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Advance program
January 28-31, 2010
Rosen Shingle Creek Resort
Orlando, Florida USA
Program Chairs: Mark Berman, MD H. George Brennan, MD Faisal A. Quereshy, MD, DDS
1
welcome
Dear Colleague:
We look forward to seeing you at the 26th Annual Scientific Meeting
of the American Academy of Cosmetic Surgery to be held at the lovely
Rosen Shingle Creek Resort in Orlando, Florida January 28-31, 2010.
As in the past, this meeting will surely provide material that will be
exciting and new. Its an important time to catch up, move ahead,
resume old acquaintances and make new ones. Aside from some
exciting featured speakers we have plans to present many of the latest
devices in panel sessions that you wont want to miss.
Of course, the AACS hopes to build upon its collegial nature and give
you the opportunity to develop even closer relationships at this next
meeting. Were extremely optimistic about the outlook for our specialty
and the growing importance of the AACS.
Make your reservations now for 2010. We look forward to seeing you.
Your Program Chairs,
Mark Berman, MD
H. George Brennan, MD
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
Schedule-At-A-Glance
7:30 am - 8:00 am Continental Breakfast
7:00 am 8:00 pm
Registration
Open
8:00 am - 5:30 pm
International Society
of Cosmetogynecology
Workshop
11:30 am
11:45 am
12:00 pm
12:15 pm - 1:00 pm
1:00 pm
1:30 pm
2:00 pm
2:45 pm
3:15 pm - 3:30 pm
3:30 pm
4:00 pm
4:15 pm
4:30 pm
5:00 pm
5:30 pm
Schedule-At-A-Glance
7:30 am - 8:00 am Continental Breakfast
7:00 am 8:00 pm
Registration
Open
8:00 am 5:00 pm
American Society
of Lipo-Suction
Surgery Workshop
8:00 am 5:00 pm
Cosmetic Breast
Surgery Workshop
8:00 am 5:00 pm
American
Society of Hair
Restoration
Surgery Workshop
8:00 am 12:00 pm
Cosmetic Facial
Surgery Workshop
1:00 pm 5:00 pm
American Society
of Cosmetic Laser
Surgery Workshop
earn up to 8 C M E C redits
Robert A. Shumway, MD
Gerhard Sattler, MD
Jane A. Petro, MD
Mark Berman, MD
Patrick G. McMenamin, MD
Steven B. Hopping, MD
Gregory C. Roche, DO
Marco A. Pelosi, II MD
Suzan Obagi, MD
Gerald G. Edds, MD
Mark J. Glasgold, MD
Robert H. Burke, MD, DDS
Neil S. Sadick, MD
James L. English, MD, Carey J. Nease, MD,
Susan M. Hughes, MD and Douglas D. Dedo, MD
All Faculty
8:00 am
8:05 am
8:20 am
8:40 am
9:00 am
9:20 am
9:35 am - 9:55 am
9:55 am
Robert M. Dryden, MD
Patrick G. McMenamin, MD
Robert M. Dryden, MD
Robert V. Cattani, MD
Maurice P. Sherman, MD
David A. Hendrick, MD
Robert F. Jackson, MD
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
Mark Berman, MD
Maurice P. Sherman, MD
Dan Metcalf, MD
Maurice P. Sherman, MD
Ronald A. Fragen, MD
Robert A. Shumway, MD
Robert M. Dryden, MD
Dan Metcalf, MD
Theodore E. Staahl, MD
Jeffry B. Schafer, MD
Robert A. Yoho, MD
Mark Berman, MD
Melvin A. Shiffman, MD
Jacob Haiavy, MD, DDS
Melvin A. Shiffman, MD
Ronald A. Fragen, MD
T H E A RT O F H A I R RESTO R AT I O N SU RG ERY
Presented by the American Society of Hair Restoration Surgery
Chairman: Robert V. Cattani, MD
8:00 am
8:15 am
8:30 am
8:45 am
9:00 am
9:45 am
10:05 am
10:20 am 10:35 am
10:35 am
11:00 am
12:00 pm - 1:00 pm
1:00 pm
2:00 pm
2:15 pm
2:30 pm
2:45 pm
3:00 pm
3:15 pm
3:30 - 3:45 pm
3:45 pm
4:00 pm
4:15 pm
5:00 pm
Robert V. Cattani, MD
Marco N. Barusco, MD
Paul T. Rose, MD
Robert H. True Jr., MD
Panelists: E. Antonio Mangubat, MD,
Paul T. Rose, MD, Robert H. True Jr., MD
and Matt L. Leavitt, DO
Sheldon S. Kabaker, MD
E. Antonio Mangubat, MD
Robert H. True Jr., MD
Panelists: Matt L. Leavitt, DO
and E. Antonio Mangubat, MD
Panelists: Walter P. Unger, MD,
Jay G. Barnett, MD, Sheldon S. Kabaker, MD,
Carlos J. Puig, MD and Matt L. Leavitt, DO
Matt L. Leavitt, DO
Marco N. Barusco, MD
E. Antonio Mangubat, MD
Marco N. Barusco, MD
E. Antonio Mangubat, MD
Paul T. Rose, MD
E. Antonio Mangubat, MD
Paul T. Rose, MD
Panelists: Sheldon S. Kabaker, MD, E. Antonio
Mangubat, MD and Robert H. True Jr., MD
Ronald L. Moy, MD
Steven B. Hopping, MD
Ronald L. Moy, MD
Patrick G. McMenamin, MD
Mark Berman, MD
William H. Beeson, MD
Angelo Cuzalina, MD, DDS
Ziya Saylan, MD
H. George Brennan, MD
1:40 pm
2:10 pm
2:40 pm - 3:00 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:00 pm
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
26th annual
SCIENTIFIC MEETING
THURSDAY, JANUARY 28, 2010 THE ART OF FACIAL COSMETIC SURGERY *schedule subject to change
Schedule-At-A-Glance
7:00 am - 8:30 am Bright Eye Sessions: 101
6:30 am 4:00 pm
Registration
Open
8:30 am 6:30 pm
Exhibits
Open
7:00 am 8:30 am
8:30 am - 9:15 am
9:15 am - 9:30 am
9:30 am - 12:00 pm
9:30 am
9:40 am
9:50 am
10:00 am
10:05 am
10:10 am
10:15 am
10:20 am
10:40 am
10:47 am
10:54 am
11:00 am
Afschin Fatemi, MD
Mark T. Duffy, MD, PhD
Jay G. Barnett, MD
Mohan Thomas, MD
Aaron Savar, MD
Craig N. Czyz, DO
Moderator: Marc S. Cohen, MD
THURSDAY, JANUARY 28, 2010 THE ART OF FACIAL COSMETIC SURGERy (cont.)
12:00 pm - 1:30 pm
1:30 pm - 3:30 pm
1:30 pm
1:40 pm
1:50 pm
1:55 pm
2:00 pm
2:10 pm
2:20 pm
Jeremy B. White, MD
Kevin Sadati, DO
Patrick G. McMenamin, MD
Ronald Mancini, MD
Tanuj Nakra, MD
Kurt J. Wagner, MD
3:00 pm
3:30 pm - 4:00 pm
4:00 pm - 5:30 pm
4:00 pm
4:08 pm
4:16 pm
4:24 pm
4:32 pm
4:40 pm
4:48 pm
4:56 pm
5:04 pm
5:12 pm
5:20 pm
5:28 pm
5:36 pm
5:30 pm - 6:30 pm
Robert M. Schwarcz, MD
Wael Kouli, MD
L. Mike Nayak, MD
Tirbod Fattahi, MD, DDS
Michael Horan, MD, DDS, PhD
Natalie A. Loomans, MD
L. Mike Nayak, MD
Mohan Thomas, MD
Ronald Mancini, MD
David Funt, MD
Leonard A. Rubinstein, MD
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
8:30 am 4:00 pm
Exhibits
Open
7:00 am - 8:30 am
8:30 am - 9:05 am
9:05 am - 12:00 pm
9:05 am
9:15 am
9:25 am
Ivo Pitanguy, MD
10:05 am
10:15 am
10:25 am
10:35 am
10:45 am
10:55 am
11:05 am
11:15 am
11:25 am
11:35 am
12:00 pm - 1:30 pm
1:30 pm - 3:30 pm
Ivo Pitanguy is a member of the Brazilian Society of Plastic Surgery, the American Society of Aesthetic Plastic
Surgery, the International Society of Aesthetic Plastic Surgery, the American College of Surgeons and the
International College of Surgeons. He has been designated Patron of Brazilian Plastic Surgery.
FRIDAY, JANUARY 29, 2010 THE ART OF COSMETIC BODY SURGERY (cont.)
Siamak Agha-Mohammadi,
MD, PhD
2:00 pm
2:10 pm
2:20 pm
2:30 pm
2:40 pm
2:50 pm
3:00 pm
3:10 pm
3:20 pm
3:30 pm - 4:00pm
4:00 pm - 5:30 pm
4:00 pm
10
4:10 pm
4:20 pm
4:30 pm
4:40 pm
4:50 pm
5:00 pm
5:10 pm
5:20 pm
5:30 pm
7:00 pm
Vimal Malik, MD
Quita Lopez, MD
Jeffry B. Schafer, MD
Neil S. Sadick, MD
Chasby Sacks, MD
Jose Salas, MD
Mohan Thomas, MD
Vimal Malik, MD
Robert H. Burke, MD, DDS
Todd K. Malan, MD
Brett S. Kotlus, MD
Robert H. Burke, MD, DDS
Ted Eisenberg, DO
Omar Rashad, MD
Guillermo Blugerman, MD
Mohan Thomas, MD
Vimal Malik, MD
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
SATURDAY, JANUARY 30, 2010 THE ART OF rhinoplasty and fat transfers
Schedule-At-A-Glance
7:00 am - 8:30 am Bright Eye Sessions: 301
7:00 am 12:00 pm
Registration
Open
8:30 am 12:00 pm
Exhibits
Open
7:00 am - 8:30 am
8:30 am - 9:15 am
9:15 am - 12:00 pm
9:15 am
9:25 am
9:35 am
9:45 am
M. Eugene Tardy, MD
10:25 am
10:30 am
10:35 am
10:40 am
10:45 am
10:50 am
10:55 am
11:05 am
Among professional leadership responsibilities, Tardy has been elected as President of the American Academy of Facial
Plastic and Reconstructive Surgery, President of the American Academy of Otolaryngology/Head and Neck Surgery,
and President of the American Board of Otolaryngology/Head and Neck Surgery. Academic contributions include the
authoring or co-authoring of 18 medical textbooks and over 160 scientific articles. Of his accomplishments, Dr. Tardy
is most proud and gratified by the continuing achievements of the over 40 personal Fellows who have trained in his
Chicago program. In 2005, the inaugural M. Eugene Tardy, MD Lectureship in Facial Plastic Surgery and the Humanities
was established at the University of Illinois, held in conjunction with the Department of Otolaryngologys Alumni Day.
Dr. Tardy is married to Martha Heindel Tardy, with three daughters and seven grandchildren.
Melanie D. Palm, MD
Ayman Helmi, MD
Ronald D. Shippert, MD
Afschin Fatemi, MD
Robert J. Schwartz, MD
Ronald D. Shippert, MD
Beatrice Lafarge Claoue, MD
Tanuj Nakra, MD
11
SATURDAY, JANUARY 30, 2010 THE ART OF rhinoplasty and fat transfers (cont.)
11:10 am
11:20 am
Todd K. Malan, MD
Dr. Siemionow is the Director of Plastic Surgery Research and Head of Microsurgical Training for Cleveland
Clinics Department of Plastic Surgery. As Director of Plastic Surgery Research and Head of Microsurgical
Training, Dr. Siemionow has trained over 100 international Fellows in the field of microsurgery and
transplantation research. She is currently the Secretary of the American Society for Reconstructive
Transplantation, as well as the Section Coordinator of Research for the International Registry on Hand and
Composite Tissue Transplantation. She is also Past President of the American Society for Peripheral Nerve.
12:20 pm AACS Membership Meeting: Presidential Address and Elections
12:50 pm Cosmetic Surgery Foundation Presentation
1:00 pm
Sessions Adjourn
2:00 pm - 3:00 pm Practice Management Sessions: 303 (sessions will run concurrently)
Breakout 1: Secrets of the Internet Revealed
Breakout 2: Navigating the Landmines from the
Risks of Electronic Communications
Breakout 3: A sset Protection, Tax and Exit Strategies
for Todays Surgeons
Breakout 4: Is Your Staff Your Secret Weapon Or
Your Greatest Weakness?
3:00 pm - 4:00 pm Practice Management Sessions: 304 (sessions will run concurrently)
Breakout 1: Alternative Risk Planning for the Cosmetic Surgeon
Breakout 2: P rice Transparency in Cosmetic Surgery
and its Impact in a Struggling Economy
Breakout 3: Dont Let Your Med Spa be Dead Spa
Breakout 4: Publicity and Practice Marketing
6:00 pm - 10:00 pm
26th Annual Meeting Concluding Party
12
Eva Sheie
Joyce Bruce, RN, MSN, JD, CPHRM
David B. Mandell, JD
Dana Fox
A B S T R A C T T O I M P A C T | A D V ance program
SUNDAY, JANUARY 31, 2010 THE ART OF COSMETIC FILLERS, SKIN TREATMENTS
Schedule-At-A-Glance
7:00 am 12:00 pm
Registration
Open
7:00 am - 8:30 am
8:30 am - 9:15 am
9:15 am - 12:15 pm
9:15 am
9:25 am
9:35 am
9:45 am
9:55 am
10:05 am
10:15 am
10:25 am
10:35 am
10:45 am
10:55 am
11:05 am
11:15 am
11:25 am
11:35 am
11:45 am
11:55 am
12:05 pm
12:15 pm
Sharleen St.Surin-Lord, MD
Nikolas Chugay, MD
Mohan Thomas, MD
Marco N. Barusco, MD
Brett S. Kotlus, MD
Alex Denes, MD
Guillermo Blugerman, MD
Ira Lawrence, MD
Jennifer Linder, MD
Avadhesh R. Bhardwaj, MD
13
INFORMATION
Rosen Shingle Creek was created using 1900s Spanish Revival style
architecture. Our attendees will be inspired by the 230-acre natural
environment, which includes a backdrop of dense oaks and pines along
historic Shingle Creek, the headwaters of the Florida Everglades. The hotel
is just a 10-minute drive from the Orlando International Airport. If you are
coming with family it is only minutes from many Orlando attractions like
Disney World, Sea World, Universal Studios and other family favorites, but
has a unique and relaxing environment all of its own, far removed from the
hustle and bustle of those amusement parks.
The Shingle Creek Golf club offers 18 holes of golf that was ranked as one
of the Top 40 Best New Golf Courses in the U.S. by Golfweek Magazine.
The Spa at Shingle Creek is a full-service, 13,000 square foot spa, featuring
nine treatment rooms and an amazing menu of soothing services, as well as
a state-of-the-art Fitness Center. The resort offers twelve dining and nightlife
options including a steakhouse, Italian restaurant, a piano bar, and other
more casual dining options. There are also several shops throughout the
resort offering gifts, womens apparel, menswear andartwork.
While lodging at Rosen Shingle Creek, the concierge can assist you with
off-site plans and activities.
To make your hotel reservations: Call the Rosen Shingle Creek Resort directly at
866.996.9939 or visit cosmeticsurgery.org
Please note there are three (3) ROSEN Hotels, two of which are located on
International Drive, each adjacent to the Orange County Convention Center. Our
meeting is being held at ROSEN SHINGLE CREEK RESORT & GOLF CLUB on
Universal Boulevard.
Identify yourself as an AACS attendee to receive the special AACS room rate of
$229 single / double. This does not include the 12.5% hotel tax.
You will be requested to guarantee your reservation with a first nights room deposit.
Credit cards, checks and money orders are acceptable forms of deposit funds.
Room deposits will be refunded if cancellation is made (5) five days prior to arrival.
DO NOT send your hotel request or deposit payment to the Academy Headquarters.
The deadline for housing reservations is Friday, January 1, 2010. After this date,
the Academy cannot guarantee your housing or special rates for the meeting as all
uncommitted rooms must be released back to the hotel for general sale.
Air Travel
Hobson Travel, AACS travel coordinator, can help you secure the lowest possible
fares for your trip through special discount programs and zone fares on American,
Continental and United Airlines. Call Hobson Travel direct at 800.538.7464 (outside
Illinois and in the Continental U.S.) to arrange your travel plans. Within Illinois, please
call 630.983.8000.
Location
Rosen Shingle Creek Resort
9939 Universal Boulevard
Orlando, Florida 32819
Rosen Shingle Creek is conveniently located on Universal Boulevard just off the
Beachline Expressway (SR 528, Exit #2) and a half mile east of the Orange County
Convention Center. This ideal location is also minutes away from Orlandos world
famous attractions like Disney World Resort, Universal Orlando Resort, WetN Wild
and Sea World Adventure Park.
Ground Transportation
For shuttle and town car transportation to and from Orlando International Airport,
please contact one of the following transportation services:
Mears Transportation 407.423.5566 or mearstransporation.com
Star Transportation 866.888.5530 gostarmgt.com
14
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
LUNCHEONS AND
SOCIAL EVENTS
This elegant black tie affair is held annually to celebrate the mission
of the Cosmetic Surgery Foundation accomplishments in cosmetic
surgery, and to recognize the commitment of those who help make
it possible. Proceeds from this event benefit the educational and
research efforts of the Foundation. A portion of the ticket price will
be tax-deductible. Please contact Caroline Nagy, Executive Director, at
312.981.6779 or cnagy@cosmeticsurgery.org for further information.
15
MEETING
POLICIES
Accreditation Statement
The American Academy of Cosmetic Surgery is accredited by the
Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians. The American Academy
of Cosmetic Surgery designates these continuing medical education
opportunities to meet the criteria for hour-for-hour credit in Category 1 of the
Physicians Recognition Award of the American Medical Association (See the
CME statement at the beginning of each program for the maximum number
of hours available).
D isclosure P rocedure
It is required by the American Academy of Cosmetic Surgery and its affiliate
organizations, in accordance with ACCME regulations, that all presenters
disclose any financial interest or other relationship (grant, research support,
consultant, etc.) by any of the authors with any manufacturer or commercial
products that may be discussed in the presentation.
16
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
REGISTRATION
INFORMATION
register online AT
www.cosmeticsurgery.org
A dvance Registration D eadline
The advance registration deadline is Tuesday, December 1, 2009. This means
that AACS headquarters must receive all advance registrations and payment
by this date. Forms received in headquarters without payment will be discarded.
Registrations are not honored until payment is confirmed. This deadline will allow
us to adequately plan for and confirm your participation. All attendees are strongly
encouraged to register in advance for the meeting and workshops, as space is
limited for some courses, and registration will be granted on a first-paid basis only.
After December 1 and On-Site: Should you decide to register after that date, it
will be considered an on-site registration and an additional $100 will be added
to each attendee registration fee, regardless of the original date of receipt of the
registration packet. Further, it may not be possible for headquarters to confirm
your registration after this date. This could add to your registration time on-site.
Confirmations
Each attendee who is registered in advance will receive a confirmation of
that registration by headquarters. Please bring a copy of your registration
confirmation letter to on-site registration to speed up the process. If you do
not have a confirmation letter, and there is no record of payment receipt by
headquarters, you will be required to provide payment on-site, even if you
think a payment was remitted previously. Any duplicate payments resulting
will be resolved following the meeting.
C ancellation/R efund P olic y
Cancellation notification and refund requests must be received in writing by
AACS headquarters, 737 N. Michigan Avenue, Suite 2100, Chicago, IL 606115641, or by facsimile at 312.981.6787. Please note: all refunds will be processed
after the meeting.
C riteria for refunds:
Written notice received on or prior to Tuesday, December 1, 2009
refund in less $250 administrative processing fee
Written notice received after Tuesday, December 1, 2009 no refund
S pouses and G uests
It is always the Academys pleasure to welcome the spouses, guests and families
of meeting registrants. However, each guest is required to purchase a special
badge in order to participate in any of the scheduled events. The cost of
the badge is solely to defray the meal and beverage expense. Admission to
sponsored events will be strongly enforced.
Please also note that spouses and guests are not admitted to the educational
program meetings, as seating is limited and reserved for the paid meeting
registrants. In order to ensure fairness for those paying the appropriate registration
fees, spouses and companions wishing to attend any sessions must register as a
surgical assistant/ancillary provider, provided they are not a currently practicing
physician. Practicing physicians must register as nonmember guest physicians. A
spouse/companion badge will not be sufficient for entry into the session rooms. The
Academy thanks everyone for their cooperation in thismatter.
17
faculty
18
listing
Dana Fox
United States
Ronald Mancini, MD
United States
Leonard A. Rubinstein, MD
United States
Benito Alvarez, MD
United States
Ronald A. Fragen, MD
United States
David B. Mandell, JD
United States
Chasby Sacks, MD
United States
Alexandros Bader, MD
Greece
Clayton Frenzel, DO
United States
Mark K. Mandell-Brown, MD
United States
Kevin Sadati, DO
United States
Sheila Barbarino, MD
United States
David Funt, MD
United States
E. Antonio Mangubat, MD
United States
Neil S. Sadick, MD
United States
Thomas W. Barnes, MD
United States
Mark J. Glasgold, MD
United States
Jose Salas, MD
United States
Jay G. Barnett, MD
United States
Michael Goodman, MD
United States
Harry Marshak, MD
United States
Gerhard Sattler, MD
Germany
Marco N. Barusco, MD
United States
David Matlock, MD
United States
Aaron Savar, MD
United States
William H. Beeson, MD
United States
Patrick G. McMenamin, MD
United States
Ziya Saylan, MD
Turkey
Mark Berman, MD
United States
Ayman Helmi, MD
Saudi Arabia
Dan Metcalf, MD
United States
Avadhesh R. Bhardwaj, MD
India
David A. Hendrick, MD
United States
John Miklos, MD
United States
Jeffry B. Schafer, MD
United States
Mel Bircoll, MD
United States
Arturo Henriquez, MD
Chile
Robert Moore, MD
United States
Robert M. Schwarcz, MD
United States
Guillermo Blugerman, MD
Argentina
Steven B. Hopping, MD
United States
Ronald L. Moy, MD
United States
Robert J. Schwartz, MD
United States
R. Stephen Mulholland, MD
Canada
Eva Sheie
United States
H. George Brennan, MD
United States
Darab Hormozi, MD
United States
Tanuj Nakra, MD
United States
Maurice P. Sherman, MD
United States
Joao Brito, MD
Brazil
Susan M. Hughes, MD
United States
L. Mike Nayak, MD
United States
Melvin A. Shiffman, MD
United States
Susan Browner
United States
Amina Husain, MD
United States
Carey J. Nease, MD
United States
Ronald D. Shippert, MD
United States
Robert F. Jackson, MD
United States
Suzan Obagi, MD
United States
Robert A. Shumway, MD
United States
Robert Jason, MD
United States
Angela OMara
United States
Maria Siemionow, MD
United States
Robert V. Cattani, MD
United States
Kevin Jovanovic, MD
United States
Ivanhoe Ortega, MD
Chile
Kathryn Spanknebel, MD
United States
Abhishek Chatterjee, MD
United States
Sheldon S. Kabaker, MD
United States
Adam Ostrzenski, MD
United States
Theodore E. Staahl, MD
United States
Michael Kluska, DO
United States
David M. Ozog, MD
United States
Nikolas Chugay, MD
United States
Melanie D. Palm, MD
United States
Nancy G. Swartz, MD
United States
Marc S. Cohen, MD
United States
Brett S. Kotlus, MD
United States
M. Eugene Tardy, MD
United States
Wael Kouli, MD
United States
Howard A. Tobin, MD
United States
Craig Czyz, DO
United States
Alexander Krakovsky, MD
United States
Jane A. Petro, MD
United States
Mohan Thomas, MD
India
Douglas D. Dedo, MD
United States
Ivo Pitanguy, MD
Brazil
Alex Denes, MD
United States
Ira Lawrence, MD
United States
Carlos J. Puig, MD
United States
Rebecca Tung, MD
United States
Robert M. Dryden, MD
United States
Matt L. Leavitt, DO
United States
John D. Rachel, MD
United States
Walter P. Unger, MD
Canada
Jennifer Linder, MD
United States
Omar Rashad, MD
Egypt
Kurt J. Wagner, MD
United States
Gerald G. Edds, MD
United States
Natalie A. Loomans, MD
Belgium
Jeffrey Raval, MD
United States
Jeremy B. White, MD
United States
James L. English, MD
United States
Quita Lopez, MD
United States
Gregory C. Roche, DO
United States
Ted Eisenberg, DO
United States
Chris A. Lowery, DO
United States
Paul T. Rose, MD
United States
Robert A. Yoho, MD
United States
Afschin Fatemi, MD
Germany
Todd K. Malan, MD
United States
Brent Rosen, DO
United States
Vimal Malik, MD
India
Howard L. Rosenberg, MD
United States
Ryan Maloney
United States
Michael H. Rosenberg, MD
United States
A B S T R A C T T O I M PA C T | A N N U A L M E E T I N G 2 0 1 0
registration APPLICATION
AACS 26th Annual
Scientific Meeting
Middle Name
*Last Name
Suffix
Country
Cut Here
Phone
Fax
*E-mail
r Check here if special services are needed due to a disability
HOW DId YOU HEAR ABOUT THIS MEEETING?
Membership Status
r AACS
r ASLSS
r ASHRS
r Non Member
r E-mail
r AACS Website
r Surgical Assistant/Office
January 27, 2010 (Sessions will run concurrently, please select only one pre-conference on this date)
r International society of
cosmetogynecology workshop
$250
$350
$250
$350
$325
$425
$199
$199
$799
$899
$799
$899
$1,199
$1,299
$299
$399
$399
$499
$499
$599
r Spouse/Guest Badge
$249
$349
fee paid
fee
$55
$55
$250
TOTAL
no. Of Tickets
fee paid
additional events
Cut Here
r None
amount paid
r MasterCard
r American Express
Total Enclosed
Card # ExpirationDate
Name on Card Signature
AACS Headquarters must receive all cancellation notifications and refund requests in writing. All cancellation notifications must be
received no later than December 1, 2009. Those cancellations received prior to the cancellation deadline will receive a full refund less a
$250 processing fee. No refunds will be granted after December 1, 2009.
*No refunds will be given for the social activities or luncheon tickets.
Please refer to the complete cancellation policy in the registration book for further details. By remitting the registration fee, registrant
will be admitted on condition, and by said attendance at this meeting agrees, that he/she will not photograph, audio tape, video
tape, transmit or aid in transmitting any description, account, picture or other reproduction of any part of the meeting. Breach of the
foregoing will automatically terminate your registration and the registrant shall be liable for all consequential and other applicable
damages. By remitting payment for this meeting, you also agree to abide by AACS policies and procedures and by the policies
included in this registration package.
The American Academy of Cosmetic Surgery (AACS) and the Cosmetic Surgery Foundation for Education, Research, and Patient
Safety, Inc. (Foundation) are hereby authorized to send me facsimiles including seminar information, promotional materials,
advertising and other commercial materials regarding AACS, the Foundation, or which the AACS or the Foundation believe may be
of interest to me to the fax numbers listed in this application. I am authorized to execute this consent for the fax numbers listed in this
application.
Signature