CAVS 2012 Agenda 10-11-12 - Urogyn.org

NATIONAL SOCIETY
OF
COSMETIC PHYSICIANS
CAVS 2012

AND
National Society
Of
Cosmetic Physicians
7 th Annual Congress
On Aesthetic Vaginal Surgery
CAVS 2012
OCTOBER 20-­‐21, 2012
The Cosmopolitan
Las Vegas, Nevada
RED M ALINSOD, M.D., FACOG, FACS, ACGE
Program Director and Chairman
www.urogyn.org
Online registration at cosmeticphysicians.org
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WELCOME LETTER FROM THE CHAIRMAN
Dear Friends and Colleagues, Welcome to CAVS 2012!
Once more I am thrilled to bring to you this year's 7th Annual Congress on Aesthetic Vaginal Surgery, CAVS
2012. We continue to grow as a supportive and professional association of surgeons whose goals are
totally committed to our patient’s safety and well-­‐being. Thank you for joining us again this year as we
learn from experts from around the United States and the world. It is wonderful to be back in Las Vegas
to enjoy the thrills of the vibrant city and to rekindle friendships. CAVS is the first and longest running
CME conference in the world on Aesthetic Vaginal Surgery and continues to be the "Grand Daddy" of them
all. Thank you for your loyalty and desire for learning. Our goal is to live up and surpass your
expectations. It has been an amazing seven years of growth as we see societies focusing on
Aesthetic Vaginal Surgery arising from countries all over the globe from numerous European
countries, Brazil, Korea, China, and others. We welcome our sister societies with open arms. We
support organizations that educate and promote safety in the care of women. This year, we intend
to raise this support and awareness to a higher level with opportunities offered to our attendees to
give of their talents and time in the compassionate service for genitally harmed women.
As in past meetings, our focus is pinpoint sharp on labial and vaginal surgery and what it takes to
perform these safely, beautifully, and with care. I would like to thank our renowned experts, across the
nation and abroad, who have graciously accepted to share their knowledge with us. The preliminary agenda
attached gives an outline of topics to be discussed and presented. CAVS 2012 will be the place to hear and
learn of new ideas and new techniques in Aesthetic Vaginal Surgery and to expand on those already
established. We will keep you on the cutting edge.
I would love to meet each and every one of you and start a long friendship. Please feel free to contact me
for further information and details.
Warmest regards,
Red Alinsod, MD, FACOG, FACS, ACGE
Program Director and Chairman, CAVS 2012
red@urogyn.org
www.urogyn.org
www.pelvicsurgeon.com
949-­‐499-­‐5311 Office
949-­‐499-­‐5312 Fax
3

C.A.V.S.
CONGRESS ON AESTHETIC VAGINAL SURGERY
Dr. Red Alinsod has organized Aesthetic Vaginal Surgery programs for the National Society of Cosmetic
Physicians (NSOCP) for over six years. He was instrumental in developing the first Continuing Medical
Education (CME) conference in Aesthetic Vaginal Surgery in 2006 and the first CME surgical preceptorship
program for the specialty in 2007. Each year he brings together the brightest and most innovative minds to
teach surgeons the safest and best techniques from around the world. Surgeon education, patient safety,
and excellent surgical results are the goals of the conference.
Dr. Alinsod brings together a dynamic group of individuals who are acknowledged leaders in their respective
fields. A global span of specialty experience is represented from gynecology, urogynecology, plastic surgery,
cosmetic surgery, genital mutilation dermatology, medico-­‐legal, marketing, to Search Engine Optimization.
This brings balance and a broad perspective of the specialty that goes beyond simple marketing or self-­promotion.
A truly educational experience is sought. All speakers are welcoming and eager to share their
experience. All speakers are uncompensated and are present because of their passion in advancing the
specialty of Aesthetic Vaginal Surgery.
Past conferences have been held in Las Vegas, and more recently at the beautiful Ritz-­‐Carlton Dove
Mountain Resort, in Tucson, Arizona, in conjunction with the annual meeting held by The National Society of
Cosmetic Physicians. The conference usually takes place in November and is sponsored by the NSOCP.
NSOCP is an open society that welcomes attendance and membership from all specialties, both national and
international, without competitive aims or restrictive covenants. Each member enjoys the freedom to
participate in any activities or societies and to teach others in any venue they choose.
These meetings have been planned and implemented in accordance with the essential areas & policies of the
Accreditation Council for the Institute for Medical and Nursing Education (IMNE) and the National Society of
Cosmetic Physicians. The Institute for Medical and Nursing Education (IMNE) is accredited by the
Accreditation Council for Continuing Medical Education to provide continuing medical education for
physicians.
Please plan to attend the Annual CAVS meetings to learn as well as to rub shoulders with the innovators of
the field.
Please visit cosmeticphysicians.org for more details.
CAVS 2011 AGENDA: http://urogyn.org/pdfs/CAVS_2011_Agenda.pdf
CAVS 2010 AGENDA: http://urogyn.org/pdfs/cvs.pdf
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GENERAL INFORMATION
Educational Objectives
ABOUT THE CONGRESS:
The concept of teaching aesthetic gynecology had its birth in 2006 when the National Society of Cosmetic
Physicians was in its infancy. Yearly Congress meetings of forward thinking and like-­‐minded physicians have
spurred the growth and interest in this arena. The Congress on Aesthetic Vaginal Surgery (CAVS) builds on a
distinguished history of education specifically tailored for the growth and development of Aesthetic Vaginal
Surgery in a friendly and collegial atmosphere. It is not restrictive of specialty, politics, or interest group, but
is bound by the desires of its participant members for higher learning. Its core belief is “Education
without Barriers.”
CAVS 2012 brings together a dynamic group of individuals who are acknowledged leaders in their respective
fields. We welcome all those who have traveled from overseas and from far away lands. A global span of
specialty experience is represented from gynecology, urogynecology, plastic surgery, cosmetic surgery,
dermatology, medico-­‐legal, marketing, to Search Engine Optimization. This collection brings balance and a
broad perspective of the specialty that goes beyond simple marketing or self-­‐promotion. All speakers are
welcoming and eager to share their experience. All speakers are uncompensated and are present because of
their passion.
Benefits of Attendance
Advancement of surgical skills and patient safety
Learn from fellow physicians who have built successful cosmetic practices
16 Category 1 Credits
CAVS 7th Annual Dinner
Networking with Other Physicians
Accreditation Statement
This activity has been planned and implemented in accordance with the essential areas & policies of the
Institute for Medical and Nursing Education (IMNE) and the National Society of Cosmetic Physicians.
The Institute for Medical and Nursing Education (IMNE) is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
IMNE designates this educational activity of up to 16 AMA PRA Category 1 Credits.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
Faculty Disclosures and Conflict of Interest
All meeting faculty and speakers must complete the IMNE commercial disclosure form and make known to
their audience, any relevant grants or other financial support, affiliations, and consultancies and other
conflicts of interests. All Faculty Disclosures are listed on page 22 of the program.
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Day 1, Saturday, October 20, 2012
Symposium on Aesthetic Labial Surgeries
Program Chairman: Red Alinsod, MD
07:00 – 08:00 Breakfast, On-­‐Site Registration
08:00 – 08:10 L0: Welcome
NSOCP and CAVS: From Evolution to Revolution
Red Alinsod, MD
08:10 – 08:45 Keynote Address
L1: New and Evolving Treatments for
Female Sexual Dysfunction
Jennifer Berman, MD (35 min)
Medical Medical management and treatment of female sexual function
complaints is becoming more mainstream and gradually evolving as
more clinical and basic science studies are dedicated to solving this
problem. Aside from hormone replacement therapy, medical
management of female sexual function complaints still remains in the
experimental phases and requires "off label" use. The goal of this talk is
to educate health care professionals that not all female sexual
complaints are psychological/emotionally based and that there are
possible medical treatment options available. Attendees should gain a
general understanding of female sexual function complaints, the
etiologies that are medically based, as well as a comfort level with the
treatment options available. Studies are currently in progress assessing
the effects of vasoactive substances, adrenal and gonadal hormones and
pituitary activating hormones, as well as other neuromodulators on the
female sexual response. Aside from hormone replacement therapy, all
medications discussed in this talk, other than over the counter products,
are not FDA approved for use in women, are still in phases of clinical
trials, however, some can be prescribed off label.
6

08:45 – 09:05 L2: The Evolution of AVS: A Literature Review
Michael Goodman, MD (20 min)
This presentation will review the peer-­‐reviewed medical literature to
date in the following areas:
1) Reasons women give for requesting aesthetic vulvovaginal surgery
(AVS).
2) Psychological, sexual, and body image makeup of women
requesting AVS.
3) Outcome studies of AVS.
The goal of this lecture is to familiarize attendees with the sum of peer-­reviewed
medical literature involving the areas outlined above.
Excluded are all “opinion pieces,” anecdotal information, and
theoretical editorializing.
Suggestions will be made for areas of useful potential study with
answers to audience queries regarding the mechanics of writing a study
protocol and coordination a publishable study.
“…Only the facts, Mam..!”
09:05 – 09:25 L3: Body Image and AVS
Otto Placik, MD (20 min)
Issues of abnormal body image, real and imagined, are discussed to help
the surgeon analyze patient reasons for requesting surgery and to help
set achievable end points and expectations
09:25 – 09:45 L4: The G-­‐Spot: Science and Fiction
Gul Zikria, MD (20 min)
Since the term was coined in the early 1980s. The G Spot has been a
concept that has intrigued the lay public. It has also been a boon for
sexologists and therapists publications and practices. In the 1990s it
reemerged as a marketing term as G Spot Amplification by Dr. David
Matlock. Whereby the area called the G Spot was bulked up with
collagen. Despite the lack of scientific evidence, the public influenced
by lay press and marketing gimmicks, is demanding this procedure as a
panacea for their sexual enhancement. In this lecture I will be discussing
the Myth and science of the G Spot.
09:45 – 10:05 L5: Labia Minora Plasty Techniques: A Review
Bernard Stern, MD (20 min)
Background: Once uncommon and rarely asked for surgery, now
enormous demand by women from all walks of life.
Methods: Sculpted linear resection, deepitheliazation, Modified V-­wedge,
and Z-­‐plasty techniques.
Results: “Satisfied” cosmetic result initially 91.6%
Conclusions: The aesthetic and functional results achieved by these
evolving and continuously refined techniques, are remarkable. The
results are based on individual surgeons skills at “his” technique, not
the technique itself!
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10:05 – 10:45 Panel Q&A, Break & Exhibits
10:45 – 11:00 L6: Natural V-­‐Wedge Labiaplasty
James Apesos, MD (15 min)
Wedge labiaplasties are a staple in plastic surgery practices. Dr. Apesos
will review indications, techniques, and results for this surgery.
11:00 – 11:15 L7: Radical Labia Minora Plasty:
A Eight Year Report
Red Alinsod, MD (15 min)
The controversial technique developed by Dr. Red Alinsod is described
and shown with a discussion on its risks and its merits.
11:15 – 11:30 L8: Sculpting of the Labia Majora and Mons with
Fillers and Fat
Christine Hamori, MD (15 min)
Recent advances in facial fillers and autologous fat grafting may be
extended to the perineal area. Volume restoration of the labia majora
and Mons pubis rejuvenates the entire pubic area giving a fuller more
youthful appearance. Improvements may be seen not only in the
overall plumpness of the area but also may have a secondary benefit to
patients bothered by visible dangling of the labia minora. Plumping of
the labia majora actually obscures the dangling labia minora making
them less visible in the standing position. Labia minora visibility is
bothersome to most patients seeking aesthetic procedures of the
vaginal area. Hence, volume restoration of the labia majora and Mons
pubis may improve the overall aesthetics of the female perineum. I will
review my techniques of volume augmentation of the perivaginal area
using hyaluronic acid and autologous fat.
11:30 – 11:47 L9: Video: Augmentation of the Female Mons
Pubis and Labia Majora
Christine Hamori, MD (22 min)
Vaginal aesthetics has become more and more important over the past
ten years as grooming habits of the area have evolved. Traditionally,
pubic hair camouflaged the Mons, clitoral hood, labia minor and labia
majora. Now over the past several years, grooming habits of the area
have changed dramatically where most patients have non or very little
pubic hair coverage of the area. Dangling labia minora, majora and
Mons flattening are now in full view, open to scrutinizing patients and
their partners. Labia minora and majora techniques reduce the skin and
mucosal excess but do not address the fat atrophy that is primarily
present in the over 40-­‐age group of women.
8

11:47 – 12:00 L10: Labial Revision Surgery
Red Alinsod, MD (13 min)
Labiaplasty surgery that has not healed properly, has separated, or has
removed too much tissue are issues faced by the Aesthetic Vaginal
Surgeon. The majority of the medical legal cases involve the removal of
too much labia minora and asymmetric bumpy wound edges.
Presented will be advanced resurfacing techniques to smoothen out
these areas of concern. These are done under local anesthesia.
12:00 – 13:00 Lunch Break & Exhibits
Panel Discussion:
Controversies of the Clitoris and G-­‐Spot
Royal Benson, MD
Michael Goodman, MD
Gul Zikria, MD
13:00 – 13:15 L11: Aesthetic Management of the Clitoral Hood
Royal Benson, MD (15 min)
This presentation discusses various aspects of managing a request for
clitoral hoodectomy. Discussion will include identification of
appropriate surgical candidates and those which are better off being
avoided. Anatomical considerations will be discussed. Basic techniques
that are easily learned and reliable will be presented.
13:15 – 13:30 L12: The Hypersensitive Clitoris
Royal Benson, MD (15min)
A difficult management problem that sometimes occurs naturally and is
sometimes iatrogenic. Discussion will cover areas of management of
Clitoral hypersensitivity and how to avoid iatrogenic causes.
13:30 – 13:45 L13: Management of the Prominent Mons Pubis
Otto Placik, MD (15 Min)
Incorporation of the Mons Pubis is an essential component in the
planning of a comprehensive approach to Vulvo-­‐Vaginal Aesthetics. This
area is often overlooked and neglected in favor of more popular
procedures. The importance of this aesthetic unit and a review of the
limited pertinent literature will be presented. Specific technical details
of the described procedures will be discussed along with a critical
analysis of the outcomes. I will also present my personal surgical
method with an intraoperative video.
13:45 – 13:55 L14: Radiofrequency Treatments for Labia Majora Laxity
Red Alinsod, MD (10 Min)
Minimally invasive Labia Majora Pelleve treatments for skin tightening
are presented. This is an excellent and exceptionally safe choice for
patients unhappy with the looseness and sagging of their Labia Majora
but do not want to have surgery.
9

13:55 – 14:10 L15: Surgical Management of the Camel Toe
Red Alinsod, MD (15 Min)
A modification of a standard Vulvectomy, Labia Majora Plasty, is
presented for the purpose of reducing the discomfort, sagging and
looseness of the Labia Majora in an aesthetically pleasing and elegant
manner. The first long term results of this technique is presented
performed over seven years.
14:10 – 14:45 Panel Q&A, Break & Exhibits
14:45 – 14:55 L16: The Unified Approach to Labiaplasty:
Minora/Majora/Hood Combined Surgery
Red Alinsod, MD (10 Min)
An advanced technique is presented that combines labiaplasty of the
minora, majora, and clitoral hood as a unified whole. This radical
labiaplasty technique allows for one single layered closure per side. This
technique is used in a select subset of patients who request maximum
comfort and elimination of the labia minora. (video presentation)
14:55 -­‐ 15:10 L17: Herpes Outbreaks Complicating Aesthetic Vaginal
Procedures
Bernard Stern, MD (15 Min)
Although herpetic outbreaks have been well documented in Cosmetic
Surgery literature (almost exclusively though in relation to cosmetic
facial procedures mostly laser and/or TCA peals), there is nothing in
Aesthetic Vaginal Surgery literature addressing this problem. Preventive
pre/intra/and post operative treatment with Acyclovir or Valtrex has
become commonplace for these procedures. Having had 3 outbreaks in
the previous year’s cosmetic vaginal procedures, no patient of which
admitted to previous exposure to the virus, one with a significant
sequellae, preventive prophylactic treatment is now being suggested.
15:10 – 15:25 L18: Medical Photography and Videography for Idiots
Red Alinsod, MD (15 Min)
A medical practice is often judged by the quality of its photographs. It is
imperative in a cosmetic practice to know how to take advantage of
today’s technologies in photography. Medical photography can be low
cost and simple when basic tenets are followed. Medical photography
can be used for medical documentation, medico-­‐legal protection,
marketing, advertising, staff training, and patient education. This
presentation focuses on the typical types of photography done for an
aesthetic vaginal surgery practice.
10

15:25 – 15:50 L19: Relationship Marketing 2.0: The Science of
Subtlety (25 Min)
Monique Ramsey
It's not about the tools it's about how you use them. This session
will cover the elements of a successful relationship marketing and social
media strategy using new media tools, such as Facebook, Google+,
Pinterest, Twitter, and more. We'll explore the top mistakes made by
practices (and what to do instead). We'll also cover how to build a
thriving, engaged community while avoiding to fall back into the trap of
"traditional" intrusive marketing and sales promotions.
15:50 – 16:05 L20: Search Engine Optimization: Keys to Success
Sergei Baghdasarian, LLP (15 Min)
Every few months the major search engines change their algorithm for
search terms. This update will help practices avoid pitfalls and
problems.
16:05 – 16:25 Video Fest
18:30 – 22:00 Welcome Reception Cocktail & Dinner
Meet the Faculty
Specialty recognition and gifts of gratitude
11

Day 2, Sunday, October 21, 2012
Symposium on Aesthetic Vulvo-­‐Vaginal Surgeries
Program Chairman: Red Alinsod, MD
07:00 – 08:00 Breakfast and Registration
08:00 – 08:10 Welcome
L21: AAAVS: Helping Humanity
Carlos Diazcadena, MD (10 Min)
The need for surgical repair and revisions for genital mutilation and
botched surgeries is an ever growing problem. A new foundation has
been formed to help those less fortunate needing specific gynecologic
surgeries to improve their lives.
08:10 – 08:20 L22: West Africa Fistula Foundation
Darius Maggi, MD (10 Min)
The non-­‐profit WAFF has transformed lives and has freely given its time
and efforts in Africa. They seek the aid of interested pelvic surgeons to
expand their vision.
08:20 – 08:40 Keynote Address:
L23: Female Genital Mutilation in Africa and the
Middle East
Amr Seif-­‐Eldin, MD (20 Min)
Background: Female Genital Mutilation (circumcision) is widely
practiced in sub Saharan Africa, dating as far back as 2000 B.C, It is
estimated that 140 million women have been circumcised world wide,
and an additional 3 million women are still circumcised every year.
Although new human rights and health care laws have been
implemented for banning FGM practices in many African countries,
FGM still remains a strong cultural tradition and a severe health hazard
to many young women in the region.
Genital reconstructive surgery after FGM (female circumcision) remains
a major challenge in cosmetic gynecology; new techniques of labial,
clitoral and clitoral hood reconstruction have been adopted to reverse
the effects of FGM; restoring a sense of dignity, self esteem, and
pleasure to these unfortunate women subjected to this brutal tradition.
Objective: To explain, present, and update, a holistic and
comprehensive review of FGM practices in Africa and other parts of the
world, introducing the history, reasons, prevalence, geographic
distribution, types, anatomical & physiological considerations,
complications, and evaluate methods of cosmetic and reconstructive
repair.
Key words: Female Genital Mutilation -­‐ Circumcision
– Female Genital Reconstruction.
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08:40 – 08:50 L24: WHO and Genital Mutilation
Otto Placik, MD (10 Min)
The World Health Organization (WHO) currently classifies Female
Genital Mutilation as falling into one of four categories. Given these
guidelines, the end result is that any non-­‐medical procedures, and
specifically elective interventions, on the female genitalia could be
loosely interpreted as a form of genital mutilation. The specific
implications of this and communications with the WHO to provide
insight about their approach as well as concerns will be presented. A
statement which advocates the benefits of Aesthetic Vaginal Surgery
will be proposed with time for discussion and audience input.
08:50—09:10 L25: De-­‐Infibulation Treatment and Management
Amr, Seif-­‐Eldin, MD (20 Min)
Background: Infibulation is a severe form of Female Genital
Mutilation (type III), also known as Pharaonic circumcision, and is still
practiced in sub Saharan Africa, regarded as a strong cultural tradition.
The vulva and vagina are covered and closed by skin leaving only a 1-­‐2
cm opening for urination and menstrual flow; this usually makes sexual
intercourse very difficult and painful, with female sexual aversion and
marital problems.
De-­‐infibulation, is the surgical cutting or opening the hood of skin
covering the vaginal inlet, allowing normal and painless sexual
relationship.
Objective: To evaluate the outcome and patient satisfaction from
cosmetic and reconstructive genital surgery procedures on previously
infibulated (circumcised) women, regarding cosmetic appearance and
improved sexual function.
Method: 24 infibulated women were subjected to a de-­‐fibulation
procedure for surgical separation of the joined/sutured labia after
infibulation circumcision, have been studied in this work.
Results: Patients with type III circumcision (infibuation) have been
evaluated in this study Patient age was between 17 and 42, mean age
was 25.4 years.
Cosmetic outcome: 22 patients had no complications and were
satisfied with the cosmetic outcome.
2 patients had minor pain and complications and did not comment on
cosmetic outcome.
Sexual function: 21 patients felt improved sexual function and no pain,
4 weeks after the procedure.
2 patients felt no difference in sexual function
1 patient had an infection and pain that lasted for more than 4 weeks
Conclusion: approximately 92% of patients were satisfied with the
cosmetic outcome of the procedure, while 88% said they had improved
sexual function and no pain during intercourse.
So far the de-­‐infibulation procedure for (Type III) circumcision has given
us satisfactory results, pain after the procedure has been attributed to
minor infection and poor hygiene and was treated.
Key words: Female Genital Mutilation – Infibulation
– de-­‐infibulation circumcision repair.
13

09:10 – 09:25 L26: Labial and Clitoral Anatomy
Marci Bowers, MD (15 min)
Dr. Bowers will give an intensive review of this small area of the body
that has garnered a great deal of interest for the WHO vaginal surgeon.
Dr. Bowers will give
09:25 – 09:55 L27: FGM Restoration of Form and Function
Marci Bowers, MD (30 min)
Discussion on Female Genital Mutilation (FGM) /ritual female
circumcision, its WHO classification, incidence, etiology and Reversal
techniques including technical details, Photos and postoperative follow
up.
09:55 – 10:15 L28: Transgender Medicine: Aesthetic and
Functional Option for the MTF and FTM
Marci Bowers, MD (20 min)
A review of Transgender Medicine with an emphasis on surgical
technique for both Male-­‐to-­‐female (MTF) and Female-­‐to-­‐male patients.
A video of a complete MTF Vaginoplasty will be included in the
presentation. Information regarding WPATH standards of care, pre-­‐op
evaluation of subjects and postoperative follow up will also be offered.
10:15 – 10:45 Panel Q&A, Break & Exhibits
10:45 – 11:00 L29: The Physiology Behind Vaginal
Tightening Operations: Why They Work
Michael Goodman, MD (15 Min)
Peer-­‐reviewed statistical studies confirm the effectiveness, when
“enhancement of sexual function” is the endpoint, of vaginal tightening
operations.
This presentation will discuss the biomechanics, innervations and
physioglogy of the clitoral complex, anterior and posterior vaginal wall,
and cervix as they relate to orgasmic function, and may even theorize
on the differences between clitoral and vaginally activated orgasms.
It will discuss the varying modalities utilized to provide vaginal
tightening, and “…how they work.”
11:00 – 11:15 L30: In-­‐Office Vaginoplasty: Eight Year Experience
Red Alinsod, MD (15 Min)
Patient safety should be the paramount issue in any surgical approach.
New technologies have been developed in the recent years that allow
for safe awake surgeries that can be done in one’s office without the
need for IVs, spinals, or general anesthesia. Properly trained surgeons
can achieve excellent results with in-­‐office perineoplasty, posterior
repairs, and vaginoplasty surgery. For fee-­‐for service patients the price
advantages are tremendous. Presented are emerging technologies and
advanced techniques to aid in this vision of more effective and efficient
healthcare.
14

11:15—11:30 L31: Vaginal Rejuvenation in a Compromised Pelvis
Joao Brito Jaenisch, MD (15 Min)
The speaker recently received an award for “Best Aesthetic
Gynecologists” in Southern Brazil. As a renowned laparoscopist and
gynecologic surgeon, he stresses the importance of a complete workup
for pelvic floor defects prior to surgery. Restoring these abnormalities at
the time of vaginal rejuvenation/vaginoplasty is stressed from a
Brazillian technical point of view. Dr. Jaenisch will update our
knowledge and suggest ways to improve outcomes.
11:30—11:50 L32: The Dilemma of Vaginal Mesh Repairs in AVS
Arturo Menchaca, MD (20 Min)
It has been estimated that up to 45% of adult women suffer from
Urinary incontinence and 5% to 10% pelvic organ prolapse. Vaginal
Prolapses affect a woman’s quality of life and affects pelvic function
Including sexual. Over 300,000 women/year will undergo reconstruction
and vaginoplasty for POP. The goal is to restore anatomy, function and
sexual satisfaction. Different methods of repair reveal an average failure
rate as follows; 29% without mesh, 23% with absorbable synthetic
mesh, 18% for absorbable biological mesh and 9% for non-­‐absorbable
synthetic mesh. Adverse events have been reported with the use of
mesh. In the July 13, 2011, the FDA put out a Safety Communication:
UPDATE on Serious Complications Associated with Transvaginal
Placement of Surgical Mesh for Pelvic Organ Prolapse stating that from
Jan. 01, 2008 through Dec. 31, 2010, the FDA received 2,874 additional
reports of complications associated with surgical mesh devices used to
repair POP and SUI, with 1,503 reports associated with POP repairs and
1,371 associated with SUI repairs.” The two most common reasons for
legal action are mesh erosion and dyspareunia. In this lecture I will
update the outcome after the FDA warning, the extraordinary decrease
in mesh usage and will present my method to reduce the possibility of
adverse events to less than 5% and the rate of erosion less than 1%.
11:50 – 12:05 L33: Complications of Labial and Vaginal Surgery
James, Apesos, MD (15 Min)
How to avoid trouble, identify trouble, and fix trouble in the
vulvovaginal area.
12:05 – 13:00 Panel Q & A, Lunch Break, Exhibits
15

13:00—13:15 L34: Management of Vaginoplasty Complications
Arturo Menchaca, MD (15 Min)
Vaginoplasty is a cosmetic procedure that in the last few years is being
requested with greater frequency. Some authorities state that this
along with labioplasty, are the two cosmetic procedures with the
greatest rate of increase in the recent past. With the increasing number
of procedures and the novelty to many surgeons the complication rate
will likewise increase. To avoid complications it is imperative to clearly
understands what the patient wishes, to assess its validity, to formulate
a plan that include preoperative preparation, precise execution during
the procedure, recognition of complications during the procedure and
postsurgically. Complications during surgery may be obvious and
immediately repaired, other complications will present with time. In this
lecture the most frequent complications will be presented along with
how to avoid them and how to resolve them once they become evident.
Some complications may be avoided in the preconception period and
some will resolution after the procedure. If possible one should activate
the least number of factors in accomplishing the patients desires and
thereby bringing satisfaction and happiness as the end result. Non-­surgical
laser treatment being an option in some cases.
13:15 – 13:35 L35: The G-­‐Peel: Advanced Vulvar Skin Care
Clara Santos, MD (20 Min)
The concept of anti-­‐aging is now more popular than ever all over the
world.
Today everyone wants to look more vibrant and youthful. In recent
years, the quest for beautiful, healthy & vibrant skin has begun to
include patients' strong desire to rejuvenate the intimate areas, like
vulvar skin.
The number of patients seeking vulvar skin rejuvenation has increased
dramatically over the past several years and its popularity is forecasted
to grow significantly over the next five years.
Various pathologies can affect the vulvar skin area, such as: Lichen,
Nevus and Dyschromias; all of which negatively impacts ones self-­esteem
and should be treated properly.
This presentation will focus on Dyschromias, especially hyper
pigmentation of the vulva area and its approach and treatment with a
special peel, called G-­‐Peel.
The G-­‐Peel, is a unique peel that gently lightens this delicate area
through clinic peelings and a home mantainment program.
16

13:35 – 13:50 L36: Carboxitherapy and Stretch Marks
Clara Santos, MD (15 Min)
For years Stretch Marks have caused emotional stress for many women
around the world.
Although, stretch marks are only a minor skin condition, most women
hate having these unattractive lesions on their bodies. I have see
patients, who suffer from stretch marks, presenting with tremendous
disappointment, low confidence and low self-­‐esteem.
Stretch marks appear especially during puberty or
pregnancy. Sometimes it occurs in young people who workout heavily,
lifting weights. Stretch marks can also be caused by obesity or when a
person has dramatic shifts in either weight gain or loss.
For many years, the conventional wisdom was non-­‐treatment, as there
was the established belief that there were no effective treatments for
stretch marks.
For quite some time, I have disagreed with the conventional wisdom
and have tried different options to treat this unpleasant condition and
improve patient’s life quality.
Based on my own clinical experience, and after much trial and error, I
have found that the most effective treatments for stretch marks are,
Carboxy Therapy and Cromo Peel. These treatments are safe and easy
to perform. Patient’s satisfaction is high and they have showed
incredible results.
13:50 – 14:05 L37: Tumescent Liposuction in the Office
Joao Brito Jaenisch, MD (15 Min)
14:05 – 14:15 L38: Fundamentals of Nutrition for Wound Healing
Jacqueline Jacques, ND (10 Min)
Normal wound healing requires good nutritional status. In addition,
surgical wounds may place further nutritional demands on the body,
which, if not met, may impair immunity, healing and function. Poor or
borderline nutrition is much more common in the general population
than many believe, and comprehensive nutritional assessments are not
a common part of pre-­‐surgical assessment. Assuring good nutrition –
ideally before a cosmetic surgery procedure – may help people to heal
better and faster. This lecture will give an overview of the key
nutritional elements that can be used to support and optimize wound
healing. We will also look at how to incorporate this knowledge into an
aesthetic surgical practice.
14:15 – 14:45 Panel Q&A, Break & Exhibits
17

14:45 – 14:55 L39: Probiotics and Urogenital Health
Jacqueline Jacques, ND (10 Min)
The human microbiome has proven to be a rich area of study in
women’s health. The association between abnormal vaginal microbiota
and increased risk for sexually transmitted infections, bladder and
vaginal infections, and a higher rate of preterm labor all point to the
possible use of supplemental flora – commonly referred to as probiotics
– as possible therapeutic agents. This presentation will review literature
related to the use of probiotics in maintaining female vaginal and
bladder health. We will focus on commonly encountered health
challenges and the areas best supported by clinical research data.
18

14:55 – 15:15 L40: Social Media in Modern Medicine
Jennifer Berman, MD (20 Min)
We see the way relationships build, the way messages spread, and the
tremendous amount of data that’s been assembled about who we are
and what we do with the intorduction of Facebook. While the potential
platform for information and networking is huge, physicians have been
largely unable to take full advantage of what social media connections
have to offer. Specifically, the Health Insurance Portability and
Accountability Act (HIPAA) prevents doctors from using email or text
messaging, much less open platforms like Facebook or Twitter, to
communicate about patient care without risk .
But research has shown that as far as technology goes, doctors
themselves have proven to be early adopters. With physicians
connecting in real time across specialties and beyond the traditional
bounds of hospital walls, patients may soon be able to stop worrying
about getting access to the right specialist. Medicine’s brightest minds
will be accessible from the remotest spots — on an airplane, at an
underserved clinic, or in the thick of a disaster zone. Soon, any doctor
with a mobile device will have the resources and reach to pull together
a personalized, patient-­‐specific team of experts for any given case.
Sometimes, it will take as little as a question to the right expert in a sub-­specialty
to change the course of treatment for the better. In other
instances, more lasting and meaningful collaborations might take shape.
For doctors, who have historically relied heavily on sifting through a
surfeit of medical journals, this kind access online and real time can
help ensure that the most promising and thought-­‐provoking research or
techniques rise to the surface and reach a wider audience. Moreover,
by posting, sharing, and commenting on articles and cases within their
professional networks, physicians will become more active and engaged
participants in the future of medical research and learning.
The creation of these overlapping communities of doctors could tap a
goldmine of public health data. Using discussion threads about
symptoms and outbreaks, the spread of infectious disease can be
tracked automatically, as can the efficacy and speed of treatment plans.
Complications of new therapies, previously unknown risk factors for
common diseases, even entirely new disease entities may be identified
from increased sharing of data that has until now lived in the filing
cabinets and memories of individual physicians.
The social power of networks like Facebook and Twitter to connect,
entertain, and enrich our lives is undeniable. It’s time to extend the
networking paradigm to healthcare and our practices.
19

15:15 – 15:35 L41: Media and Marketing
Otto Placik, MD (20 Min)
Aesthetic Vulvo-­‐Vaginal Surgery presents some unique concerns when it
comes to media and marketing that are not traditionally encountered
with other cosmetic surgery procedures. The emerging public
awareness of these increasingly popular procedures will be reviewed.
My approach to marketing these procedures with specific examples of
marketing materials used in an office based practice as well as my
experience with the internet and lessons learned will be presented.
15:35 – 15:55 L42: How To Be Successful in Genital Plastics:
From Marketing to Staff Training to Patient Relations
Michael Goodman, MD (20 Min)
No, Virginia, you can’t “just go out there and do it…” without expecting
mediocrity at best and damage and litigation at worst.
This presentation will explore the presenter’s experience, views, and
recommendations in regards to:
1) What training do you need prior to performing genitoplasties?
2) OK. Now you’re trained. How do you integrate Genital Plastics into
your practice:
a) Staff education and training
b) Patient relations
c) Marketing
d) Separating yourself from the competition
3) Why you need to be facile in Sexual Medicine.
15:55 – 16:10 L43: Research in AVS: The Cutting Edge
Red Alinsod, MD (15 Min)
A review of what is new and bold in AVS and what is being studies by
surgeons in our field.
16:10 – 16:30 Panel Q & A
Planning for CAVS 2013
Conclusion
Those interested in planning for CAVS 2013 are invited to stay for a
short session to help plan next year’s event.
20

FACULTY DISCLOSURES
As a sponsor accredited by the ACCME, it is the policy of the IMNE to require the disclosure of anyone who is
in a position to control the content of an educational activity. All relevant financial relationships with any
commercial interests and or manufacturers must be disclosed to participants at the beginning of each
activity
SPEAKER NAME
Red M. Alinsod, MD, FACOG, ACGE
James Apesos, MD
Royal Benson, MD
Jennifer Berman, MD
Marci Bowers, MD
Juan Carlos Diazcadena, MD
Michael Goodman, MD
Christine Hamori, MD
Jacqueline Jacques, ND
João Brito Jaenisch, MD
Darius Maggi, MD
Arturo Menchaca, MD
Otto Placik, MD
Clara Santos, MD
Amr Seif-­‐Eldin
Bernard Stern, MD
Gul A. Zikria, MD, FACOG
Sergei Baghdasarian, L.C., LLC
Monique Ramsey
COMMERCIAL RELATIONSHIP
Coloplast, Cooper Surgical, Ellman, Monarch Medical
Novartis Pharmaceuticals Corp
No Disclosure
No Disclosures
No Disclosures
No Disclosures
No Disclosures
No Disclosures
Sanofi-­‐Aventis, Palomar Medical Technologies,
Merz Aesthetic, Medicis Pharmaceutical
No Disclosures
No Disclosures
No Disclosures
Coloplast
No Disclosures
No Disclosures
No Disclosures
No Disclosures
No Disclosures
Online Medical Marketing
Cosmetic Social Media
22

FACULTY LISTING
RED M. ALINSOD, MD, FACOG, ACGE
South Coast Urogynecology and The Laguna Laser Center
31852 Coast Hwy, Suite 203, Laguna Beach, California 92651
Phone: (949) 499-­‐5311 Fax: (949) 499-­‐5312
Email: red@urogyn.org
Website: www.urogyn.org, www.pelvicsurgeon.com
LAGUNA BEACH, CA
Dr. Alinsod graduated from Loma Linda University School of Medicine in 1986 and completed
his OB/GYN residence from Loma Linda University Medical Center in 1990. His focus is in pelvic and vaginal
surgery. He was the first Rutledge Fellow at MD Anderson Cancer and Tumor Institute and was also accepted
to Yale’s Gynecologic Oncology fellowship. While heading the Gynecological Services at George Air Force
Base, California, and Nellis Air Force Base, Nevada. Dr. Alinsod concentrated on benign gynecology,
urogynecology and pelvic surgery. During his 12-­‐year military career, he trained extensively in vaginal
surgery, hysteroscopic, and advanced laparoscopic surgery. He became a fellow of The Accreditation Council
of Gynecologic Endoscopy in 1995, Certificate #20, the first surgeon to achieve this distinction in Nevada. He
is one of the first surgeons in the United States to perform and teach the “trans-­‐obturator tape”
incontinence sling, Anterior IVS sling, and Posterior IVS vaginal suspension. He has taught pelvic
reconstructive surgery for various companies (AMS, BARD, Boston Scientific, Tyco, Caldera Medical,
Coloplast/Mpathy Medical) over the past 15 years and knows of the products and technologies that relate to
incontinence and pelvic reconstructive surgery, specifically mesh augmented repairs. Dr. Alinsod was the first
surgeon to attach biologic and polypropylene mesh to the Posterior IVS device and use it for posterior
compartment repair along with apical vault suspension now copied by many companies. He invented a
vaginal approach to uterine suspension using standard sling material and mesh suspension kits in 1997. He
owns several patents including the one for the Lone Star APS Retractor System and the “Sling with Bladder
Support” from which came systems such as Perigee, Avaulta A, Prolift A, and Ascend A. Most recently, he
was awarded the patent for a surgical stand and stray for pelvic/vaginal/colorectal/urologic surgery. Dr.
Alinsod is the primary designer and inventor of Caldera Medical’s Ascend Pelvic Floor Mesh device and also
the designer of Coloplast/Mpathy Medical’s shaped Restorelle Mesh. He is the inventor of the LoneStar APS
Vaginal Retractor System, APS Draping System, Alinsod UroGyn Scissors/Pickups/Table, APS Balloon Catheter
Pain Pump System, and Alinsod Labiaplasty Pain Catheters. Dr. Alinsod continues to be active in surgical
teaching and product design and development as it relates to vaginal and pelvic surgery.
After a ten-­‐year career in Los Angeles working for a very busy medium sized multi-­‐specialty group, Dr.
Alinsod decided to try a solo urogynecologic practice. In 2004, he was recruited by South Coast Medical
Center in Laguna Beach, California, to develop the Women’s Center and head up the Urogynecology services.
Today, he is the director and owner of South Coast Urogynecology and the Alinsod Institute for Aesthetic
Vaginal Surgery. He developed the first CME approved course in AVS and founded CAVS 7 years ago to
educate surgeons on AVS, provide a medium for the exchange of ideas, and to protect the health of patients.
He is very active in presenting talks locally and nationally and in teaching physicians the art and science of
incontinence/pelvic reconstructive surgery and aesthetic gynecology. He has presented talks in AVS for The
American Academy of Cosmetic Surgeons, International Society of Cosmetogynecologists, National Society of
Cosmetic Physicians, American Association of Gynecologic Laparoscopists, and he was the first Honorary
Chairman of Brazil’s aesthetic Gynecology Symposium, 2009. Recently, Red has presented his vaginal mesh
clinical study at the IUGA meeting in Brisbane, WS-­‐AUA in Hawaii and AUGS in Chicago. Before the year ends
he will be presenting at AAGL in Las Vegas, in Warsaw, Poland and in China. He continues his world class
teaching program in both pelvic reconstructive surgery and aesthetic vaginal surgery in Laguna Beach.
23

FACULTY LISTING
JAMES APESOS, MD
DAYTON, OH
5441 Far Hills Avenue, Dayton, Ohio 45429
Phone: (937) 435-­‐0031
Email: aestheticsurgeon@aol.com, jamesapesosmd@aol.com
Website: e-­‐cosmeticsurgery.com
ROYAL BENSON, MD
-­‐ 3740 Copperfield Dr., Bryan, Texas 77802
Phone: (979) 776-­‐1660
Email: info@drroyalbenson.com
Website: www.drroyalbenson.com
BRYAN, TX
Royal H. Benson, III, M.D. graduated from Texas Tech University Health Sciences Center,
School of Medicine, in Lubbock, Texas, where he was elected to the Alpha Omega Alpha Honor Society. He
completed his internship and residency at St. Paul Medical Center in Dallas. Dr. Benson is board certified by
the American Board of Obstetrics and Gynecology. He is a Fellow of the American College of Obstetricians
and Gynecologists and is a member of the American Medical Association, The Texas Medical Association, the
Brazos-­‐ Robertson County Medical Society, the Society of Laparoscopic Surgeons, the Association of
American Gynecologic Laparoscopists, and the International Society of Cosmetogynecology.
SERGEI BAGHDASARIAN, LC, LLC
President/CEO, LC, LLC
Phone: (818) 974-­‐8102
Email: sergei@implants.com
Website: www.onlinemedicalmarketing.com
24

FACULTY LISTING
JENNIFER BERMAN, MD
LOS ANGELES, CA
Berman Women’s Wellness Center
1125 S Beverly Drive, Suite 720, Los Angeles, California 90035
Phone: (818) 772-­‐0072
Email: administrator@drjrberman.com
Website: www.bermansexualhealth.com
Jennifer R. Berman, M.D. is a urologist and an internationally renowned expert in the field
of female sexual and menopausal health. She is the founder of The Berman Women's
Wellness Center in Beverly Hills, and is one of only a few female urologists in the United
States. Considered America’s leading expert on women’s sexual health issues, she pioneered the clinical
research studies on female sexual function and dysfunction as well as the medical therapies for female
sexual function complaints that are in development as well as those being used by women today.
In addition to her medical practice, her television series on Discovery Health Network, Berman and Berman,
received a TV Guide award for Outstanding Programming. She appears regularly on national television shows
including Good Morning America as well as the Emmy Award winning show The Doctors. She has been
featured on The Oprah Winfrey Show, CNN's Larry King Live, 48 Hours, NBC Nightly News, 20/20, MSNBC,
Lifetime Television, America's Health Network, as well as New York Times Magazine, Newsweek, Fortune and
others.
Dr. Berman has received recognition and awards for her efforts to increase community awareness about
women’s health issues including the Women of Action Award, the Women Who Make a Difference Award,
and the Rising Star of the Year Award. She is a member of the American Medical Association, the American
Urological Association, the Sexual Medicine Society of North America, the International Society for the Study
of Women’s Sexual Health and the Society for the Study of Impotence Research. Dr. Berman lectures
worldwide and has authored two mainstream books; For Women Only: A revolutionary guide to overcoming
sexual dysfunction and reclaiming your sex life, a New York Times Best Seller, as well as Secrets of the
Sexually Satisfied Women.
Dr. Berman received her Master of Science degree from the University of Maryland Medical Center and her
medical degree from Boston University School of Medicine. She completed her post-­‐graduate urology
residency training at the University of Maryland, and received specialized fellowship training in Female
Urology and Female Pelvic Floor Reconstructive Surgery at UCLA Medical Center.
MARCI BOWER, MD
SAN MATEO, CA
66 Bovet Road Suite #101, San Mateo, California 94402
Phone: (877)-­‐439-­‐2244
Email: marcibdoc@msn.com
Website: www.marcibowers.com
25

FACULTY LISTING
JUAN CARLOS DIAZCADENA, MD
6036 N 19 TH Ave, Ste 301, Phoenix, Arizona 85015
Phone: (602) 710-­‐2040
Email: cdiazcadena@cox.net
Website:
PHOENIX, AZ
Dr. Diazcadena graduated from Universidad Nueva Granada Military School of Medicine
and Health sciences, Bogota Colombia in 1986. He completed his Family Practice residency at the University
of Minnesota in 1995 and completed his OB/GYN residency at Good Samaritan Regional Medical Center in
Phoenix, Arizona in 1998.
Dr. Diazcadena is a sole practitioner in Phoenix, AZ. He is currently the Department chair of OB/GYN for
Phoenix Baptist Hospital and Director/President of Clinica Central, a non-­‐profit organization directed to
proving healthcare for uninsured women and women in need.
His caring and focus is on the individual’s overall health and well-­‐being. The goal of his practice is to provide
the best and most current medical management on urogynecology with minimally invasive surgery including
robotic surgery, pelvic reconstruction and cosmetic gynecology.
MICHAEL GOODMAN, MD, CMP, CCD
“Caring For Women Wellness Center”
635 Anderson Road, Suite 12B, Davis, California 95616
Phone: (530) 753-­‐2787
Email: info@drmichaelgoodman.com
Website: www.drmichaelgoodman.com
DAVIS, CA
Stanford University trained in obstetrics and gynecology, Dr. Michael Goodman began his
practice in rural Mendocino County, California in 1972, where he was one of the early
pioneers of Family-­‐Centered Maternity Care. In the early 1980s his interest turned to the new area of
advanced operative laparoscopy. He became one of the first credentialed Advanced Operative
Laparoscopists, and taught, wrote, and lectured on the subject, as well as functioning as a peer reviewer for
the Journal of the American Association of Gynecologic Laparoscopists (now called the Journal of Minimally
Invasive Surgery.)
Beginning in the mid-­‐ '90s, Dr. Goodman developed an interest in integrative, menopausal and sexual
medicine, as well as female genital plastic and cosmetic surgery. After moving to Davis, CA in 2000 he
became certified as a Clinical Bone Densiometrist and Certified Menopause Practitioner. After additional
training, he incorporated a long-­‐ time interest in Sexual Medicine into his practice. His present practice in
Davis, California specializes in difficult gynecologic issues, peri-­‐menopausal medicine, health and vitality
enhancement, male and female sexuality issues, bone densiometry, pelvic ultrasound and vulvovaginal
aesthetic surgery. He has been an invited guest at numerous seminars on these subjects, and has appeared
as an invited guest many times on area network TV and talk radio. His six citations in peer-­‐reviewed scientific
literature on the subject of female genital plastic/cosmetic surgery are by far the most internationally of any
researcher.
Dr. Goodman is the proud father of four children, ages 13 to 39, and enjoys exercising, tennis, gardening,
music and writing. He is the author of two popular books on menopause, and many peer-­‐reviewed articles
on female genital plastic surgery, genital aesthetics and sexuality/body image, hormone therapy, advanced
operative laparoscopy, and family-­‐centered maternity care.
26

FACULTY LISTING
CHRISTINE HAMORI, MD
DUXBURY, MA
95 Tremont Street Suite 28M, Duxbury, Massachusetts 02332
Phone: (781) 934-­‐2200
Email: cah@christinehamori.com
Website: www.christinehamori.com
Dr. Hamori is a board certified plastic surgeon, in private practice, in Duxbury a coastal suburb
south of Boston. She is the director & founder of Christine Hamori Cosmetic Surgery & Skin Spa since 2001.
Dr. Hamori specializes in Breast, Facial & Body contouring and cosmetic surgery of the female genitalia.
Dr. Hamori did her general surgery training, at Boston University and her plastic surgery fellowship, at the
University of Pennsylvania. She joined the academic faculty at Boston University, in 1996, where she was an
assistant professor of surgery for 5 years before founding her own Cosmetic Surgery Center and Skin Spa, in
Duxbury.
She has been performing labioplasty since 1997 and has an interest in rejuvenation of the mons and labia
majora with fat and filler sculpting. Dr. Hamori has been presenting her experience at National Plastic
Surgery conferences over the past 15 years.
JACQUELINE JACQUES, ND
IRVINE, CA
Bariatric Advantage – 18005 Sky Park Cir, Building 54, Suite A-­‐D, Irvine, California 92614
Phone: (949) 231-­‐5581
Email: jacques@bariatricadvantage.com
Website: www.bariatricadvantage.com
JOÃO BRITO JAENISCH, MD
Costa 30/405, Porto Alegre—RS, Brazil 90110270
Phone: (51) 3231-­‐0769
Email: jaenisch2402@yahoo.com.br
Website: www.ginoplastia.net
BRAZIL
Graduated from FFCMPA medical school, Porto Alegre Brazil 1982
Specialty: General Surgery 1984
Training Vaginal Surgery: Italy Florence 1985
Training in Gynecology Laparoscopy: USA Cleveland Clinic Ohio 1990; Germany Kiel 1993, France Perigueux
1994.
Work Experience & Skill: Former DirectorSurgery and Head of Surgery in Trauma center of The Cristo
Redentor Hospital Porto Alegre 7 years.
Membership: American Academy of Cosmetic Surgery; Former President of The ISCGYN (Brazil 2010-­‐2011);
American Association of Gynecologic Laparoscopy
Languages.Fluent: Portuguese, English, Italian, French and Spanish
27

FACULTY LISTING
DARIUS MAGGI, MD
DENISON, TX
West Africa Fistual Foundation – 3621 Pottsboro Rd #150, Denison, Texas 75020
Phone: 903-­‐463-­‐9400
Email: dariusmaggi@yahoo.com
Website: www.westafricafistulafoundation.org
Dr. Darius R. Maggi grew up in Wilburton, Oklahoma. He received his undergraduate
and medical degrees from the University of Oklahoma. After completing his medical
internship at St. Johns Hospital in Tulsa, OK, he went on to do his obstetrics and
gynecology residency at Charity Hospital in New Orleans, where he was elected Chief Resident. He
established his first medical practice in Durant, OK in 1975 and later served as Chief of Staff at Bryan
Memorial Hospital and Director of Services at the Bryan County Health Department. In 1980, Dr. Maggi
relocated to Denison, TX, where he operated his private obstetrics and gynecology practice until 1999.
During this time, he held many different positions at Texoma Medical Center, including Chief of Obstetrics
and Gynecology, President of the Medical Staff, and Chief of Surgery. Before retiring to pursue medical
volunteer work full time, he was named to D Magazine’s “Best Doctors in Dallas-­‐Fort Worth Region” on two
occasions.
In 2003 he founded the West Africa Fistula Foundation, which performs surgeries in Sierra Leone West Africa
on Vesicovaginal fistulas, which resulted from complicated deliveries. WAFF provides food, shelter and
education to these destitute and abandoned women all free of charge during the process with the assistance
of volunteers and donors.
ARTURO MENCHACA, MD, FACS
WESTCHESTER, IL
Advanced Endoscopic Urogynecology and Laser
6900 S Madison St, Suite 103, Willowbrook, Illinois 60527
Phone: (630) 323-­‐9001
Email: menart1026@yahoo.com
Website: www.drmenchaca.com
Dr. Menchaca is a Board Certified Gynecologist with a subspecialty in Urogynecology and Pelvic
Reconstruction.
OTTO J PLACIK, MD, FACS
ARLINGTON HEIGHTS, IL
Northwest Community Hospital Center for Specialty Medicine
880 West Central Road, Suite 3100, Arlington Heights, Illinois 60005
Phone: (847) 398-­‐1660
Email: otto@asprsdial.org
Website: www.bodysculptor.com
Board Certified Plastic Surgeon, Assistant Professor of Plastic Surgery, Northwestern University Feinberg
School of Medical
28

FACULTY LISTING
MONIQUE RAMSEY
DEL MAR, CA
Cosmetic Social Media – PO Box 1082, Del Mar, California 92014-­‐1082
Phone: 877-­‐401-­‐5485
Email: Monique@cosmeticsocialmedia.com
Website: CosmeticSocialMedia.com
Facebook: facebook.com/cosmeticsocialmedia
LinkedIn: Linkedin.com/in/moniqueramsey
Monique Ramsey, CRMS is the Founder and Chief Creative Officer of Cosmetic Social Media,
a social media and marketing firm dedicated to serving the niche of aesthetic medicine. She melds her two
passions, cosmetic surgery marketing and social media, to bring a unique perspective and skill set to her clients.
With over 20 years of experience in aesthetic practice management and marketing, Monique has a depth of
knowledge and experience difficult to find. She was one of the world’s first to obtain certification in the area of
social media and relationship marketing in 2009 and continues to stay current with her knowledge in this rapidly
changing environment.
CLARA SANTOS, MD
SAO PAULO, BRAZIL
Rua Bernardino de Campos 413 casa 2, Campo Belo Cep 04620-­‐001, Sao Paulo
Sao Paulo, Brazil
Phone: +55-­‐11-­‐8588-­‐7636
Email: clara_santos@terra.com.br, claraunika@hotmail.com
Website: www.clarasantos.com
Clara Santos is a board certified physician, professor, and master speaker. She was educated and trained in
Brazil, where she currently resides in Sao Paulo. She did her fellowship in general medicine and surgery, after
then continued her post-­‐graduate training and specialized in Dermatology.
Dr. Santos is a strong advocate for continuing education and the sharing of knowledge. She strongly believes,
that in order to become a truly excellent practitioner; it is mandatory to visit and learn from the best clinical
centers worldwide. Driven by her beliefs, after graduation, medical residency, and post graduation, she spent
time visiting important medical centers throughout Europe and the USA.
For many years, Dr. Santos has been devoted to the treatment of skin and hair. This high level of devotion,
scientific interest, and intellectual curiosity has fueled her interest in treating more challenging skin conditions;
such as stretch marks and androgenetic alopecia that were long believed to be untreatable. She also has special
interest in non-­‐surgical skin aging rejuvenation.
Clara Santos loves performing cases and teaching doctors to do the same. She has received numerous national &
international awards and is distinguished as an international master professor.
29

FACULTY LISTING
AMR SEIF ELDIN, MD
CAIRO, EGYPT
Egypt Urogynecology Clinic—12 Degla St. Mohandesine, Cairo,Egypt 12411
Phone: +2-­‐0100-­‐525-­‐0230
Email: amr@urogyn-­‐eg.com, a.selfeldin@gmail.com
Website: www.urogyn-­‐eg.com
Dr. Amr Seif-­‐Eldin Graduated from Ain Shams University School of Medicine in 1983,
completed his Ob/Gyn residency at El Galaa Teaching Hospital in Cairo, the largest medical
center for women in the Middle East, and is the founder of the urogynecology & pelvic reconstructive
surgery unit at El Galaa (NHS).
Dr. Seif-­‐Eldin is a certified gynecologist who has subspecialty training in urogynecology & pelvic
reconstructive surgery. His main interest is in cosmetic & reconstructive vaginal surgery, and repair of
urinary / fecal fistula cases. He is a strong advocate for abolishing FGM & Sexual Gender Based Violence in
Africa; and has been invited to give talks for the UN, universities, and training seminars, in many countries.
BERNARD H. STERN, MD
Aventura Center for Cosmetic Surgery
Diplomate of American Board of Obstetrics & Gynecology
3530 North 37 Street, Hollywood, Florida 33021
Phone: (954) 963-­‐3686
Email: cosmeticsurgerymd@earthlink.net
Website: www.aventuracosmeticsurgery.com
University of Michigan, Ann Arbor, Michigan 1963-­‐1965
Wayne State University, Detroit, Michigan 1965-­‐1967
Phi Beta Kappa (as a Junior) 1967
Graduated with honors, B.S. 1967
Wayne State University, College of Medicine 1967-­‐ 1971
Graduated top 10%, Doctor of Medicine
Internship – Residency:
Sinai Hospital of Detroit (affiliated with Wayne University)
Four (4) year OB/GYN Residency 1971-­‐1975
HOLLYWOOD, FL
OFFICES
3888 S. W. 112 Avenue, Miami, Florida 33165
3109 Stirling Road, Ft. Lauderdale, Florida 33312
2954 B Aventura Blvd., Aventura, Florida 33180
4216 King Street, Alexandria, Virginia 33203
4601 Military Trail, Jupiter, Florida 33458
GUL A. ZIKRIA, MD, FACOG
MILPITAS, CA
Complete Health Care Center—1109 W Park Victoria Dr., Milpitas, California 95035
Phone: (408) 946-­‐9453
Email: drzikria@yahoo.com
Website: www.drzikria-­‐md.com
Dr Zikria was born in Afghanistan. 1965 at age 12, His family immigrated to the United States.
He completed his education on the east coast. He graduated from Rutger's Medical School in 1977 and went
on to do 3 years of General Surgery at Georgetown University. He transferred to University of Pittsburgh
Magee Women's Hospital and completed his residency in 1983.
Dr Zikria moved to San Jose, CA in 1985 and has been in private practice since. He has been married 31 years
and has two children.
30

Visit the exhibits
Over 30 companies are scheduled to showcase their products in the exhibit hall.
Exhibit Hours:
Gracia Ballrooms 3-4-7-8 (Exhibit Hall)
Thursday October 18, 2012 7:00am-6:00pm
Friday October 19, 2012 7:00am-6:00pm
EXHIBITS
ACIGI/RelAx............................12
4399 I
www.drfuji.com
AdiCyte.....................................48
TM
Wilmot Rd
The Leader in Adipose Tissue Banking
www.adicyte.com
A
147 Heather Drie
www.selphyl.com
-
A
31

EXHIBITS
Anthony Products.......................14-15-16-17
7740 Records St
Indianapolis, IN 46226
Phone 800-428-1610
www.anthonyproducts.com
-
-
Bio-Oil.........................................5
Lake Forest, CA 92630
Phone 949-598-2400
Fax 949-598-2424
www.bio-oilusa.com
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BTL/Exilis......................................9
Phone 508-309-7948
Fax 508-309-7956
253 Passaic Ave
Phone 973-276-0336
Fax 973-276-0339
Phone 864-489-1446
Fax 864-489-4909
www.carolinaslendercenter.com
32

33
EXHIBITS
C
www.dermasculpt.net
C
www.cryoprob-us.com
-
C
www.cynosure.com
e
www.eclipsemed.com
EXHIBITS
C
www.dermasculpt.net

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EXHIBITS
e
www.ellman.com
-
e
line.
Fax 678-684-1422
www.enaltus.com
-
Boise ID 83704
Fax 208-472-3001
www.epionce.com
-

EXHIBITS
HCG TrueDiet...............................18
Robert S. True Jr
Phone 817-805-4810
www.hcgtrudiet.com
Lasering USA..............................58
2246 Camino R
San Ramon CA 94583
Phone 866-471-0469
Fax 925-355-0777
www.laseringusa.com
Phone 407-206-0700
Fax 407-206-3376
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Phone 713-664-4707
Fax 713-664-8873
Phone 909-596-4855
www.millenniummedicaltechnologies.com
35

EXHIBITS
presented.
Phone 781-993-2300
Fax 781-993-2330
www.palomarmedical.com
-
-
Phone 909-758-8384
-
4105 Seneca St
Phone 716-608-0009
Fax 706-608-0006
-
back to the late 80’s.
162 S Rancho Santa Fe Rd Ste F50
Phone 760-753-5400
Fax 760-753-5401
www.sentelabs.com
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-
36

37
EXHIBITS
www.suneva.com
-
Fax 214-279-0101
www.venus-concept.com
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-
Fax 201-332-4200
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-

EXHIBITS
8000 S Kolb Rd
Phone 800-528-1597
Fax 520-885-1189
-
New York NY 10010
Phone 646-898-6069
www.yodle.com
-
PO Box 1571
Phone 510-364-1760
www.dmoretokyo.com
38

To download a brochure of Dr. Alinsod’s
Aesthetic Vaginal Surgery Preceptorship,
go to
http://urogyn.org/pdfs/doctors_brochure.pdf
39

GENERAL SESSION AND EXHIBIT HALL
THIRD LEVEL MAP
40