Release Date: July 2009
Expiration Date: July 31, 2010

An audio slide presentation and injection demonstration based on a CME satellite symposium in conjunction with the 2009 International Master Course on Aging Skin (IMCAS) annual meeting in Paris, France, January 10, 2009.

 

Jointly Sponsored by Dannemiller, Inc. and Athena Education Group, LLC

This educational program is made possible by an educational grant from sanofi-aventis U.S., LLC

Intended Audience: This continuing medical education (CME) activity was developed for surgeons who perform plastic, facial plastic, and oculoplastic surgery, and for dermatologists, aesthetic medicine specialists and other physicians who perform facial rejuvenation using dermal fillers.

 

Needs Assessment
According to the American Society for Aesthetic Plastic Surgery, between 1997 and 2007 the number of non-surgical aesthetic procedures increased 743% among women and 886% among men. Based upon the convergence of (a) increasing demand for and performance of non-surgical rejuvenation, (b) the availability of a wider variety of injectable products, and (c) the development of innovative advanced techniques for facial rejuvenation, there is a need for updated clinical education relating to advanced injection techniques and options, product use, patient selection and developing individualized treatment plans.

 

Introduction
Dr. Rebecca Fitzgerald and Dr. Danny Vleggaar integrate highly visual, didactic presentations to provide context for in-depth patient evaluations, treatment discussions and injection demonstrations. Drs. Fitzgerald and Vleggaar discuss the use of dermal fillers in facial lipoatrophy and rejuvenation with an emphasis on advanced techniques to optimize aesthetic outcomes. They share their extensive clinical expertise and approaches to developing customized treatment plans for facial rejuvenation.

 

Learning Objectives
At the end of this CME activity, participants should be able to:

1. Describe facial anatomy and the facial aging process
2. List the spectrum of dermal fillers currently available for facial rejuvenation and cite the potential adverse events associated with each product
3. Formulate individualized combination treatment plans specific to each patient
4. Identify advanced combination injection techniques for restoring volume to maximize patient outcomes and satisfaction

 

Method of Participation
This activity should take approximately 1.5 hours to complete. The participant should, in order, read the objectives and other introductory CME information, listen to the presentations, and complete the registration form, post-test, and evaluation form for instant credit. The evaluation form provides each participant with the opportunity to comment on the extent to which educational objectives were met, the quality of the instructional process, the perception of enhanced professional effectiveness, the perception of commercial bias, and his or her views on future educational needs. To access the registration form and post-test, click on the prompt on the final slide in the presentation. To receive credit for this activity, follow the instructions provided on the post-test. Credit is valid through July 31, 2010. No credit will be given after this date.

 

Accreditation
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Dannemiller and Athena Education Group. Dannemiller is accredited by the ACCME to provide continuing medical education for physicians.

 

Credit Designation
Dannemiller designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
CME activities approved by the American Medical Association (AMA) are recognized by the European Accreditation Council for Continuing Medical Education (EACCME).

 

Faculty

• Danny Vleggaar, MD Dr. Danny Vleggaar works in private practice at the Centre Dermato-Cosmetique Roseraie in Geneva, Switzerland. Previously he was a Consultant for cosmetic dermatology at the Nouvelle Clinic Vert Pré, Geneva, Switzerland, and was the Medical Director of Medi-Line Clinic, Amsterdam and the Clinic for Injectables, The Hague, The Netherlands. Dr. Vleggaar graduated from Vrije Universiteit, Amsterdam in 1986. He is a registered and board-certified specialist in family medicine, with a specialty in dermatology and allergy.
  
  Dr. Vleggaar has extensive experience in the use of injectable fillers; he began to focus on non nonsurgical facial rejuvenation in 1992. Dr. Vleggaar is a recognized expert in the use of poly-L-lactic acid (PLLA) and pioneered injection techniques for facial sculpting with PLLA that are now accepted and taught as the standard. He has presented his clinical experiences with dermal fillers and collagen stimulators at numerous international meetings for dermatology, plastic surgery and cosmetic medicine. Dr. Vleggaar has led presentations on facial rejuvenation, lipoatrophy, and injectables at professional meetings and conferences in Europe, Asia, and the United States. Drawing from his extensive clinical experience, he has written several book chapters and numerous publications for peer-reviewed journals.



• Rebecca Fitzgerald, MD Dr. Rebecca Fitzgerald is on the clinical faculty in dermatology at the University of California-Los Angeles (UCLA) and is in private practice in Los Angeles, California. Dr. Fitzgerald graduated from Louisiana State University Medical School, and subsequently completed an Internal Medicine residency at UCLA/Cedars Sinai Medical Center in Los Angeles, California before returning home to New Orleans, where she completed her training in Dermatology. Dr. Fitzgerald is a Diplomat of the American Board of Dermatology and a Fellow of both the American Academy of Dermatology (AAD) and the American Society of Dermatological Surgery (ASDS).
  
  Dr. Fitzgerald is a member of the Botox Cosmetic National Education Faculty, Bioform Medical Educational Faculty, Evolence Star Faculty Program, as well as a recognized expert in the use of poly-L-lactic acid (PLLA). She contributes publications to peer reviewed medical journals, presents frequently at medical educational seminars and has been featured as a medical expert on local and national television programs.

 

Disclosures
In accordance with the Accreditation Council for Continuing Medical Education (ACCME), the Dannemiller Memorial Educational Foundation requires that any person who is in a position to control the content of a CME activity must disclose all relevant financial relationships he or she has with a commercial interest. Accordingly:

Rebecca Fitzgerald, MD, discloses that she received compensation as a speaker for sanofi-aventis; and as a consultant or advisory board member for sanofi-aventis.
Danny Vleggaar, MD, discloses that he received compensation as a consultant or advisory board member for Stiefel Laboratories and sanofi-aventis.

Wendy Gloffke, PhD, medical writer, has no disclosures to report.

Dannemiller, Inc. and Athena Education Group staff members who were involved in the development of this activity have no financial relationships with any commercial interests that are relevant to this activity.

To resolve identified conflicts of interest, the faculty disclosures and educational content were fully peer reviewed by a physician member of the Dannemiller Clinical Content Review Committee who has nothing to disclose. The resulting certified activity was found to provide educational content that is current, evidence based, and commercially balanced.

 

Off-Label Discussion
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

 

Disclaimer
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Dannemiller, sanofi-aventis, and Athena Education Group. This material is prepared based on information and data presented at a CME satellite symposium conducted at the 2009 International Master Course on Aging Skin (IMCAS) annual meeting in Paris, France, January 10, 2009. Healthcare professionals should not utilize the procedures, products, or diagnostic techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use. Therefore, healthcare professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely on the information contained within this educational activity.