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American Association of Plastic Surgeons
2009 Scientific Program and Abstracts

88th Annual Meeting and Symposium
March 21-25, 2009
The Westin Mission Hills Resort & Spa
Rancho Mirage, California

7:00 am
Continental Breakfast Celebrity Ballroom A-D
7:45 am - 5:00 pm
Aesthetic Surgery Symposium: In Depth with the Masters Celebrity Ballroom E-H
Chair: Bahman Guyuron, M.D.
7:45 am
Announcements and Introduction
8:00 am
Facial Aging Concepts and Injectables
Val Lambros, M.D.
9:00 am
Forehead & Face Rejuvenation
Tim Marten, M.D.
10:00 am
Coffee Break Celebrity Ballroom A-D
10:30 am
Periorbital Rejuvenation
Richard Warren, M.D.
11:30 am
MACS Face Lift
12:30 pm
Lunch Break in Exhibit Hall
1:30 pm
Volumetric Facial Rejuvenation
J. William Little, M.D.
2:30 pm
Coffee Break Celebrity Ballroom A-D
3:00 pm
Breast Augmentation, The Current Thoughts
Scott Spear, M.D.
4:00 pm
Secondary and Difficult Noses
Bahman Guyuron, M.D.
5:00 pm - 6:30 pm
Aesthetic Symposium Reception Celebrity Ballroom A-D

SUNDAY, MARCH 22, 2009
7:00 am
Continental Breakfast Celebrity Ballroom A-D
8:00 am - 12:30 pm
Aesthetic Surgery Symposium: In Depth with the Masters II Celebrity Ballroom E-H
8:00 am
Lipplasty, The Stae of the Art
Gerald Pittman, M.D.
9:00 am
Breast Reduction and Mastopexy
Elizabeth Hall-Findlay, M.D.
10:00 am
Coffee Break Celebrity Ballroom A-D
10:30 am
Primary Rhinoplasty
Jack Gunter, M.D.
11:30 am
Body Contouring
Peter Rubin, M.D.
12:30 pm
2:00 pm
Golf Tournament
Resort Pete Dye Golf Course
2:00 pm
Tennis Tournament
Resort Tennis Courts
6:00 pm - 7:30 pm
Welcome Reception
Master Plaza

MONDAY, MARCH 23, 2009
7:00 am
Continental Breakfast Celebrity Ballroom A-D
7:00 am
New Member Breakfast Rancho Room
8:00 am
Welcome & Introduction Celebrity Ballroom E-H

Raymond F. Morgan, M.D.

Robert A. Hardesty, M.D.
Chair, Local Arrangements

James E. Zins, M.D.
Chair, Program Committee
8:15 am
Introduction of New Members
David L. Larson, M.D.
8:30 am
James Barrett Brown Award and Presentation
Introduced by: Lawrence L. Ketch, M.D.
Chair, Awards Committee
8:40 am
John D. Constable International Traveling Fellowship
Introduced by: Bryant A. Toth, M.D.
Chair, Constable Travelling Fellowship Committee
8:45 am
Clinician of the Year
Introduced by: Raymond F. Morgan, M.D.
9:05 am
Honorary and Distinguished Fellow Awards
Introduced by: Susan E. Mackinnon, M.D.
Chair, Honors Committee
9:20 am
Announcement of AAPS Academic Scholar
Michael R. Angel, M.D.
Chair, Research and Education Committee
9:25 am
Presentation of 2008 Leonard R. Rubin AAPS Award Paper
Introduced by: Bahman Guyuron, M.D.
9:30 am
Coffee Break Celebrity Ballroom A-D
10:00 am
Kiskadden Lecturer
Western Civilization and the Origins of the Scientific Tradition

Victor Hanson, PhD
Stanford University
Introduced By: Raymond F. Morgan, M.D.
11:00 am
Presidential Address
Foundations of Plastic Surgery

Raymond F. Morgan, M.D.
Introduced by: Paul N. Manson, M.D.
11:40 am
Lunch in Exhibit Hall
11:40 am
Woman Surgeons' Luncheon
1:00 pm
Perspectives in Leadership in Academic Plastic Surgery

Moderator: L. Scott Levin, M.D.
L. Scott Levin, M.D., Randy Sherman, M.D., Paul Manson, M.D., Joseph Serletti, M.D.
Scientific Session I: Research Celebrity Ballroom E-H
Moderator: Warren Garner, M.D.
Secretary: Paul Liu, M.D.
2:00 pm
1. Visual Information Processing of Faces in Body Dysmorphic Disorder
Jamie Feusner, M.D.1, Arie Winograd, M.A.2
1UCLA, Los Angeles, CA, USA, 2Los Angeles Body Dysmorphic Disorder and Body Image Clinic, Los Angeles, CA, USA

Discussant: John Pershing, M.D.
2:15 pm
2. Discovery of a New Molecular Pathway in Palatogenesis: IRF6 is an Important Downstream Effector of TGF-beta3 Signaling in Palatal Fusion
Gregory E. Lakin, M.D.1, Philip W. Zoltick, M.D.2, Allison Zajac, B.S.3, Richard E. Kirschner, M.D.1, Hyun-Duck Nah, D.M.D., Ph.D.1
1Division of Plastic and Reconstructive Surgery, The Children's Hospital of Philadelphia and The University of Pennsylvania School of Medicine, Philadelphia, PA, USA, 2The Children's Center for Fetal Research, The Children's Hospital of Philadelphia, Philadelphia, PA, USA, 3Division of Plastic and Reconstructive Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Discussant: Mark Urata, M.D.
2:30 pm
3. Demographic and Geographic Analysis of Providers of Cosmetic Services in the Greater Los Angeles Area
Matthew C. Camp, M.D..
Loma Linda University Medical Center, Loma Linda, CA, USA

Discussant: Timothy Miller, M.D.
2:45 pm
4. Porcine Allograft Mandible Revitalization Using Osteogenically-Induced Autologous Adipocyte- Derived Stem Cells and Periosteum
Jesse A. Taylor, M.D., Donna C. Jones, PhD, Rian A. Maercks, M.D., Christopher B. Gordon, M.D., David A. Billmire, M.D., Christopher M. Runyan, PhD.
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

Discussant: Joseph Losee, M.D.
3:00 pm
Coffee Break Celebrity Ballroom A-D
Scientific Session II: Trunk & Extremity Celebrity Ballroom E-H
Moderator: Joseph Upton, M.D.
Secretary: Achilles Thoma, M.D.
3:30 pm
5. Development of a Porcine Delayed Wound Healing Model and its Use in Testing a Novel Cell- Based Therapy
Ivan Hadad, M.D.1, Brian H. Johnstone, Ph.D.2, Jeffrey G. Brabham, M.D.3, Matthew W. Blanton, M.D.1, Pamela I. Rogers, RLATg2, Cory J. Fellers2, James L. Solomon, B.A.2, Steffi Merfeld-Clauss, B.A.2, Colleen M. DesRosiers, Ph.D.3, Joseph R. Dynlacht, M.D.3, John J. Coleman, M.D.4, Keith L. March, M.D., Ph.D.1.
1Indiana University, Department of Surgery, Indianapolis, IN, USA, 2Indiana Center for Vascular Biology and Medicine, Indianapolis, IN, USA, 3Indiana University, Department of Radiation Oncology, Indianapolis, IN, USA, 4Indiana University, Division of Plastic Surgery, Indianapolis, IN, USA.

Discussant: Paul Liu, M.D.
3:45 pm
6. A Survey Of North American Hand Surgeons On Their Current Attitudes Towards Hand Transplantation
Robert E. Schlenker, M.D., David W. Mathes, Emilia Ploplys, M.D., Nicholas Vedder, M.D.
University of Washington, Seattle, WA, USA.

Discussant: W.P. Andrew Lee, M.D.
4:00 pm
7. Tendo-Achilles Lengthening: Friend or Foe in the Diabetic Foot
Lawrence Colen, M.D.1, Jiun-Ting Yeh, M.D.2, Theodore Uroskie, M.D.1, William Grant, D.P.M.3.
1Norfolk Plastic Surgery, Norfolk, VA, USA, 2Chang Gung Memorial Hospital, Taipei, Taiwan, 3Tidewater Foot and Ankle, Virginia Beach, VA, USA.

Discussant: A. Lee Dillon, M.D.
4:15 pm
8. Local and Free Fascial Flap Transfers to the Hand: A Single Microsurgeon's 10-Year Experience
Matthew J. Carty, M.D.1, Amir Taghinia, M.D.2, Joseph Upton, M.D.2.
1Brigham & Women's Hospital, Boston, MA, USA, 2Children's Hospital Boston, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Discussant: Gregory Buncke, M.D.
Scientific Session III: Trunk & Extremity II Celebrity Ballroom E-H
Moderator: Craig Johnson, M.D.
Secretary: Mark Hendrickson, M.D.
4:30 pm
9. 400 Consecutive Infected Sternal Wound Reconstructions with Description of Split Omental Technique
Shayan A. Izaddoost, M.D., PhD, Edward H. Withers, M.D.
Baylor College of Medicine, Houston, TX, USA.

Discussant: Philip Arnold, M.D.
4:45 pm
10. Needle Aponeurotomy for Stage IV Dupuytren’s Contracture: A Wide Awake First Step Approach
Keith Denkler, M.D..
UCSF, Larkspur, CA, USA.

Discussant: Willliam Swartz, M.D.
5:00 pm
11. Risk Analysis for Combined Procedures in Body Contouring after Massive Weight Loss
Mark A. Bishara, M.D.1, Kristen Rezak, M.D.2, Samuel J. Lin, M.D.1, Loren Borud, M.D.1.
1Beth Israel Deaconess Medical Center, Boston, MA, USA, 2Cleveland Clinic Florida, Weston, FL, USA.

Discussant: Dale Birdsell, M.D.
5:15 pm
12. Lymphaticovenular Bypass for Management of Lymphedema in Breast Cancer Patients: A Prospective Analysis
David W. Chang, M.D..
MD Anderson Cancer Center, Houston, TX, USA.

Discussant: Richard Dabb, M.D.
5:30 pm
5:30 pm 7:00 pm
POSTER RECEPTION Celebrity Ballroom E-H

View List of Posters & Abstracts

6:30 am
5K Fun Run
Resort Grounds
7:00 am
Continental Breakfast Celebrity Ballroom A-D
7:00 am
Past President's Breakfast Rancho Room
7:00 am
Mentored Breakfast Session Polo Room
Scientific Session IV- Breast Celebrity Ballroom E-H
Moderator: Joseph Serletti, M.D.
Secretary: Susan Scott, M.D.
8:00 am
13. Minimally Invasive Autologous Mastectomy Incisionless Reconstruction; External Expansion Fat Grafting and Percutaneous Scar Release: A Multicenter Experience.
Gino Rigotti, M.D.1, Alessandra Marchi, M.D.1, Roger K. Khouri, M.D.2.
1Azienda Ospedaliera Verona-Italy, Verona, Italy, 2Miami Plastic and Reconstructive Surgery, Miami, FL, USA.

Discussant: Kenneth Shestak, M.D.
8:15 am
14. Structural Fat Grafting as an Adjunct to Autologous and Implant-Based Breast Reconstruction
Elisabeth K. Beahm, M.D.1, Robert L. Walton, M.D.2.
1MD Anderson Cancer Center, Houston, TX, USA, 2Northwestern University, Chicago, IL, USA.
8:30 am
15. CT Angiography in Planning Abdomen-based Microsurgical Breast Reconstruction: A Comparison to Duplex Ultrasound
Jeffrey R. Scott, M.D., Daniel Liu, M.D., Hakim Said, M.D., Peter C. Neligan, M.D., David W. Mathes, M.D..
University of Washington, Seattle, WA, USA.

Discussant: Robert Allen, M.D.
8:45 am
16. Management of the ptotic or hypertrophic breast in immediate autologous breast reconstruction: a comparison between the Wise and Vertical reduction patterns for mastectomy
Ines C. Lin, M.D., Joseph M. Serletti, M.D., Liza C. Wu, M.D.
Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Discussant: Carolyn Kerrigan, M.D.
Scientific Session V: Breast II Celebrity Ballroom E-H
Moderator: J. Brian Boyd M.D.
Secretary: Steven Bernard, M.D.
9:00 am
17. Implant-based Breast Reconstruction Using Acellular Dermal Matrix and the Risk of Post-operative Complications
Yoon S. Chun, M.D.1, Kapil Verma, B.A.2, Heather Rosen, M.D., M.P.H.3, Stuart R. Lipsitz, Ph.D.1, Donald Morris, M.D.2, Pardon R. Kenney, M.D.4, Elof Eriksson, M.D.1.
1Brigham and Women's Hospital, Boston, MA, USA, 2Harvard Medical School, Boston, MA, USA, 3Children's Hospital Boston, Boston, MA, USA, 4Faulkner Hospital, Boston, MA, USA.
9:15 am
18. Gynecomastia, Evolving Paradigm of Management and Comparison of Techniques
Matthias Solomon, M.D., FRCS, Nho V. Tran, M.D., FACS, Paul M. Petty, M.D.
Mayo Clinic, Rochester, MN, USA.

Discussant: Ernest Manders, M.D.
9:30 am
19. Breast Capsulectomy Specimens and Their Clinical Implications
Forrest S. Roth, M.D.1, John M. Felder, III, BA1, Jeffrey Friedman, M.D.2.
1Baylor College of Medicine, Houston, TX, USA, 2The Methodist Hospital, Houston, TX, USA.
9:45 am
20. Preservation of the Nipple Areolar Complex: A Subjective and Objective Review of Aesthetic Outcomes Following Nipple-Sparing Mastectomy
Earl A. Gage, M.D., James Gatherwright, MS IV, Sabrina Pavri, MS III, Steven Bernard, M.D., Risal Djohan, M.D.
Cleveland Clinic, Cleveland, OH, USA.

Discussant: Robert Walton, M.D.
10:00 am
Coffee Break Celebrity Ballroom A-D
10:30 am
Introduction of EURAPS Officers
Presentation of EURAPS Award Paper

Liposuction in Breast Reconstructive Surgery

Pietro Berrino, M.D.
10:45 am
AAPS Academic Scholar Presentations

Controlled Release of Glial Cell Line-Derived Neurotrophic Factor (GDNF) in a Fibrin Based Delivery System to Enhance Sciatic Nerve Regeneration (AAPS/KLS)
Gregory H. Borschel, M.D.
Washington University, St. Louis, MO

Nanofiber Scaffolds for Stem Cell Induction of Chondrogenesis (AAPS)
John A. van Aalst, M.D.
University of North Carolina, Chapel Hill, NC
Scientific Session VI: Aesthetic Celebrity Ballroom E-H
Moderator: TBD, M.D.
Secretary: Delora Mount, M.D.
11:00 am
21. Aging of the Mandible and its Aesthetic Implications: A Three Dimensional CT Study
Robert B. Shaw, Jr., M.D.1, Evan Katzel, BA1, Peter Koltz, M.D.1, David M. Kahn, M.D.2, John A. Girotto, M.D.1, Howard N. Langstein, M.D.1.
1University of Rochester, Rochester, NY, USA, 2Stanford University, Stanford, CA, USA.

Discussant: Michael Yaremchuk, M.D.
11:15 am
22. Barbed Suture Impact on Wound Healing in Body Contouring Surgery
Michele A. Shermak, M.D., Jessie Mallalieu, P.A.-C, David Chang, Ph.D., MPH, MBA.
Johns Hopkins Hospital, Baltimore, M.D., USA.

Discussant: Dennis Hurwitz, M.D.
11:30 am
23. The Endoscopic Management of the Difficult Lower Eyelid: A Review of 300 Cases
Andrew P. Trussler, M.D., Tim Schaub, M.D., H Steve Byrd, M.D.
The University of Texas Southwestern, Dallas, TX, USA.

Discussant: Bahman Guyuron, M.D.
11:45 am
24. Evaluation of Preoperative Risk Factors and Infection Rates in Cosmetic Abdominoplasty
Michael S. Hanemann, Jr., M.D., James C. Grotting, M.D., FACS.
Grotting Plastic Surgery, Birmingham, AL, USA.
12:00 pm
25. Changes in Eyebrow Position and Shape with Aging
Evan Matros, M.D.1, Jesus A. Garcia, M.D., PHD1, Michael J. Yaremchuk, M.D.2.
1Harvard, Boston, MA, USA, 2Harvard, Massachusetts General Hospital, Boston, MA, USA.
12:15 pm
26. Major Complication and Mortality Rates in Craniofacial Surgery: An Analysis of 8053 Major Procedures
Marcin Czerwinski, M.D.1, Richard A. Hopper, M.D.2, Jeffrey A. Fearon, M.D.1.
1The Craniofacial Center, Medical City Hospital, Dallas, TX, USA, 2The Craniofacial Center, Seattle Children's Hospital, Seattle, WA, USA.

Discussant: Joseph Gruss, M.D.
12:30 pm
Business Meeting Luncheon Celebrity Ballroom E-H
Scientific Session VII: Craniofacial/Pediatrics Celebrity Ballroom E-H
Moderator: Jeffrey Fearon, M.D.
Secretary: Richard Hopper, M.D.
1:45 pm
27. Critical Analysis of 81 Monobloc Frontofacial Advancements Over a 27 Year Period: Should They All be Distracted, or Not
S. Anthony Wolfe, M.D.
Miami Children's Hospital, So. Miami, FL, USA.

Discussant: Kenneth Salyer, M.D.
2:00 pm
28. Traumatic Brain Injury as a Result of Cranial Bone Defects Following Fronto-Orbital Advancement
Shareef Jandali, M.D.1, Mirko S. Gilardino, M.D., MSc, FRCSC2, Scott P. Bartlett, M.D.2, Linton A. Whitaker, M.D.2.
1University of Pennsylvania Health System, Philadelphia, PA, USA, 2Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Discussant: Steven Buchman, M.D.
2:15 pm
29. The Natural History of Patients Treated for Saethre-Chotzen Syndrome
Roy Foo, M.D.1, Yifan Guo, BA2, Donna M. McDonald-McGinn, MS, CGC1, Elaine Zeckai, M.D.1, Linton A. Whitaker, M.D.1, Scott P. Bartlett, M.D.1.
1Children's Hospital of Philadelphia, Philadelphia, PA, USA, 2University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

Discussant: James Bradley, M.D.
2:30 pm
30. The Comparative Effectiveness of Resorbable versus Titanium Plate Fixation of LeFort I type Osteotomy Advancement Procedures
Stanley J. Harper, M.D., Pravin K. Patel, M.D.
University of Illinois at Chicago, Chicago, IL, USA.

Discussant: John Robinson, M.D.
2:45 pm
Coffee Break Celebrity Ballroom A-D
Scientific Session VIII: Head & Neck/Other Celebrity Ballroom E-H
Moderator: Ian Jackson, M.D.
Secretary: Sean Wolfort, M.D.
3:15 pm
31. Pharyngoesophageal Reconstruction with the Anterolateral Thigh (ALT) Flap: Seven Years Later
Peirong Yu, M.D., M.S., Roman Skoracki, M.D., Matthew Hanasono, M.D., Donald Baumann, M.D.
University of Texas, M.D. Anderson Cancer Center, Houston, TX, USA.

Discussant: James Sanger, M.D.
3:30 pm
32. Our Experience with Mini-Temporalis in Facial Reanimation
Julia K. Terzis, M.D., Ph.D.1, Fatima S. Olivares, M.D.2.

1Eastern Virginia Medical School, Norfolk, VA, USA, 2Microsurgical Research Center, Norfolk, VA, USA.

Discussant: Ann Gosain, M.D.
3:45 pm
33. Prospective Randomized Study Comparing Gauze Suction Negative Pressure Wound Therapy with Standard Vacuum Assisted Closure Device
Amir H. Dorafshar, MBChB1, Mieczyslawa Franczyk, PT, PhD1, Robert Lohman, M.D.2, Lawrence J. Gottlieb, M.D.1.
1University of Chicago, Chicago, IL, USA, 2Cleveland Clinic, Cleveland, OH, USA.
4:00 pm
Special Presentation: The USA First Face Transplant
Maria Siemionow, M.D.
Introduced by: James E. Zins, M.D.
4:20 pm
Panel: Surviving in Different Economic Times
Moderator: James E. Zins, M.D.
  1. Get Back into Hand Surgery for Fun and Profit Donald Lalonde, M.D.
  2. Establishing a Wound Center Gayle Gordillo, M.D.
  3. Establishing a Successful Reconstructive Practice Nicholas Vedder, M.D.
  4. Establishing a Multi-disciplinary Cosmetic Center Venkat Rao, M.D.
5:30 pm
7:00 pm
President's Reception
Celebrity Ballroom Foyer
8:00 pm
President's Banquet
Celebrity Ballroom A-D