How To Perform A Pinch Blepharoplasty



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LORNE K. ROSENFIELD, M.D. 1750 El Camino Real, Suite 405 Burlingame, CA 94010 (650) 692-0467 DrR@DrRosenfield.com FAX: (650) 692-0110 www.drrosenfield.com SUMMARY: Dr. Rosenfield was educated in Canada and the U.S.A. and is Board certified in both general surgery and plastic and reconstructive surgery. He has been in private practice in Burlingame for over 25 years. Dr. Rosenfield is an active Clinical Professor of Plastic Surgery at both UCSF and Stanford University Medical Centers. In addition, he regularly delivers lectures to and conducts teaching courses for his fellow plastic surgeons nationally and internationally on various techniques in aesthetic surgery. Dr. Rosenfield also publishes actively on aesthetic surgery in the most prominent journals and texts in plastic surgery. Also, he offers free reconstructive care to patients from across California through his charitable foundation. MEDICAL TRAINING: Medical School: University of Manitoba, Canada, 1976-1980 Internship: Mt. Zion Hospital, San Francisco, California, 1980-1981 General Surgery Residency: St. Mary's Hospital, San Francisco, California, 1981-1985 Plastic Surgery Residency: Baylor College of Medicine, Houston, Texas, 1985-1987 BOARD CERTIFICATION: General Surgery, 1986 Plastic and Reconstructive Surgery, 1989 FELLOWSHIPS/ SPECIAL TRAINING: Roswell Park Cancer Institute, Buffalo, New York Surgical Oncology, 1985 M D Anderson Cancer Institute, Houston, Texas Chest, Breast, Head and Neck Reconstruction, 1986 TEACHING APPOINTMENTS Clinical Professor, University of California at San Francisco Plastic Surgery since February 1990 Adjunct Clinical Assistant Professor, Stanford University Medical Center Department of Surgery (Plastic Surgery) since January 2004

LECTURER Selected as a Visiting Lecturer/Professor for the American Society Aesthetic Society (ASAPS) 2014-2016 EXAMINER Examiner, American Board of Plastic Surgery - since 1999 Examiner, Stanford University Medical Center Plastic Surgery Residency Training COMMITTEE MEMBERSHIP Co-Chair Course Committee, American Society of Aesthetic Surgery Member CME Committee, American Society of Aesthetic Surgery Member Safety Committee, American Society of Aesthetic Surgery Member Standards Committee, AAAASF EDITOR Quality Medical Publishing EXPERT Expert Medical Reviewer The Medical Board of California since 1999 Evaluator for PACE program for the Medical Board of California UCSD Physician Assessment and Clinical Education Program since 2004 JOURNAL REVIEWER Aesthetic Surgery Journal Plastic and Reconstructive Surgery Journal Ophthalmologic Plastic and Reconstructive Surgery Journal DIRECTOR Medical Director, Surgical Technology Program Skyline College, San Bruno, CA - since 2004 BOARD MEMBER Operation Access, San Francisco, 2014 SPECIAL INTERESTS: Facial cosmetic rejuvenation surgery and body contouring post massive weight loss ANNUAL NATIONAL TEACHING COURSES: The Comprehensive Abdominoplasty The Pinch Blepharoplasty

Achieving Excellence in the Operating Room PAST INVITED LECTURES: Dueling Perspectives in Aesthetic Surgery, Washington, D.C.: The Pinch Blepharoplasty: A Safer Technique with Superior Results, June 2014. The California Society of Plastic Surgeons, Newport Beach: The Comprehensive Abdominoplasty, May, 2014. The American Society of Aesthetic Surgery, San Francisco: Dueling Perspectives: The High Tension Abdominoplasty 2.0, April, 2014. Stanford Faculty Lecture: The Facelift, February, 2014. UCSF Faculty Lecture: The Blepharoplasty, October, 2014. The American Society of Aesthetic Surgery, New York: The Pinch Facialplasty: A Safer and more Effective Variation on a Theme, April, 2013. The Annual Quality Medical Publishing Meeting, Chicago, Illinois: The Operative Pilot s Checklist, Oct, 2013. The International Society of Plastic Surgery, Geneva, Switzerland: Surgeon Coaching: A New Tool For Better Safety and Efficiency in Aesthetic Surgery, Oct, 2012. The South American Plastic Surgery Annual Meeting, Rio de Janeiro: The Comprehensive Abdominoplasty, Nov, 2011. The California Plastic Surgery Annual Meeting, Carmel, Ca. : The Lower Blepharoplasty, May, 2011. Hospital Consortium Monterrey, Mexico: Facial and Body Rejuvenation, March, 2009. FUTURE INVITED LECTURES: Los Angeles Society of Plastic Surgeons: Invited Guest Lecturer, Sept 2014 (Multiple topics including Achieving Excellence in Plastic Surgery in Plastic Surgery ) Aesthetic Surgery Symposium, London, England: Invited Guest Lecturer, Oct 2014 (Multiple topics including Google Glass and the Surgeon ) PENDING PUBLICATIONS: Comprehensive Review of the Abdominoplasty. Aesthetic Surgery Journal.

ON-GOING WRITING AND RESEARCH: The Pre-Operative Psychological Checklist. The Reverse Dysmorphia Syndrome: First do no harm. Quality of the Collagen and Longevity of the Facelift: A Histological Study. A Source of Infection in the Abdominoplasty: The Umbilicus, A Microbiological Study. Simple design for a better Limberg flap. PUBLICATIONS: The Pinch Rhytidectomy: A Safe, Effective, Low SMAS Variation on the Theme, Aesthetic Surgery Journal, July, 2014. Botox Allergy: The First Case Report of a Systemic Allergy to OnabotulinumtoxinA (Botox) in a Healthy Patient, Aesthetic Surgery Journal, July, 2014. The High Tension Abdominoplasty, Body Contouring after Massive Weight Loss (book chapter), edited by Al Aly, M.D., published by Quality Medical Publishing, 2013 The Pinch Facialplasty: A Safe and Effective Variation on the Theme, Quality Medical Publishing, Online Publication, June 2, 2011 The Comprehensive Abdominoplasty, The Art of Aesthetic Surgery (book chapter), edited by Foad Nahai, M.D., published by Quality Medical Publishing, Nov 2010. The Pinch Blepharoplasty, The Art of Aesthetic Surgery (book chapter), edited by Foad Nahai, M.D., published by Quality Medical Publishing, Nov 2010. High Lateral Tension Abdominoplasty, Clinics in Plastic Surgery, (book chapter) edited by Al Aly, M.D., published by Elsevier, July 2009. Aesthetic Surgery s Tipping Point, Plastic and Reconstructive Surgery Journal, March 2009. The No Touch Technique : an important lesson learned from general surgery, Plastic and Reconstructive Surgery Journal, Vol. 123, No. 6, June 2009 The Error of Omission: A Simple Checklist Approach for Improving Operating Room Safety. Co-Authors Lorne K. Rosenfield, M.D. & David S. Chang, M.D. Plastic and Reconstructive Surgery Journal, Vol. 123, No. 1, January 2009. Pinch Blepharoplasty: A Safe Technique with Superior Results, Aesthetic Surgery Journal, Vol. I, March/April 2007.

Flash Fires during Facial Surgery: Recommendations for Safe Delivery of Oxygen, Plastic and Reconstructive Surgery Journal, Vol. 119, No.6, May, 2007. L.K. Rosenfield: Abdominoplasty, The Art of Aesthetic Surgery, edited by Foad Nahai, M.D., Vol. III, 2005. The Pinch Blepharoplasty Revisited, Plastic and Reconstructive Surgery Journal, Vol. 115(5):1405, April, 2005. Intraoperative burns secondary to warmed I.V. bags. Co-author: Paul J. Pitlyk, M.D., Mills-Peninsula Hospital, Department of Neurology, Burlingame, California. Anaesthesiology. 90 No.2, February, 1999. Reduction Mammoplasty for Gigantomastia Using Inferiorly Based Pedicle and Free Nipple Transplantation. Annals of Plastic Surgery, 36(5):560 May, 1996 Sternal Reconstruction Post Cardiac Bypass Surgical Technology International Century Press, London, England. 1995 Skin Tumors and Flap Reconstruction Surgical Technology International Century Press, London, England. 1993. Options in Breast Reconstruction St. Mary's Hospital Magazine, June, 1992. Breast Reconstruction: An Update, St. Francis Hospital Chronicle Magazine, December, 1991. Subtotal nasal reconstruction with expanded forehead flaps. Co-author: Stephen Kroll, M.D., Baylor College of Medicine, Department of Plastic Surgery. Annals of Plastic Surgery, 23:4, October, 1989. Perforator-based flaps for midline lower back wounds. Co-Author: Stephen Kroll, M.D., Baylor College of Medicine, Department of Plastic Surgery. Journal of Plastic & Reconstructive Surgery, 81:561, 1988. Anatomical delineation and clinical application of perforator-based fasciocutaneous flaps. Presented to the Plastic Surgery Senior Residents Conference April, 1987.

The paraspinal perforator flap: Anatomical Description II. Publication pending. Morbidity of perineal wounds. Co-author: Nicholas Petrelli, M.D., Roswell Park Cancer Institute Buffalo, New York. Journal of Surgical Oncology, 32:138, 1986. Endometriosis of the colon. Co-author: Peter Volpe, M.D., St. Mary's Hospital, San Francisco, California. Presented at the Colon and Rectal Congress, Boston, MA, June, 1983. Long-term pulmonary sequelae of congenital diaphragmatic hernia. Co-author: Nathan Wiseman, M.D., University of Manitoba, Canada. Presented to the Medical School Faculty and awarded Bachelor of Science in Medicine. 1980. MEMBERSHIPS: American Society of Plastic and Reconstructive Surgeons American Society for Aesthetic Plastic Surgeons American Association of Plastic Surgeons California Medical Association San Mateo Medical Society PAST APPOINTMENTS Member, Public Education Committee 2009-2011 American Society of Plastic Surgeons Plastic Surgery Educational Foundation The American Society for Aesthetic Plastic Surgery Membership Committee 2001-2003 San Mateo County Medical Society Peer Review - 1999 Chairman, Department of Surgery Mills-Peninsula Hospitals - 1998-2000 San Mateo County Medical Society Insurance and Fee Mediation Committee - 1998-2000 Quality Assurance Committee Mills-Peninsula Hospitals - 1998 Vice Chairman, Department of Surgery Mills-Peninsula Hospitals - 1996-1998

Chief, Department of Plastic Surgery Mills-Peninsula Hospitals - 1995-1998 Chief, Department of Plastic Surgery St. Mary's Hospital 1992-1993 Chairman, Quality Assurance Committee St. Mary's Hospital 1991 Assistant Clinical Professor, University of California at San Francisco Plastic Surgery since February 1990 Executive Committee, Mills-Peninsula Hospitals 1999-2001 Chairman, Department of Surgery Mills-Peninsula Hospitals 1999-2000 Operating Room Committee Mills-Peninsula Hospitals 2000 Clinical Instructor, University of California, Mt. Zion, San Francisco Resident, Plastic Surgery Clinics Since 1999 Inspector, American Association for Accreditation of Ambulatory Surgery Facilities, Inc. Since 1999 Surgical Mentor, San Mateo County Medical Association "Mini-Internship Program" since 1995 Plastic Surgical Representative Insurance and Mediation Committee San Mateo Medical Society 1994-1996 Member of the Board San Francisco Medical Society 1994-1996 Editor, Hospital News, San Francisco Medical Society 1992-1996 Plastic Surgical Representative Ethics and Professional Relations Committee San Francisco Medical Society 1992-1996 Chairman, Plastic Surgical Division for Northern California Chapter of the American College of Surgeons Meeting 1992-1994

Surgical Mentor "Enterprise for High School Students" Program 1990-1996 PRESENTATIONS: The Comprehensive Abdominoplasty California Society of Plastic Surgeons Meeting, April 2014 Abdominoplasty 2.0 The Aesthetic Meeting, April 2014 Focus on Faces and Beyond Burlingame, Fall, 2013 High Tension Abdominoplasty The Aesthetic Meeting, May 2013 Lateral Pinch Facialplasty The Aesthetic Meeting, April 2013 The Peri-Operative Checklist The Aesthetic Meeting, April 2013 Women s Business Group Burlingame, Fall, 2012 High Tension Abdominoplasty Technique: Indications and Limitations QMP Aesthetic Symposium November, 2012 Medical Newscast, Pinch Blepharoplasty Florida, 2012 Plastic Surgery: An Overview Peninsula Temple Sholom Women s Group, April 2012 Plastic Surgery and Weight Loss Patient El Camino Hospital March, 2011 UCSF Resident Lecture: The Abdominoplasty Nov 2010 Stanford Resident Lecture: The Operative Checklist Oct 2010 UCSF Resident Lecture: The Blepharoplasty

May 2010 Stanford Resident Lecture: The Natural Breast Augmentation April 2010 UCSF Resident Lecture: The Aesthetic Practice May 2010 The Weight Loss Patient: Options Jumpstart Clinic, Dec 2010 Medical Newscast Rotary International, Burlingame November 27, 2007, May 9, 2005 2010 The Comprehensive Abdominoplasty: Using the High Lateral Tension, Reverse, and Fleur-de-Lys Techniques for Safer and Superior Results The Aesthetic Meeting 2010 The Pinch Blepharoplasty for Safer and Superior Results The Aesthetic Meeting 2010 The Comprehensive Abdominoplasty: Using the High Lateral Tension, Reverse, and Fleur-de-Lys Techniques for Safer and Superior Results The Aesthetic Meeting 2009 The Pinch Blepharoplasty for Safer and Superior Results The Aesthetic Meeting 2009 Focus on Faces and Beyond Burlingame, 2009 Medical Newscast Rotary International, Burlingame, 2009 UCSF Resident Lecture: The Abdominoplasty Nov 2009 Stanford Resident Lecture: The Operative Checklist Oct 2009 Stanford Resident Lecture: The Natural Breast Augmentation April 2009 UCSF Resident Lecture: The Blepharoplasty May 2009

UCSF Resident Lecture: The Aesthetic Practice May 2009 The Comprehensive Abdominoplasty: Using the High Lateral Tension, Reverse, and Fleur-de-Lys Techniques for Safer and Superior Results The Aesthetic Meeting 2008 The Pinch Blepharoplasty for Safer and Superior Results The Aesthetic Meeting 2008 UCSF Resident Lecture: The Abdominoplasty Nov 2008 Stanford Resident Lecture: The Operative Checklist Oct 2008 Stanford Resident Lecture: The Natural Breast Augmentation April 2008 UCSF Resident Lecture: The Blepharoplasty May 2008 UCSF Resident Lecture: The Aesthetic Practice May 2008 Focus on Faces and Beyond Burlingame, 2008 Medical Newscast Rotary International, Burlingame, 2008 The Comprehensive Abdominoplasty: Using the High Lateral Tension, Reverse, and Fleur-de-Lys Techniques for Safer and Superior Results The Aesthetic Meeting 2007 The Pinch Blepharoplasty for Safer and Superior Results The Aesthetic Meeting 2007 Focus on Faces and Beyond Burlingame, 2007 Medical Newscast Rotary International, Burlingame, 2006 Plastic Surgery and Weight Loss Patient

El Camino Hospital March 23, 2006 Focus on Faces and Beyond Burlingame, 2006 Medical Newscast Rotary International, Burlingame, 2005 Lower Eyelid Position Following Transconjunctival Lower Blepharoplasty with versus Without A Skin Pinch ASOPRS Fall Meeting, Las Vegas, NV November 16-17, 2006 Cardiac Surgery Crystal Springs High School November 13, 2006 Plastic Surgery Considerations Following Gastric Bypass and Weight Loss El Camino Hospital October 26, 2006 In Pursuit of Excellence: Advanced Techniques for Safer and Superior Results in Aesthetic Surgery to the Colegio Noreste de Cirugia Plastica Estetica y Reconstructiva, A.C. and The National Association of Plastic Surgeons Mexico Monterrey, Mexico October 13, 2006 The Comprehensive Abdominoplasty Using the High Lateral Tension, Reverse, and Fleur-de- Lys Techniques for Safer and Superior Results April 21, 2006 Medical Newscast Rotary International, Burlingame November 27, 2007, May 9, 2005 November 22, 2004, June 21, 2004 The Comprehensive Abdominoplasty: Using the High Lateral Tension, Reverse, and Fleur-de-Lys Techniques for Safer and Superior Results The Aesthetic Meeting 2007, NY, NY April 23, 2007 The Pinch Blepharoplasty for Safer and Superior Results The Aesthetic Meeting 2007, New York, NY April 22, 2007 Lower Eyelid Position Following Transconjunctival Lower Blepharoplasty with versus Without A Skin Pinch ASOPRS Fall Meeting, Las Vegas, NV November 16-17, 2006 Cardiac Surgery Crystal Springs High School November 13, 2006 Plastic Surgery Considerations Following Gastric Bypass and Weight Loss

El Camino Hospital October 26, 2006 In Pursuit of Excellence: Advanced Techniques for Safer and Superior Results in Aesthetic Surgery to the Colegio Noreste de Cirugia Plastica Estetica y Reconstructiva, A.C. and The National Association of Plastic Surgeons Mexico Monterrey, Mexico October 13, 2006 The Comprehensive Abdominoplasty Using the High Lateral Tension, Reverse, and Fleur-de- Lys Techniques for Safer and Superior Results April 21, 2006 Plastic Surgery and Weight Loss Patient El Camino Hospital March 23, 2006 Aesthetic Surgery Lecture Women s Club March 15, 2006 Plastic Surgery and Health San Mateo Women s Club February 13, 2006 Scrub from the Surgeon's Perspective UCSF Surgical Technicians Program: Assisting the Surgeon June 10, 2005 Cosmetic Plastic Surgery Women of Belmont, Belmont CA May 11, 2005 Age Management and Plastic Surgery South School Faculty March 21, 2005 Surgical Technicians Program: Assisting the Surgeon Skyline College, San Bruno, CA March 2, 2005 Post Bariatric Surgical Reconstruction: Immediate vs Delayed, Plastic Surgery Educational Foundation: PSEF Achieving Aesthetics and Function Through Reconstructive Surgery Symposium. San Francisco, CA November 6, 2004 Achieving Aesthetics and Function Through Reconstructive Surgery Symposium. San Francisco, CA November 5-7, 2004 Post Bariatric Body Contouring UCSF Residents Lecture, Veterans Administration Hospital June 29, 2004 New Concepts in the Art and Science of Aging, Healthful Living & Beauty: A Physicians Guide to Looking and Feeling Your Best

Mills Peninsula Women s Health Council, Peninsula Golf & Country Club, San Mateo May 21, 2004 Recovery Care after Cosmetic Surgery Nursing Staff, Mills Hospital, San Mateo May 5, 2004 Weight Loss Bariatrics Support Group, Mills-Peninsula Medical Center, Burlingame May 1, 2004 Polio Rotary International, Burlingame, California April 26, 2004 Healthful Living Rotary International, Burlingame February 2, 2004 Panniculectomy PowerPoint presentation to Bariatrics Support Group Mills-Peninsula Medical Center, Burlingame November 1, 2003 A Focus On Faces 03, Seminar Il Fornaio, Burlingame October 9, 2003 Minimally Invasive Facelifts PowerPoint presentation to Association of Operating Room Nurses, Kaiser French Campus, San Francisco September 10, 2003 "Anti-Aging and Healthful Living" Presentation Coen Co. June 6, 2003 Electronic Arts Corp. April 23, 2003 BeBe Corp. April 10, 2003 "Weight Loss" Peninsula Hospital April 5, 2003 Live Surgery Seminar: Weight Loss Surgery Kansas City, Kansas February 2003 "Weight Loss" Peninsula Hospital November 16, 2002 "Focus on Faces" Mills Hospital October 2002 Age Management, Burlingame-Hillsborough Newcomers Club Millbrae, California March 6, 2002 "Plastic Surgery and Peels and Skin Care" Aestheticians Class, Skyline College

San Bruno, California February 26, 2002 Implants and Liposuction" Hospital Consortium, Burlingame, California November 21,2001 "From Anti-Aging Supplements to Anti-Aging Surgery" Peninsula Golf and Country Club May 24,. 2001 "What's New in Plastic Surgery" North Coast Health Information Association January 18, 2001 "Cosmetic Surgery Update" Presentation to Jewish Federation November 30, 2000 Weight Loss and Plastic Surgery" Bariatrics Group, Peninsula Hospital October 21, 2000 "A Conversation with Dr. Rosenfield: Plastic Surgeon:" Day of Health - Harmony for Women, Mills Hospital October 7, 2000 "Focus on Faces II", Peninsula Hospital June 29, 2000 "Focus on Faces I", Peninsula Hospital March 20, 2000 "Hand Surgery: Anticipating the Surgeon" Hospital Consortium, Burlingame, California February 16, 2000 "Plastic Surgery and Weight Loss" Bariatrics presentation at Peninsula Hospital September 18, 1999 "Plastic Surgery" Peninsula Golf and Country Club Presentation Slide/Talk July 22, 1999 "Assisting the Surgeon" Hospital Consortium February 17, 1999 "Muscle Flap Reconstruction and I.C.U." Peninsula Hospital July 12, 1998 Skin Care Clinic, Peninsula Hospital. April 16, 1998 "Overview of Cosmetic Surgery Bariatrics, Peninsula Hospital April 18, 1998

"The Surgeon" Hospital Consortium February 4, 1998 "Patient Care II" Recovery Care Inn, Mills Hospital October 20, 1997 "Patient Care I" Recovery Care Inn, Mills Hospital October 13, 1997 "External Liposuction Surgery" Course, Lipoplasty Society, Peninsula Hospital September 20, 1997 "Plastic Surgery: Facts and Fiction" Burlingame Lions Club March 27, 1997 "How to Anticipate and Assist the Surgeon" Hospital Consortium February 5, 1997 "Whose Ideal Is This Anyway?" Women's Alliance Program December 4, 1996 "Questions and Answers: Part II" Cosmetic Surgery Encounter December 3, 1996 "Questions and Answers: Part I" Cosmetic Surgery Encounter December 2, 1996 "Incisions and Wound Closures" 1996-97 Class of Surgical Technology November 25, 1996 "Cosmetic Surgery: Fables and Facts" Rotary Club, San Mateo, California August 14, 1996 "Cosmetic Surgery: Introduction" Explorers' Scouts, Peninsula Hospital. Mary 19, 1996 "The 10 Commandments for the Surgical Technologist" Hospital Consortium. February 7, 1996 "Wound Healing and Closures" Hospital Consortium. November 27, 1995 "Cosmetic Surgery" for Aestheticians' Class San Francisco. September 12, 1995

"Repetitive Stress Injury", Mills Hospital June 8, 1995 "Plastic Surgery: Fables and Facts" Physician Lecture Series, Wellness Center Mills-Peninsula Hospital June 1, 1995 Pediatric Suturing - Event II" May 17, 1995 "Women's Health Fair, San Francisco May 6, 1995 "Pediatric Suturing - Event I" April 19, 1995 "The Surgeon and the Surgical Technologist" Hospital Consortium of San Mateo County. October 1994 "Medico-Legal Risks of Health Care Reform" The American College of Surgeons. May 1994 "Plastic Surgery in the 90s" University of San Francisco School of Nursing. November 1993 "Medicine, Plastic Surgery and the World" Enterprise Students Association. July 1992 "Bilateral Breast Reconstruction" St. Mary's Hospital Tumor Board Rounds. March 1992 "Difficult Wounds and Their Solutions" St. Mary's Hospital Wound Symposium. January 1991 and January 1992 "Facial Plastic/Cosmetic Surgery" Open House, Children's Hospital, San Francisco. January 1991 "Breast Reconstruction and Facial Tumor Repair" Peninsula Family Medical Clinic Rounds. December 1990 "Cosmetic Surgery: Myths and Realities" Board of Realtors, Annual Meeting. November 1990 "Cosmetic Surgery: The Present and Future" St. Luke's Women's Group. November 1990 "Tumors and Flaps" St. Francis Plastic Surgical Rounds May 1990

"Decubiti Ulcers: Treatment Options: Mt. Zion Hospital Family Practice Symposium. May 1990 "Care of the Sternal Reconstruction Patient" St. Mary's Hospital Therapy Rounds. April 1990 "Health and Aging: Plastic Surgery's Role" San Francisco City College School of Nursing. March 1990 "Hand Surgery: Principles and Practice" Peninsula Family Medical Group. February 1989 "Breast Reconstruction: An Overview" Peninsula Hospital Surgical Rounds. November 1989 "Plastic Surgery in the 90s" Children's Hospital Grand Rounds June 1988 "Wounds and Reconstructive Options" St. Francis Plastic Surgical Rounds April 1988 "Advances in Plastic and Reconstructive Surgery" St. Mary's Surgical Grand Rounds. January 1988 SCIENTIFIC MEETINGS: American Society of Aesthetic Surgery Vancouver, BC, 2012 American Association of Plastic Surgeons San Francisco, Ca 2012 American Society of Aesthetic Surgery Toronto, Canada, 2011 American Society of Plastic Surgery Toronto, Canada Oct, 2010 American Society of Aesthetic Surgery Washington, DC, May 2010 American Society of Aesthetic Surgery Las Vegas, May 2009 American Society of Aesthetic Surgery

San Diego, Ca May, 2008 American Association of Plastic Surgeons Coeur d Alene, Idaho May, 2007 American Society of Aesthetic Surgery New York, NY, May 2007 American Society of Aesthetic Surgery Orlando, Florida May, 2006 American Society of Aesthetic Surgery New Orleans, LA. May 2005 American Association of Plastic Surgeons 83rd Annual Meeting, Chicago May, 2004 American Society of Aesthetic Surgery Vancouver, BC April, 2004 Candidate liaison committee meeting: ASAPS April 18, 2004 Update In Suture Techniques in Rhinoplasty Ronald Gruber, M.D. UCSF, Aesthetic Surgery Lecture Series October 28, 2004 Contemporary Blepharoplasty Foad Nahai, M. D. UCSF, Aesthetic Surgery Lecture Series, January 29, 2004 UCSF Journal Club Meetings 2003, 2004, 2005 American Society Plastic Surgery Annual Scientific Meeting, San Diego October 25, 2003 Presentation "Pinch Blepharoplasty" American Society of Plastic & Reconstructive Surgeons Annual Meeting October 2003 Plastic Surgery Lecture: UCSF Artistic Principles of Aging Face William Little, MD August 7, 2003 Mini- Internship Program San Mateo County Medical Society July 17, 2003 Stanford University School of Medicine Plastic Surgery Meetings 2003-2006

American Society of Aesthetic Plastic Surgeons Annual Scientific Meeting, Boston, Massachusetts May 2003 American Society of Plastic and Reconstructive Surgeons Skin Care and the Plastic Surgery Practice Phoenix, Arizona 2000 University of California at San Francisco Aesthetic Surgery Symposium, San Francisco, California 2000 American Society of Plastic & Reconstructive Surgeons Montreal, Canada 1995 American College of Surgeons of Northern California, San Francisco, California 1990 1997 Plastic and Reconstructive Surgery Society, San Diego, California 1994 California Society of Plastic Surgery San Francisco, California 1991, 1993-1997 Plastic and Reconstructive Surgery Society Washington, D.C. 1992 Plastic and Reconstructive Surgery Society Seattle, Washington 1990 Plastic and Reconstructive Surgery Society Toronto, Canada 1989 American Society of Aesthetic Surgery Los Angeles, California 1987 COURSES: NLite Laser Workshop, San Francisco, California October 28, 2000 Laser Hair Reduction Course, San Mateo, California Medical Alliance March 18, 2000 Mills-Peninsula Health Services Department Surgery, Plastic & Reconstructive Surgery January - December, 2000 Ultrasound-Assisted Lipoplasty, Stanford, California

September, 1998 Expert Medical Review The Medical Board of California, San Francisco, California March, 1997 Skin Rejuvenation and Laser Surgery Ultra Pulse, C02, Pulsed Dye, Q-Switch and ND- YAG Lasers St. Francis Hospital, San Francisco July, 1995 Endoscopic Plastic Surgery The University of Texas Southwestern Medical Center, Dallas, Texas March, 1995 Breast Reconstruction (Drs. Little and Spear) San Diego, California - 1994 Baker-Gordon Symposium on Cosmetic Surgery Miami, Florida - 1994 Aesthetic Surgery Symposium UCSF Department of Plastic Surgery, San Francisco, California - 1993 Aesthetic Surgery Symposium UCSF Department of Plastic Surgery San Francisco, California 1992 Endoscopic Carpal Tunnel Surgery (Dr. Agee) Berkeley, California - 1991 Office Ambulatory Surgery in the '90s Newport Beach, California - 1991 Laser Surgery Stanford University Palo Alto, California - 1988 (See attached.) Rhinoplasty Southwestern University, Dallas, Texas - 1986 Liposuction Surgery Society of Liposuction Surgery, Houston, Texas - 1986 Microsurgery Baylor College of Medicine, Houston, Texas - 1986

Maxillofacial Surgery Cleft Palate Association, Houston, Texas - 1985 LANGUAGE PROFICIENCY: ENGLISH FRENCH PERSONAL: DATE OF BIRTH January 24, 1956 PLACE OF BIRTH Winnipeg, Manitoba, Canada CITIZENSHIP Dual: American & Canadian MARRIED May 12, 1985 Jeanne Ann Grace CHILDREN Lauren 1989 Ian 1992 Michael 1995 Noah 1999