22 AMA PRA Category1 Credits™
Maximum of 6 attendees for every workshop to assure adequate hands-on opportunity for all attendees
2 Live Surgery cases per Workshop

Covered Topics:
* History of Liposuction
* Proper patient selection & management
* Preoperative & postoperative photography and patient marking
* Room setup
* Liposuction techniques
* Hands on training of infiltration and liposuction
* Marketing and business model
* Malpractice Insurance
* Patient safety

The didactic portion along with the clinical hands-on exposure will allow attendees to gain a comprehensive understanding of the procedure. The format used in this activity is an effective method for knowledgeable physicians to expand their surgical abilities safely.

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AMA PRA Category1 Credits™
Maximum of 6 attendees per workshop to assure adequate hands-on opportunity for all attendees

Covered Topics:
* Botulinum Toxin Type A
* Restylane and other cosmetic fillers
* Laser & Intensed Pulsed Light treatments for hair removal, facial veins, rosacea, pigmented lesions, acne, tissue tightening
* Chemical Peels
* Microdermabrasion and Cosmeceuticals
* Leg Vein Treatment (sclerotherapy)
* Body Contouring

The didactic portion along with the clinical hands-on exposure will allow attendees to gain a comprehensive understanding of the procedure. The format used in this activity is an effective method for knowledgeable physicians to expand their surgical abilities safely.

Office-based Cosmetic Procedures Learning Objectives:
1. Describe which aesthetic procedures may be safely integrated into a primary care practice.
2. Use Botulinum Toxin Type A and Cosmetic Fillers to provide effective facial rejuvenation for patients of all ages.
3. Integrate laser and light source hair removal into a primary care practice.
4. Use light source photorejuvenation procedures for treatment of rosacea, facial telangectasias, pigmented lesions, and acne.
5. Treat cosmetic leg veins using sclerotherapy, laser, or combination of the two modalities.
6. Define advanced light source treatments for tissue tightening, semi-ablative and ablative procedures.
7. Integrate spa type services into a medical office practice including microdermabrasion, chemical peels, computerized facial analysis, and use of cosmeceuticals.
8. Define and discuss the differences between mesotherapy and tumescent liposuction for body sculpting.
9. Define issues of medical malpractice and how it relates to the incorporation of cosmetic procedures for primary care physicians. Assess the financial benefit of the fee-for-service cosmetic procedures.
10. Discuss the business and marketing aspects of adding cosmetic procedures.
11. Explain effective methods to manage dissatisfied or challenging patients.

AMA PRA Category1 Credits™
Maximum of 6 attendees per workshop to assure adequate hands-on opportunity for all attendees

Covered Topics:
* Botulinum Toxin Type A
* Restylane and other cosmetic fillers
* Laser & Intensed Pulsed Light treatments for hair removal, facial veins, rosacea, pigmented lesions, acne, tissue tightening
* Chemical Peels
* Microdermabrasion and Cosmeceuticals
* Leg Vein Treatment (sclerotherapy)
* Body Contouring

The didactic portion along with the clinical hands-on exposure will allow attendees to gain a comprehensive understanding of the procedure. The format used in this activity is an effective method for knowledgeable physicians to expand their surgical abilities safely.

Office-based Cosmetic Procedures Learning Objectives:
1. Describe which aesthetic procedures may be safely integrated into a primary care practice.
2. Use Botulinum Toxin Type A and Cosmetic Fillers to provide effective facial rejuvenation for patients of all ages.
3. Integrate laser and light source hair removal into a primary care practice.
4. Use light source photorejuvenation procedures for treatment of rosacea, facial telangectasias, pigmented lesions, and acne.
5. Treat cosmetic leg veins using sclerotherapy, laser, or combination of the two modalities.
6. Define advanced light source treatments for tissue tightening, semi-ablative and ablative procedures.
7. Integrate spa type services into a medical office practice including microdermabrasion, chemical peels, computerized facial analysis, and use of cosmeceuticals.
8. Define and discuss the differences between mesotherapy and tumescent liposuction for body sculpting.
9. Define issues of medical malpractice and how it relates to the incorporation of cosmetic procedures for primary care physicians. Assess the financial benefit of the fee-for-service cosmetic procedures.
10. Discuss the business and marketing aspects of adding cosmetic procedures.
11. Explain effective methods to manage dissatisfied or challenging patients.

Silhouette Lift Course Outline:

One day with hands on experience.
8:00-9:30 am	Working Breakfast, history of Silhouette Lift with video presentation
9:30-10:30 am	Anatomy of the face and neck, risk and complications
10:30-12:00 pm	Consultation with patient, markings if the patient with photograph documentation, review of all pre and post op paperwork and other alternatives (Conventional Face Lift)
12:00-1:00 pm	Working Lunch and video of actual procedure
1:00-2:30 pm	Patient #1 with hands on experience
2:30-3:00 am	Review of case
3:00-4:30 pm	Patient #2 with hands on experience
4:30-5:00 pm	Discussion of case #2
5:00-6:00 pm	Other Anatomic Uses of the Silhouette Lift and Q & A

Course Outline

Day One
6:30 – 7:00 am	Welcome and Review of Day's training
	Continental Breakfast will be provided.
7:00 – 8:00 am	Leg Vein Physiology, Anatomy
	Sclerotherapy
	Ambulatory Phlebectomy
	Endovenous laser ablation
8:00 – 9:00 am	Case #1
	Spider Vein sclerotheropy hands on training
9:00 – 9:30 am	Ultrasound Review of Venous Anatomy
9:30 – 1:30 am	Case#2
	Endovenous Laser Ablation and Phlebectomy hands on training
1:30 – 2:00 pm	Lunch Break
2:00 – 3:00 am	Case#3
	Spider and Varicose Vein sclerotheropy hands on training
3:00 – 6:00 pm	Case#4
	Endovenous Laser Ablation and Phlebectomy hands on training
7:00 – 10:00 pm	Question and Answer Roundtable discussion
	Dinner will be provided off site.

Course Outline

Day One Facial Fat Grafting
7:00 – 7:30 am	Registration, Welcome, and Breakfast
7:30 – 7:45 am	History of the procedure "How it got started and by whom!"
7:45 – 8:00 am	The Overview: Office base liposuction and Facial Fat Grafting using local tumescent anesthesia
8:00 – 8:10 am	Anatomy review "Break it down"
8:10 – 8:20 am	Identifying potential patients then consent & exam
8:20 – 8:45 am	Patient preparation and preoperative medications
	Local tumescent anesthesia preparation.
	Identifying safe limits of lidocaine & side effects
8:45 – 9:00 am	Patient markings - fat deposits (topography format) and Keys to pre/post operative photography
9:15 – 9:30 am	Morning Break (food & drink available)
9:30 – 12:30 pm	First case live surgery with hands-on opportunity: upper and lower abdomen
	-Room set-up, instrument selection & layout, and surgical dressing
	-Infiltration methods of infusing local tumescent anesthesia using infiltration cannulas and spinal needles
	-Aspiration methods utilizing SAL and/or PAL
12:30 – 1:30 pm	Working Lunch (Food and Drink available)
	-Recovery, post operative treatment, and potential complications involving touch-up
1:45 – 5:00 pm	Second live surgery with hands-on opportunity: upper & lower abdomen with flanks (Beginning liposuction)
5:00 – 6:00 pm	Overall review, questions and answer session
6:00 pm	Adjourn
7:00 pm	Dinner with Staff and Attendees
Day Two Advanced Awake Laser Liposuction and Facial Fat Grafting
7:00 – 7:30 am	Breakfast
7:30 – 9:00 am	Live Facial Fat Grafting (Re-injection patients)
10:30 – 1:00 pm	Live surgery with hands-on opportunity. One case both upper & lower abdomen with flanks and Facial Fat Grafting
1:00 – 2:00 pm	Working Lunch
	Business model for implementing liposuction into your practice. Marketing this cosmetic procedure into your practice both internally & externally. Establishing a fee schedule for the procedure
	Malpractice Considerations
	Instrumental selection and O/R set-up, costs of getting started
	Discussing physical space requirements: Ideal set-up for your liposuction suite
2:00 –5:00 pm	Live surgery with hands-on opportunity. Laser Liposuction with facial fat grafting
5:00 –5:30 pm	Managing patients who are challenging & unsatisfied with the results
	Overall review, questions and answer session
5:30 pm	Adjourn

20.5 AMA PRA Category 1 Credits™
Maximum of 6 attendees per workshop to assure adequate hands-on opportunity for all attendees
5-6 Live surgery cases per workshop

Breast Augmentation procedures is also known as enlargement - augmentation mammoplasty. Patients seeking an augmentation are usually dissatisfied with their breast size. This procedure will help correct the volume size of each breast; however, it will not change any defect of the breast shape or form. Breast Augmentation surgery is done under general or local anesthesia and usually on an outpatient basis.

Office-based Awake Breast Augmentation workshop learning objectives:
1. Attendees will scrub in for surgical procedures
2. Summarize the clinical aspects to the procedure, including patient selection, safe dosing limits of lidocaine in tumescent anesthesia, and proper surgical methods & techniques.
3. Integrate the procedure into the existing physician's office setting from a clinical and marketing standpoint.
4. Present the most efficient layout in a facility to perform the procedure.
5. Calculate the start-up costs and instrument set-up for the procedure.
6. Define issues of medical malpractice an dhow it relates the physicians.
7. Assess the financial benefit of the fee-for-service awake tummy tuck workshop.
8. Recite effective methods to manage patients dissatisfied or challenging.
9. Recognize lidocaine side effects and post-operative complications.

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20 AMA PRA Category 1 Credits™
Maximum of 4 attendees per workshop to assure adequate hands-on opportunity for all attendees
2 Live surgery cases per workshop

Abdominoplasty is commonly known as "tummy tuck". This procedure tightens stretched abdominal muscles and skin to a smoother appearance. A long incision is made from one hip to the other just slightly above the pubic region. There is an additional incision made around the umbilical to reposition its location after the tightening adjustment is made.

The didactic portion along with the clinical hands-on exposure will allow attendees to gain a comprehensive understanding of the procedure. The format used in this activity is an effective method for knowledgeable physicians to expand their surgical abilities safely.

At the conclusion of the activity, participants should be able to:
1. Attendees will scrub in for surgical procedures
2. Summarize the clinical aspects to the procedure, including patient selection, safe dosing limits of lidocaine in tumescent anesthesia, and proper surgical methods & techniques.
3. Integrate the procedure into the existing physician's office setting from a clinical and marketing standpoint.
4. Present the most efficient layout in a facility to perform the procedure.
5. Calculate the start-up costs and instrument set-up for the procedure.
6. Define issues of medical malpractice an dhow it relates the physicians.
7. Assess the financial benefit of the fee-for-service awake tummy tuck workshop.
8. Recite effective methods to manage patients dissatisfied or challenging.
9. Recognize lidocaine side effects and post-operative complications.

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AWAKE ABDOMINOPLASTY WITH CIRCUMFERENTIAL LIPOSCULPTURE
BAFITIS INTEGRATED LIPOSCULPTURE ABDOMINOPLASTY (BILA)

A two-day live surgery workshop with an intraoperative didactic experience for all participants, significant clinical lectures, and one-on-one instruction for personal refinement of skills. CME credits approved 17.75 AMA PRA category credits.

MAJOR POINTS COVERED

• Introductory/advanced tumescent anestgetic infusion techniques.
• Introductory to advanced concepts in liposculpture circumferential trunk and other body parts
• Techniques to improve your lipoplasty results every time.
• Introductory in guided application for fat transfer to gluteal area and soft tissue defects during live surgery
• How to collect fat for grafting; how to prepare fat for grafting; how to transfer fat to assure long-lasting survival; the do's and don'ts.
• Guide to new techniques in liposculpture: "Jet lavage" ("Aqua ™) liposculpture.
• Guide to new lipoplasty and fat collection devices self-contained and their use in fat transfer.
• Awake/consciouse sedation technique for abdominoplasty combined with circumferential liposculpture.
• No frills instrumentation needed for BILA procedure.
• Complete lecture materials on BILA available.
• Complete video presentation available for purchase.
• Presentation on new suture techniques Quill ™ .
• Presentation on new modalities of coagulation utilizing radiofrequency technology: The "Plasma Knife".

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Course Moderator: Red Alinsod, MD, FACOG, FACS, ACGE

AVS COURSE SCHEDULE FOR 2012

Course Location: Alinsod Institute of Aesthetic Vaginal Surgery South Coast Urogynecology, Inc.
31852 Coast Highway, Suite 203
Laguna Beach, CA 92651

36.75 AMA PRA Category1 Credits™
Maximum of 4 attendees per workshop to assure adequate hands-on opportunity for all attendees

Vaginal rejuvenation is a marketing term referring to vaginoplasty, or the surgical tightening of the vaginal canal. Birth trauma, tissue stretching, and improper surgical healing are the usual reasons for requesting vaginal rejuvenation. Surgery usually entails a modification of a standard gynecologic procedure called “posterior repair” along with rebuilding of the perineum (the space between the vagina and rectum). This procedure was traditionally performed for a fallen or prolapsed rectum, or rectocele. A rectocele is a bulge of rectum going into the vagina. A similar appearing vaginal bulge is an enterocele. It is a bulge of small bowel going into the vagina. Gynecologists and urogynecologists have the most training performing these types of surgery. Lasers, scissors, cautery units, knives are used in surgery. Excellent results have been achieved by all these methods.

The didactic portion along with the clinical hands-on exposure will allow attendees to gain a comprehensive understanding of the procedure. The format used in this activity is an effective method for knowledgeable OB/Gyn physicians to expand their surgical abilities safely.

Learning Objectives:
At the conclusion of the CME activity, participants should be able to:
1. Review the history of vaginal rejuvenation.
2. Discuss the terminology and anatomy of aesthetic vaginal surgery.
3. Describe technologies available for vaginal rejuvenation surgeries.
4. Explain the clinical aspects of the procedures, including patient selection, pre-operative evaluation, anesthesia protocols, proper surgical methods and techniques, and post-operative care.
5. Review surgical techniques including: Labia minora plasty, Labia majora plasty, Clitoral hood reduction, Perineoplasty, Vaginoplasty
6. Identify different aspects of patient markings prior to surgery.
7. Discuss proper equipment and methods in preparing medical photography. Practical hands-on sessions will be taught.
8. Describe possible complications related to performing aesthetic vaginal surgery and the proper mechanisms of management and apply the procedure into the existing office setting.
9. Apply internet strategies in marketing and aesthetic vaginal surgery procedure.
10. Define issues of medical malpractice and how it relates to the OB/Gyn and other specialty physicians.

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