AAPS - American Association of Plastic Surgeons

Program & Abstracts

Program and Abstracts

SATURDAY, APRIL 5TH, 2014

7:00 am - 7:30 am Continental Breakfast

7:15 am – 6:30 pm Aesthetic Symposium

7:15 am - 7:30 am Welcome & Announcements
J. William Little, M.D., J. Peter Rubin, M.D.

7:30 am - 9:30 am Session I: Face
Moderator: J. William Little, M.D.

7:30 am - 8:20 am Rhinoplasty: State of the Art 2014
Ronald P. Gruber, M.D.

8:20 am - 9:10 am 2014 Facelift: Delivering Outcomes That Match Patient Expectations
Louis Bucky, M.D.

9:10 am - 9:30 am Panel Discussion/Q & A

9:30 am - 10:00 am Coffee Break

10:00 am - 12:00 pm Session II: Breast
Moderator: J. Peter Rubin, M.D.

10:00 am - 10:45 am Breast Augmentation (with round implants) and Mastopexy
Kenneth Shestak, M.D.

10:45 am - 11:30 am Breast Reshaping (with shaped implants) and Mastopexy
Mitchell Brown, M.D.

11:30 am - 12:00 pm Point-Counterpoint: Round vs Shaped Implants/Q & A
J. Peter Rubin, M.D.

12:00 pm - 1:00 pm Lunch

1:00 pm - 4:00 pm Session III: Orbit
Moderator: J. Peter Rubin, M.D.

1:00 pm - 2:00 pm Blepharoplasty with Lateral Retinacular Suspension and Facial Fillers: Where and Where not?
Steven Fagien, M.D.

2:00 pm - 2:45 pm Blepharoplasty in the Prominent Eye
Michael Yaremchuk, M.D.

2:45 pm - 3:30 pm Volumetric Orbitoplasty
J. William Little, M.D.

3:30 pm - 4:00 pm Points-Counterpoints: Variations in Lower Lid Support and Volume Replacement/Q & A
J. Peter Rubin, M.D.

4:00 pm - 4:30 pm Break

4:30 pm - 6:30 pm Session IV: Body
Moderator: J. William Little, M.D.

4:30 pm - 5:20 pm Aesthetic Abdominoplasty: State of the Art
Alan Matarasso, M.D.

5:20 pm - 6:10 pm Treatment of the Trunk and Limbs after Massive Weight Loss
J. Peter Rubin, M.D.

6:10 pm - 6:30 pm Panel Discussion/Q & A

6:30 pm Adjourn

6:30 pm - 7:30 pm Aesthetic Symposium Reception

SUNDAY, APRIL 6TH, 2014

7:30 am – 8:00 am Breakfast with Exhibitors

8:00 am - 3:00 pm Reconstructive Symposium

8:00 am - 8:05 am Welcome and Announcements
Charles Butler, M.D., Paul Cederna, M.D.

8:05 am – 9:00 am Session I: New Approaches and Novel Techniques in Breast Reconstruction
Moderator: Maurice Nahabedian, M.D.

8:05 am – 8:20 am Nipple Sparing Techniques and Direct-to-Implant Reconstructions: When is it Safe?
Nolan Karp, M.D.

8:20 am – 8:40 am Breast Reconstruction in the Presence of Radiotherapy: Strategies to Reduce Complication Rates and Improve Outcomes
Maurice Nahabedian, M.D.

8:40 am – 9:00 am Fat Grafting in Breast Reconstruction: What We All Need to Know
J. Peter Rubin, M.D.

9:00 am – 9:30 am Session II: Lymphedema Surgery: Does it Work?
Moderator: Babak Mehrara, M.D.

9:00 am – 9:15 am How to Get Started Doing Lymphedema Surgery: Do I Really Want to do These Cases?
Babak Mehrara, M.D.

9:15 am – 9:30 am Current Techniques and Approaches to Lymphedema Surgery
David Chang, M.D.

9:30 am – 10:00 am Session III: Abdominal Wall Reconstruction: Current State of the Art
Moderator: Charles Butler, M.D.

9:30 am – 9:45 am Abdominal Wall Reconstruction for the Plastic Surgeon: What We Need to Know
Charles Butler, M.D.

9:45 am – 10:00 am Tips and Tricks to Closing the Most Difficult Abdominal Wounds
Greg Dumanian, M.D.

10:00 am – 10:30 am Break with Exhibitors

10:30 am - 11:15 am Session IV: What's New in Nerve Surgery; Is There Anything New?
Moderator: Paul Cederna, M.D.

10:30 am – 10:45 am Surgery for Migraine Headaches: Optimizing Outcomes
Bahman Guyuron, M.D.

10:45 am – 11:00 am Treatment Strategies for Diabetic Neuropathy: Should We be Doing Tarsal Tunnel Releases?
Ivan Ducic, M.D., PhD

11:00 am – 11:15 am Peripheral Nerve operations for the Treatment of Pain: Do They Simply Induce More Pain….for the Surgeon?
Lee Dellon, M.D.

11:15 am – 12:00 pm Session V: Wound Management for the 21st Century
Moderator: Dennis Orgill, M.D., PhD

11:15 am – 11:30 am Do We Need Another Fancy Wound Goo or Expensive Piece of Gauze?
Paul Liu, M.D.

11:30 am – 11:45 am What's New With the VAC: Is There Anything it Can't Do?
Dennis Orgill, M.D.

11:45 am – 12:00 am Wound Care in Brazil: What Can We Learn From Their Experiences
Marcus Ferreira , M.D.

12:00 pm – 12:30 pm Lunch

12:30 pm – 1:30 pm Session VI: The Business of Reconstructive Surgery: Surgery is a Business?
Moderator: Scott Hultman, M.D.

12:30 pm – 12:50 pm How to Respond to Obamacare: Is There Any Hope?
John Girotto, M.D.

12:50 pm – 1:10 pm Optimizing Operating Efficiency: How to Get it Done and be Home for Dinner
Ed Buchel, M.D.

1:10 pm – 1:30 pm Maximizing Revenue Capture: Leave No Dollar Behind
Scott Hultman, M.D., MBA

1:30 pm – 2:15 pm Session VII: Perforator Flaps: What We All Should Know
Moderator: Steve Morris, M.D.

1:30 pm – 1:45 pm The 10 Pedicled Flaps We All Should Do
Peter Neligan, M.D.

1:45 pm – 2:00 pm The 10 Perforator Flaps We All Should Do...or Maybe Not: Why I Do What I Do
Steve Morris, M.D.

2:00 pm – 2:15 pm From DIEP to TRAM – Selection, Efficiency and Outcomes:
Joe Serletti, M.D.

2:15 pm – 3:00 pm Session VIII: Head and Neck Reconstructions: What We All Need to Know
Moderator: Joseph Disa, M.D.

2:15 pm – 2:35 pm Common Head and Neck Reconstructions: Flaps That We Should All Have in Our Reconstructive Quiver
Matt Hanasono, M.D.

2:35 pm – 2:55 pm If We Didn't Take the Reconstructive Elevator, What Would We Do? Following the KISS Principle
Joseph Disa, M.D.

3:00 pm Adjourn

93^rd ANNUAL MEETING

4:00 pm - 4:15 pm Welcome & Introduction
John A. Persing, M.D. President

Steven R. Buchman, M.D. & Deepak Narayan M.D.
Chairs, Program Committee

4:15 pm - 4:30 pm Introduction of New Members
Mary H. McGrath, M.D.
Secretary

4:30 pm - 4:40 pm James Barrett Brown Award and Presentation
Introduced by: Michael Bentz, M.D., Vice President

4:40 pm - 4:45 pm John D. Constable International Traveling Fellowship
Introduced by: William G. Austen, Jr., MD

4:45 pm - 5:05 pm Clinician of the Year
Introduced by: John A. Persing, M.D.

5:05 pm - 5:10 pm Honorary and Distinguished Fellow Awards
Introduced by: David L. Larson, M.D., Chair, Honors Committee

5:10 pm - 5:15 pm Announcement of AAPS Academic Scholars
Introduced by: J. Grant Thomson, M.D., Chair, Research and Education Committee

5:15 pm - 5:20 pm Announcement of AAPS Research Achievement Awards
Introduced by: J. Grant Thomson, M.D., Chair, Research and Education Committee

5:20 pm - 5:25 pm Presentation of 2013 Leonard R. Rubin AAPS Award Paper
Introduced by: Stephan Ariyan, M.D., President-Elect

5:25 pm - 5:40 pm Introduction of EURAPS Officers
Introduced by: John A. Persing, M.D., President

Announcement of EURAPS-AAPS Academic Scholar
Introduced by: Moshe Kon, MD, EURAPS President-Elect

Presentation of EURAPS Award Paper
Introduced by: Grazia Salimbeni, MD, EURAPS President

5:40 pm - 5:45 pm Presentation of the 2014 ACAPS Robert Goldwyn Mentor of the Year Award
Introduced by: Joseph Losee, MD, ACAPS President

5:45 pm - 6:45 pm Presidential Address
John A. Persing, M.D.

Introduced by: Joseph Shin, MD

6:45 pm - 8:00 pm Welcome Reception & Poster Competition

7:30 pm - 10:30 pm Cannon 33 Dinner

MONDAY, APRIL 7TH, 2014

7:00 am - 8:00 am Continental Breakfast

7:00 am - 8:00 am Master's Breakfast Breakout Sessions

Facial Rejuventaion
J. William Little, MD

The Evaluation and Treatment of a Child with Single Sutural Craniosynostosis
Jeffrey Fearon, MD Lessons Learned from Hand/Arm Transplantation
W.P. Andrew Lee, MD

Practical Tips and Ethics of Deciding How and When to Stop Your Surgical Practice at the Optimal Time
Moderator: Donald Lalonde, MD
Panelist: James May, MD, Andrew Salzberg,MD, Gary Fudem, MD,James Wells,MD, David Larson, MD

8:00 am - 9:00 am ACAPS Panel: Walking the Line: Balancing Clinical Productivity vs. Acadmic Scholarship
Moderator: Jeffrey Janis, MD

The Almighty RVU: How to efficiently maximize production
John Persing, MD

How to Conduct Quality Research without Cloning Yourself
Paul Cederna, MD

Herding Cats and Keeping Morale: The Department Chairman Perspective
Michael Neumeister

Home/Work Balance: The Holy Grail of Surgery
Michael Bentz

Academic Productivity and Scholarship Expectations: The ACGME Perspective
Peggy Simpson

9:00 am - 9:25 am AAPS Academic Scholar Presentations

9:25 am - 10:10 am Kiskadden Lecturer
Thomas A. Steitz, Ph.D.
Yale University, New Haven, Connecticut

Introduced by: John A. Persing, M.D.

10:10 am - 10:30 am Coffee Break

10:30 am - 11:30 am Scientific Session I: Craniofacial/ Pediatrics
Moderator: Kant Lin, M.D.
Secretary: Robert Havlik, M.D.

1. Treatment of the Syndromic Mid Face with Rigid External Distraction Le Fort III: a Long-term Assessment at Skeletal Maturity
Jeffrey A. Fearon, M.D., Niyant Patel, M.D.
The Craniofacial Center, Dallas, TX, USA.

Discussant: Anthony Wolfe, MD

2. Medpor Ear Reconstruction: A Twenty-Three Year Experience with 1042 Ears
John F. Reinisch, M.D., Wai-Yee Li, M.D. PhD.
Division of Plastic and Reconstructive Surgery, Keck School Of Medicine, University of Southern California, Los Angeles, CA, USA.

Discussant: Michael Bentz, MD

3. A Comparative Analysis Of Complications Associated With Intracranial Procedures In 746 Patients With Non-syndromic Single Suture Craniosynostosis
Youssef Tahiri, M.D., J. Thomas Paliga, BA, Ari M. Wes, BA, Linton A. Whitaker, M.D., Scott P. Bartlett, M.D., Jesse A. Taylor, M.D.
Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Discussant: John Girotto, MD

4. Decreased Secondary Bone Grafting but poorer midface growth after Primary Alveolar Cleft Repair with Gingivoperiosteoplasty and rhBMP-2
Kristen S. Yee, M.D., Phuong D. Nguyen, M.D., Brian T. Andrews, M.D., Justine C. Lee, M.D., PhD, James P. Bradley, M.D.
University of California Los Angeles, Los Angeles, CA, USA.

Discussant: Mark Urata, MD, DDS

11:30 am – 12:30 pm Scientific Session II: Aesthetic
Moderators: Alan Matarasso, M.D.
Secretary: Gregory Evans, M.D.

5. Hyoid Suspension of the Platysma: A Novel Technique for the Aging Neck
John Yousif, M.D.¹, Hani Matloub, M.D.², James Sanger, M.D.².
¹Columbia St Mary's Hospital System, Medical College of Wisconsin, Milwuakee, WI, USA, ²Medical College of Wisconsin, Milwaukee, WI, USA.

Discussant: Douglas Rothkopf, MD

6. Para-Sternal Infiltration (PSI) Composite Breast Augmentation
Francisco G. Bravo, M.D., PhD.
Doce de Octubre University Hospital, MADRID, Spain

Discussant: Joseph Serletti, MD

7. Environmental Factors Contributing to Upper Eyelid Ptosis: A Study of Identical Twins
Matthew Brown, M.D., Nick Satariano, BS, Samantha Zwiebel, MA, Bahman Guyuron, M.D.
Case Western Reserve, Cleveland, OH, USA.

8. Body Contouring in the Muscular Male
Dennis J. Hurwitz, M.D.
University of Pittsburgh, Pittsburgh, PA, USA.

Discussant: Maurice Nahabedian, MD

12:30 pm ADJOURN for Lunch

12:30 pm - 1:30 pm Women Surgeons' Luncheon

12:30 pm - 1:30 pm Past President's Luncheon

1:30 pm - 2:30 pm Great Debate: Are We Doing Too Many Free Flaps?
Be it resolved: There are too many free flaps being done Agree
Peter Neligna, MD - Extremity
Peter Cordeiro, MD - Breast
Bill Kuzon, MD - Facial Reanimation

Disagree
Geoff Hallock, MD - Extremity
Sami Kahn, MD - Breast
Greg Borschel, MD - Facial Reanimation

2:30 pm – 4:30 pm Scientific Session III: Breast
Moderator: Elizabeth Hall-Findlay, M.D.
Secretary: Joseph Serletti, M.D.

9. A 10-Year Experience of Routine MRI Screening for Silicone Implant Rupture: Are FDA Recommendations Supported by Evidence?
Theresa Y. Wang, M.D., Claudia Albornoz, M.D., Qunying Hu, M.D., Elizabeth Morris, M.D., Peter C. Cordeiro, M.D.
Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

Discussant: Nolan Karp, MD

10. Patient Activated Controlled Tissue Expander System for Breast Reconstruction: A Prospective, Multi-Center, Randomized, Controlled, Open Label Clinical Study- Preliminary Results
Kamakshi Zeidler, M.D.¹, R. Laurence Berkowitz, M.D.², Debra Johnson, M.D.³, John Castle, M.D.⁴, Dan Morris, M.D.⁵, Yoon Chun, M.D.⁶, Amy Colwell, M.D.⁷, Ankit Desai, M.D.⁸, Kaveh Alizadeh, M.D.⁹, Scott Hollenbeck, M.D.¹⁰, James Appel, M.D.¹¹, Khashayar Mohebali, M.D.¹², Aldona Spiegel, M.D.¹³, Brian Thornton, M.D.¹⁴, Susan Downey, M.D.¹⁵, Greg Evans, M.D.¹⁶, Jeffrey Ascherman, M.D.¹⁷.
¹Kamakshi R. Zeidler, M.D., Los Altos, CA, USA, ²R. Laurence Berkowitz, M.D., Campbell, CA, USA, ³Debra Johnson, M.D., Sacramento, CA, USA, ⁴University of Massachusetts, Morshecter, MA, USA, ⁵Beth Israel Medical Center, Brookline, MA, USA, ⁶Faulkner Hospital, Boston, MA, USA, ⁷Massachusetts General, Boston, CA, USA, ⁸Ankit Desai, M.D., Jacksonville, FL, USA, ⁹Long Island Plastic Surgery Group, Garden City, NY, USA, ¹⁰Duke University, Durham, NC, USA, ¹¹Presbyterian Medical Center, Charlotte, NC, USA, ¹²Khashayar Mohebali, M.D., Corte Madera, CA, USA, ¹³The Methodist Hospital, Houston, TX, USA, ¹⁴Brian Thornton, M.D., Louisville, KY, USA, ¹⁵Susan Downey, M.D., Los Angeles, CA, USA, ¹⁶University of California, Irvine, Orange, CA, USA, ¹⁷Columbia University, New York, NY, USA.
Discussant: Gordon Lee, MD

11. The Analgesic Efficacy of the Transversus Abdominis Plane (TAP) Block on the Abdominal Donor Site Following Autologous Tissue Breast Reconstruction: A Double-Blinded, Placebo-Controlled Randomized Trial
Toni Zhong, M.D., MHS, Marie Ojha, RN, MN, Shaghayegh Bagher, MSc, Kate Butler, MHSc, Coimbatore Srinivas, M.D., Stuart A. McCluskey, M.D., PhD3, Hance Clarke, MSC, PhD, Anne C. O’Neill, M.D., PhD, Christine Novak, PhD, Stefan Stefan Hofer, M.D., PhD.
University Health Network, Toronto, ON, Canada
Discussant: Bernard Lee, MD, MBA, FACS

12. Perioperative Outcomes of Autologous Breast Reconstruction Surgery in Teaching versus Non-teaching Hospitals
Hossein Masoomi, M.D., Garrett A. Wirth, M.D., MS, FACS, Keyianoosh Z. Paydar, M.D., FACS, Brandon K. Richland, M.D., Gregory RD Evans, M.D., FACS.
Aesthetic & of Plastic Surgery Institute, University of California, Irvine Medical Center, Orange, CA, USA.
Discussant: Gedge Rosson, MD

13. Who Should We SPY: A Cost Analysis of Laser-Assisted Indocyanine Green Angiography in Prevention of Mastectomy Skin Flap Necrosis During Prosthesis-Based Breast Reconstruction
Arjun Kanuri, BS¹, Allen S. Liu, M.D.², Lifei Guo, M.D., PhD, FACS³.
¹Tufts University School of Medicine, Boston, MA, USA, ²UCLA Medical Center, Los Angeles, CA, USA, ³Lahey Hospital and Medical Center, Burlington, MA, USA.
Discussant: Andrea Pusic, MD

14. Are Flaps Really Better Than Implants For Breast Reconstruction In Obese Females? - An Analysis Of 89,514 Women Undergoing Breast Surgery From The ACS-NSQIP Database
Mohamud A. Qadi, BS, Pablo A. Baltodano, M.D., José M. Flores, MPH, Sashank Reddy, M.D., PhD, Nicholas B. Abt, BS, Karim A. Sarhane, M.D., MScs, Francis M. Abreu, BS, Lilian C. Azih, M.D., Carisa M. Cooney, MPH, Gedge D. Rosson, M.D.
Johns Hopkins University School of Medicine, Baltimore, M.D., USA.
Discussant: Nolan Karp, MD

15. Pulsed Electromagnetic Field (PEMF) Dosing Regimen Impacts Pain Control in Breast Reduction Patients
Erin Taylor, B.A.¹, Krista Hardy, B.A.¹, Amanda Alonso, B.A.¹, Arthur Pilla, PhD², Christine Rohde, M.D., M.P.H., F.A.C.S.¹.
¹Division of Plastic Surgery, Columbia University Medical Center, New York, NY, USA, ²Departments of Biomedical Engineering, Columbia University and Orthopedics, Mount Sinai School of Medicine, New York, NY, USA.
Discussant: Elizabeth Hall-Findlay, MD

16. The Impact of Conflicts of Interest in Plastic Surgery: An Analysis of Acellular Dermal Matrix, Implant-based Breast Reconstruction
Joseph Lopez, M.D. MBA¹, Erin Prifogle, BS², Theodore T. Nyame, M.D.³, Jacqueline Milton, PhD⁴, James W. May, Jr., M.D.³.
¹Johns Hopkins Hospital, Baltimore, M.D., USA, ²TEI Biosciences, Boston, MA, USA, ³Massachusetts General Hospital, Boston, MA, USA, ⁴Boston University School of Public Health, Boston, MA, USA.
Discussant: Grant Carlson, MD

4:30 pm - 5:00 pm Coffee Break

5:00 pm – 6:30 pm Scientific Session IV: Innovations and Libations
Moderators: Stephen Buchman, M.D.
Secretary: Deepak Narayan, M.D.

17. Selective Sentinel Lymph Node Dissection in Lower Extremity Melanoma
Suzette G. Miranda, M.D. ¹, Rui Li, PhD ², Brian Parrett, M.D. ³, Grant Lee, M.D. ⁴, Suresh Thumala, BS ⁵, Tiffany Chang ⁴, Niloofar Fadaki, M.D. ⁵, Servando Cardona-Huerta, M.D. ⁵, Shih-Tsung Cheng, M.D. ⁵, James Cleaver, M.D. ⁴, Mohammed Kashani-Sabet, M.D. ⁵, Stanley Leong, M.D. ⁶.
¹Buncke Clinic and University of California San Francisco, San Francisco, CA, USA, ²Novartis Oncology Biostatistics, San Francisco, CA, USA, ³Buncke Clinic, San Francisco, CA, USA, ⁴University of California San Francisco, San Francisco, CA, USA, ⁵California Pacific Medical Center, San Francisco, CA, USA, ⁶California Pacific Medical Center and University of California San Francisco, San Francisco, CA, USA

18. The Role of Injectables in Aesthetic Surgery: Financial Implications
Bryson G. Richards, M.D., William F. Schleicher, M.D., George Collis, M.D., Deepa Cherla, M.D., Raymond Isakov, M.D., James E. Zins, M.D., FACS.
Cleveland Clinic, Cleveland, OH, USA.

19. Clinicians Performing Cosmetic Surgery in the Community: A Nationwide Analysis of Physician Certification
Jason Barr, M.D., Sammy Sinno, M.D., Marcus Cimino, M.D., Pierre S. Saadeh, M.D.
New York University, New York, NY, USA.

20. Microsurgical Lower Extremity Reconstruction in the Sub-acute Period: A Safe Alternative
Margaret J. Starnes-Roubaud, MD, M Peric, F. Chowdry, T J. Nguyen, W Schooler, MD, J N. Carey, MD.
University of Southern California, Los Angeles, CA, USA.

21. Debunking a Surgical Myth: Split Cranial Bone Grafting in Children Less Than 3 Years of Age
Christian J. Vercler, M.D., Kristoffer B. Sugg, M.D., Steven R. Buchman, M.D.
University of Michigan, Ann Arbor, MI, USA.

22. Video that Reveals the Invisible: Novel Technology for Real-Time, Non-Invasive Free Flap Monitoring
Richard S. Gaster, M.D., Ph.D.¹, Aaron J. Berger, M.D., Ph.D.², Gordon K. Lee, M.D.².
¹Harvard University, Boston, MA, USA, ²Stanford University, Stanford, CA, USA.

23. Comparison of early outcomes between Plastic Surgeons and Otolaryngologists Performing Head and Neck Free Flap Reconstruction: Based on the American College of Surgeons National Surgical Quality Improvement Program
Parag Butala, M.D., Michael C. Cheung, M.D., Amber Wilk, PhD, Rachel A. Anolik, M.D., Scott T. Hollenbeck, M.D.
Duke University Medical Center, Durham, NC, USA.

24. Targeted Strain Reduction: A Novel Dynamic 3-D Imaging Technique for Precise Quantification of Botulinum Toxin Efficacy
Anthony J. Wilson, M.D., Vivian M. Hsu, M.D., Bianca Chin, M.D., Ivona Percec, M.D., PhD.
Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

25. Breast Reconstruction Outcomes after Nipple-Sparing Mastectomy and Radiation Therapy
Richard G. Reish, M.D., Alex M. Lin, B.S., William G. Austen, Jr., M.D., Jonathan Winograd, M.D., Eric C. Liao, M.D., Curtis L. Cetrulo, Jr., M.D., Barbara L. Smith, M.D., Amy S. Colwell, M.D.
Massachusetts General Hospital, Boston, MA, USA.

26. The Crisis Of Deficiency In Emergency Coverage For Hand And Facial Trauma: Exploring The Discrepancy Between Availability Of Elective And Emergency Surgical Coverage
Lauren Whipple, BS, Tara Kelly, BA, Malcolm Z. Roth, M.D., Ashit Patel, MBChB.
Albany Medical Center, Albany, NY, USA.

27. Shaped versus Round Silicone Breast Implants in Breast Reconstruction: Prospective Data Through 8 Years
David A. Caplin, M.D.¹, Emily Garcia, Ph.D.², John Canady, M.S., M.D., D. Sc. (hon), F.A.C.S., F.A.A.P.².
¹Parkcrest Plastic Surgery, St Louis, MO, USA, ²Mentor WW, LLC, Santa Barbara, CA, USA.

28. Application of Epineural Sheath For Fat Graft Volume Maintenance
Safak Uygur, M.D., Grzegorz Kwiecien, M.D., Adam Bobkiewicz, M.D., Maria Madajka, PhD, Maria Siemionow, M.D.
Cleveland Clinic, Cleveland, OH, USA.

29. In Vivo Bioimaging Analysis Of Stromal Vascular Fraction Cells-assisted Fat Grafting: The Interaction And Mutualism Of Transplanted Stromal Vascular Fraction Cells And Grafted Fat
Shuangbai Zhou, M.D., Chengan Chiang, M.D., Kai Liu, M.D., Ph.D., Yun Xie, M.D., Qingfeng Li, M.D., Ph.D.
Shanghai Jiao Tong University, Shanghai Ninth People's Hospital, Shanghai, China.

30. Peri-operative Antibiotics in the Setting of Oropharyngeal Reconstruction: Less is More.
Leslie E. Cohen, M.D., Brendan M. Finnerty, M.D., Alyssa J. Reiffel, M.D., Andrew Weinstein, M.D., Jill J. Ketner, PA, Tatiana Boyko, M.D., Jason A. Spector, M.D.
New York Presbyterian Cornell, New York, NY, USA.

31. Development of a Breast Reconstruction Risk Assessment (BRA) Score: An Individualized Risk Calculator for Complications Using the NSQIP and TOPS Databases
John Y. Kim, M.D.¹, Alexei Mlodinow, BA¹, Nima Khavanin, BS¹, Karol A. Gutowski, M.D.², Keith M. Hume, MA³, Christopher J. Simmons, BS³, Michael Weiss, MPH⁴, Robert X. Murphy, Jr., M.D., MS⁴.
¹Northwestern Feinberg School of Medicine, Chicago, IL, USA, ²Private Practice, Northbrook, IL, USA, ³American Society of Plastic Surgeons, Chicago, IL, USA, ⁴Lehigh Valley Health Network, Allentown, PA, USA.

32. Intra-Scar Fat Cell Implantation to Alleviate Itchy, Burning and Painful Scars
Ted Huang, M.D., Ludwik Branski, M.D.
Shriners Burns Hospital-Galveston, Galveston, TX, USA.

33. Craniosynostosis: Optimal Age for Primary Craniofacial Reconstruction and underlying Pathophysiology
Roop Gill, BM, MRCS (Eng), Javier Cifuentes, BA, Marcia Spears, DNP, Kevin Kelly, M.D., DDS.
Vanderbilt University, Nashville, TN, USA.

34. Analyzing Patient Preference for Nipple-Areola Complex Reconstruction Using Utility Outcome Studies
Ahmed Ibrahim, M.D.¹, Hani Sinno, M.D., MEng², Ali Izadpanah, M.D., MSc², Joshua Vorstenbosch, PhD², Tassos Dionisopoulos, M.D.², Adam Tobias, M.D.¹, Bernard Lee, M.D., MBA¹, Samuel Lin, M.D.¹.
¹Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA, ²McGill University, Montreal, QC, Canada.

35. Better Vibrations: Eliciting Osteogenesis And Chondrogenesis With A Vibratory Bioreactor
John A. van Aalst, M.D., MA, Zach Cashion, PhD, Montserrat Caballero, PhD, Bob Dennis, PhD.
University of North Carolina, Chapel Hill, Chapel Hill, NC, USA.

36. Risk Assessment Of Immediate Breast Reconstruction Relative To Mastectomy Alone - Analysis Of 30-day Complications Using The Acs-nsqip
Ari M. Wes, BA¹, John P. Fischer, M.D.¹, Charles T. Tuggle, M.D. MHS², Jonas A. Nelson, M.D.¹, Julia C. Tchou, M.D. PhD¹, Joseph M. Serletti, M.D.¹, Stephen J. Kovach, M.D.¹, Liza C. Wu, M.D.¹.
¹Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA, ²Yale University School of Medicine, New Haven, CT, USA.

37. The Value of Performing Frozen Section on Sentinel Lymph Node Biopsy in Patients with Melanoma
Anup Patel, M.D., MBA, Marc Walker, M.D., MBA, James Clune, M.D., Ajul Shah, M.D., Calvin Young, M.D., Deepak Narayan, M.D., Stephan Ariyan, M.D., MBA.
Yale University School of Medicine, New Haven, CT, USA.

38. 3D Nasolabial Changes following Le Fort I Osteotomy
Philipp Metzler, M.D., Eric Geiger, BS, Christopher Chang, M.D., Derek M. Steinbacher, M.D.
Yale, New Haven, CT, USA.

39. Progressive Tightening Of The Levator Veli Palatini Muscle During Intravelar Veloplasty Improves Speech Results In Primary Palatoplasty
Dennis C. Nguyen, M.D.¹, Kamlesh Patel, M.D.², Gary Skolnick, BS², Lynn Grames, MS, CCC-SLP², Mary Stahl, MS, CCC-SLP², Albert Woo, M.D.².
¹Washington University, St. Louis, St. Louis, MO, USA, ²Washington University, St. Louis, Division of Plastic and Reconstructive Surgery, St. Louis, MO, USA.

6:30 pm ADJOURN

7:00 pm - 8:00 pm President's Reception

8:00 pm - 11:30 pm President's Banquet

TUESDAY, APRIL 8TH, 2014

7:00 am - 8:00 am Continental Breakfast

8:00 am - 9:00 am Scientific Session V: Education
Moderator: Mary McGrath, M.D.
Secretary: Linda Phillips, M.D.

40. The Scope Of Practice Of Hand Surgery Within Plastic Surgery: The ACAPS National Survey To Assess Current Practice And Develop Educational Guidelines
Scott D. Lifchez, M.D.¹, Jeffrey B. Friedrich, M.D.², C Scott Hultman, M.D.³.
¹Johns Hopkins University, Baltimore, M.D., USA, ²University of Washington, Seattle, WA, USA, ³University of North Carolina, Chapel Hill, NC, USA.

Discussant: Keith Brandt, MD

41. High Efficiency Allows Plastic Surgery Trainees to Maintain Operative Experience Within the Limitations of an 80-Hour Work Week
Frank H. Lau, M.D., Indranil Sinha, M.D., Elof Eriksson, M.D., PhD.
Brigham & Women's Hospital, Boston, MA, USA.

Discussant: John Kitzmiller, M.D.

42. Influence of Residency on Academic Affiliation and Productivity among Plastic Surgery Faculty in the United States
Katherine M. Gast, M.D., MS, William M. Kuzon, Jr., M.D., PhD, Eric E. Adelman, M.D., Jennifer F. Waljee, M.D., MS, MPH.
University of Michigan, Ann Arbor, MI, USA.

Discussant: Robert Havlik, MD

43. Fully Integrating Objective Standardized Clinical Exams (OSCEs) and Standardized Patients in Plastic Surgery Residency Education
Eric J. Wright, M.D., Gordon K. Lee, M.D.
Division of Plastic Surgery, Stanford University, Palo Alto, CA, USA.

Discussant: Martha Matthews, MD

9:00 am - 10:15 am Scientific Session VI: Trunk and Extremity
Moderator: Michael Neumeister, M.D.
Secretary: Armen Kasabian, M.D.

44. A Prospective Evaluation of Lymphedema-Specific Quality of Life Outcomes Following Vascularized Lymph Node Transfer
Ketan M. Patel, M.D, Ming-Huei Cheng, M.D., FACS.
Chang Gung Memorial Hospital, Taipei, Taiwan.

Discussant: Julian Pribaz, MD

45. Laser Angiography as an effective method of evaluating flap microperfusion in-vivo following Autologous Lymph Node transfer - A Single Center Experience
Kunj K. Desai, M.D.¹, Joshua L. Levine, M.D.², Julie V. Vasile, M.D.², Constance M. Chen, M.D.², Corinne Becker, M.D.³.
¹Rutgers - New Jersey Medical School, Newark, NJ, USA, ²New York Eye & Ear Infirmary, New York, NY, USA, ³Lymphedema Center, Paris, France.

Discussant: Roman Skoracki, MD

46. Surgical Treatment of Systemic Sclerosis - Re-Thinking the Role and Timing of Peripheral Sympathectomy
Arash Momeni, M.D., Sarah C. Sorice, M.D., Antonia Valenzuela, M.D., MS, David F. Fiorentino, M.D., PhD, Lorinda Chung, M.D., MS, James Chang, M.D.
Stanford University Medical Center, Palo Alto, CA, USA.

Discussant: William Dzwierzynski, MD

47. Simultaneous Panniculectomy and Ventral Hernia Repair: A Propensity-Matched Analysis Investigating Safety of the Combined Procedure
Sarah E. Evans, M.D.¹, Manuel Medina, M.D.², John Scarborough, M.D.², Howard Levinson, M.D.².
¹University of Cincinnati, Cincinnati, OH, USA, ²Duke University, Durham, NC, USA.

Discussant: Scott Hultman, MD

48. An Internally Validated Risk Model Of Deep Sternal Wound Infection (DSWI)-A Review Of 5,179 Patients Undergoing Index Median Sternotomy Procedures
John P. Fischer, M.D., Marten N. Basta, BA, Jason D. Wink, BS, Jonas A. Nelson, M.D., Joseph M. Serletti, M.D., Stephen J. Kovach, M.D., David W. Low, M.D., Prashanth Vallabhajosyula, M.D., Michael A. Acker, M.D., Suhail Kanchwala, M.D.
Hospital of the Univesity of Pennsylvania, Philadelphia, PA, USA.

Discussant: Alexander Dagum, MD

10:15 am - 10:45 am Coffee Break

10:45 am – 11:45 am Scientific Session VII: Research
Moderator: Brian Gastman, M.D.
Secretary: David Mathes, M.D.

49. Neuroprosthetic Hand Real-Time Proportional Control by Rodent Regenerative Peripheral Nerve Interfaces
Christopher M. Frost, BME, Daniel C. Ursu, MS, Andrej Nedic, MBE, Cheryl A. Hassett, BS, Jana D. Moon, BS, Shoshana L. Woo, M.D., R Brent Gillespie, PhD, Paul S. Cederna, M.D., Nicholas B. Langhals, P, Melanie G. Urbanchek, PhD.
University of Michigan, Ann Arbor, MI, USA.

Discussant: James Chang, MD

50. Donor-Recipient Chimeric Cell Transplantation as a Novel Rescue Therapy for Acute Radiation Syndrome: A Preliminary Report
Grzegorz J. Kwiecien, M.D., Joanna Cwykiel, MSc, Maria Madajka, PhD, Adam Bobkiewicz, M.D., Safak Uygur, M.D., Maria Z. Siemionow, M.D., PhD, DSc.
Cleveland Clinic, Cleveland, OH, USA.

Discussant: David Mathes, MD

51. NOTCH3 Regulates Hemangioma Stem Cell Differentiation and Alters the Vascular Phenotype in an Infantile Hemangioma Murine Model
Kyle J. Glithero, M.D., Naikhoba C.O. Munabi, BA, Michelle M. Chang, BS, Jan K. Kitajewski, PhD, Carrie J. Shawber, PhD, June K. Wu, M.D.
Columbia University, New York, NY, USA.

Discussant: Arun Gosain, MD

52. Use Of Bmp Type I Alk-3 Knockout Mice To Develop Novel Treatment Strategies For Trauma-induced Heterotopic Ossification
Benjamin Levi, M.D., Jonathan Peterson, M.D., Shailesh Agarwal, M.D., Eboda Oluwatobi, M.D., Kavitha Ranganathan, M.D., Yuji Mishina, PhD, Steven R. Buchman, M.D., Stewart C. Wang, M.D., PhD, Paul S. Cederna, M.D.
University of Michigan, Ann Arbor, MI, USA.

11:45 am - 12:30 pm Scientific Session VIII: Practice Patterns/ Fellowship performance
Moderator: Jeffrey Janis, M.D.
Secretary: Lifei Guo, M.D., Ph.D

53. Evolution of Practice Patterns in Plastic Surgery Using CPT Mapping: a 9-Year Analysis of Cases Submitted by Primary and Recertification Candidates to the ABPS
Michelle Lee, M.D.¹, Harold S. Haller, PhD¹, Directors of the American Board of Plastic Surgery, n/a², Arun K. Gosain, M.D.³.
¹Case Western Reserve University, Cleveland, OH, USA, ²Directors of the American Board of Plastic Surgery, Philadelphia, PA, USA, ³Northwestern University, Chicago, IL, USA.

Discussant: W. Thomas Lawrence, MD

54. The Impact of Operative Time on Complications After Plastic Surgery: A Multivariate Regression Analysis of 1,753 Cases
Krista Hardy, BS, Kathryn Davis, PhD, Ryan Constantine, BS, Mo Chen, PhD, James Jewell, M.D., Karunakar Dirisala, MS, Jerzy Lysikowski, PhD, Gary Reed, M.D., Jeffrey Kenkel, M.D.
UT Southwestern Medical Center, Dallas, TX, USA.

Discussant: Martha Matthews, MD

55. Trainee Candidate Ranking Criteria Correlated with Fellow Performance: a Controlled, Matched Cohort Evaluation
Jesse C. Selber, M.D., MPH, Winnie Tong, M.D., Courtney El-Zokm, M.D., Jun Liu, MSc, Amir Ibrahim, M.D., Charles Butler, M.D.
Anderson Cancer Center, Houston, TX, USA.

Discussant: James May, MD

12:30 pm - 1:30 pm Business Meeting Luncheon

12:30 pm - 1:30 pm Young Faculty Forum

Mentoring: What is it? Why do I need it? How do I get it?
Linda Philips, MD

1:30 pm - 2:30 pm Scientific Session IX: Head & Neck
Moderator: Gaby Doumit, M.D.
Secretary: Kevin Hagan, M.D.

56. Virtual Surgical Planning Optimizes Mandibular Reconstruction With Free Fibula Flap
Tomer Avraham, M.D., Peter Franco, DM.D., Stelios Wilson, BA, Daniel Ceradini, M.D., Lawrence Brecht, DDS, David Hirsch, DM.D., M.D., Jamie Levine, M.D.
NYU Langone Medical Center, New York, NY, USA.

Discussant: David Low, MD, FACS

57. Therapy With Hedgehog Inhibitors for Locally Advanced or Metastatic Basal Cell Carcinoma
Rogerio I. Neves, M.D., PhD, Bryan Anderson, M.D., Joseph Drabick, M.D., Donald R. Mackay, M.D.
Penn State Hershey, Hershey, PA, USA.

Discussant: Deepak Narayan, MD

58. Restoration Of Corneal Sensation With Regional Nerve Transfers And Nerve Grafts: A New, Effective, Minimally Invasive Approach To A Difficult Problem
Gregory H. Borschel, M.D., FACS, FAAP, Robert Bains, MBChB, FRCS(Plast), Uri Elbaz, M.D., Asim Ali, M.D., FRCSC, Ronald M. Zuker, M.D., FACS, FRCSC, FAAP.
The Hospital for Sick Children, Toronto, ON, Canada.

Discussant: Marcus Ferreira, MD

59. Face Transplantation In A Highly Sensitized Recipient
Anil Chandraker, M.D., Ramon Arscott, M.D., George Murphy, M.D., Christine Lian, M.D., Ericka M. Bueno, PhD, Francisco Marty, M.D., Stefan Tullius, M.D., PhD, Bohdan Pomahac, M.D., Helmut Rennke, M.D.
Brigham and Women's Hospital, Boston, MA, USA.

Discussant: Eduardo Rodriguez, MD

2:30 pm - 3:00 pm Coffee Break

3:00 pm – 4:00 pm Scientific Session X: Burns/ Micro/ Vascular Anomalies
Moderator: Lisa David, M.D.
Secretary: James Yuen, M.D.

60. The Beneficial Effects Of Physical Exercise Training In Children Sustained Extensive Burns
Ted Huang, M.D., Jessica Tanksley, M.D., Oscar Suman, PhD, David Herndon, M.D.
Shriners Burns Hospital-Galveston, Galveston, TX, USA.

Discussant: Paul Cederna, MD

61. Far Away, So Close: Successful Reduction of Hospital-Associated Infections in Patients Admitted to an Accredited, Verified Burn Center, from 2002-2012
Charles S. Hultman, M.D., MBA, Jon Friedstat, M.D., David J. Weber, M.D., David van Duin, M.D., PhD, Samuel Jones, M.D., Bruce A. Cairns, M.D.
University of North Carolina, Chapel Hill, NC, USA.

62. Smaller-diameter Anastomotic Coupling Devices Have Higher Rates of Venous Thrombosis in Microvascular Free Tissue Transfer
Summer E. Hanson, M.D., PhD, Patrick B. Garvey, M.D., Nihanth Palivela, Charles E. Butler, M.D.
The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.

Discussant: Grant Thompson, MD

63. Expression of Follicle-Stimulating Hormone Receptor in Vascular Anomalies
Reid A. Maclellan, M.D., MMSc, Matthew P. Vivero, BA, Patricia Purcell, PhD, Harry P. Kozakewich, M.D., Amy D. DiVasta, M.D., MMSc, John B. Mulliken, M.D., Steven J. Fishman, M.D., Arin K. Greene, M.D., MMSc.
Boston Children's Hospital / Harvard Medical School, Boston, MA, USA.

Discussant: Deepak Narayan, MD

4:00 pm ADJOURN

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