1. Program Update Physicians Coalition for Injectable Safety Summer, 2008

2. Physicians Coalition for Injectable Safety Goals of the Program: Alert physicians to the dangers, both legally and clinically, of purchasing and using off-shore injectables Provide the public with accurate, unbiased information on cosmetic injectables Formulate a group that can reply expediently to market changes and opportunities

3. Physicians Coalition for Injectable Safety Progress to Date: Public Awareness Program launch to media, April, 2007 Fully functional and informative website: www.injectablesafety.org Twice-monthly press releases on patient safety topics News segment: ABC 7 Chicago, 10/12/07 Article in Health Magazine, Jan-Feb, 2008 External blog at www.realself.comwww.realself.com Desk-side chats with all major women’s magazines

4. Physicians Coalition for Injectable Safety Progress to Date: Public Awareness First of a series of consumer survey launched 02/08 Public education videos featuring: –Julius Few, MD, on Injectable Safety –Roger Dailey, MD, on the dangers of “Botox Parties” and Injecting Botox and Restylane –Ira Papel, MD, injecting Botox and Sculptra –Renato Saltz, MD injecting Botox and Restylane Video appearing on website and Youtube.com

5. Physicians Coalition for Injectable Safety Progress to Date: Collaboration What we have: –A true spirit of collaboration that enabled production of: – Public Education Resources –Clinician Education Resources –Joint Member Research Projects –Authored articles from Coalition members in our respective member publications –A dynamic group with regular meetings and meaningful discussion –A Memorandum of Understanding

6. Physicians Coalition for Injectable Safety Progress to Date: Collaboration Coalition members sign Memorandum of Understanding including the following statement: … it is important that no individual society member use any Coalition public activities or documents including press briefings, interviews, or Coalition-sponsored or endorsed educational events to promote unrelated projects of their own organizations, to present Coalition initiatives as their own, or to counter Coalition efforts with opposing views.

7. Physicians Coalition for Injectable Safety Progress to Date: Collaboration What we DON’T have: –Turf battles –Jockeying for position –Alpha Dogs –A dormant and “in name only” group

8. Physicians Coalition for Injectable Safety Progress to Date: Public Awareness Inclusion in on-line encyclopedia Wikipedia State links to other plastic surgery organizations Official member of FDA Counterfeit Drug Alert Network: I n February 2004, FDA created the Counterfeit Alert Network, a coalition of health professional and consumer groups. The Network has three goals: To disseminate alert messages to a wide audience about specific counterfeit drug incidents in the U.S. and measures to take to minimize exposure (recall information, for example); to develop educational information about the roles and responsibilities that consumers, pharmacists, other health professionals, and wholesalers should play to identify counterfeit drugs, report suspect counterfeit drugs, and prevent them from entering the U.S. drug distribution system; and to develop a network of national organizations, consumer groups, and industry representatives to help distribute the information

9. Physicians Coalition for Injectable Safety Progress to Date: Physician Awareness Blast newsletter to all Coalition Societies Approved power point presentation on the ethical use of Injectables White Paper on liability issues surrounding Informed Consent Advisory on legal implications of buying off-shore product Member research on Injectable issues Regular Society newsletter articles in Society organs Monthly news releases on relevant topics

10. Physicians Coalition for Injectable Safety Progress to Date: Physician Awareness

11. Physicians Coalition for Injectable Safety Progress to Date: Physician Awareness: The reviews are coming in: Members From: Joseph DiBello, MD Subject: Patient education material As a member of ASAPS, I very much appreciate and applaud your efforts. I would love to have a hard copy of the “Injectables are not cosmetics” ad that appears in this month’s Aesthetic Society News for display in my office, as well as any other patient education material related to your media campaign. I think it’s a great concept and much needed effort. Thanks in advance, Joseph N. DiBello, Jr., M.D.

12. Physicians Coalition for Injectable Safety Progress to Date: Physician Awareness: The reviews are coming in: Members Physician's Coalition: I agree about the importance of public education and am happy to participate in media events as noted on your website. Please contact me with further information. Thank you, Evan Sorokin, MD

13. Physicians Coalition for Injectable Safety Progress to Date: Physician Awareness: The reviews are coming in: Members Subject: Lipo Dissolve Injections “Our physician-owned malpractice carrier, the #1 insurer of American Ophthalmologists, was able to cite the work of the Coalition in alerting our 3900 insured doctors of the potential liability of using fat-dissolving agents that are not FDA-approved. The use of injectables is likely to trend upward in the future and the PCIS will serve a vital role in insuring and promoting patient safety.” Tamara R. Fountain, MD, Director, Ophthalmic Mutual Insurance Company Member, American Society of Ophthalmic Plastic and Reconstructive Surgeons

14. Physicians Coalition for Injectable Safety More Activities Additional consumer research and opportunities www.realself.com Web enhancements and optimization including extensive linkage Placement of public service ads On-going updates on approvals and new indications Continued media relations efforts A nurse injector course with certificate of completion conducted as ASAPS Aesthetic Meeting, 2007 and provided as template to other Coalition Members

15. Physicians Coalition for Injectable Safety Future Challenges: Potential regulation Growing physician extenders and other injectors Variety of new brands Growth of off label indications

16. Physicians Coalition for Injectable Safety Addressing Challenges: Educational programs can provide “Gold Standard” for allied- health injectors As a Coalition of three of the four “core” Societies, our voice will be heard by potential regulators

17. Let’s Hear From You! I would encourage any ASOPRS member with questions, concerns, or ideas to contact me at daileyr@ohsu.edu. The ASOPRS Executive Committee, the Physician’s Coalition and myself welcome your thoughts.daileyr@ohsu.edu