Dr. Rohrich's Full Curriculum Vitae (PDF)
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Transgender Services Corporate Medical Policy
Transgender Services Corporate Medical Policy File Name: Transgender Services File Code: 7.01.VT202 Origination: 05/30/2011 Last Review: 10/2020 Next Review: 10/2021 Effective Date: 04/01/2021 Description/Summary This policy focuses on non-surgical and surgical treatments of transgender persons. Policy Coding Information Click the links below for attachments, coding tables & instructions. Attachment I- CPT® code table & instructions Attachment II- ICD-10-CM code table Non-Surgical Treatment Feminizing/masculinizing hormonal interventions are not without risk for complications, including irreversible physical changes and infertility. Medical records should indicate that an extensive evaluation was completed to explore psychological, family, and social issues prior to and post treatment. Providers should also document that all information has been provided and understood regarding all aspects associated with the use of cross-sex hormone therapy, including both benefits and risks When a service may be considered medically necessary Feminizing/masculinizing hormone therapy is considered medically necessary when all the following criteria are met: • Persistent, well-documented gender non-conformity; AND • Capacity to make a fully informed decision and to consent for treatment; AND Page 1 of 17 Medical Policy Number: 7.01.VT202 Note: Initiation of feminizing/masculinizing hormone therapy may be provided after a psychosocial assessment has been conducted and informed consent has been obtained by a health professional. Parent or Guardian permission -
August 2–4, 2018 Cover Art Senarighi Rae by Cover Wellness
Remembrance • Resistance • Resilience August 2–4, 2018 Cover Art Senarighi Rae by Cover Wellness PTWC offers a space for trans people and our allies, families, and providers to come together to re-envision what health and wellness means for trans people. Three days of free workshops, networking opportunities, youth programming, plenary speakers, a professional development track offering continuing education credits, an opening reception and a Resistance Ball. Get the latest conference updates by downloading the TRANSPHL app on iOS or Android. PTWC is supported by the Philadelphia Department of Public Health, and by foundation funding from Arcus Foundation and the E. Rhodes and Leona B. Carpenter Foundation. Welcomes the Mazzoni Center Thursday, August 2 to Saturday, August 4, 2018 Trans Wellness Conference returns to Philly with a focus on the future The Mazzoni and have formal evalu- years, and know well the education to our commu- Center’s 17th an- ations for every work- event’s long history and nity, we want to share in shop, as well as the en- powerful legacy. different stories,” said de nual Philadelphia tire event,” said Ashley “Knowing that, this Luz. summit is paving Coleman, the Mazzoni’s year we wanted to be even Another fresh focus the way for a more senior events manager more intentional, and of Mazzoni’s Trans Well- in charge of the annual more inclusionary with ness Conference regards inclusive commu- Trans Wellness Confer- all of our programming educational programs nity. ence, its logistical support and all of the outsourc- for kids and the addition and for “putting out fires” ing,” said Coleman. -
26-Facial-Esthetic-Surgery.Pdf
Facial Esthetic Surgery Mark W. Ochs and Peter N. Demas C H A P T E R CHAPTER OUTLINE FACIAL AGING Cheek Augmentation SURGICAL PROCEDURES Chin Augmentation or Reduction Blepharoplasty Otoplasty Forehead and Brow Lift Lip Augmentation or Reduction Rhytidectomy Botulinum Neurotoxin Therapy Septorhinoplasty Scar Revision Skin Resurfacing Hair Restoration Facial Liposuction SUMMARY atients are increasingly seeking procedures that structed, and restored to both adequate function and .social- enhance their appearance for personal and profes- ly acceptable appearance. sional reasons. Esthetic oral and maxiilofacial sur- Advances in medicine and nutrition, combined with gery is often included in a comprehensive treatment plan to increased public awareness of personal health care, complement restorative, prosthetic, and orthodontic treat- enable patients to live longer, healthier, and more active ment. Dental treatment plans, especially ones involving lives. However, social pressure to maintain a youthful cosmetic therapy, arc enhanced if denlists remain aware of appearance as one ages encourages more people each year the wide variety of esthetic surgical options available to to undergo some form of esthetic enhancement. This patients. Orthodontists planning orthognathic surgery trend is evident in members of the "baby boomer" gener- complete a careful evaluation of facial proportions that fre- ation, now in their 40s and 50s, who have grown increas- quently includes the diagnosis of external nasal deformities ingly interested in these procedures. and other hard and soft tissue abnormalities. Prosthetic Research from the American Academy of Cosmetic rehabilitation often involves attempts to increase support Surgery indicates that the number of patients undergoing to the perioral region and can be enhanced with fadal reju- esthetic procedures increased dramatically between 1990 venation procedures. -
Healthcare of the Transgender Patient and the Powers Method of Hormonal Transitioning V5.4 Dr
Healthcare of the Transgender Patient and The Powers Method of Hormonal Transitioning v5.4 Dr. William Powers Facebook.com/DrWillPowers PowersFamilyMedicine.com © 2017-2019 - Dr. William Powers Optimized for MS Office 2016 PPT Lecture Goals & Objectives Understanding gender dysphoria and the transgender patient 01 02 Preventative medicine for transgender people 03 Understanding the process of basic hormonal transitioning Please Note This lecture is designed to be presented to physicians / medical providers in the context that they will be providing medical or HRT care to transgender people. If it has ended up in your hands, and you are not one of those, please keep this perspective in mind! Additionally, language is used in this PowerPoint which is medical in nature. It contains the statements of major medical groups or publications. This language may not be sensitive to the very people this presentation is about. That being said, it cannot be edited without misquoting the source, so please be mindful of this as well. In short, not all the words here are mine. Some are quoted from other sources. Please Note Transgender Medicine is an evolving field. No major medical society has standards of care yet for transgender people (Such as the AOA, AMA, ACOG, etc) Some of the information presented here is based on my own personal observations with my own patients. I see approximately 10-15 transgender patients daily, and have somewhere around 1500 in my practice. I therefore have derived some information not yet published or independently verified/peer reviewed. This is information based on my personal experience and not trial data. -
Buttock Augmentation Procedure
Page 1 From: "Procedure Information" <ProcedureInformation.tmcidpoxuaauggyrafd@email.plasticsurgery.org> To: [email protected] Date: 4/18/2020 10:31:29 AM Subject: Buttock Augmentation Procedure Jerome Chao, MD, FACS Certified Plastic Surgery of NY, PLLC 13 Century Hill Drive Latham, NY United States Phone: +1 (518) 203-2582 BUTTOCK AUGMENTATION What Is Buttock Augmentation? Consultation & Preparing for Surgery The Procedure Risks & Safety Recovery &Results Cost 9/14/2020 Page 2 WHAT IS BUTTOCK AUGMENTATION? Buttock augmentation surgery involves using implants, fat grafting or sometimes a combination of both to increase the size of your buttocks. This procedure can: Increase fullness, roundness and projection of your buttocks Improve the balance of your figure Enhance your self-image and self-confidence 9/14/2020 Page 3 Buttock augmentation surgery is right for someone who does not like the shape of their buttocks or is looking to balance their body. It is performed in one of two ways, with implants or fat transfer. The fat transfer procedure is commonly known as a Brazilian butt lift. Is it right for me? Buttock augmentation is a very personal procedure and you should do it for yourself, not for someone else. It is a good option if: You are physically healthy You have realistic expectations You are bothered by the feeling that your buttocks are too small You are unhappy with the roundness or general shape of your buttocks Your buttocks are asymmetrical 9/14/2020 Page 4 CONSULTATION & PREPARING FOR SURGERY During your consultation, be -
Download IFATS 2016 Program Book
IFATS SAN DIEGO 2016 CONFERENCE 14th Annual IFATS Meeting International Federation for Adipose Therapeutics and Science November 17-20, 2016 The Westin San Diego • Gaslamp Quarter San Diego, California www.ifats.org 1 IFATS thanks our platinum sponsor for their continuing support MTF 1012015 Ad FINAL.indd 1 10/5/15 11:46 AM International Federation for Adipose Therapeutics and Science IFATS SAn DIego 2016 November 17-20, 2016 Westin Gaslamp • San Diego, California Recording of any content presented at this educational program either by camera, video camera, cell phone, audio recorder, or any other device is strictly prohibited. Endorsed by: 3 MTF 1012015 Ad FINAL.indd 1 10/5/15 11:46 AM MARK YOUR CALENDAR International Federation for Adipose Therapeutics and Science 15th Annual Meeting IFATS MIAMI 2017 November 30 - December 3, 2017 Loews Miami Beach Hotel Miami, Florida AbstrAct DeADline: Midnight EST, Wednesday, June 7, 2017 The Call for Abstracts will be sent this winter. All members of IFATS and all registered attendees of the 2016 IFATS Conference will be included in the mailing list. Any others who wish to be reminded to submit papers should contact the IFATS Executive Office. IFATS Executive Office 45 Lyme Road - Suite 304 Hanover, NH 03755 USA Tel: 1-603-643-2325 • Fax: 1-603-643-1444 Email: [email protected] • Web: www.ifats.org Catherine Foss - Executive Director • [email protected] Jodie Ambrose - Abstract Coordinator and Marketing Manager • [email protected] Jordan Carney - Membership Services Manager • [email protected] Michele Nilsson, CMP - Education Specialist • [email protected] Sally Rice - Accounting Manager • [email protected] 4 Table of Contents Founders Board & Board of Directors...................................... -
Biomaterials
Biomaterials Lecture #4 Biomaterials “…systemically and pharmacologically inert substance designed for implantation within or incorporation with living systems.” (Clemson University Advisory Board for Biomaterials) Problem Area Examples Replace diseased or damaged part Artificial hip joint, kidney dialysis machine Assist in healing Sutures, bone plate, screws Improve function Cardiac pacemaker, intraocular lens Correct functional abnormality Cardiac pacemaker Correct cosmetic problem Augmentation mammoplasty, chin augmentation Aid to diagnosis Probes and catheters Aid to treatment Catheters, drains Biomaterials in Organs Organ Examples Heart Pacemaker, valves, total heart replacement Lung Oxygenator machine Eye Contact lens, intraocular lens Ear Artificial stapes, cochlea implant Bone Bone plate, hip/knee replacement Kidney Dialysis machine Bladder Catheter and stent Materials Materials Advantages Disadvantages Examples Polymers (nylon, Resilient Not strong Sutures, blood vessels, silicone rubber, Easy to fabricate Deforms with time hip & knee bearing polyester, PTFE, etc.) (creep), may degrade surfaces Metals (Ti and alloys, Strong, tough, ductile May corrode, dense, Joint replacement, Co-Cr alloys, stainless difficult to fabricate bone plate & screws, steels, Au, Ag, Pt, etc.) dental root implants, pacer and suture wires Ceramics (aluminum Very biocompatible, Brittle, not resilient, Dental, femoral head of oxide, calcium inert, strong in difficult to fabricate hip implant, coating of phosphates, carbon) compression dental and orthopedic -
What Others Are Saying... "If You’Re Thinking of Cosmetic Surgery Or Just Want to Learn More, This Is the Book
What Others Are Saying... "If you’re thinking of cosmetic surgery or just want to learn more, this is the book. Dr. Kotler, one of the top cosmetic surgeons in the United States, guides you through the procedures and what each entails—from costs to recovery times. You will truly be informed…” -Mary Ann Malloy, MD Women’s health expert, NBC “Cosmetic surgery can be a life-changing decision, and Dr. Kotler relays valuable information so the public can make an informed decision. An excellent resource for both doctor and patient. Sound decisions translate to peace of mind—an important factor when considering plastic surgery.” -Howard Murad, MD Assistant Clinical Professor of Dermatology, UCLA “The secrets of finding a cosmetic surgeon who is right for you. A must have book for anyone contemplating this type of surgery.” -Dr. Earl Mindell Author, Vitamin, Herb and Diet Bibles “Dr. Robert Kotler, an acknowledged master of facial plastic surgery has written an informative, easy, well-organized and humorous ‘must read’ for the patient who requires education regarding cosmetic surgery in order to be well versed in all nuances and protected from the pitfalls.” -Jeremy L. Freeman, MD Professor of Otolaryngology, University of Toronto “A bible for the consumer who is looking for rejuvenation, and is concerned about what procedure they really need and who’s the best to do it. Contains checklists to make sure they stay on the right track.” -James E. Fulton Jr., MD, PhD, Co-Developer Retin-A® “A thorough consumer’s guide highlighting all important areas one should consider when contemplating cosmetic surgery. -
Msrv 2020 148072
STATE OF CONNECTICUT DEPARTMENT OF SOCIAL SERVICES OFFICE OF LEGAL COUNSEL, REGULATIONS, AND ADMINISTRATIVE HEARINGS 55 FARMINGTON AVENUE HARTFORD, CT 06105-3725 2020 Signature Confirmation Client # Request # 148072 NOTICE OF DECISION PARTY PROCEDURAL BACKGROUND On 2019, Community Health Network of CT (“CHNCT”), sent (the “Appellant”), a Notice of Action (“NOA”) denying a request for prior authorization for a buttock augmentation, adding fat filler to the buttock area, for gender affirming surgery. On , 2019, the Appellant requested an administrative hearing to contest the Department’s denial of the medical service. On 2019, the Office of Legal Counsel, Regulations, and Administrative Hearings (“OLCRAH”) scheduled an administrative hearing for 2019. On 2019, in accordance with sections 17b-60, 17b-61 and 4-176e to 4-189, inclusive, of the Connecticut General Statutes, OLCRAH held an administrative hearing. The following individuals participated in the hearing: Appellant Heather Shea, RN, CHNCT Marci Ostroski, Hearing Officer - 2 - STATEMENT OF THE ISSUE The issue to be decided is whether it was correct for CHNCT to deny prior authorization for a buttock augmentation, adding fat filler to the buttock area, for gender affirming surgery. FINDINGS OF FACT 1. The Appellant was 57 years old (DOB ) at the time of her request. (Exhibit 1: Prior Authorization Request) 2. The Appellant is a participant in the Medicaid program. (Hearing Record) 3. CHNCT is the Department’s contractor for administering the Medicaid program. (Hearing Record) 4. The Appellant has a diagnosis of gender dysphoria and transsexualism. She is transitioning from male to female and has identified as female since adolescence. (Appellant’s testimony; Ex. -
2020 Quarter 2 Advanced Book Information
2020 Quarter 2 Advanced Book Information Featured Titles Apr-20 Anatomy for Dental Medicine, 3rd Edition Apr-20 Atlas of Anatomy, 4th Edition Jun-20 The Art of Aesthetic Surgery: Principles and Techniques, 3rd Edition: Fundamentals and Minimally Invasive Surgery – Volume 1 Jun-20 The Art of Aesthetic Surgery: Principles and Techniques, 3rd Edition: Facial Surgery – Volume 2 Jun-20 The Art of Aesthetic Surgery: Principles and Techniques, 3rd Edition: Breast and Body Surgery – Volume 3 Neurosurgery Titles Mar-20 Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation, 1st Edition Mar-20 Botulinum Neurotoxin for Head and Neck Disorders, 2nd Edition Apr-20 Incidental Findings in Neuroimaging and Their Management: A Guide for Radiologists, Neurosurgeons, and Neurologists, 1st Edition Apr-20 Minimally Invasive Spine Surgery: A Primer, 1st Edition May-20 Pediatric Endoscopic Endonasal Skull Base Surgery, 1st Edition May-20 Microsurgical Basics and Bypass Techniques, 1st Edition Plastic and Reconstructive Surgery Titles Apr-20 Bostwick’s Plastic and Reconstructive Breast Surgery, 4st Edition May-20 Plastic Surgery: A Practical Guide to Operative Care, 1st Edition May-20 Handbook of Reconstructive Flaps, 1st Edition May-20 Male Aesthetic Plastic Surgery, 1st Edition Jun-20 Cosmetic Breast Surgery, 1st Edition Radiology Titles May-20 RadCases Gastrointestinal Imaging, 2nd Edition May-20 Venous Interventional Radiology, 1st Edition May-20 Breast MRI Interpretation: Text and Online Case Analysis for -
Bone Resorption After Alloplastic Chin Augmentation Found Incidentally In
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 31 (2019) 275–279 Contents lists available at ScienceDirect Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology journal homepage: www.elsevier.com/locate/jomsmp Case Report Bone resorption after alloplastic chin augmentation found incidentally in a T patient with a toothache: Report of a case ⁎ Fumie Yamazakia, Kosuke Takahashia, , Akinobu Aokia, Teruo Yanoa, Mai Tajimaa, Ko Itoa, Masakazu Akibab, Toshirou Kondoha a Department of Maxillofacial Surgery, Nihon University School of Dentistry at Matsudo, Japan b Department of Dentistry and Oral Surgery, Asahi General Hospital, Japan ARTICLE INFO ABSTRACT Keywords: Genioplasty is a commonly performed operation especially in retrogenia. Osteotomy is generally performed to Alloplastic chin augmentation move the chin forward or downward in genioplasty. Alloplastic augmentation implants have been established in Bone graft orthognathic surgery. The materials for chin augmentation are various, but in clinical practice, the most widely Retrogenia use ones include a solid flexible silicone elastic polymer. However, alloplastic implantation can be associated Bone resorption with several complications, including infection, bone resorption, and secondary soft tissue deformities. In this Titanium mesh case, severe bone resorption in the chin augmentation region was found with pain in the mandibular front tooth along with apical periodontitis in the right mandibular second premolar. We suggested that the bone resorption in the present case may have been caused by apical periodontitis which infected of the chin alloplastic implants and incidentally found in a patient with a toothache. We treated with an iliac bone graft and titanium mesh. There was no evidence of recurrence of the lesion after two years of follow-up. -
Chin and Malar Augmentation
CHIN AND MALAR AUGMENTATION SOROUSH ZAGHI, MD INTRODUCTION EVALUATION OF CHIN PROJECTION Chin projection should approach a line perpendicular to the Frankfurt horizontal at vermilion border of lower lip. ZERO MERIDIAN OF GONZALES-ULLOA A line perpendicular to the Frankfort horizontal line is projected through the nasion. Legan’s angle Contained by lines from the glabella to the subnasale and the subnasale to the soft-tissue pogonion. This should be 12 ± 4 degrees for appropriate chin projection. MERRIFIELD Z ANGLE Contained by the Frankfort horizontal line and a line connecting the soft-tissue pogonion to the most anterior part of the lip. The Z angle should be 80 ± 5 degrees. PRE-OPERATIVE CONSIDERATIONS • Skin texture • Anatomic proportions • Prior facial trauma • Emotional stability • Aging face: Soft tissue ptosis, jowls, Marionette lines • Occlusal relationship: Microgenia, Micrognathia, Retrognathia. PATIENT WITH JOWLS • 35 F – Before and 4 months after chin implant with liposuction from jowls and submental area. PATIENT WITH RETROGNATHIA • Patient with retrognathia, voluntary protrusion of jaw (better candidate for mandibular advancement) • Patient with retrognathia and chin implant (deepened labiomental fold). Lower lip analysis- Labiomental fold • Position of the labiomental fold determines the chin pad percentage of the lower facial height. • High labiomental fold Poor candidate. Augmentation will enlarge the entire lower face. • Low labiomental fold Good candidate. Augmentation will accentuate the chin only. LOW LABIOMENTAL FOLD • Patient with low labiomental fold • Before and after chin augmentation. CHIN PAD THICKNESS • Soft tissue thickness: normal= 8 to 11 mm. • Cephalogram demonstrating a very thick chin pad. • Avoid setting back jaws with thick pads; leads to bony irregularities, soft tissue pad ptosis and an unsupported chin pad.