The Serious Issue(sort of) - Shorr Solutions
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JULY/AUGUST 2015 F VOLUME 1 F NUMBER 4
Your Link, Your Voice, Your SocietY
The Serious Issue
(sort of)
Adipose Tissue
& The Breast Annual Meeting
Passion for Majestic Beauty
Robert Dryden, MD
Pirouetting Path
Beth Comeau, MD
Thinning Implications
Practice Wing: George Solomon, MD
Part Two: 4S Facelift
Top 10 Open House Tips Jaime Calderon, MD
AMERICAN SOCIETY OF COSMETIC PHYSICIANS
Cosmetic Education Without Boundaries
Pirouetting Path
an acute care setting, I became more con- sure that I was well trained on any pro-
fident in my technical skills, and discov- cedure that I brought into it. I bought
ered how much I enjoyed using my hands my first laser after educating myself on
in medicine to perform small surgical the clinical applications, physics, and the
procedures. I became adept at placing complexities of these devices. I became
pediatric lines, spinal taps, incision and a fellow of ASLMS, a member of AAAM,
Beth Comeau
Maryland Youth Ballet Circa 1984;
drainage of abscesses. Additionally, I AACS, and took advantage of any educa-
e o ma e o o at o o the a o uee enjoyed teaching these skills to bright- tional events I could find. I feel fortunate
by Beth Comeau, MD eyed new residents almost as much as to have been introduced to ASOCP by
performing them. Dr. Richard Goldfarb, as I never before
felt I had a mentor in this business- as my
T here is something unmistakable
about beauty in the arts and the quest
Although working long hours and
overnights was no stranger to me, by the
eighth year of this intense schedule (and
giving birth to my own two children) my
training is not in a “core” specialty. I have
been seeking and craving this mentorship
that the ASOCP provides. It was a reas-
for knowledge that feed my soul. Grow-
ing up, I had an insatiable heart was resisting. The night shifts were
passion for ballet. I trained
intensively throughout my
youth to fulfill my dream “I finally found an organization
of becoming a professional with experts in the field with such a
ballet dancer. Due to my willingness to share and teach what
concentrated ballet pro- we all have an incredible passion
gram, I was permitted to for.”
leave school early as part
of an accelerated program
to train. I was on track to
becoming a professional dancer, and taking its toll. After receiving a cardiac
while on tour in Milwaukee, I had an ablation for ventricular tachycardia and a
unsettling concern about not attending new diagnosis of atrial fibrillation, I de- suring feeling to know that I finally found
college. Also, I knew I could make it as a cided I better listen to my own body or I an organization with experts in the field
dancer; however, I was never going to be wasn't going to be around to see my own with such a willingness to share and teach
the principal in a world-renowned ballet children grow up. I went part time and what we all have an incredible passion
company. The summer after my high spent some much needed time with my for. I attended my first conference last fall
school senior year, I decided to attend the family. I kept up my skills while working in Phoenix, Arizona and met some great
University of Maryland back home. in an ER affiliated with the university, friends who share my enthusiasm for
but listened to my cardiologist and never cosmetic medicine.
As a young college student, it was hard took a night shift again.
for me to find a field that inspired me as I am now in my
much as ballet did until I found medicine. My husband and I had our third child sixth year of
The fire was again ignited, as the desire to in 2004, and when she was getting old practice and my
help innocent, beautiful children became enough to go to school, I wanted to go incredible staff
my newfound passion. back to work full-time and looked into has me busy full
aesthetic medicine. When I took my first time doing what I
After completing medical school, and class in the fundamentals of Botox and absolutely love!
pediatric residency, I joined the faculty dermal fillers I fell in love. It was the per-
of the University of Maryland School fect blend of procedural medicine, the art
of Medicine as an Assistant Professor of line and beauty, and giving the gift of
of Pediatrics and worked as a Pediatric happiness to my patients! I was hooked.
Hospitalist in the in-patient units and
Emergency Room. Through working in I opened my practice in 2009 and made
Dryden,
THe iNTeRViEW: Q&A
Robert MD by: Annette Estrella
A Passion For Majestic Beauty
From the moment I walk through the French styled doors I can sense an appreciation for
elegance and class; etiquette personified at every glance. I’m asked very politely to wait for Dr.
Dryden as he is finishing up a procedure. As I look around I’m intrigued and slightly nervous
since it’s my first “in person” interview. No need to fidget I tell myself, be poised and collected.
His assistant leads me to a conference room where Dr. Dryden greets me and is genuinely
excited to partake in the interview. As I had pre-conceived, a very eloquent persona gives me full
reign to begin the Q & A session. Please enjoy a firsthand glimpse into the world of
Dr. Dryden.
AE: How long have you been in practice?
RD: I’ve been in practice for 44 years.
AE: What is the most rewarding part of being a Cosmetic Physician?
RD: The ability to make people happy; to know that you helped them achieve their vision is extremely fulfilling.
AE: What is your favorite procedure to perform and why?
RD: My favorite procedure to perform is a Breast Augmentation. The breast is beautiful. When the patient witnesses
their results they’re extremely thankful and happy. It is an incredibly rewarding feeling.
AE: What specific technology or technique have you implemented in the last few years that has given you the best
return?
RD: Abdominoplasties, over the past 4-5 years I’ve found to be extremely successful. The removal of the apron or
pannus; it’s the culmination of both the surgeons and the patient’s dedication and effort. Post surgery the satisfaction
endured by the patient is priceless. It’s reaching the destination of a powerful personal journey that is so remarkable.
AE: Do you advertise your practice using social media?
RD: Minimally, I needed someone in the office that could devote the time to develop strategic social media campaigns,
since everyone is already extremely busy; we hired YODLE (marketing company). Their services have indeed proved
to be very impressive.
AE: When you need to get your mind off of your practice, what activities or hobbies do you
participate in?
RD: I have a ranch in western Nebraska; it’s a wonderful escape. It’s an 18 hour
drive to our cabin, definitely worth the scenic drive.
My passion lies in breeding Arabian horses, for years I’ve studied their bloodlines. I’ve
had the honor of breeding beautiful, athletic and structurally sound, prize winning horses.
These majestic animals really provide a change of pace. The hard work invested definitely
pays off; the peace you feel from interacting with a horse is priceless. “There is something
about the outside of a horse that is good for the inside of a man.”-Winston Churchill
Dr. Robert Dryden has three loves: his
AE: In a growing society what attributes give your membership value; what services are family, the practice of cosmetic and
offered that offer the best return for your expense? reconstructive surgery; and the
RD: ASOCP in particular is composed of a very friendly group of doctors. showing, breeding, and riding of Arabian
horses. He lives on the outskirts of
The information offered; exclusively for CAVS (Congress of Aesthetic Vaginal Surgery) Tucson, Arizona, at the base of the
is extremely resourceful. The Annual Meeting is excellent year after year. Rincon mountains and near the Sahuaro
Topics are current and the speakers experts within the field. National Park where he loves to ride his
beautiful horses with
his family and friends.
ADDRESSING PRACTICE DEVELOPMENT AT THE:
Practice
Wing
Whether you’ve been in practice for a few months or a few
decades, the impression you make on your patients each time
they walk through your door is incredibly important.
Top 10 Tips So, when it’s time to hold your Open House,
keep in mind our top tips for success.
j Decide on the focus of your event, and which o Whe hosti g the e e t, offe ou guests light
featu es of ou p a ti e ou a t to highlight. If ou’ e fa e, su h as f uit, heese a d othe appetize s, espe ial-
offe i g de o st atio s o e tai pie es of e uip- l if the ’ e o i g di e tl afte o k. Be a eful he
e t, ake su e to i ite ou e do s to pa ti ipate. it o es to al ohol, ho e e : ake su e to ot offe a
Ask hat the ’ e a le to do ate to suppo t the e e t, so t of de o st atio o t eat e t o a patie t ho has
hethe it e i -ki d p odu t, food o sa ples, a d i - ee e jo i g o ktails, o a t eat e t he e o se t
ite the to offe thei p odu t’s de o st atio s the - a e e ui ed.
sel es. The ha e a ested i te ested i ou p a ti e,
afte all: the o e p odu ts a d p o edu es ou sell, the p Offe i g a affle does t o thi gs fo ou p a -
o e ou’ll e u i g f o the ! ti e: it gi es ou a a to olle t the data of all guests,
updati g ou data ase fo futu e o u i atio , a d it
k P ope l p o ote ou e e t to oth e a d e - gi es ou i i g guests a easo to o e a k soo !
isti g patie ts. Make su e to i lude post a ds that ill
a i e at thei ho es, a paid ad e tisi g o p ess p o o- q Follo up ith ou guests afte the e e t. Se d
tio ith ou lo al edia, so ial edia a d a e- e s- out a e ail letti g the k o ho u h ou e jo ed
lette a paig . Whe ou’ e se di g out i itatio s, ha i g the at the e e t, a d that ou’ e e te di g ou
ake su e to i lude all of ou p ess o ta ts as ell spe ials fo that ight JUST FOR THEM.
ith a pe so al i itatio WELL i ad a e of thei out-
let’s deadli es, i ase the a t to p o ote the e e t. r Follo up ith all p ess that atte ded, se di g
the - photos ith aptio s as ell fo the to u i
l De ide o the spe ials ou’ll p o ote fo that thei e e t se tio s. Doi g this i a ti el a e is ke
ight, a d ake su e to sha e the ith ea h a d e e to e su e ou do ’t iss deadli es.
staff e e .
s Whe e aluati g hethe ou e e t as a
m Make su e ou’ e p ope l staffed, a d ou staff fi a ial su ess, ake su e to tall up ALL e pe ses,
is o ki g as a tea ith s iles o thei fa es. While i ludi g, ut ot li ited to, ost of goods sold, e -
this is of ou se i po ta t, ea h a d e e da the plo ee ti e, ate i g a d a keti g effo ts, fo sta te s.
o e to o k, e e e ou guests a ’t p ope l Make su e that ou e e t as a tuall as p ofita le as it
e jo the sel es if the do ’t feel el o ed thei appea ed!
hosts.
n As si ple as it sou ds, ake su e ou’ e full
sto ked o all e essa ite s. Fo apki s a d pape
to els, to ou usto ized ski a e li e a d lase tips,
ou a t to ake su e ou a e ’t left e pt -ha ded
id-e e t.
Have any questions, comments or concerns? Contributing Authors
Contact us at (520) 574-1050 or via email Jay Shorr, BA, MBM-C, CAC I-VI (ASOCP Faculty)
info@cosmeticphysicians.org Mara Shorr, BS, CAC II-VI (ASOCP Faculty)
Part 2: 4S Facelift: Modified Minimal
2 of 3
Access Cranial Suspension Part
Methods and Materials medicine service test.
Undermining and
Since december 2012, we When necessary, we raised Liposuction of the neck
have been trying to perform the malar fat bag. this was Incisions
a procedure that simplifies achieved using previously
the macs process by under- mentioned subperiosteal
mining broad and subcuta- dissection with the assis-
neously using progressive tance of long lasting spec-
tunnelizations; employing ulated absorbable sutures
the dilson luz method. on over the deep temporal
deep, temporal fascia, we fascia. Tunneling and
use double tipped needles Undermining
to develop u and o purse Surgical Technique
string sutures on smas and
platysma through a small Patient Assessment
incision in the temporal
region. We first have to indentify
the condition of the patient
In some cases and if neces- prior to the surgical pro-
sary, we will perform lipo- cedure. We give a clear
suction with undermining explanation of the goals
concurrently. to inform the patient of our
process. Five days prior to
We operated on 47 patients surgery we give our patients
using this technique. the pro-coagulant therapy with
mean age was 48 with the ethamsyalte v.o. the day
eldest patient 58 and the before surgery we also give
youngest patient 39. all to the patient orally, antibiot-
patients were in good health ic therapy. Purse Sting Sutures
with convenient radiological
and laboratory assessments
and preoperative internal
Standardized Photo Documention
Trimming Skin Suture
Patient Marking
e e the
te e e h ue Mentocervical angle Skin Resection
Dr. Jaime Calderon Ortiz
Dr. Marco Antonio Conde Pérez
Dr. Sanjeev Sharma
Dr. Guillermo Blugerman
...stay tuned
Part 3 in Next Issue
Local Anesthesia
to just the scalp but in up with society’s standard
certain cases may also of beauty, such as looking
result in hair loss through- just like Jennifer Aniston
out the body. The most or Kim Kardashian on
common form of hair loss the covers of magazines.
in both men and women is These images of what
androgenetic alopecia, in society views as beauty
which the make most women
hair loss feel inferior to this
begins be- and try to do almost
tween the anything to look like
ages of that, which leads to
12-40 but several disorders
isn’t very such as bulimia and
notice- anorexia. Hair loss
able until is no different, and
perimeno- women who have
pause. these issues struggle
The other to be satisfied with
types their appearance. As
of hair a medical society,
Thinning H air loss is starting to
loss are
from scarring alopecia,
we should focus on
improving every aspect of
in which the primary and people’s lives from physi-
Implications be a very common issue in
today’s society and as it is
secondary hair follicle is
damaged, and non-scarring
cal to emotional to psycho-
logical, we cannot treat
a growing problem, there alopecia, in which the hair one without the other and
are also many solutions. follicle is normal but the we should help promote
Although hair loss is com- cycling of the hair growth the psychological impacts
“Although hair monly considered to be a is abnormal. In the case of hair loss.
result of old age, especial-
loss is commonly ly for men, there are actu-
of scarring alopecia, the
cause is primarily infec-
considered to be a ally several more scientific tion, fungal, bacterial, or
reasons for the hair loss protozoan. In non-scarring
result of old age, rather than age. Hair loss alopecia, the cause can be
especially for men, equally affects both men endocrinological or non
and women, however, it endocrinological. Recently,
there are actually can be tolerable and even there has been solutions to
considered powerful to be improve the results of hair Dr.
several more sci- bald as a man, whereas loss from even the more George
entific reasons for it is always seen as detri-
mental to have hair loss
uncommon causes. Solomon
is a board
Since there have recently
the hair loss rather as a woman. Today, over been solutions to fixing
certified
cosmetic
25% of all women are some of these hair loss
than age.” experiencing hair loss, and problems with hair trans-
surgeon
who has over 19 years of experience in
50% of women over the plants, there has not been cosmetic and anti-aging procedures. His
age of 40 are experiencing as much focus on the psy- commitment to his patients goes beyond
androgenetic alopecia. chological impact of hair his medical training and education. He
by: The average loss, especially for women, is known for his meticulous attention to
George Solomon, MD person has about 5 million as has been on physical detail and his willingness to take time
hair follicles throughout impact. As we all know, on procedures to ensure that his patients
the body and anywhere achieve their goals and that all procedures
women care dearly about
performed are up to his high, artistic
between 100,000-150,000 their appearance. We also standards.
on the scalp alone. Usually know how much they are
hair loss is concentrated affected by not matching
EDUCATE & cel e b r a t e
PRELIMINARY PROGRAM TOPICS
Non-Invasive Procedures
Botulinum Toxin,
Dermal Fillers
Laser Hair Removal
Cosmeceuticals
Laser Skin Resurfacing
PDT Therapy
Sclerotherapy
Non-Surgical Varicose Veins
Non-Surgical Rhinoplasty,
Chemical Peels
Microdermabrasion
Hyperhidrosis
REASONS YOU MUST ATTEND Tattoo Removal
Politics and Marketing
ACCESS
2 enjoy unmatched access to colleagues from Office-Based Cosmetic Surgery
Liposuction
every facet of cosmetic medicine Laser Liposuction
2 intimate setting allows unique opportunity to Body Contouring
intermingle with faculty Abdominoplasty
2 unlimited admittance to sessions and exhibit hall Breast Augmentation
Facelift
LEARNING Aesthetic Vaginal Surgery
2 learn from other physicians who Endovenous Laser Ablation
have built successful cosmetic practices Phlebectomy
Gynecomastia
2 learn about the latest cosmetic procedures Physiology of Fat
and newest technologies Science of Fat Harvesting
2 share valuable insights and information with Fat Transfer
your colleagues Facial Fat Grafting
Fat Grafting to the Hands
VALUE Brazilian Butt Lift
2 earn AMA PRA Category 1 CME Credits™ Fat Grafting to the Breast
2 enhance productivity in your practice and the 3D Evaluation of Fat Grafting
safe care of patients Tissue Processing
Platelet Rich Plasma
NETWORKING Adipose Derived Stem Cells
2 network with industry leading sponsors Hair Transplant and Facial Implants
Future Role of Fat Reinjection in Cosmetic Surgery
2 collegiality and friendships are always a highlight
of our cosmetic conference Practice Management Seminar
How to Pay for the Stuff you Need
something for everyone! Employee Interviews and Performance Reviews
Benefits, Risks & Rewards Associated with Buying Lasers
Team Building
The Smile Prescription
ASOCP 2015 Payment Security Federal Mandate
Preparing for the Unexpected
10 YEAR CELEBRATION Maximizing Your Internet Results
Patient Communication
Leasing, Loan & Liars:
10th ANNUAL
COSMETIC Congress on Aesthetic Vaginal Surgery CAVS
CONFERENCE Gynecology, Urogynecology, Plastic Surgery, Cosmetic Surgery, Dermatology,
OMNI ChampionsGate Medico-legal, and Marketing, Marketing and Internet Strategy,
Labiaplasty Review, Wedge Labiaplasty, Labia Majora Augmentation,
Orlando, FL Sexual Dysfunction, Erbium Laser in Vaginal Rejuvenation, CO2 Laser
Vaginal Rejuvenation, Pelvic Pain and Dyspareunia, Botox Use in Vagina,
October 8-11, 2015 PRP Use in Gynecology and the O-Shot, Female Genital Mutilation & Reconstructive
Repair Techniques, Vaginal Repair using Amniotic Membrane Graft,
Surgical Vaginal Rejuvenation
An Inverted Stance
Before inverting the course, would be restricted in his health and welfare of
American flag in effectively outlaw options in dealing with the patient.
Being well informed
and becoming
involved will affect
future cosmetic
procedures.
Please refer to the last
page of this issue titled,
“The FDA, Adipose
Tissue, the Breast, your
patient, YOU” for more
information.
this issue of ASOCP placing adipose tissue post mastopexy, post
Connect, the society into the breast. radiation therapies.
checked: In addition the agency The financial
would expand from consequences to the
The United States Flag
Code Title 4, Chapter regulatory medical physician and to
1 devices and drugs to medical costs are very
8(a) The flag should
never be displayed regulating the significant.
with the union down, physicians’ medical The emotional costs to
except as a signal of
dire distress in practice. the patient would be
instances of extreme The prohibition would real.
danger to life and
property. ban procedures, prac- The ASOCP consid-
ticed by the cosmetic ers the actions of this
The flag was specifically physician since, 1983. Federal Agency to be
inverted to call your The patient would not a dire threat; having far
attention to the current have a right to use their reaching
activities of an agency own tissue for consequences in the
of the Federal re-implantation in their practice of medicine,
Government. own breast. the financial well being
This agency, if not dis- The physician would, of the cosmetic
suaded from its present by government action, physician and the
All of the information contained here within is printed in good faith and for general information purpose only. We do not make any warranties about the completeness, reliability and accuracy
of this information. Any action you take upon the information is strictly at your own risk. All of the views and opinions expressed within do not reflect those of the ASOCP.Are you an ASOCP member? Why not?
The American Society of Cosmetic Physicians (ASOCP) is an organization which encourages the open ex-
change 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.
ASOCP MEMBER BENEFITS: MEMBERSHIP TIER LEVELS:
Partner (MD, DO, DDS, DMD)
$5,000
Certificate of Membership -has fulfilled the fee schedule for
Don’t just say you’re a member, lifetime membership
show them you’re a member -holds a genuine interest in maintaining and
encouraging the mission of the ASOCP
Completion Certificate on Workshops -holds a license that is current and unrestricted
-performs or is interested in cosmetic medicine
Receive a certificate that shows you have
completed CME accredited educational Physician (MD, DO, DDS, DMD)
event on a particular subject $500
-holds a genuine interest in maintaining and
CME credit on all ASOCP sponsored events encouraging the mission of the ASOCP
-holds a current and unrestricted license
Every ASOCP event or sponsored event -performs or is interested in cosmetic medicine
will be offered with CME’s
Aesthetic Professional
Use of the ASOCP logo $250
Members will receive free access -holds a genuine interest in maintaining and
encouraging the mission of the ASOCP
to the use of the ASOCP logo -performs or is interested in offering services
related to cosmetic medicine
Social Media -non-physician
Collaboration between members
and the community through Resident
No Cost
Facebook and LinkedIn -holds a current and unrestricted license
-currently participating in a residency or
Updates on Upcoming Events fellowship program-holds a genuine interest in
Receive emails and mailers on upcoming maintaining and encouraging the mission of the
workshops and events so you can stay informed ASOCP
Discount on all ASOCP sponsored education
Because continued education is important, stay
informed for a discount on all workshop
and annual meetingFat grafting for buttocks
augmentation: Combined technique
gives good results
Have you ever dreamed of taking fat from the women had any medical complications improve the contour and, when needed, the
one area where you had a little too much, or infections. Five patients had a minor fluid projection of the buttocks. They outline im-
and transferring to somewhere you wanted collection (seroma) in the area where the portant technical considerations for plastic
a little more? A Brazilian plastic surgery fat was obtained. surgeons, illustrated by a supplementary
team has done just that, using a combined video on the Plastic and Reconstructive
liposuction and fat grafting technique to At one year, the patients were highly satis- Surgery website.
augment and enhance the buttocks, reports fied with their results. All were satisfied with
a study in the May issue of Plastic and Re- the appearance of their waist and 97 per- Dr. Rosique and colleagues note that their
constructive Surgery®, the official medical cent with the appearance of their buttocks. procedure provides the best results when
journal of the American Society of Plastic Three patients underwent a further proce- the planned fat transfer is less than about
Surgeons (ASPS). dure to enhance their cosmetic results -- in one-half liter. They also emphasize that the
two cases, to reduce the volume of gluteal cosmetic outcomes aren't determined by
Rodrigo Gouvea Rosique, MD, PhD, of Mas- augmentation. the amount of fat grafted, but rather by the
ter Hospital of Plastic Surgery in Goiânia, plastic surgeon's combining careful surgi-
Goiás, Brazil, and colleagues outline their Plastic surgeons are seeing growing de- cal technique and aesthetic judgment. They
safe and effective technique of "gluteoplas- mand for gluteal or butt augmentation pro- conclude, "A good result does not depend
ty with autologous fat tissue" for buttocks cedures. A number of different techniques on a lot of fat infiltration, but in a harmoni-
augmentation. They write, "This gluteoplas- have been used for this purpose, including ous way of combining the elimination of fat
ty technique is simple and inexpensive, with gluteal implants. by liposuction and fat grafting for buttocks
minimal morbidity and excellent results." sculpting, even with lasting results."
However, implant procedures have disad-
Simple Approach Combines Liposuction and vantages related to cost, durability, and
Gluteal Enhancement complications. Performing butt augmen- UPCOMING WORKSHOPS
tation using fat obtained by liposuction LARGE VOLUME FAT GRAFTING
The researchers report on their technique -- sometimes called the "Brazilian butt lift"
July 2015
and outcomes of liposuction and fat graft- -- provides a more flexible approach using
ing in 106 women, average age 33 years. the patient's own tissue.
Edward Zimmerman, MD
In an initial liposuction step, the plastic Location: Las Vegas, NV
surgeons obtained fat from areas like the Fat grafting procedures -- obtaining fat from
thighs or hips. one area of the body and transferring it to ABDOMINOPLASTY
another -- are finding a growing range of LIPOSCULPTURE &
This was followed by a gluteoplasty step, uses in both cosmetic and aesthetic plastic LARGE VOLUME FAT GRAFTING
in which the collected fat was reinjected surgery. Dr Rosique and colleagues extend- August 1-2, 2015
to sculpt and enhance the appearance of ed this technique to gluteoplasty, combin- Harold Bafitis, DO
the buttocks. The researchers limited their ing liposuction to reduce fat in areas where Location: Jupiter, FL
evaluation of the results of the technique to there is too much and using it to enhance
patients with no major weight loss or gain the buttocks.
LIPOSUCTION & LARGE
during the year after surgery.
VOLUME FAT GRAFTING
On average, about one-half liter of fat was They find good results using the combined August 15-16, 2015
transferred to the gluteal region. None of liposuction/gluteoplasty technique to Gregory Crichlow, MD
Location: St James, Barbados, BVI
Wolters Kluwer Health: Lippincott Williams and Wilkins. “Fat grafting for buttocks augmentation:
Combined technique gives good results. “ScienceDaily, 30 April 2015.
.The FDA, Adipose Tissue, the Breast, your Patient, YOU
In December 2014, the Food and Drug Administration issued it’s Draft Guidance: “Human Cells, Tissues and Cellular &
Tissue-based products (HCT/Ps). Code of Federal Regulations Title 21 Part 1271
If adopted, THE FDA would effectively “OUTLAW” PLACING ADIPOSE TISSUE INTO THE BREAST.
During the comment period which ended February 23, 2015, public submissions were received from 49 individuals, societies,
andbusiness entities. Three state plastic surgery societies and the AMERICAN SOCIETY OF PLASTIC SURGEONS
provided rebuttals to the FDA’s proposed positions. The ASPS response consisted of an eighteen page well crafted, thorough
and robust document. This is a must read for all cosmetic physicians involved with adipose tissue.
Hopefully, the 49 responses will be enough clarification and guidance for the FDA to modify its position.
At this point, the FDA will issue either:
1. The Final Version of the Guidance
OR
2. Another Draft Guidance for Industry Review
Let us pray that if it is a Final Version, the 49 submitted comments will cause the needed modifications.
If another Draft Guidance is the result, ASOCP WILL ALERT THE MEMBERS OF ITS SOCIETY AND THE
10,000 COSMETIC PHYSICIANS IN WHICH WE ARE IN CONTACT.
Go to the Source, visit The FDA website below:
www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrSearch.cfm?cfrPart=1271
Visit this link for: Comments/Responses
http://www.regulations.gov/#!docketBrowser;rpp=0;dct=PS;D=FDA-2014-D-1856;refD=FDA-2014-D-1856-0001
Contact us to receive a copy of this document or receive any other information: info@cosmeticphysicians.org or by phone: 520-574-1050
An Observation A Commitment, and an Offer
If the FDA Guidance for industry could affect thousands of cosmetic physicians and their patients, only 49 responses appears
to be a modest reaction indeed.
Either the cosmetic physician just wasn’t that interested or was unaware of the situation. I would suggest that what we are
dealing with is a lack of communication.
Weaving one’s way through the FDA and regulations.gov websites is truly a challenge.
It wasnt’ until the May/June 2015 issue of MedEsthetics that the Andrew S Littleman, Esq article “FDA and Autologous
Medicine was published - 3 months after the deadline to register a response to the FDA.
ASOCP and ASOCP Connect are committed to making its members aware of forces that could adversely affect the practice
of the cosmetic physician.
Accordingly the ASOCP will monitor the activities of the FDA as it related to adipose tissue and the breast.
The ASOCP will keep you informed in a timely fashion.
The fat/breast discussion will not be the last, serious threat to the cosmetic physician.
If you hear something “going wrong” notify the ASOCP. The ASOCP will investigate the issue, and if it has National or State
wide importance, WE WILL INFORM THE 10,000 COSMETIC PHYSICIANS THAT RECEIVE ASOCP Connect.
If appropriate action or response is necessary, the Society will assist in the process.
The American Society of Cosmetic Physicians is your link, your voice and your society.
www.cosmeticphysicians.orgAmerican Society of Cos eti Physicians PRSRT STD
U S P O S TA G E
South Kol Road, Suite
PA I D
Tu so , AZ TUCSON AZ
PERMIT NO. 448
cosmeticphysicians.org
You maY be losing Your right
to implant adipose tissue into
the breast
Not if the ASOCP can Help it!
ASOCP 2015
The Work
of a
Cosmetic Physician
?
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