFPRS SPRING MEETING(FRIDAY, APRIL 28)(in conjunction with COSM)San Diego, CACo-chairs: J. Randall Jordan, MD, andLisa Grunebaum, MD

MAY 4-7ADVANCES IN RHINOPLASTYChicago, ILCo-chairs: Peter A. Adamson, MD;Sam P. Most, MD; and Oren Friedman,MD

FACIAL PLASTIC TIMES

JANUARY/FEBRUARY 2017

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

JUNE 24-25ABFPRS EXAMINATIONWashington, DC

AUGUST 3-6*13TH INTERNATIONAL FACIALNERVE SYMPOSIUMLos Angeles, CACo-directors: Babak Azizzadeh, MD,and William Slattery III, MD

OCTOBER 25AAFPRS COMMITTEE MEETINGSPhoenix, AZ

OCTOBER 26-28AAFPRS ANNUAL FALL MEETINGPhoenix, AZCo-chairs: Louis M. DeJoseph, MD andJaime DeRosa, MDMeeting Director: Phillip R. Langsdon,MD

*ENDORSED BY THE AAFPRS

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

○

A Letter from thePresidentAmy Mladineo

Who's ready forPhoenix, Arizona? Ifyou haven't heard,our Annual Meetingwill be held October26-28, 2017, at the SheratonGrand Phoenix. Mark your calen-dars now!

If you haven't already re-newed/joined the OFPSA, now isthe time to do so. Remember, it'sonly $185 for the whole depart-ment, for the whole year. There'sno longer an individual rate.You can find the registrationform on our Web site atwww.ofpsa.org.

I know some of you haveasked about the member direc-tory. If you're registered and youdon't see yourself on the Web site,please e-mail me your photo andwe will do our best to get everyoneon there. I'd like to keep it as up-to-date as possible.

I'm hoping to have moreOFPSA members involved in themeetings. If there's a specifictopic you'd like to hear, or if you'dlike to speak at the meeting,please let me know. I'd like theprogram to be more hands-on,have more round table discus-sions, more scenarios, and evenmore panel discussions. I encour-age anyone with a thought or asuggestion to reach out.

I've created a survey that Iwill send out to all members to gettheir thoughts and inputs. Youcan also follow us on Instagramat @OFPSA.

The officers will start amonthly conference call inJanuary to prepare for the FallMeeting. If you have any interestin joining these calls, pleasesend me an e-mail [email protected].

Enclosed in this issue ofFacial Plastic Times are theAdvances in RhinoplastyMeeting brochure and theAAFPRS Committee Roster.

Fall Meeting tip: Bring yourbusiness cards. It's an easy wayto keep in touch and to reach outto one another for advice andsuggestions. We are all herelooking for growth, support, andways to improve. I can't be moreexcited for this year’s Fall Meet-ing.

I hope everyone had a won-derful holiday. Happy New Yearand I hope to see you in ninemonths. Thank you for letting meserve as your OFPSA president.Along with the OFPSA officers, wethank you for your enthusiasmand support. M

From AMA Report, page 6honors a medical associationexecutive who has contributedsubstantially to the goals andideals of the medical profession.

“With three decades of workin the field of medicine—includ-ing an early stop at the AMA—Steve has dedicated his career topatient advocacy and his sparetime to children in need. It is ourprivilege to recognize an es-teemed medical professional whohas advocated tirelessly for theprofession before Congress, statelegislatures, and regulators,”says AMA president Andrew W.Gurman, MD. We want to sincerelyecho Dr. Gurman’s words of praisefor Steve and express theAcademy’s deep appreciation. M

THANK YOU, MR.

DUFFY

January/February 2017 Vol. 38, No. 1 · sessions and impressive roster of international ... attend...

Documents

Transcript of January/February 2017 Vol. 38, No. 1 · sessions and impressive roster of international ... attend...