COMBINATION. INSIDE this ISSUE. Practice. WHAT is your. AMERICAN SOCIETY OF COSMETIC PHYSICIANS Cosmetic Education Without Boundaries

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1 Network With Us JANUARY/FEBRUARY 2016 VOLUME 2 NUMBER 7 WHAT is your COMBINATION Your Link, Your Voice, Your Society? HELLO 2016 INSIDE this ISSUE Striving to VANQUISH A look into Vaginismus by Dr. Peter Pacik From the DESK of Sanjeev Sharma, MD Practice Mara Shorr, BS Jay Shorr, BA Wing Forecast & Predictions Walter Tom, MD & Gregory Alouf, MD Join the HASHTAG movement #MySocietyASOCP Cultural Impact Dr. GabrielPatino Member Spotlight Meet Dr. Herbert Parris AMERICAN SOCIETY OF COSMETIC PHYSICIANS Cosmetic Education Without Boundaries

2 Are you an ASOCP MEMBER? Why not? The American Society of Cosmetic Physicians (ASOCP) is an organization which encourages the open exchange of ideas, techniques, patient safety, technological advancements and complications. ASOCP is proud to have faculty, members, and healthcare professionals from all specialties who are open to sharing their knowledge and expertise. Membership in the ASOCP has seen constant growth and now consists of over 800 members from different countries. Certificate of Membership Don t just say you re a member, show them you re a member Completion Certificate on Workshops Receive a certificate that shows you have completed CME accredited educational event on a particular subject CME credit on all ASOCP sponsored events Every ASOCP event or sponsored event will be offered with CME s Use of the ASOCP logo Members will receive free access to the use of the ASOCP logo Social Media Collaboration between members and the community through Facebook and LinkedIn Updates on Upcoming Events Receive s and mailers on upcoming workshops and events so you can stay informed MEMBERSHIP TIER LEVELS Partner (MD, DO, DDS, DMD) $5,000 -has fulfilled the fee schedule for lifetime membership -holds a genuine interest in maintaining and encouraging the mission of the ASOCP -holds a license that is current and unrestricted -performs or is interested in cosmetic medicine Physician (MD, DO, DDS, DMD) $500 -holds a genuine interest in maintaining and encouraging the mission of the ASOCP -holds a current and unrestricted license -performs or is interested in cosmetic medicine Aesthetic Professional $250 -holds a genuine interest in maintaining and encouraging the mission of the ASOCP -performs or is interested in offering services related to cosmetic medicine -non-physician Resident No Cost -holds a current and unrestricted license -currently participating in a residency or fellowship program-holds a genuine interest in maintaining and encouraging the mission of the ASOCP Discount on all ASOCP sponsored education Because continued education is important, stay informed for a discount on all workshop and annual meeting. Clinical Case Review Submit difficult cases for advice or typical cases for review and critique Member Directory Your name and practice listed in our member directory

3 Beyond the Walls: VAGINAL realities Striving tovanquish by Peter P. Pacik, MD Vaginismus is both physical with T E S Tinability to tolerate penetration and psychologic as a result of fear and anxiety to penetration due to a history of severe pain with attempts at penetration. Vaginismus is a form of sexual pain that is common and is the most common cause of unconsummated marriages. The DSM 5 defines vaginismus as a Genito-Pelvic Pain/Penetration Disorder. This results in an aversion to vaginal penetration (tampons, finger, GYN exam and intercourse) due to actual or anticipated pain, leading to inability to have intercourse (despite a desire to so) and frequently leads to depression, feelings of lack of self worth & marital problems. Women do not speak about this, often not even to their doctors. The diagnosis is made by history using a comprehensive medical-psychosexual-penetration questionnaire. The differential diagnosis includes dyspareunia, vulvodynia, vestibulodynia and medical conditions causing sexual pain as well as rarely imperforate hymen. Difficulty with tampon use at a young age and a history of hitting a wall when penetration is attempted suggests spasm of the bulbospongiosum and is an important symptom in the diagnosis of vaginismus. Vaginismus can be primary in which a woman has never achieved comfortable penetration or secondary when a woman has had normal penetration and then has inability to have penetration. Menopausal secondary vaginismus often starts with dyspareunia due to vulvovaginal atrophy and dryness leading to vaginismus. Vaginismus is both physical with inability to tolerate penetration and psychologic as a result of fear and anxiety to penetration due to a history of severe pain with attempts at penetration. It is therefore helpful to stratify the severity of vaginismus to better understand what the woman is experiencing. Less severe cases respond to a variety of treatments such as psychotherapy, physical therapy, vaginal dilators, biofeedback, hypnotherapy and sex counseling. Kegels and hymenectomy are not helpful. More severe cases can be successfully treated using Botox injected into the bulbospongiosum combined with progressive dilation under anesthesia and post procedure counseling and support. Some patients require release of a tight hymenal ring. An IRB/ FDA approved research protocol showed a 90% success rate. Currently 391 patients have been treated this way (of 555 evaluations) with minimal mild morbidity (minimal stress incontinence limited to 4 months) and the infrequent need to repeat the procedure (5 patients) as noted by continued follow up and female sexual function index scores. A two day treatment program consists of physical treatment on day one and psychologic counseling on day 2. On day 1 a multimodal Botox treatment program treats the physical spasm under conscious sedation which includes evaluation, injection of Botox and separately bupivacaine followed by progressive dilation to the larger dilators. For many women this is the first time they have been able to move a dilator in and out and often flips a switch for them knowing that their anatomy is normal. Counseling done the following day discusses the use of dilators, creation of a dilation log, overcoming fear and anxiety to penetration and later thrusting when intercourse is attempted, positions useful for dilation and first time intercourse, sensate focus exercises, overcoming leg lock (thighs close with attempted penetration), use of vaginal lubes and preparing for a GYN exam. Follow up and support is essential especially for the more severe vaginismus patients. Often insurance companies deny coverage for the Botox portion of treatment which they describe as investigational and experimental. However the many other facets of treatment such as dilation and counseling should be covered. For further support contact: Peter T. Pacik, MD at ptpacik@verizon.net Make sure to get your copy of ASOCP s very own member, Dr. Peter T. Pacik s book discussing the Vaginismus for further insight on the topic.

4 ADDRESSING PRACTICE DEVELOPMENT: With each new year comes a fresh start. It s time to renew your excitement for your practice, both in terms of how you treat your patients and how your bottom line is affected. With that, we re offering you this easy checklist of things to do NOW to make sure you have a successful Practice Wing TOP 5 TIPS for a Fresh Start in 2016 Analyze your credit card expenses. Do you know what you re paying to process your Visa, Mastercard or Discover Card? Are you getting the best rate possible for your American Express? Are you using a chip processor? Do you know you pay more when you type in a credit card number and corresponding data instead of swiping it directly? Ask your current processor for a detailed breakdown; we re always happy to assist you in the process, too! Update your employee handbook. If you haven t reviewed it in the past six months, now is the time to do so. Make sure you haven t missed standard policies, like paid time off, dress codes and drug testing policy. In addition, be sure to update your handbook with new social media channels as well as technology. For example, are employees allowed to post Snap- Chat videos of your office activity on their personal accounts? What are your policies on wearable technology, like the Apple Watch? Create your marketing plan for the next six months. Don t make the mistake of chasing your tail each month when you know what lies ahead. Plan for spring specials now, and outline community outreach over the summer. For example, if you plan to hold a school supply drive, offering a patient discount when they bring in donations, mark this on your calendar now! You should always have your plan at least six months ahead, knowing that you re able to make the changes at any time. Looking for help with your plan, or looking for design services to make your ideas pop? Enlist experts! Map out your CME and education plan. Between travel expenses and blocking off time out of the office and away from patients, plan now for the conferences you plan to attend in If you live in or near a major city, chances are high you ll be able to find educational opportunities locally. Or, you may wish to travel and make a vacation out of the experience. Either way, block time off and make the investment in your education. Make a resolution to track your marketing efforts and get rid of what s not working. Assign a separate call tracking number to each marketing effort and see which channels are bringing patient leads to your office. Be sure to assign a separate phone number to your social media channels, each magazine you advertise in, and even your website. Once you see there s a clear winner and a clear loser pay attention, elevating or eliminating where necessary! Contributing Authors Jay Shorr, BA, MBM-C, CAC I-VI (ASOCP Faculty) Mara Shorr, BS, CAC II-VI (ASOCP Faculty) Have any questions, comments or concerns? Contact us at (520) or via info@cosmeticphysicians.org

5 Ready, Set, Go Create Your Custom Campaign in 2016 Achievement is ultimately the act of conquering a task. In order to conquer your personal and business tasks.. YOU truly need to set goals for your practice. Create a fool proof game plan that will anchor success and keep your business up to par. We live in an age of INSTANT news, results, reviews. Now is the time to be innovative... Don t wait another instant, READ ON to learn how to set goals successfully by strategizing, executing, and assessing efficienlty. Campaign triumphantly in 2016 and beyond. CAMPAIGN NEW YEAR NEW CAMPAIGN QUESTIONS & MORE QUESTIONS TO ASK YOURSELF WHAT IS THE OBJECTIVE OF YOUR CAMPAIGN? -INCREASE PROFITS and traffic? WHAT DOES IT INCLUDE? -It is most likely that the goal once set into action will require the help of the entire office personnel (get every one involved; this will Ignite Motivation). -Create a game plan tailored to your practice. NOW, Make everyone aware of your campaign! Have a staff meeting to promote your campaign! Did you spark motivation? 2016 A FEW STATS 42% 78% INCREASE IN GOAL ACHIEVEMENT BY WRITING THEM DOWN INCREASE IN GOAL ACHIEVEMENT BY ADDING ACCOUNTABILITY: I.E. MADE A COMMITMENT TO A FRIEND OR COLLEAGUE, AND PROVIDED WEEKLY PROGRESS REPORTS We re Here to Help YOU Accomplish your Goals This Year The American Society of Cosmetic Physicians is committed to providing Cosmetic Education Without Boundaries. ASOCP is currenlty offering live workshops. Our elite society, composed of world renowed physicians and sponsors allows for years of cosmetic experience to be instantly available and at your fingertips. Now is the time to complement your Practice with: -Live workshops -Resources to attain your goals -Support and guidance -Pathway to our Preferred Sponsors 2016 marks the perfect time to start capitalizing. Let one of our innovative sponsors such as Incredible Marketing point you in the right direction. DO YOU HAVE A STRATEGY FOR YOUR MARKETING CAMPAIGN IN 2016? -Make sure that goals are outlined, clear and transparent. -During the team huddle ask for ideas; two heads are better than one. -ARE YOU ACTIVE ON SOCIAL MEDIA? If you re not entirely 100% social media savvy ask for team assistance; I can assure you one of your staff members is a genius on the subject. Social Media Marketing helps increase your visibility online, expand your brand presence, promote word-of-mouth marketing, and attract new customers while increasing your return on investment. DO YOU KNOW YOUR COMPETITORS? Did you do your research? WHAT DOES YOUR DEMOGRAPHIC LIKE? Make sure that your goals are stark and concise; assuring that you paint out your expectations to staff and personnel; so that everyone onboard has a clear vision of the goal. -Other than assuming understanding; take time to describe and explain the importance of achieving the goal. -Keep in mind teamwork is dreamwork: Goals will PROMPT MOTIVATION therefore in the theory should produce positive work outcomes. Sparking such optimal amounts of challenge (not too easy or not too difficult) is key to optimal employment and goal attainment. Achievement provides increased self efficay and constant search for stellar performance. Executing the game plan should be exciting. Your Reputation as you know is priceless. These days it isn t enough to have a website for your practice.. your digital storefront extends to social media and marketing sites as well. As ASOCP members you receive the guidance towards leveraging your reach and impact this year. Make sure that your presence remains pristine and reputable. Word of mouth marketing, now directly correlated with social media is definitely something to use your advantage this year. How will your campaign make it s mark in 2016? Remember, keep the review constant and NEVER LOSE FOCUS.

6 Will Hope Spring Eternal in 2016? 1 Microneedling and PRP will continue to be a leader. Last year we saw an exponential growth in this skin rejuvenation modality. It outpaced minimally invasive fractional lasers because of its effectiveness, price point and lesser downtime. I predict this service demand to continue to grow throughout by: Walter Tom, MD Cosmetic Medical Predictions: 2 Patient demand for non-surgical neck treatments would seem obvious. Yet even with the emergence of deoxycholic acid (Kybella) the Injectable Liposuction and cryolipolysis (CoolSculpting) latest treatment head for spot chin/ neck fat reduction, I predict modest growth. The cost of neck liposuction may be the same or less making its more dramatic end result appealing despite relative longer downtime. Cosmetic Surgery Predictions WHAT CAN WE E Forecast and Predictions fro Gung Hay Fat Choy Everyone! The economy is stronger, people are more optimistic and exciting advances are happening in the field of cosmetic medicine and surgery. I was asked by the editors of ASOCPConnect to offer my predictions for So here goes. Cosmetic medical treatments will continue to outpace cosmetic surgery procedures. But this trend will be age dependent. The aging Baby Boomers (age 52-71) will seek out cosmetic surgery in keeping with their consistent attitude of forever young. However the Millennials (age 21-41) whose numbers are second to the Baby Boomers characteristically want no downtime and immediate results and will favor cosmetic medical treatments. It s the Generation X (age 35-55) that may be your practice s sweet spot for returning combination cosmetic medicine and surgery. 3 Despite my initial skepticism, I am impressed with the results of the newly introduced nonsurgical radiofrequency treatment (ThermiVa) for vaginal rejuvenation. Although a sensitive subject to discuss publicly, many women because of aging and childbirth suffer from vaginal laxity, dryness, sexual dysfunction and stress incontinence. I predict that this will be a service of great benefit for our patients and the demand will grow considerably in 2016 as women feel more empowered to discuss these issues with their doctors. 1 Coming out of the recession Baby Boomers still have to work and are concerned that their tired eyes make them look old and unemployable. The demand for blepharoplasty eyelid surgery will increase. Practice Management: 2 I predict increased momentum for hair transplant in the Baby Boomer male. It may be the single most effective way to keep up with their Baby Boomer female counterpart. Relationship Building will be the key for growing your practice in Your present patients know and trust you. I predict that if you reward your patients trust by acknowledging your appreciation of their loyalty by nurturing that special doctor patient relationship your practice will flourish in 2016! 3 Many predict a patient demand for a more natural appearing breast augmentation. I disagree. Despite my own artistic preference for a natural sloping superior breast, the majority of patients young and older desire a fuller superior pole. There is actually a slight increase in requests for the implant look as cosmetic surgery is becoming more accepted by mainstream America. I have consulted several patients with tear dropped implants placed by other colleagues. They requested replacement with the traditional high profile rounded implants because they were disappointed in the lack of superior pole fullness. 4 Buttock fat transfer although primarily requested by our Hispanic population will grow in popularity in our Caucasian and Asian population although requesting more modest enhancement.

7 EXPECT IN 2016 rom 2 of our ASOCP Board Members A year in review and what lies ahead. by: Gregory Alouf, MD Another year has past in the world of cosmetic medicine and surgery. At the end of every year, many things happen. We close out the old year and welcome the new one. During this transition period, we tend to reflect on what has happened, both personally and professionally, as well as anticipate the opportunities that a new year has in store. As a business owner, I keep my finger on the pulse concerning both the financial and also the clinical realms of a cosmetic practice. In retrospect, 2015 has been a unique year. After speaking to many colleagues in similar practices, various business owners around the country, as well as many device and laser reps, the consensus has been the same. Business was not very booming in One nationwide laser rep told me all plastic/ cosmetic surgical practices are down across the country. Others state there is more interest in the non-surgical body contouring procedures. Statistics concur. Fortunately, there has been an up tic in numbers of treatments by non-invasive modalities. Although not all practices have experienced a decline in surgical procedures throughout 2015, the overwhelming thought or feeling is that growth has not been as glorious as compared to previous years. This has left me to wonder and ponder the reason why? Is the economy down? Is it because of the upcoming election and fear for where the country is going? Is the worldwide fear of growing local terrorism the cause? For over a decade, I have studied the business model of a cosmetic medicine/surgery practice and evaluated its components. My clinic/practice does not accept insurance. It is effectively a fee for service model. Ultimately my services are a want and not a need. This is in direct contrast to a medical practice that accepts insurance. Individuals who come to my clinic and request services have to not only want my services, they also have to have the money or financial capabilities to pay for such. I think of my practice as Retail Medicine. I have often said, I might as well be selling hot tubs and jet skis. These items, as well as cosmetic services, seem to be the first things one can do without in tough times. My practice is driven by hope and optimism on behalf of the patients. If they sense fear or an uncertain future, they are not likely to embark on cosmetic services that require disposable income. In contrast, medical practices bill insurance and most services rendered are needed by the patients. These patients are driven in to the clinic due to a pain, or a medical condition requiring treatment. Also, the majority of the costs incurred are paid for by insurance. During the past 8 (eight) years of the current recession in the country, most medical practices haven t felt a bump in the road as far as patients and revenue. Most medical practices don t even need to advertise. So what lies ahead for a cosmetic practice? Well truth told, no one really knows! What must we do to stay current and relevant? My belief is simple. Believe in yourself first. Love what you do and you will never work a day in your life! Stay educated and stay close to your colleagues. Stay connected to your/our society. Stay current by attending society meetings. Learn new surgical techniques. Stay abreast of new lasers and technologies. Educate your staff in practice management and marketing. Be the best you can be and you won t have to worry about competition. My uncle (founding father of the Virginia Dental Association) once told me, don t worry about competition, there s always room for the man on top! I look forward to I have optimism and hope for the future. Life is always full of ups and downs and seems to be cyclical. I look forward to growing our practice and growing our society. The members of the ASOCP are all from diverse training backgrounds. This melting pot of our society makes for a unique and synergistic amalgam that will allow us to prosper within the field of Cosmetic Medicine and Surgery. I personally encourage each of you to reach out, stay connected, and to attend our annual meetings and training courses. I remain committed and passionate within the field. physicians.org FEATURED ASOCP QUOTE THE ONLY SOURCE OF KNOWLEDGE IS EXPERIENCE. -ALBERT EINSTEIN 1950

8 Meet Dr. Herbert Parris Things started to take shape in college as I was My name is Herbert (Herb) Parris, MD. I have been fortunate enough to play division 1 college basketball but I soon realized my dreams of playing practicing cosmetic medicine for more than 10 years in Denver, CO. I had a long circuitous route professionally were not going to happen. I was to get to this destination but I am very happy with too short and too slow. I really didn t have a plan where I am. B until I gravitated toward the sciences part way through my sophomore year. The team doctor at the University of Denver was influential in my pursuits of going to medical school and to become an orthopedic surgeon like him. Fast forward and I was able to get into medical school but orthopedic surgery was not of much interest anymore after doing some of the orthopedic rotations. I focused on a primary care/sports medicine track, post graduation and was able to work in that field early on in my medical career. One of my sports medicine highlights was being selected as one of 10 doctors to work for team USA in the 1996 Olympics. And immediately following the Olympics, a trip to the white house to meet President Clinton. MEMBERSpotlight I later had a mid career itch to do something else within medicine and ended up as a vice president and medical director at 2 different health plans ~ 15 years ago. I soon developed a dislike for managed care and yearned to do some type of procedures. Thus, I fell into the cosmetic medicine industry and opened a medspa. Over time and with a steep learning curve I evolved my spa into a medical skincare and laser clinic called Ageless Aesthetics. My areas of interest are facial rejuvenation with neuromodulators and cosmetic fillers as well as ablative laser treatments. I also have added liposuction to my offerings at Ageless Aesthetics. I also have 4 employees that do other cosmetic services including laser hair removal, chemical peels, microdermabrasion, IPL and facials. We also carry prescriptive and over the counter skin care products. I can not thank the ASOCP and its members enough for the insight and guidance I have received over the years. I couldn t have made it this long without you!! I really look forward to our yearly educational meetings and sharing ideas with my colleagues at the ASOCP, Annual Cosmetic Conference in Scottsdale, Az. Connect with us! Share your story.. We d love to hear what your route to the peak has been like. what was your route like?

9 Q&A When we first decided to feature a piece focusing on the impact of multiculturalism in cosmetic medicine, Dr. Gabriel Patino quickly came to mind. He s of Colombian ethnicity and with his practice located in El Cerrito, CA near one of the country s top cultural melting pots (San Francisco); I felt certain he would be the ideal candidate to cover this angle of the cosmetic realm. Please enjoy the following Q&A segment as Dr. Patino shares his personal journey of multiculturalism and most importantly, how understanding diversity is essential when sculpting successful procedures. Cultural Impact AE: Do you think your cultural upbringing led to you to become a Cosmetic Physician? GP: Beauty is very important in Colombia.The Miss Universe pageant there is similar to the Super Bowl here, most people watch it. My father was a surgeon and my mother was an artis, which greatly influenced my decision to become a Cosmetic Physician. AE: What is the most important part of being a Cosmetic Physician to you? GP: Being able to help others look and feel better. AE: How do you feel that culture influences your practice? GP: I feel that the way I communicate to my patients is very unique, based not so much on my own culture, yet theirs. I speak six languages precisely to connect with patients in their own native language. You can get so much closer to your patients this way; establishing a sense of trust. This is perhaps one of the most important consultation goals. AE: What would you consider your demographic of patients to be? Are a majority of a specific ethnicity? GP: Yes. The majority are of Hispanic ethnicity. African Americans and Caucasians come next, followed by Brazilians which are also very much involved with beauty. colombian At tributes AE: Based on a diverse patient group; because of your nationality are you able to understand or relate to their expectations? GP: Yes, I m usually very familiar with their nationality. I often surprise them by talking to them with the typical accent from their own town or region. I m also able to offer services that stem from their culture. AE: What discernible differences exist amongst different ethnic groups? (Any particular technique or procedure that is favored based on ethnicity) GP: The Hispanic demographic is usually interested in abdominoplasty and the Trans Umbilical Breast Augmentation, our African American patients seek fat transfers to the buttocks, and our Brazilian patients prefer larger buttocks and body sculpting. AE: What is your favorite and top procedure to perform and why? GP: I absolutely love the Trans Umbilical Breast Augmentation (TUBA). It is a miraculous way to do a breast augmentation because there is only one tiny incision, the risk of complications is very low. Using my technique and instrument, the procedure can be done in only 20 to 55 minutes so that more cases can be done on a given day without much effort. The modified tumescent Anesthesia lasts 48 hours which provides much more patient comfort and decreases the risk of bleeding and thrombo-embolism, making it a more affordable office based procedure with higher patient satisfaction. AE: What specific technology or technique have you implemented in the last few years that has given you the best return? GP: Smart liposuction was introduced to our practice in 2011; we became profitable within the first two months. AE: Does your individual heritage and cultural upbringing reflect upon your work (procedures) as well as work ethic? GP: Yes, I grew up in Colombia, my father was a general surgeon and a major general in the Colombian army. My mother was a very loving and charitable person. They taught me how to love God and my neighbor. I go to mass and take the Eucharist ( body, blood, soul and divinity of our Lord Jesus Christ) everyday. I see the image of God in every one of my patients. I tell my patients that I will care for them as if I was caring for God. Only two patients did not appreciate the God talk. One still had surgery with us and sent me one friend and the other one gave me a bad review. AE: When you need to get your mind off of your practice, what activities or hobbies do you participate in? GP: I love tennis so I play at least ten hours of tennis per week, eight of those hours on the weekends. We live in front of a windsurfing location in the San Francisco Bay. This sport allows me to completely disconnect from everything momentarily. Unfortunately, I don t get to windsurf as much now. I also enjoy snowboarding and wake-boarding. My beloved wife Brooke is the manager of our surgery center. We have four wonderful boys and we all like to participate in the same sports together as a family. We have a particular passion for all kinds of great food. I cook a feast at home six days per week. I can be exhausted from doing surgery all day, yet I still find time to cook. I cook extremely fast and at the same time dance and sing as a total clown to the beat of Colombian music which relaxes me. Family is very important for me. Every Monday I cook for my cousins and our local priest, we pray and play dominos until midnight. AE: As a society member, what attributes give your ASOCP membership value; what are your thoughts on services offered? Would you recommend the ASOCP to fellow colleagues? If yes or no, why? GP: I absolutely love the American Society of Cosmetic Physicians. I feel very welcome here. I feel at home. Every physician is welcomed here regardless of their initial residency training. The ASOCP is committed to Cosmetic education and training by very experienced surgeons who are knowledgeable, easily accessible and humble. In addition to the yearly meeting, there is a variety of hands on workshops. I definitely highly recommend this Society to any Physician who is interested in Cosmetic surgery whether a novice or a very experienced physician. I love learning from my colleagues a variety of pearls and new techniques. I have also benefited from consulting on difficult cases. Probably what I appreciate the most, is the great example set bt our president Sean Petty and all the members of the Advisory Board. It is obvious to me that they are all responsible, well organized, trustworthy, honest and committed to serve without arrogance. Finally, I m honored and grateful to be a speaker at the yearly conferences, a faculty member and the Trans Umbilical Breast Augmentation workshop program director. Dr. Patino is the Chief Medical Director of The Cosmetic Surgical Center of El Cerrito, in El Cerrito, California. He has been practicing medicine since Dr. Patino is board certified by and re-certified by the American Board of Internal Medicine.

10 What s to Come: A Glimpse into 2016 WELCOME 2016: New Year, New Campaign. ASOCP Extends out its resources to make your goals a SUCCESS. UPCOMING WORKSHOPS: COMPREHENSIVE FAT GRAFTING WORKSHOP Feb Feb Tom, Walter, MD Aesthetic Laser and Vein Center: 70 Stony Point Rd., Suite G Santa Rosa, CA AMA PRA CME Credits AWAKE BREAST AUGMENTATION WITH TUMESCENT ANESTHESIA Feb Feb Sharma, Sanjeev, MD, FAAFP, FACGS, MACEP Destination Beauty Medical Spa: 1319 Worcester Road Framingham, MA Dr. Troy Hailparn March 5-6, AMA PRA CME Credits 8:00am Registration DAY ONE 8:15am Where Are We in Cosmetic Plastic Gynecology? A Decade of Change 8:45am Vulvar Anatomy: Structures, Nerves and Vessels 9:15am The Importance of Patient Selection 9:45am Q&A 10:00am Cosmetic Surgery Techniques 10:15am Gathering and Sharing Information: How Best to Help Our Patients 10:30am Q&A 10:45am Break 11:00am Informed Consent: What To Include? 11:15am The Acquired Sensations of Wide/Smooth Vagina Diagnosis and surgical interventions 11:45am Central and Lateral Prepuce (clitoral hood) Reduction and Reconstruction 12:15pm Working Lunch 1:00pm Surgical Demonstrations Patient One: Labia majora and labia minora labiaplasties Patient Two: Lateral prepuce and reduction, central prepuce reverse v-plasty with labia minora labiaplasty 8:00am Breakfast and Discussion DAY TWO 8:30am The G-Spot: What is It? Where is It? And Should it Be Injected with Anything? 9:00am Labia Majora Reduction (LMR) and Reconstruction Proce dures 9:30am What's a Girl To Do? The Challenge of Adolescent Labial Hypertrophy 10:00am Eight Categories of Labial Concern 10:30am Q&A 10:45am Traditional Edge-Reducing Labia Minora Labiaplasty Techniques Partial and complete edge resection 11:00am Break 11:15am Edge Preserving Labia Minora Labiaplasty Techniques De-ephithelialization, inferior wedge resection, and Ostren zki s Fenestration Labiaplasty (OFL) 11:30am Labiaplasty Techniques Causing Horizontal Scarring Central wedge resection, Z-plasty, W-plasty, and Variations Frenuloplasty: What is it and when to do it 11:45am Perineorrhaphy or Perineoplasty? 12:00pm Working Lunch 1:00pm Surgical Demonstrations Patient One: Posterios Colporrhaphy (site-specific defect repair) with revised perineoplasty and left labia minora labia plasty with left prepuce reduction 5:00pm Adjourn Vaginal Workshop: At a Glance Agenda AWAKE TUMMY TUCK WITH TUMESCENT ANESTHESIA March March Sharma, Sanjeev, MD, FAAFP, FACGS, MACEP Destination Beauty Medical Spa, 1319 Worcester Road Framingham, MA AMA PRA CME Credits SEPTEMBER 2016 Scottsdale, AZ Home of the: 2016 ASOCP Cosmetic Conference September 7-11th, 2016 Connect with us #MySocietyASOCP

11 ASOCPMainstay A B C D A 24-year-old man has an anterior open bite after sustaining blunt trauma to the midface. On examination, there appears to be no mandibular injury. Which of the following findings best supports the diagnosis of a Le Fort I fracture in this patient? Anesthesia of the cheek Movement at the lateral orbital rim Movement at the lower portion of the maxilla Movement at the nasal root Test YOUR KNOWLEDGE Please select the ANSWER from the following choices: Please submit your answers for a chance at free registration to the 11th Annual Cosmetic Conference at the OMNI Montelucia Resort & Spa in Scottsdale, AZ September 7-11,2016. To submit your answers, visit the Members section of our website. From the Desk of Dr. Sharma E Step deformity at the infraorbital rim SAVE THE DATE September 7-11, th ANNUAL ASOCP COSMETIC CONFERENCE ACCESS LEARNING -Enjoy unmatched access to colleagues from every facet of cosmetic medicine -Intimate setting allows unique opportunity to intermingle with faculty -Unlimited admittance to sessions and exhibit hall OMNI Montelucia -Learn from other physicians who have built successful cosmetic practices -Learn about the latest cosmetic procedures and newest technologies -Valuable Exchange of Knowledge Scottsdale, AZ Join Us 2016 Reasons To ATTEND VALUE -Learn AMA PRA Category 1 CME Credits - Enhance productivity in your practice and the safe care of patients Conference Details Coming Soon. PLEASE MAKE SURE TO VISIT OUR WEBSITE>

12 American Society of Cosmetic Physicians 8040 South Kolb Road Tucson, AZ cosmeticphysicians.org PRSRT STD US POSTAGE PAID TUCSON AZ PERMIT NO. 448 New Member BENEFITS Keep Coming! SAVE THE DATE 11th Annual ASOCP Cosmetic Conference Scottsdale, AZ SEPTEMBER 7-11th, 2016