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JUNE 11-15, 2016Disney’s Grand Floridian Resort and Spa

Lake Buena Vista, Florida

Proceedings of the

59th Annual Scientific MeetingSoutheastern Society of Plastic and Reconstructive Surgeons

Disney’s Grand Floridian Resort and Spa4401 Floridian Way, Lake Buena Vista, FL 32830

(407) 824-3000

3Disney’s Grand Floridian Resort and Spa Lake Buena Vista, Florida | June 11–15, 2016

Week At A Glance 4–5

Presidential Welcome 6

SESPRS Officers & Trustees 7

Social / Recreational / Spouse Events 9–12

Program Objectives 13

Disclosure Policies & Accreditation 13–14

Scientific Program 15–25

Abstract Section 26–79

Poster Titles 80–83

Past Presidents 85

Past Upchurch Lecturers 86–87

Past Jurkiewicz Lecturers 88

Upcoming Events 89

Society Awards 90–93

Member Roster 94–131

Geographical Roster 132–144

TABLE OF CONTENTS

4 SESPRS 59th Annual Scientific Meeting

SATURDAY, JUNE 11

8:00 am Board Meeting

3:00 pm Early Registration

4:00 pm Hot Topics Session (NO CME)

SOCIAL EVENTS

5:00 pm Toast to Trudie (Women in Plastic Surgery Event)

6:00 pm Welcome Reception

7:00 pm Past Presidents Reception and Dinner. By invitation only.

SUNDAY, JUNE 12

SCIENTIFIC SESSION

6:30 am Registration Open—Continental Breakfast, Visit Exhibits and Poster Viewing

7:30 am Welcome and Society Reports

8:15 am Resident Paper Competition

9:00 am Melanoma Panel

10:15 am Poster Grading Session

10:15 am Break—Visit Exhibits and Poster Viewing

10:45 am Member Papers

11:15 am Keynote Presentation

12:15 pm Resident Jeopardy Bowl

SOCIAL EVENTS

7:30 am Silent Auction

7:30 am Spouse Hospitality Suite

1:30 pm Tennis Tournament

6:00 – 9:30 pm

Theme Dinner at Epcot

MONDAY, JUNE 13

SCIENTIFIC SESSION


6:30 am Faculty Development Roundtable

7:15 am Problems and Pearls

8:00 am Resident Paper Competition

8:45 am ASPS Visiting Professor Lecture

9:30 am Patient Safety Presentation

10:00 am Poster Grading Session


10:30 am Lightning Round Papers

11:00 am Special Guest Lecturer

12:15 pm Special Resident Session

SOCIAL EVENTS



1:30 pm Golf Tournament

5:00 pm PS2 Networking Event

WEEK AT A GLANCE

SILENT AUCTION - NEW THIS YEAR!Please visit and bid on silent auction items in the exhibit area. All registered attendees are welcome to bid.

The silent auction is open for bids Sunday-Tuesday morning in the Grand Floridian Ballroom, Salon 4 & 5.

Auction closes at 10:30 am on Tuesday. Auction winners will be announced Tuesday.


WEEK AT A GLANCE

TUESDAY, JUNE 14

SCIENTIFIC SESSION


7:00 am MOC Accredited Course

8:00 am Panel: Just The Facts

9:00 am Special Guest Lecture


10:30 am ASAPS Visiting Professor Lecture

11:15 am Upchurch Lecture

12:15 pm SESPRS Annual Business Meeting

12:30 pm Resident Luncheon

SOCIAL EVENTS

5:45 am Fun Run



7:00 pm Black Tie Reception and Dinner

WEDNESDAY, JUNE 15

SCIENTIFIC SESSION

7:00 am Registration Open—Continental Breakfast, and Visit Exhibits

7:00 am Legislative Advocacy Session

8:00 am Member Papers

8:45 am Research Grant Award & Report

9:00 am ASAPS Visiting Professor Lecture

10:00 am Break—Visit Exhibits

10:30 am Contracting a Young Plastic Surgeon to Join Your Practice

11:00 am Transitioning Your Practice Panel

12:15 pm Closing Remarks: Walter L. Erhardt, MD / Meeting Adjourns

SOCIAL EVENTS

12:30 pm Farewell Lunch

The SESPRS 59th Annual Scientific Meeting is

Endorsed by

The American Society of Plastic Surgeons (ASPS)

AMERICAN SOCIETY OFPLASTIC AND RECONSTRUCTIVE

SURGEONS, INC.

Member of


Welcome to SESPRS at Disney!

It is my great pleasure to welcome

you to the 59th Annual Meeting of the

Southeastern Society of Plastic and

Reconstructive Surgeons at Disney’s

Grand Floridian Resort and Spa.

As you will see, Dr. Graham has

put together a terrific scientific

program, with an excellent mix of

reconstructive and aesthetic content.

Combine this with our outstanding

social and sporting events as well as

all the magic that Disney has to offer,

and I’m sure that you will find that there is no end to the fun that you and your

family will enjoy. Don’t miss Sunday’s Theme Dinner with your chance to mingle

with Mickey and Minnie! I hope that this will be one of your most memorable

SESPRS educational and social experiences.

Sincerely,

Kevin F. Hagan, MDPresident 2015–2016Southeastern Society of Plastic and Reconstructive Surgeons

PRESIDENTIAL WELCOME


The Society By-laws and Policy Manual may be found online through our website: www.sesprs.org

OFFICERS AND TRUSTEES

PRESIDENTKevin F. Hagan, MDNashville, Tennessee

PRESIDENT-ELECTWalter L. Erhardt, MDAlbany, Georgia

VICE-PRESIDENTBraun H. Graham, MDSarasota, Florida

SECRETARYDavid Drake, MDCharlottesville, Virginia

ASSISTANT SECRETARYStephan J. Finical, MDCharlotte, North Carolina

TREASURERMark A. Codner, MDAtlanta, Georgia

HISTORIANStephan J. Finical, MDCharlotte, North Carolina

PARLIAMENTARIANJorge de la Torre, MDBirmingham, Alabama

PAST PRESIDENT AND TRUSTEEHenry C. Vasconez, MDLexington, Kentucky

TRUSTEESBruce A. Mast, MDGainesville, Florida

Peter Haines, MDColumbia, South Carolina

Timothy S. Wilson, MDKnoxville, Tennessee

Galen Perdikis, MDJacksonville, Florida

Scott T. Hollenbeck, MDDurham, North Carolina

Holly C. Wall, MDShreveport, Louisiana


WE FOCUS ON THE SUCCESS OF YOUR PRACTICE. SO YOUR FOCUS CAN REMAIN THE CARE OF YOUR PATIENTS.

Monday, June 13, 2016 5:00 pm Disney’s Grand Floridian Resort & Spa Whitehall Room and Patio

Maintaining a profitable practice while providing the highest quality of patient care has never been more challenging.

PS2 is a subsidiary of the American Society of Plastic Surgeons

Is an MSO a viable solution for your practice? Attending this session is your first step. This event is a must-attend for all plastic surgeons interested in Improving Efficiencies, Increasing Market Share and Retaining Independence in our highly-competitive marketplace by partnering with an MSO you can trust.

What Plastic Surgeons Should Know about PS2 Practice Management MSO

YOU’RE INVITED

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Presented by Michael Costello, Executive Vice President of the American Society of Plastic Surgeons


SOCIAL / RECREATIONAL / SPOUSE EVENTS



All registered members and guests may attend the events below. Many events require additional registration fees and/or event tickets. The Black Tie event is restricted to guests 16 years or older. See the SESPRS Registration Desk for additional information.

SATURDAY, JUNE 11

3:00–5:00 pm Early Registration Grand Floridian Ballroom

5:00–6:00 pm Toast to TrudieSpecial session for Women in plastic surgeryRegistration preferred. Hosted by Holly Wall, MD.

Salon 2

6:00–8:00 pm Welcome Reception—Grand Floridian Summer House Patio & Sand Beach

Dinner on your own. Reservations highly recommended.

7:00–10:00 pm Past Presidents Reception and DinnerBy Invitation only. See Registration Desk for details.

California Grille at Contemporary Hotel

SUNDAY, JUNE 12

7:30 am-noon Silent Auction Salon 4 & 5

7:30–9:30 am Spouse Hospitality SuiteRegistered Spouse/family/guests welcome.

Whitehall Room & Patio

12:15–1:15 pm Resident Jeopardy BowlPlease register.

Grand Floridian Ballroom

1:30 pm Annual Tennis TournamentParticipants need to be at the Convention Center Grand Foyer area by 1:10 pm for transportation to Disney’s Wide World of Sports. Registration is required; additional fees apply.

Disney’s Wide World of Sports Complex



SUNDAY, JUNE 12 (CONTINUED)

6:00–9:30 pm Theme Dinner: “An American Evening and Fireworks Spectacular at Epcot”Registered participants of all ages welcome! Red, White and Blue attire encouraged! Transportation to Epcot will depart outside of the Convention Center Grand Foyer promptly at 6:00 pm. Tickets required; visit the Registration Desk for more details.

MONDAY, JUNE 13

7:30 am-noon Silent Auction Salon 4 & 5



1:30 pm Annual Golf TournamentRegistration is required; boxed lunch provided. Registered golfers need to be at the Convention Center Grand Foyer area by 1:00 pm for transportation to the Palm Golf Course. Modified Shotgun start promptly at 1:30 pm. Additional fees apply.

Palm Golf Course

5:00 pm Special Networking Event Sponsored by PS2: “What Plastic Surgeons Should Know about PS2 Practice Management MSO”Presented by Michael Costello, Executive Vice President of the American Society of Plastic Surgeons. See page 8 for more details.


Dinner on your own. Reservations highly recommended.

TUESDAY, JUNE 14

6:00 am Annual Fun RunRegistration preferred but not required. No Charge. Participants should meet in front of the Summer House Patio at 5:45 am.

7:30–10:30 am Silent Auction Salon 4 & 5



TUESDAY, JUNE 14 (CONTINUED)



12:30 pm Resident LuncheonRegistration required.


7:00–11:00 pm Black Tie Reception and DinnerOpen to paid registrants 16 and older. Separate registration required for exhibitors. Registrants MUST RSVP in advance of the meeting. Resident’s of the Glancy Award Competition are complimentary—all other Residents and their spouses require an additional registration charge. See the registration desk for details.

St. Augustine Hall

WEDNESDAY, JUNE 15

12:30–2:30 pm Farewell LuncheonOpen to all paid registrants. Registration required. See the registration desk for details.

Salon 4

Strength and Beauty.Inside and Out.

Biologically DerivedMonofilament

StrongBioresorbable

Visit us at the SESPRS Annual Meeting in Orlando June 11-15

www.galateasurgical.com500022 Rev A


Upon completion of this meeting, participants should be able to:

• Assimilate new knowledge from presented research into his/her practice or research pursuits, as appropriate.

• Utilize new tips and techniques to minimize complications and improve outcomes.

• Better prepare for professional challenges that may arise in his/her practice, including the need for advocacy, the imperative for charitable service, the navigation of ethical questions, and the maintenance of certification.

• Implement best practices in the training and development of Residents, Fellows and young plastic surgeons.

• Enhance his/her knowledge and skills related to patient safety.

PROGRAM OBJECTIVES

SESPRS DISCLOSURE POLICY

As a provider accredited by the ACCME, SESPRS must ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. All planners, presenters and faculty members are required to disclose all relevant financial relationships with commercial interests in advance of the activity. All individuals responsible for the content of any SESPRS educational activity must disclose. Anyone who refuses to disclose will be removed. All disclosures are reviewed by the SESPRS ACCME Committee, and conflicts of interest are identified and managed in advance of the activity.

Management takes place either through recusal, limiting participation, peer review, or divestment of the relationship.

All planners, presenters and faculty members’ disclosures will be provided to the audience in advance of the activity via slides. Additionally, all presenter disclosures will be announced verbally.

Additionally, if any unapproved or off-label use of a product is to be referenced in a CME program presentation, the faculty member/participant is required to disclose that the product is either investigational or it is not labeled for the usage being discussed. SESPRS shall convey any information disclosed by the faculty member/participant to the CME program audience prior to the activity.


The Southeastern Society of Plastic and Reconstructive Surgeons is accredited by the Accreditation Council for Continuing Medical Education in order to provide continuing medical education for physicians.

The Southeastern Society of Plastic and Reconstructive Surgeons designates this live activity for a MAXIMUM of 18.75 CME CATEGORY 1 CREDITS toward the AMA Physician’s Recognition Award. Physicians should claim only the credit commensurate with the extent of their participation in the live activity.

Of the 18.75 credits, 4.96 have been identified as applicable to patient safety.

This symbol throughout the program identifies a safety credit.

ACCREDITATION

COMMERCIAL SUPPORT DISCLOSURE

Contributions have been received from more than one company. Commercial contributors acknowledge that the Accredited Provider (SESPRS) will make all decisions regarding the disposition and disbursement of contributions and/or commercial support and that the funding received from each company will in no way affect; the identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content of the CME, selection of educational methods, or evaluation of the activity. Per the ACCME Standards for Commercial Support, the SESPRS will ensure that no contribution or commercial support will be used to pay for travel, honoraria, or personal expenses for non-teacher or non-author participants associated with the CME activity. The SESPRS will, as requested, provide documentation detailing the receipt and expenditure of the commercial support. Commercial contributors also agree that it will provide no other support of any type, whether financial, travel, speaker’s bureau funding for a particular faculty member, or in kind support for any speaker at the meeting to which this agreement pertains. We plan to acknowledge fully the contribution from all commercial contributors in conference materials in conjunction with the meeting, and in other ways as applicable according to the guidelines of our program.

SESPRS gratefully acknowledges commercial support fromALLERGAN.

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SCIENTIFIC PROGRAM

SATURDAY, JUNE 11

All general session, exhibits, and poster facilities are located in the Conference Center in the Grand Floridian Ballroom area.

3:00–6:00 pm Early Registration Grand Floridian Foyer

4:00–5:00 pm Hot Topics Session (10 min. each—Non CME)Moderators: Brian Rinker, MD and Holly Wall, MD


#1 “GalaFLEX Transitory Surgical Scaffold for Parenchymal Support During Mastopexy and for Implant Pocket Reinforcement After Capsulorrhaphy” (Page 26)

David Mobley, MD

#2 “Non-Invasive Laser Lipolysis Using Sculpsure” (Page 26) Scott J. Engel, MD

#3 “Maximizing Exposure on RealSelf.com: Web Analytics and Patient Traffic Patterns” (Page 27)

Adam Oppenheimer, MD

#4 “Use of Processed Nerve Allografts to Repair Nerve Injuries Greater than 25 mm in the Hand” (Page 28)

Brian Rinker, MD

#5 “Concordance Between ICG and 99mTc in the Identification of Sentinel Lymph Nodes in Melanoma Patients” (Page 29)

Martin Newman, MD

Advertising support for the Hot Topics Session provided byGalatea.

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SCIENTIFIC PROGRAM

SUNDAY, JUNE 12

6:30 am Registration Open Grand Floridian Ballroom

6:30–7:30 am Continental BreakfastVisit Exhibits and Poster Viewing


7:30–7:40 am Welcoming Remarks: Kevin F. Hagan, MD President, Southeastern Society of Plastic and Reconstructive Surgeons


7:40–8:15 am Society UpdatesModerator: Braun Graham, MD

ASPS/PSFPaul Cederna, MD President-Elect, Plastic Surgery Foundation

ASAPSDaniel C. Mills, MD President, The American Society for Aesthetic Plastic Surgery

8:15–9:00 am Resident Paper CompetitionModerator: Peter Haines, MDSecretary: Jorge de la Torre, MD


#1 “Dermal Autograft Using Donor Breast as Alternative to Acellular Dermal Matrices in Tissue Expander Breast Reconstruction: A Comparative Review” (Page 30)

William North, MD —University of Kentucky

#2 “Neoadjuvant Chemotherapy combined with Oncoplastic Reduction for High Stage Breast Cancer Patients” (Page 31)

Alexandra Hart, MD—Emory University

#3 “A Comparison of Four Analgesic Regimens for Acute Postoperative Pain Control in Breast Augmentation Patients” (Page 32)

Pamela Tan, MD—Tulane University

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#4 “Unilateral Versus Bilateral Breast Reconstruction: Is Less Really More?” (Page 34)

Lauren Kuykendall, MD—University of South Florida

#5 “Implant versus Autologous Breast Reconstruction in the Elderly: One Institution’s Experience” (Page 36)

Tahira Prendergast, MD—Medical University of South Carolina

#6 “Plasticity of Auricular Cartilage in Response to Hormone Therapy” (Page 37)

Matthew McLeod, MD—University of Virginia

9:00–10:15 am Melanoma PanelModerator: Wayne Cruse, MDPanel Members: Michael Harrington, MD, Jonathan Zager, MD, Vernon Sondak, MD


10:15–10:45 am Break—Visit Exhibits and Poster Judging Grand Floridian Ballroom

10:45–11:15 am Member Papers (5 Minutes each)Moderator: Galen Perdikis, MDSecretary: Tom Zaydon, MD


#1 “Early Results in Preventing Lymphedema: A Potential Paradigm Shift in Lymphatic Surgery” (Page 39)

Dhruv Singhal, MD

#2 “Clinical, Biomechanical and Anatomic Investigation of Colles Fascia and Pubic Ramus Periosteum for Use During Medial Thighplasty” (Page 41)

Martin Carney, MD

#3 “Evaluation of a Novel Nerve Fusion Technique with Polyethylene Glycol in a Delayed Setting After Nerve Injury” (Page 43)

Ravinder Bamba, MD

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#4 “Engineered Porcine Derived Urinary Bladder Matrix Conduits for Peripheral Nerve Regeneration” (Page 45)

Lyly Nguyen, MD

#5 “Review of Tumor Margins and Re-excision Rates in Previously Augmented versus Non-augmented Patients Undergoing Lumpectomy for Breast Cancer” (Page 46)

Sangeetha Prabhakaran, MD

11:15–12:15 pm Keynote Presentation“New Parts for Old: Transplantation and Plastic Surgery?”Richard J. Howard, MD, PhD, University of Florida Department of Surgery


12:15–1:00 pm Resident Jeopardy BowlModerator: Bert Losken, MDPlease register


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SCIENTIFIC PROGRAM

MONDAY, JUNE 13




6:30–7:15 am Faculty Development RoundtableModerator: WP Andrew Lee, MD

Salon 1

7:15–8:00 am Problems and PearlsModerator: Brian Rinker, MD


8:00–8:45 am Resident Paper CompetitionModerator: Stephan Finical, MDSecretary: Carmen Kavali, MD


#7 “The Utility of Acellular Composite Flexor Tendon Allograft Subunits for Digital Pulley System Reconstruction” (Page 47)

Brent DeGeorge, MD—University of Virginia

#8 “Early Complications and Recurrence in Implant-sparing Oncologic Breast Surgery” (Page 49)

Joshua Elston, MD—University of South Florida

#9 “Extended Periarterial Sympathectomy: An Update of Long-Term Outcomes” (Page 51)

Collier Pace, MD—Virginia Commonwealth University Medical Center

#10 “Enhanced Recovery After Surgery (ERAS) Implementation in Abdominal Based Free Flap Reconstruction” (Page 52)

Rachel Anolik, MD—Duke University

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#11 “A Novel NonContact Optical Method for Assessing Blood Flow in Mastectomy Skin Flaps: A Prospective Study in Patients Undergoing Prosthetic Based Reconstruction” (Page 54)

Nneamaka Agochukwu, MD—University of Kentucky

#12 “Incidence and Risk Factors for Major Surgical Site Infections In Aesthetic Surgery: Analysis of 129,007 Patients” (Page 57)

Christodoulos Kaoutzanis, MD—Vanderbilt University

8:45–9:30 am ASPS Visiting Professor Lecture“The Six Million Dollar Man: It’s Not Too Far Away”Paul Cederna, MD


9:30–10:00 am Maximizing Patient Safety in Outpatient SurgeryBruce A. Mast, MD, University of Florida


10:00–10:30 am Break–Visit Exhibits and Poster Judging Grand Floridian Ballroom

10:30–11:00 am Lightning Round Papers (3 minutes each)Moderator: Walter Erhardt, MDSecretary: Lynn Damitz, MD


#1 “Try it You’ll like it: An Approach to Postoperative Antibiotics” (Page 58)

Matthew Applebaum, MD

#2 “Retrospective Study of Levator Aponeurosis Advancements” (Page 59)

Sherry Collawn, MD

#3 “Combining DIEP Flap With Implant: A Safe and Reliable Technique For Adding Abdominal Donor Site Versatility In The Abdominally Insufficient Patient” (Page 61)

Christopher Trahan, MD

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#4 “Patient Care and Quality Improvement: Identifying Factors Leading to Unanticipated Postoperative Readmission” (Page 63)

Peter Felice, MD

#5 “Patient Care and Quality Improvement: Utilization of a Novel Risk Calculator to Predict Unanticipated Postoperative Readmission” (Page 64)

Peter Felice, MD

#6 “Microcystic Adnexal Carcinoma: A Comprehensive Analysis of Recurrence Rates for Mohs Micrographic Surgery and Surgical Excision” (Page 66)

Scott Hirsch, BS

11:00–12:15 pm Special Guest Lecturer“Safe and Predictable Techniques for Soft Tissue Facial Reconstruction Following Cutaneous Malignancy Resection”Anthony Tufaro, MD—Johns Hopkins University


12:15–1:00 pm Special Resident Session“The Business of Launching Your Practice” (Non CME)Mark A. Codner, MD


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SCIENTIFIC PROGRAM

TUESDAY, JUNE 14




7:00–8:00 am MOC Accredited CourseMOC-PS™

“Surgery for Cutaneous Malignancies—How to Remain Current in the Age of MOC”Anthony Tufaro, MD—Johns Hopkins University


8:00–9:00 am Just the Facts PanelModerator: Bruce A. Mast, MD


Panel Members:

Ben McIntyre, MD—“Nipple Shields and Insertion Funnels/Devices: Do They Really Matter in Breast Implant Surgery?”

Dhruv Singhal, MD—“When Should Microscopically Positive Margins in Basal Cell Carcinoma be Re-excised? Always, Sometimes, Never?”

Angela Cheng, MD—“Is Dermal Matrix Really Needed/Advantageous in Breast Reconstruction?”

Michael Harrington, MD—“Textured vs Smooth Implants: Is There an Advantage in Regard to Capsular Contracture and Aesthetic Stability/Implant Migration?”

9:00–10:00 am Special Guest Lecture“Allograft Transplant”WP Andrew Lee, MD—Johns Hopkins University


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10:00–10:30 am Break—Visit Exhibits and Poster Viewing Grand Floridian Ballroom

10:30–11:15 am ASAPS Visiting Professor Lecture“Systematic Approach to Treatment of the Ptotic Breast”Frank Lista, MD


11:15–12:15 pm Upchurch Lecture“Surgery on Sunday”Andrew Moore, MD


12:30 pm SESPRS Annual Business MeetingPlease Register—Lunch will be served


12:30–2:30 pm Resident Luncheon

Special Guest Lectures


“Signing an Employment Contract”Christopher L. Nuland, P.A.

“Lemon Juice and Optimism Bias: How Surgeons Make Mistakes”Frank Lista, MD


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WEDNESDAY, JUNE 15


7:00–8:00 am Continental BreakfastVisit Exhibits


7:00–8:00 am “How to Create Effective Patient Advocacy Initiatives”Enrique Fernandez, MD & Christopher L. Nuland, P.A.


8:00–8:45 am Member Papers (5 minutes each)Moderator: John Lindsey, MDSecretary: Timothy Wilson, MD


#6 “Protecting the Legitimacy of Board Certification—the Louisiana Experience” (Page 67)

Michael Hanemann, MD

#7 “What Do Our Patients Truly Want? Conjoint Analysis of an Aesthetic Plastic Surgery Practice Using Internet Crowdsourcing: A Pilot Study” (Page 68)

Cindy Wu, MD

#8 “Oncoplastic Breast Reduction Technique and Outcomes: An Evolution Over 20 Years” (Page 70)

Albert Losken, MD

#9 “Muscle Sparing Autologous Free Tissue Reconstruction In Patients With BMI > 30: A 6 Year Review of 839 Perforator Flaps In 523 Patients” (Page 71)

Christopher Trahan, MD

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#10 “Muscle Sparing Latissimus Dorsi (MSLD) Myocutaneous Flaps for Breast Reconstruction: Risks versus Rewards of Muscle Sparing” (Page 74)

Yoav Barnavon, MD

#11 “The Nipple-to-IMF Distance in Macromastia: Poor Correlation with Sternum-to-Nipple Distance but Predictive of Nipple-Areolar Complex Necrosis” (Page 76)

Thomas Steele, MD

#12 “A Formula for Planning and Predicting Post-Operative Mammoplasty Results” (Page 78)

Mary Smithson

8:45–9:00 am Research Grant Report & Award2015 Research Grant Report—Scott Hollenbeck, MD2016 Award Presentation—Brian Rinker, MD


9:00–10:00 am ASAPS Visiting Professor Lecture“Vertical Scar Breast Reduction”Frank Lista, MD


10:00–10:30 am Break—Visit Exhibits Grand Floridian Ballroom

10:30–11:00 am “Contracting a Young Plastic Surgeon to Join Your Practice”Chris Nuland, PA


11:00–12:00 pm Transitioning Your Practice PanelModerator: Braun H. Graham, MDPanel Members: James Moore, MD, William Mullis, MD, Enrique Fernandez, MD


12:00 pm Closing RemarksWalter L. Erhardt, Jr., MDMeeting Adjourns

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HOT TOPIC SESSION .......................4:00–5:00 pm

#1 “GalaFLEX Transitory Surgical Scaffold for Parenchymal Support During Mastopexy and for

Implant Pocket Reinforcement After Capsulorrhaphy”David L. Mobley, M.D.

Both primary and secondary mastopexy and augmentation mastopexy are plagued by high recurrence rates often due to recurrent ptosis of the remaining breast parenchyma. Capsulorrhaphy for correction of implant pocket malposition and

“bottoming out” has reported failure rates as high as 50%. GalaFLEX Mesh Transitory Scaffold (P4HB) is an absorbable mesh which appears to provides an efficient and effective means for reinforcement of the parenchyma during mastopexy and reinforcement of the implant pocket after capsulorrhaphy. Surgical techniques developed for use of GalaFLEX Transitory Scaffold for parenchymal reinforcement during mastopexy and implant pocket reinforcement after capsulorrhaphy will be demonstrated using intraoperative photography and videography.

#2 “Non-Invasive Laser Lipolysis Using SculpsureTM”

Scott J. Engel, MD; David L. Mobley, MD; Brian M. Derby, MD Sarasota Plastic Surgery Center, Sarasota, FL

Non-invasive fat reduction has become an increasingly popular procedure, as many patients are seeking an alternative to liposuction with no downtime. There have been many modalities developed over the years with varying degrees of efficacy. These include high intensity focused ultrasound, radiofrequency, and cryolipolysis.

SculpsureTM is an FDA-cleared 1060nm wavelength laser treatment for noninvasive lipolysis of the flanks and abdomen. The light-based energy damages up to 24% of treated fat cells in 25 minutes. Adipose tissue temperature is elevated between 42°C and 47°C without damaging the dermal tissue using contact cooling for patient comfort. The body naturally eliminates the injured fat cells with results as early as six weeks and optimal results in 12 weeks. It has been clinically proven in multisite trials in over 100 patients, with over 90% patient satisfaction. There is no downtime and can be used on all skin types. Multiple areas can be treated in a single session.

We present our practice’s experience with SculpsureTM using multiple patient results. We are pleased with this device as a non-invasive fat reduction alternative to liposuction for our patients.

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#3 “Maximizing Exposure on RealSelf.com: Web Analytics and Patient Traffic Patterns”

Michael Shatkin & Adam J. Oppenheimer, MD

RealSelf.com (RS) is quickly becoming the leading website for plastic surgery-related content. Accordingly, RealSelf can be a powerful source of patient referrals for the private practice plastic surgeon. In addition to RealSelf offering a paid

“Doctor Spotlight” feature to facilitate lead generation, physicians are also able to generate content in any treatment area in order to engage with prospective patients, namely: before & after photos, videos, and Q&A. Nonetheless, little is known about the efficacy of this physician-generated content in driving patients to individual doctors’ profile pages on the site. The following case study analyzes traffic patterns within RS for the primary author, focusing on the impact of physician-generated content.

Over a one-year period—from January 2015 to February 2016—all inbound traffic to the primary author’s RS page was tracked. The plurality of traffic (29% of inbound links) came from the “Doctor Finder” (internal search) on RealSelf. In terms of physician-generated content, Q&A generated almost half that amount of traffic, with 14% of inbound links. Physician uploaded photos and videos followed, accounting for 7% of inbound traffic.

The Doctor Finder (internal search) within RS was the leading source of traffic to the primary author’s profile page on RealSelf. Rankings on the Doctor Finder (for a specific procedure and within a geographical area) are based on Q&A volume and spotlight status. Therefore, a combination of paid promotional service (“Doctor Spotlight”) and physician-generated content with Q&A, appears to be the primary means of maximizing exposure to prospective patients on RealSelf.

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#4 “Use of Processed Nerve Allografts to Repair Nerve Injuries Greater than 25mm in the Hand”

Brian Rinker, MD1; Jozef Zoldos, MD2; Renata V. Weber, MD3; Jason Ko4; Wesley Thayer, MD, PhD5; Jeffrey Greenberg, MD6; Fraser J. Leversedge MD7; Bauback Safa, MD8; and Gregory Buncke, MD8

1 Division of Plastic Surgery, University of Kentucky, Lexington, KY2 Arizona Center for Hand Surgery, Phoenix, AZ3 Institute for Nerve, Hand, and Reconstructive Surgery, Rutherford, NJ4 Division of Plastic and Reconstructive Surgery, University of Washington, Harborview Medical Center,

Seattle, WA5 Department of Plastic Surgery, Vanderbilt University, Nashville, TN6 Indiana Hand to Shoulder Center, Indianapolis, IN7 Duke University Department of Orthopedic Surgery, Durham, NC8 The Buncke Clinic, San Francisco, CA.

INTRODUCTION: Recent research has shown that processed nerve allografts (PNA) have improved clinical results compared to hollow conduits in short gaps. However, PNA’s utility as a nerve autograft alternative in longer gap injuries warrants further clinical investigation. We queried a national PNA nerve registry for long gap reconstructions to examine efficacy.

METHODS: RANGER registry is an IRB approved, active database for PNA (Avance® Nerve Graft, AxoGen, Inc). Digital nerve repairs of >25mm with quantitative follow-up data were queried. Medical Research Council Classification (MRCC) for sensory function with meaningful recovery was defined as ≥ S3. Outcomes were compared to historical data for nerve autograft.

RESULTS: Fifty digital injuries (28 subjects, age 45±24 years) were included. Seven hypertensive and 3 diabetic/hypertensive patients were included, the rest were healthy. Mechanisms of injury were: 8 amputation/avulsions, 4 blast/gunshots, 9 crush, 7 sharp lacerations, 13 saw lacerations, and 9 neuroma resections. Average gap was 35±8 (25-50) mm. Recovery of ≥S3 was reported in 86% of repairs. Static two point discrimination (s2PD) and Semmes-Weinstein monofilament (SMF) were the most common completed assessment. Mean s2PD was 9±4 mm,n=24. For SWF, protective sensation was reported in 33 repairs, deep pressure in 2, and no recovery in 3.

CONCLUSION: Processed nerve allograft can be used to reconstruct long gap nerve defects in the hand with no adverse events and high outcomes. Outcomes compare favorably to historical autograft literature showing levels of recovery between 60–88%. The registry remains ongoing and continues to collect outcomes data in long gap nerve reconstructions.

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#5 “Concordance Between ICG and 99mTc in the Identification of Sentinel Lymph Nodes in

Melanoma Patients”M.I. Newman, S.L. Koonce, Department of Plastic Surgery, Cleveland Clinic Florida, Weston, FL

INTRODUCTION: Sentinel lymph node (SLN) biopsy is a widely accepted staging procedure for melanoma. Radiocolloid (99mTc) in combination with a variety of blue dyes is the most commonly used technique for SLN identification. Substitution of indocyanine green dye (ICG) for blue dye has been reported with equal or superior results. The purpose of this investigation is to examine our institution’s and the literature’s collective experience in this respect.

METHODS: A systematic review of the literature was performed identifying peer reviewed articles which examined the concordance between 99mTc and ICG in the identification of SLNs in individuals undergoing SLN biopsy for melanoma. The concordance between SLNs identified using 99mTc and ICG at our institution was also examined.

RESULTS: 12 peer-reviewed manuscripts meeting inclusion criteria were identified and included a total of 391 patients. The average removal was 2.09 nodes each. The concordance of SLN identified with 99mTc as well as ICG was 99%. The concordance in our practice was 100% (Figure 1).

CONCLUSION: ICG appears to be a promising tool for the identification of SLNs in the melanoma population. In all cases ICG performed equally to, or better than, the blue dyes in some cases identifying otherwise ‘occult’ nodes. Also, as suggested by some authors, ICG may obviate 99mTc completely in cases when target node(s) are located in known basins.

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RESIDENT PAPER COMPETITION .... 8:15–9:00 am

#1 “Dermal Autograft using Donor Breast as Alternative to Acellular Dermal Matrices

in Tissue Expander Breast Reconstruction: A Comparative Review”William D. North, M.D.1, Christopher S. Kubajak, B.S.2, Brad St. Martin, MPH2, Brian D. Rinker, M.D1

1 University of Kentucky Department of Surgery, Division of Plastic and Reconstructive Surgery2 University of Kentucky College of Medicine, Lexington, KY

INTRODUCTION: Dermal autograft taken from the lower abdomen has been shown to be a lower cost alternative to acellular dermal matrix (ADM) in tissue expander breast reconstruction, with decreased infection and wound healing complications, however the procedure introduces donor site morbidity. In patients with ptosis undergoing bilateral skin-reducing mastectomies, the cancer-free breast can provide an alternate source of dermal autograft without donor site morbidity.

METHODS: Records were reviewed of all patients undergoing dermal autograft assisted tissue expander breast reconstruction, using the cancer-free breast as the source of dermal autograft, between 2010 and 2015. Age, BMI, chemotherapy history, smoking status, and comorbid factors in addition to operative cost, operative time, and complication profile were recorded and compared to historical controls of ADM-assisted reconstruction.

RESULTS: 17 patients were identified who received dermal autograft using the non-cancer breast donor site. For historical controls, 27 patients underwent ADM-assisted reconstruction during the same period. Cost was significantly higher in ADM group compared to autograft ($9999.87 versus $3924.19, p < 0.0001). Operative time was not significantly different between groups (ADM 120 minutes versus autograft 97 minutes, p= 0.11). Wound healing complications were not significantly higher in the ADM group (14.8%) versus autograft (23.53%, p=0.47), nor were major complications (26% for ADM versus 17.65% for autograft), or infectious complications (26% for ADM versus 18% for autograft, p=0.52).

CONCLUSION: Dermal autograft breast reconstruction using non-cancer breast tissue as the source of graft represents a lower cost alternative to ADM with a comparable safety profile, while avoiding donor morbidity.

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#2 “Neoadjuvant Chemotherapy combined with Oncoplastic Reduction for High Stage Breast

Cancer Patients”Authors: Alexandra Hart, MD, Justine Broecker, BS, Toncred Styblo, MD, Albert Losken, MD

OBJECTIVE: Oncoplastic surgery has been shown to be a good alternative to breast conservation surgery alone (BCS) for breast cancer patients. Its role in patients with advanced disease is unclear. In this study, we evaluate the safety of oncoplastic breast conservation surgery (OBCS) following neoadjuvant therapy for high stage breast cancer.

METHODS: The outcomes of consecutive high stage (>T1 or at least N1) patients that received neoadjuvant therapy followed by BCS from September 2004 until June 2015 were reviewed. Comparisons were made between BCS alone and BCS combined with an oncoplastic reduction.

RESULTS: There were 88 patients included (48 OBCS and 40 BCS). The mean initial tumor size (4.44cm vs. 2.54cm, p<0.0001), the weight of the biopsy (150.7g vs. 70.3g, p=0.015) and the post-op tumor size (1.39cm vs. 1.04cm, p=.308) were larger in the OBCS group compared to BCS. Nodal metastases following induction therapy were similar in both (40 % OBCS vs. 29% BCS, p=0.367). The mean follow up was 31.85 months (Range: 1–125) and similar in each. Average percent reduction in tumor size (31.8% vs. 40.9%, p=0.346) and complete pathologic response to induction therapy (44% vs 35%) was higher in the BCT group. Oncologic outcomes were similar for OBCS and BCS, respectively: positive margin rate (8.3% vs 7.5%), re-excision rate (8.3% vs. 7.5%), completion mastectomy rate (6.25% vs. 5%), local recurrence rate (1.6% vs. 0%). There were 2 deaths from breast cancer in each group.

CONCLUSIONS: The oncoplastic approach in high stage patients treated with neoadjuvant systemic therapy appears to be as safe and effective when compared to BCS alone.

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#3 “A Comparison of Four Analgesic Regimens for Acute Postoperative Pain Control in Breast

Augmentation Patients”Pamela Tan, MD1; Morgan Martin, MD1; Nina Chandnani, BA1; Leann Myers, PhD2; Emily Wolfe, MD1; John Lindsey, MD1; Stephen Metzinger, MD1

1 Tulane University Division of Plastic and Reconstructive Surgery, New Orleans, LA2 Tulane University Department of Biostatistics and Bioinformatics, New Orleans, LA

PURPOSE: Patients undergoing breast augmentation are treated with multiple combinations of medications for pain control including Toradol, Exparel, Marcaine, and intravenous and oral narcotics. There is no current consensus on the optimal combination.

METHODS: This was a single-center, retrospective study. Total number of patients included was 177. Comparisons were made between four groups: Marcaine only (M); Exparel and Marcaine (EM); Exparel and Marcaine plus intraoperative Toradol (TEM1); Exparel and Marcaine plus post-operative Toradol (TEM2). Average pain scores immediately postoperative and prior to discharge were recorded and correlated to percentage of patients who received narcotic in the PACU. Additional end points noted were side effects including nausea and time spent in PACU postoperatively.

RESULTS: Those receiving intraoperative Toradol had the lowest pain on discharge (p <0.0001), lowest amount of narcotics given (p = 0.0077), and the lowest percentage of patients receiving narcotics (p = 0.009) out of all four groups. There was no significant difference between the four groups in terms of time spent in PACU, pain immediately after the procedure, or amount of antiemetic given. No bleeding complications were noted for those who did or did not receive Toradol.

CONCLUSION: When given options for pain control in breast augmentation, intraoperative Toradol should be considered, as its inclusion was significant in decreasing use of narcotics and pain upon discharge. Addition of other costly drugs such as Exparel may not provide additional benefit in the immediate postoperative setting for procedures with a short recovery period such as breast augmentation.

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M(n = 104)

EM(N = 26)

TEM1(N = 34)

TEM2(N = 13)

p

Variable Mean SD Mean SD Mean SD Mean SD

Age 32.0 9.5 31.9 9.3 32.1 8.4 28.1 6.9 0.5309

BMI 22.1 3.1 22.5 4.4 22.3 3.0 20.8 2.3 0.4604

time_pacu (min)

91.9 30.3 93.8 23.7 86.4 16.9 96.9 12.9 0.5644

pain immediate postop (0-10)

0.35 1.36 0.23 1.18 0.53 1.94 0.00 0.00 0.6832

pain upon d/c (0-10)

1.70 1.79 2.81 1.30 1.15 1.78 3.08 1.32 <0.0001

time_meds (min)

38.3 21.1 38.6 37.2 24.6 12.1 41.4 23.2 0.4085

Demerol pacu (mg)

17.4 20.7 25 22.1 10.0 23.0 12.5 13.5 0.0077

N % N % N % N % p

received narcotics

54 51.9 19 73.1 10 29.4 7 53.8 0.0094

received antiemetics

51 49.0 15 44.1 9 26.5 6 46.2 0.0706

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#4 “Unilateral versus Bilateral Breast Reconstruction: Is Less Really More?”

Lauren Kuykendall, MD1; Corin Agoris, MS2; Sara Bijan, MS2; Bugra Tugertimur, MS2; Ambuj Kumar, MD, MPH3; Deniz Dayicioglu, MD1

1 Division of Plastic Surgery, University of South Florida, Morsani College of Medicine2 University of South Florida, Morsani College of Medicine3 Department of Internal Medicine, University of South Florida, Morsani College of Medicine

OBJECTIVE: Over recent years, there has been an increase in prophylactic mastectomies with an associated increase in bilateral breast reconstruction. We aimed to compare patient satisfaction and complications with unilateral versus bilateral breast reconstruction after deep inferior epigastric perforator (DIEP) flap and implant-based reconstruction.

METHODS: Patients who underwent breast reconstruction by a single surgeon between July 2011 and July 2015 were surveyed using the independently validated BREAST-Q© questionnaire. Mean satisfaction scores between patients undergoing unilateral vs bilateral breast reconstruction were compared and stratified based on the type of reconstruction (e.g DIEP flap, tissue expander/implant(TE/I)). Groups were further categorized by age (patients <55 years and ≥55 years of age) and BMI (<24.9 and >24.9). Complications were recorded.

RESULTS: A total of 113 patient surveys were included. Overall, patients receiving unilateral reconstruction demonstrated increased satisfaction with outcome (p=0.026), psychosocial well-being (p=0.023), sexual well-being (p=0.001), and information provided (p=0.02). Complication rates were similar between unilateral and bilateral reconstruction. No significant differences for satisfaction were found in the TE/I group (N=58; unilateral 10; bilateral 48).

In the DIEP group (N=55; unilateral 20; bilateral 35), those receiving unilateral reconstruction had higher satisfaction with outcome (p=0.019), psychosocial well-being (p=0.034), sexual well-being (p=0.003), and information provided (p=0.005).

Additionally, younger patients (<55 years) were more likely to undergo unilateral reconstruction (p=0.007). BMI did not have a significant association with unilateral or bilateral reconstruction.

CONCLUSION: Patients undergoing DIEP flap reconstruction showed higher satisfaction with unilateral reconstruction, while patients receiving TE/I reconstruction, either unilateral or bilateral, were equally satisified.

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SUPPORTING DATA

Table 1: Overall DIEP Flap and Tissue Expander/Implant Breast Reconstruction Mean Satisfaction Scores from BREAST-Q© Survey (N=113)

Laterality N Mean Std. Deviation

Satisfaction with BreastsUnilateral 30 72.367 26.3824

Bilateral 83 64.904 21.5053

Satisfaction with Outcome*Unilateral 30 82.000 22.9677

Bilateral 79 69.810 25.8522

Psychosocial Well-Being*Unilateral 30 83.033 21.3081

Bilateral 83 71.542 24.1794

Sexual Well-Being*Unilateral 30 69.867 22.8967

Bilateral 78 52.179 24.0868

Physical Well-Being with ChestUnilateral 30 74.733 18.9262

Bilateral 81 69.975 18.9776

Satisfaction with NipplesUnilateral 22 71.727 27.9612

Bilateral 52 65.769 31.2803

Satisfaction with Information*Unilateral 29 80.310 18.7619

Bilateral 82 69.890 20.9856

Satisfaction with SurgeonUnilateral 30 85.900 20.0437

Bilateral 83 8.759 29.1320

Satisfaction with Medical StaffUnilateral 30 96.400 9.3977

Bilateral 83 93.422 16.5678

Satisfaction with Office-StaffUnilateral 30 95.900 11.0714

Bilateral 83 94.253 14.8240

*Patients receiving unilateral versus bilateral reconstruction had significantly higher satisfaction with outcome (p=0.026), psychosocial well-being (p=0.023), sexual well-being (p=0.001), and with information (p=0.02).

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#5 “Implant vs. Autologous Breast Reconstruction in the Elderly: One Institution’s Experience”

Tahira I Prendergast MD, Ellen Youbi BS MS3, Rohan Kambeyanda MD, Jason Ulm MD; Division of Plastic Surgery, Department of Surgery, Medical University of South Carolina, Charleston SC

PURPOSE: The complications of breast reconstruction in the elderly population (≥65) have become an increasingly studied entity; however, there is a paucity of literature comparing autologous to implant based breast reconstruction complications in this population. Longer life expectancy means more women are being diagnosed later in life, necessitating assessment of outcomes for reconstructive options in this population.

METHODS: A retrospective analysis was performed on all patients at our institution undergoing implant based and autologous breast cancer reconstructions between 2009-2013. The rates of complications between these two groups in those ≥65 years were compared.

RESULTS: A total of 521 patient charts were reviewed. Fifty patients (9.6%) who underwent breast reconstruction were ≥65. Of these, there were more patients with implant based reconstruction without complication compared to those who underwent autologous reconstruction without complication (p<0.05); and a greater rate of skin necrosis or skin flap loss among those receiving autologous reconstruction (p<0.005)(Table 1). The rates of hematoma, seroma, red breast syndrome, and surgical site infection did not differ between groups (p>0.05)(Table 1). There was no statistical significance between complication rates of those <65 and ≥65 undergoing implant-based or autologous reconstruction.

CONCLUSION: With increasing rates of breast cancer diagnosis in the aging population, understanding the outcomes of autologous versus implant based reconstruction is imperative to counseling patients on reconstructive options. Our study demonstrates a greater potential for skin necrosis among those ≥65 undergoing autologous reconstruction and implies lower complication rates among those undergoing implant based reconstruction.

Complication Implant N (%) Autologous N (%) p-value

No complications 19 (52.8) 3 (21.4) p < 0.05

Hematoma 3 (8.3) 0 (0) p > 0.05

Seroma 2 (5.6) 3 (21.4) p > 0.05

Red Breast Syndrome 0 (0) 0 (0) p > 0.05

Surgical Site Infection 6 (16.7) 3 (21.4) p > 0.05

Skin necrosis/skin flap loss 1 (2.8) 6 (42.9) p < 0.005

Other 7 (19.4) 4 (28.6) p > 0.05

Total Number of Patients 36 (100) 14 (100)

Table 1. Rates of complications among women >65 receiving implant-based or autologous breast reconstruction

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#6 “Plasticity of Auricular Cartilage in Response to Hormone Therapy”

Plastic Surgery Resident: Matthew D. McLeod Thomas Gampper, Patrick Cottler, Jesse Payton, Angela Fernandez-Pineros, Jonathan Black

INTRODUCTION: Correction of auricular deformities can be accomplished through splinting within the first few weeks of life. This is hypothesized to be due to retained circulating maternal estrogens decreasing the structural density of collagen; however this has not been fully tested. Non-surgical correction of these deformities has the potential to change clinical practice and eliminate surgical risks. We have developed an animal model to begin the mechanical evaluation of the role of estrogen in restoring neonatal plasticity of auricular cartilage.

METHODS: Ears of New Zealand rabbits were folded and splinted, and assigned an experimental group (estrogen, placebo, and untreated control) Treatment ears received topical estrogen or placebo cream daily for 4 weeks, while controls received no treatment. The splints were removed following 2 additional weeks, and photographs were taken to calculate the retained fold angle. Biopsies were also taken for histologic analysis.

RESULTS: The 8 control ears (8 ears) showed return of ear position to normal by the fourth day after splint removal. Both the experimental and placebo ears responded to splinting with maintained folding (Figure 1). Cartilage thickness trended towards thicker in ears treated with estrogen (Figure 2).

CONCLUSION: Estrogen and placebo treatment lead to a significant change to the cartilage configuration, validating the model. The results of this study are very encouraging and provide the foundation for a more detailed mechanistic study evaluating the long-term outcomes as well as molecular mechanisms associated cartilaginous responses to estrogen. The developed animal model provides the foundation for this future work.

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Figure 1. Post-splint angles of controls, placebo, and experimental ears. * = statistical difference from control (p ≤ 0.05).

Figure 2. Cartilage Thickness from lateral and middle portions of the folded ear.

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MEMBER PAPERS ........................... 10:45–11:15 am

#1 “Early Results in Preventing Lymphedema: A Potential Paradigm Shift in Lymphatic Surgery”

Dhruv Singhal, MD; Mandee Hahamoff; Nachi Gupta, MD, PhD; Derly Munoz, PT; Christina Shaw, MD; Lisa Spiguel, MD

BACKGROUND: Lymphedema is a progressive disease with no known cure. Lymphatic procedures for chronic lymphedema have not been able to deliver consistent results. The Lymphedema Microsurgical Preventative Healing Approach (LYMPHA) was introduced in 2009 as a method to prevent lymphedema at the time of axillary lymph node dissection (ALND). We present our early results with a modified LYMPHA technique.

METHODS: We reviewed our prospectively collected database of all patients with a newly diagnosed breast cancer participating in a lymphedema surveillance protocol at our institution from February 2014 to February 2016.

RESULTS: 87 patients participated in our lymphedema surveillance program during the study period with an average age of 60 years and BMI 30 with an average follow-up of 11.5 months. 6 patients developed lymphedema with the strongest correlation to those undergoing axillary lymph node dissection (p<0.0012). Of 18 patients who underwent ALND, 10 patients did not undergo the modified LYMPHA procedure and 8 completed the procedure. 50% of patients who did not undergo the modified LYMPHA procedure have developed lymphedema. No patients who underwent the modified LYMPHA procedure have developed any evidence of lymphedema. (Figure 1)

CONCLUSION: Our early results demonstrate promising support of the modified LYMPHA procedure in preventing lymphedema in patients undergoing ALND. If these results are maintained in longer follow-up, this will represent a paradigm shift for the lymphatic surgeon to focus on preventative procedures.

Figure 1. Flowsheet of Axillary Procedures Performed and Resulting Lymphedema

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MEMBER PAPERS ........................... 10:45–11:15 am

#2 “Clinical, Biomechanical and Anatomic Investigation of Colles Fascia and Pubic Ramus

Periosteum for Use During Medial Thighplasty”Martin Carney, BS; Tim Matatov, MD; Guenevere Rae, PhD; Adam Hauch, MD;Rahul Vemula, MD; Matthew Freeman, MD; John Miller, BS; Jason Schuster, MSBME; Michael Dancisak, PhD; John Lindsey, MD, FACS

INTRODUCTION: Medial thighplasty surgically attains superior mobility, hygiene, and cosmesis. Most surgeons utilize attachment of the superficial fascial system (SFS) of the thigh flap to Colles fascia while others attach the SFS to the pubic ramus periosteum. Due to a high complication profile, we aim to elucidate the clinical, biomechanical, and anatomic qualities of the two attachments sites.

METHODS: We performed a 17-year retrospective review, separate biomechanical analyses on cadaveric thigh tissue, and histologic sections surrounding the ischiopubic ramus. Suture pull-out strength and displacement were measured electromechanically and supplemental histologic analysis was performed using paraffin embedded large mount tissue sections stained with hemotoxylin, Eosin, and Gomori’s Trichrome.

RESULTS: Thirty-nine patients underwent medial thighplasty with a 46.16% complication rate. Cadaveric testing found an average 72.8% strength and 17.4% displacement differential between Colles fascia and periosteum sites. The histology suggests that different regions of the ischiopubic ramus vary considerably in continuity and collagen fiber content of Colles fascia. The periosteum and muscular fascia were more continuous histologically with direct attachments into the pubis and ischium.

CONCLUSION: Anchoring of the SFS to the periosteum did not improve the complication profile when compared to the literature. Independent biomechanical and histologic analyses demonstrate that the Colles fascia is variable in composition and strength, which may account for the high complication profile of this procedure. Our results require further study to identify the optimal surgical technique for medial thighplasty.

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Figure 1. This low-power photomicrograph is a transverse section through the inferior pubic ramus. Dermis= reticular layer of dermis, asterisk= membranous layer of subcutaneous tissue (Colles fascia), G= gracilis muscle, AB= abductor brevis muscle, OE= obturator externis muscle, Bone= inferior pubic ramus, C= crus of the clitoris.

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MEMBER PAPERS ........................... 10:45–11:15 am

#3 “Evaluation of a Novel Nerve Fusion Technique with Polyethylene Glycol in a Delayed Setting

After Nerve Injury”Ravinder Bamba, D. Colton Riley, Justine S. Kim, Ashkan Afshari, Lyly Nguyen, R. Bruce Shack, Wesley P. Thayer

BACKGROUND: Primary nerve repair requires epineurial stitches which creates trauma at the neurorrhaphy site and may impair nerve regeneration. We hypothesize a conduit-based nerve coaptation device will improve nerve repair outcomes by avoiding sutures at the neurorrhaphy site.

METHODS: The left sciatic nerves of female Spraque-Dawley rats (n=12) were transected and repaired using a novel conduit-based device (Axogen nerve tube). The novel conduit-based device is a pulley system that coapts nerve endings without requiring sutures at the coaptation site. The conduit-based device group was compared to a control group of rats that underwent a standard end-to-end microsurgical repair of the sciatic nerve. Animals underwent behavioral assessments at weekly intervals post-operatively using the Sciatic Functional Index (SFI) test. Animals were sacrificed at 4 weeks to obtain total axon counts from immunohistochemistry. A group of animals were also sacrificed immediately post repair to obtain MRI images (4.7 T) of the nerve to demonstrate nerve coaptation.

RESULTS: SFI was superior in rats received conduit based repairs at 7 days, 14 days, 21 days, and 28 day postoperatively compared to the control group (Figure 1). Figure 2 shows MRI tractography of two nerves after repair using the novel conduit device. The repaired tracts appear continuous, and this finding indicates good alignment with our device. Total axon counts are pending.

CONCLUSION: A conduit-based nerve coaptation device avoids sutures at the nerve repair site and leads to improved behavioral outcomes in a rat model.

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Figure 1.

Figure 2.

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MEMBER PAPERS ........................... 10:45–11:15 am

#4 “Engineered Porcine Derived Urinary Bladder Matrix Conduits for Peripheral Nerve

Regeneration”Ashkan Afshari, MD; Lyly Nguyen, MD; Ravinder Bamba, MD; Alonda C. Pollins, MS; Nancy Cardwell, BS; R. Bruce Shack, MD; Wesley P. Thayer, MD, PhD

OBJECTIVE: Porcine-derived urinary bladder matrix (UBM) has been utilized as a scaffold in several reconstructive fields. We compare engineered conduits constructed from UBM, to the gold standard, nerve autografts, for segmental loss peripheral nerve repairs.

METHODS: Twenty-four Sprague Dawley rats underwent a 10mm left sciatic nerve gap injury and were repaired using either a reverse autograft or UBM conduit. Validated behavior assessments, Sciatic Function Index (SFI) and Foot Fault Asymmetry Scores (FF), were performed weekly. At 6 weeks, the repaired nerves and bilateral gastrocnemius/soleus muscles were harvested. Nerves underwent motor and sensory axon staining, proximal, inside, and distal to the graft or conduit.

RESULTS: The UBM group demonstrated improved FF scores at 1 week, 2 weeks, and 4 weeks, without differences in SFI scores. At 6 weeks, net muscle weights were similar between the two groups (1.36g vs 1.37g). Motor axon counts proximal/inside/distal to the graft were similar between UBM conduits and reverse autografts (1516/673/345 vs 1539/601/363), while sensory axonal regeneration for the UBM conduits were significantly greater than those in the autograft group. In both groups, motor nerve regeneration was uniformly distributed inside the graft or conduit, while the UBM group sensory axons appeared to regenerate adherent to the inner surface of the conduit.

CONCLUSION: UBM conduits demonstrated to be at least similar to nerve autografts for the repair of peripheral nerve injuries. The matrix perhaps serves as a scaffold to augment sensory nerve growth. In a clinical setting, these promising results may eliminate the donor site morbidity and increased operative time associated with nerve autografting.

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MEMBER PAPERS ........................... 10:45–11:15 am

#5 “Review of Tumor Margins and Re-excision Rates in Previously Augmented versus

Non-augmented Patients Undergoing Lumpectomy for Breast Cancer”Sangeetha Prabhakaran, MD1; Joshua B. Elston, MD2; Amina Lleshi, MPH2; Weihong Sun, MD1; Nazanin Khakpour, MD1; Deniz Dayicioglu, MD1,2

1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL2 University of South Florida Morsani College of Medicine, Division of Plastic Surgery,

Department of Surgery, Tampa, FL.

BACKGROUND: Increasing number of patients with pre-existing breast implants desire breast conservation therapy for breast cancer. There is paucity of comparative data on tumor margins and re-excisions in these patients. High re-excision rates up to 25% have been reported in lumpectomy patients; efforts to obtain cosmesis and avoid implant rupture might increase this further. We analyzed tumor margins and re-excision rates in previously augmented versus non-augmented patients undergoing lumpectomy for breast cancer. We preserved pre-existing implants if feasible with oncologic clearance and cosmesis.

METHODS: IRB-approved retrospective analysis was performed on patients undergoing lumpectomy with history of prior breast augmentation (N =52) and non-augmented patients (N=51). Based on tumor distance to inked margin, we grouped margins as negative (≥ 2 mm), close (<2 mm) and positive.

RESULTS: Patients in the non-augmented group were significantly more likely to have larger tumors (T2 and above) (P=0.05) compared to the augmented group. The overall difference in distribution of margins between the two groups was not statistically significant (P=0.86). No difference was noted between re-excision rates between the augmented versus non-augmented groups (21.1% vs. 19.6%, respectively) (OR 0.91, 95% CI 0.35 - 2.37) (P=0.85); these remained unchanged even when adjusting for tumor stage (P=.75) and margins (P=0.73).

CONCLUSIONS: Our results indicate that from the oncological standpoint, patients with prior augmentation can undergo lumpectomy with equivalent tumor margins and re-excision rates. To the best of our knowledge, this is the first such comparative study between these two groups of patients.

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#7 “The Utility of Composite Flexor Tendon Allograft Subunits for Digital Pulley System

Reconstruction”Brent R. DeGeorge Jr., MD, PhD and David B. Drake, MD; The University of Virginia Health System

PURPOSE: Optimal gliding function of the digital flexor mechanism relies on a competent pulley system, which may be injured through traumatic, infectious, or iatrogenic etiologies. Current methodology for pulley reconstruction involves a myriad of tendon graft techniques, which are non-anatomic and technically demanding. Restoration of the digital pulley mechanism is paramount to achieving optimal tendon gliding without bowstringing or adhesion formation.

METHODS: A 5 year retrospective review of a prospectively maintained database of all patients undergoing reconstruction of the digital pulley system utilizing the A2 and/or A4 pulley subunits of sterile, acellularized, composite flexor tendon allografts (CFTAs) between 2012 and 2016. Demographic information, nature of pulley incompetence, range of motion, grip strength, and disability of the arm, shoulder, and hand (DASH) scores were reviewed. Biomaterials testing of the processed A2 and A4 pulley subunits, including tensile strength, gliding resistance, and ultrastructural architecture was investigated.

RESULTS: Four A2 and two A4 pulley reconstructions were performed on five patients. Average total length of follow-up was 12.8 months. Average disability of the shoulder, arm, and hand scores were significantly improved from a pre-operative mean of 32.9±8.6 to a post-operative mean of 2.9±0.6. Total active digital range of motion was significantly improved from a pre-operative mean of 112.8±9.1 to a post-operative mean of 197.0±7.5. No instances of surgical site infection, tendon adhesions, pulley incompetence, triggering, re-operation, or removal of allograft were reported.

CONCLUSIONS: Reconstruction of pulley system deficits using the A2 or A4 components of CFTAs allows for anatomic replacement of “like with like” without additional donor site morbidity or technically demanding tendon weave constructs.

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Figure 1: Ring finger A2 pulley deficit reconstructed with A2 pulley allograft. (Left panels) Acquired A2 pulley incompetence with bowstringing. (Middle panels) Composite flexor tendon allograft subunit dissection and fixation of A2 pulley allograft. (Right panels) Following fixation of A2 pulley allograft with resolution of bowstringing.

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#8 “Early Complications and Recurrence in Implant-sparing Oncologic Breast Surgery”

Joshua B. Elston, MD1; Sangeetha Prabhakaran, MD2; Amina Lleshi, MPH1; Brianna Castillo, BS1; Weihong Sun, MD2; Ambuj Kumar, MD1; Zhenjun Ma, MD2; Paul D. Smith, MD1; Deniz Dayicioglu, MD1

1 University of South Florida, Tampa, FL, USA2 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

BACKGROUND: Patients with a history of prior breast augmentation and newly diagnosed breast cancer represent a rapidly expanding and unique cohort. We aimed to study the recurrence rate and early complications in patients with prior submuscular breast augmentation undergoing lumpectomy or mastectomy.

METHODS: Institutional Board Review approved retrospective analysis was performed on patients with prior breast augmentation undergoing lumpectomy (N=52) and mastectomy (N=64) for breast cancer (Figure 1). The difference in recurrence and complication rates according to patients receiving mastectomy versus lumpectomy was assessed using a chi-square test and summarized as odds ratio (OR).

Figure 1. A) Patient with prior submuscular augmentation 395 cc saline implants. B) Postmastectomy with implants in place. C) Postexchange for larger 660 saline implants.

RESULTS: Patients with prior submuscular augmentation mammaplasty undergoing implant-sparing mastectomy compared with implant-sparing lumpectomy had a statistically significant increased odds of complications, OR 5.863 (95% CI 1.255 to 27.378; p=0.022). Similar results were obtained when adjusted for BMI (OR 6.013; 95% CI 1.255 to 28.807; p=0.025), receipt of chemotherapy (OR 5.840; 95% CI 1.231 to 27.712; p=0.026) and smoking status (OR 5.857; 95% CI 1.254 to 27.362; p=0.025). There was no statistical difference in close or positive margins in the lumpectomy vs mastectomy group. No difference was found in ipsilateral breast cancer recurrence rate.

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CONCLUSIONS: Implant-sparing lumpectomy or mastectomy is a safe procedure to perform and has the benefits of maintaining the breast mound. Patients undergoing mastectomy may have more complications initially. No differences in recurrence were noted between groups.

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#9 “Extended Periarterial Sympathectomy: An Update of Long-Term Outcomes”

Collier S. Pace, MD; Wyndell H. Merritt, MD

INTRODUCTION: Periarterial sympathectomy is a proposed surgical treatment for patients with refractory Raynaud Syndrome, however there is debate regarding the indications and extent of dissection. Due to the segmental arterial sympathetic innervation, we favor an extended sympathectomy in concert with vein graft reconstruction of occluded radial or ulnar arteries when necessary. The purpose of this study is to examine outcomes of extended periarterial sympathectomy in our patients.

METHODS: A retrospective chart review was performed on 46 patients who underwent 58 periarterial sympathectomies (12 bilateral) since 1982. The data collected include: demographics, comorbidities, previous therapy, operative details, and surgical outcomes. Additionally, we contacted available patients for a phone survey.

RESULTS: Of 58 cases, 68.9% were female, 29.3% were current smokers, and 58.6% had known connective tissue disease. 31 vein graft reconstructions were performed with a long-term patency of 77.4%. Ischemic pain improvement was reported in 94.8% of cases, and 78% of patients with ulcers completely healed. For the most symptomatic fingertip, mean Semmes Weinstein Monofilament measurements improved from 4.15 preoperatively, to 3.29 postoperatively (p=<.05). Mean follow-up was 3.97 years. Of 10 patients contacted by telephone, all reported a decrease in frequency and severity of Raynaud attacks, while 9 reported a decrease in pain.

CONCLUSIONS: Extended periarterial sympathectomy is an effective and safe procedure for patients with refractory Raynaud Syndrome. Our data demonstrate long-term improvement in ischemic pain and sensibility, along with a high rate of ulcer healing and patient satisfaction, in what appears to be the largest series reported.

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#10 “Enhanced Recovery After Surgery (ERAS) Implementation in Abdominal Based Free

Flap Breast Reconstruction”Rachel A. Anolik, MD1; Adam Glener, BS1; Thomas J. Hopkins, MD, MBA2; Scott T. Hollenbeck, MD1; Julie K. Marosky Thacker, MD1

1 Department of Surgery, Duke University Medical Center, Durham, NC2 Deparmtent of Anesthesia, Duke University Medical Center, Durham, NC

INTRODUCTION: Enhanced Recovery After Surgery (ERAS) initiatives have been implemented in many hospitals with the aim to improve post-operative function and recovery. In this study, we sought to compare the outcomes of patients undergoing abdominal based free flap breast reconstruction before and after implementation of ERAS protocol.

METHODS: This is a retrospective chart review study. Subjects were defined as those who have undergone abdominal free flap breast reconstruction at Duke University Hospital. Patients with pre-existing psychiatric and chronic pain conditions were excluded. Patient demographics, perioperative surgical and anesthesia data and complications were collected and summarized.

RESULTS: There were 17 patients in the control and 21 patients in the ERAS group. Both groups had similar age, race and BMI. Patients in the ERAS group had significantly reduced length of stay (LOS) (3.8 v. 4.76 days, p=0.0003). There was no significant difference in 24hr morphine equivalent dosage (34.17 vs. 22.2 mg, p=0.26). However, in ERAS patients, there was reducted intravenous (IV) pain medication usage (14/21 v. 17/17 patients, p=0.0049) and earlier return of bowel function (POD 2 v. 3.5, p=0.002). In terms of fluid management, patients on ERAS protocol received significantly less fluid intraoperatively (p=0.004) as well as less IV fluid administered per hospital day (p<0.0001) without adverse outcome. There was no significant difference in flap loss (6.45% ERAS v. 3.57% control, p=0.617).

CONCLUSION: Implementation of ERAS protocol for abdominal free flap breast reconstruction was associated with a significantly reduced LOS, decreased IV narcotic pain medication and fluid administration as well as earlier return of bowel function. This is consistent with results seen in colorectal surgery and suggests that this program could be instituted nationwide for standardization of breast reconstruction with improved outcomes.

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#11 “A Novel Noncontact Optical Method for Assessing Blood Flow in Mastectomy Skin

Flaps: A Prospective Study in Patients Undergoing Prosthetic Based Reconstruction”Nneamaka B. Agochukwu1, Chong Huang2, Mingjun Zhao2, Guoqiang Yu2, Lesley Wong1

1 University of Kentucky, Division of Plastic Surgery2 University of Kentucky, Department of Biomedical Engineering

BACKGROUND: The most common complication following prosthesis-based breast reconstruction is mastectomy skin flap necrosis. There are currently no noninvasive methods to assess mastectomy skin flap perfusion. A new advanced technology, noncontact near-infrared diffuse correlation spectroscopy (DCS), has been recently developed for the measurement of tissue blood flow by analyzing the motions of red blood cells in deep tissues. This technology is portable, inexpensive and noninvasive, and can measure up to 1.5 cm tissue depth (Figure 1). In this prospective study, we aimed to validate the use of this device intraoperatively to predict mastectomy skin flap necrosis.

METHODS: The device was used to measure tissue blood flow at three time points: before and immediately after mastectomy, and after reconstruction (Figure 2). Flow measurements were done at 3 locations, and four depths along the mastectomy incision. All patients were tracked for the development of complications including skin necrosis and need for further surgery.

RESULTS: Eleven patients have been enrolled in the ongoing study. Two patients (18%) developed skin necrosis, one of which required surgical intervention. The difference in relative blood flow levels after mastectomy in patients who did, and did not develop necrosis was statistically significant, with values of 24.3% ± 17.7% and 69.1% ± 24.2% of pre-mastectomy baselines, respectively (p = 0.02, paired t- test, Figure 3,4).

CONCLUSIONS: Noncontact DCS is a promising tool that may provide objective information regarding mastectomy skin flap viability intraoperatively, allowing surgeons early identification of compromised and ischemic flaps with the hope of salvaging them.

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Figure 1. Noncontact DCS flowmeter (1) with noncontact optical probe and motorized stage (2) and probe holder (3).

Figure 2. Noncontact device setup demonstrating blood flow measurements being taken before the mastectomy (left), and following the mastectomy (right).

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Figure 3. Average relative blood flow (rBF) of each subject.

Necrosis

No necrosis

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#12 “Incidence and Risk Factors for Major Surgical Site Infections In Aesthetic

Surgery: Analysis of 129,007 Patients”Christodoulos Kaoutzanis, MBBS1; Varun Gupta, MBBS, MPH1; Julian Winocour, MD1; James C. Grotting, MD, FACS2; Kent Higdon, MD, FACS1

1 Department of Plastic Surgery, Vanderbilt University, Nashville, TN, USA2 Department of Surgery, Division of Plastic Surgery, University of Alabama, Birmingham, AL, USA

PURPOSE: The purpose of this study was to examined the incidence and identify predictive risk factors for postoperative surgical site infections (SSIs) following aesthetic surgery.

METHODS: A prospectively enrolled cohort of patients who underwent aesthetic surgery between 2008 and 2013 was identified from the CosmetAssureTM database. Primary outcome was occurrence of a major SSI requiring emergency room visit, hospital admission, or reoperation within 30 days of the index operation. Univariate and multivariate analysis evaluated potential risk factors for SSIs including age, gender, body mass index (BMI), smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures.

RESULTS: A total of 129,007 patients were identified, of which 599 (0.46%) had a major SSI. Mean age (43.8±12.4 vs. 40.9±13.9, p<0.01) and BMI (27.3±5.5 vs. 24.3±4.6, p<0.01) were higher in patients with SSIs. Patients with a SSI were more likely to be smokers (10.5% vs. 8.2%, p=0.04) and diabetic (4.5% vs. 1.8%, p<0.01). Females suffered more SSI than males (0.5% vs. 0.3%, p=0.02). Trunk or extremity procedures had a higher incidence of SSI compared to breast or face procedures (0.9% vs. 0.2%, p<0.01). On multivariate analysis, independent predictors of SSI included age (Relative Risk (RR) 1.01), female gender (RR 1.86), BMI (RR 1.07), smoking (RR 1.61), diabetes (RR 1.58), hospital or ambulatory surgery center procedures (RR 1.39), trunk or extremity procedures (RR 2.42), and combined procedures (RR 1.88).

CONCLUSIONS: SSIs following cosmetic surgical procedures are associated with numerous independent predictors, which should be taken into consideration when counseling patients undergoing aesthetic surgery.

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LIGHTNING ROUNDS ..................... 10:30–11:00 pm

#1 “Try it You’ll like it: An Approach to Postoperative Antibiotics”

Matthew A. Applebaum, University of South Florida, Morsani College of Medicine, Tampa, Florida; Paul D. Smith, Division of Plastic Surgery, Department of Surgery, University of South Florida, Tampa, Florida

BACKGROUND: Over prescribing postoperative antibiotics is a concern that has been evident in the plastic surgery community for a long time. Consequences such as increased bacterial resistance, side effects and cost are seen when using antibiotics, especially when not warranted. This is contradictory to current evidence based medicine that shows there to be no concrete evidence in support of postoperative prophylactic antibiotics. This study retrospectively analyzes the surgical site infection rate of two groups, one being given postoperative prophylaxis and one that was not.

METHODS: This is a retrospective study conducted at the Moffitt Cancer Center. It was composed of 386 cases that underwent breast reconstruction that were qualified as clean or clean contaminated procedures, performed by a single surgeon. Patients were stratified randomly into two groups, those that received post-operative antibiotic prophylaxis and those that did not. Both groups received pre-operative antibiotic prophylaxis 60 minutes prior to incision. A control group of 196 cases received post-operative antibiotic prophylaxis while 183 did not. Post-operatively, patients were followed closely for signs of complication (infection or necrosis).

RESULTS: There were a total of 196 cases that received antibiotic prophylaxis. Of these cases 9.2% ± 2.89% (mean ± Stdev) sustained a SSI. This was compared to 183 cases that did not receive prophylactic antibiotics postoperatively. 7.1%±2.6% (mean ± Stdev) of this group was noted to sustain a SSI.

CONCLUSIONS: The data suggests that postoperative antibiotics given prophylactically are not necessary for patients undergoing clean or clean contaminated procedures.

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#2 “Retrospective Study of Levator Aponeurosis Advancements”

Jennifer H. Yang1; Peter Davison1; Mina Mousa1; Sherry S. Collawn, MD, PhD2

1 University of Alabama School of Medicine2 Division of Plastic Surgery, Department of Surgery, University of Alabama at Birmingham

PURPOSE: Levator shortening techniques for eyelid ptosis were popularized in the 1970s and 1980s.1 Two techniques for shortening the levator palpebrae superioris are levator advancement or levator plication. There has not been another study to quantify similar perioperative eyelid measurements.

METHODS: We performed a retrospective analysis of all upper eyelid procedures for ptosis performed by the senior surgeon from July 2014 to the present. We collected data on pre-surgical measurements: marginal reflex distance 1 (MRD-1), the surgical technique used (symmetrical/asymmetrical levator advancement) with millimeters of advancement recorded, and post-surgical measurements.

RESULTS: Between July 24 and the current time 27 patients underwent treatment of upper eyelid ptosis. We collected pre and post-op measurements on 12 patients who underwent bilateral levator advancements (Figure 1). For bilateral advancements, an advancement of 3mm elevated the upper eyelid margin 1.5mm (n=2). An advancement of 4mm elevated the upper eyelid margin 1.9 mm (n=10). An advancement of 5 mm elevated the lid margin 2.1 mm (n=4). The 2 patients shown in figure 2 underwent bilateral upper eyelid levator advancements. The upper patient had 4 mm advancements bilaterally. The lower patient had an advancement of 4mm on the left and 5 mm on the right.

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CONCLUSIONS: Our results indicate clinical improvement in MRD-1 with levator advancement. On average, an advancement of 4mm can be expected to increase the MRD-1 1.9 mm, and this numerical correlation is helpful in preoperative planning.

REFERENCE:1. Carraway JH, Vincent MP. Levator advancement technique for eyelid ptosis. Plastic Reconstructive

Surg. 1986 Mar;77(3):394-403.

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#3 “Combining DIEP Flap with Implant: A safe and Reliable Technique For Adding Abdominal Donor

Site Versatility In The Abdominally Deficient Patient”Chris G. Trahan, MD, FACS (Presenting Author); Scott K. Sullivan, MD, FACS; Frank J. DellaCroce, MD, FACS; Matthew W. Wise, MD; Craig A. Blum, MD

Advances in microsurgical breast reconstruction afford the plastic surgeon flexibility to adapt surgical planning to body habitus, breast volume, and reconstructive goals of the patient. The DIEP flap is an ideal first option in autologous breast reconstruction. Frequently, the abdominal donor volume alone is insufficient to restore breast volume and shape. Combined use of DIEP and implant has been described. This study retrospectively reviews our experience and outcomes of composite reconstructions utilizing DIEP flap and implant. Indications and technique are also discussed.

Patients presenting for immediate or delayed reconstruction were counseled with regard to donor site options and reconstructive goal. Patients with insufficient abdominal volume were offered combination of DIEP with implant. In all cases, smooth, round silicone gel implants were carefully positioned and supported by an acellular dermal matrix pocket.

This study includes 68 composite reconstructions in 34 patients over 26 months. 47 flaps immediate reconstructions. Average implant volume was 167cc. There were no instances of flap loss. A small (<2cm) area of fat necrosis requiring excision alone occurred in one patient. Two patients were explored for postoperative hematoma. No implant pocket infections were noted. One implant was exchanged for Grade III capsular contracture.

The versatility of the DIEP flap is enhanced with combination of implant in first-stage breast reconstruction. Composite breast reconstruction using DIEP and implant is a safe and reliable reconstructive option in abdominally deficient patients to maximize aesthetic outcome and proportion and minimize donor site morbidity to meet reconstructive goals of the patient.

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Photo 1.

Photo 2.

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#4 “Patient Care and Quality Improvement: Identifying Factors Leading to Unanticipated

Postoperative Readmission”Peter A. Felice, MD1; David T. Kerekes, BS2; Bruce A. Mast MD1

1 University of Florida College of Medicine, Department of Surgery, Division of Plastic & Reconstructive Surgery, Gainesville, FL

ABSTRACT: Purpose: Unanticipated postoperative readmission will be a quality-directed metric linked to CMS reimbursement. Published studies have evaluated risk factors for postoperative complications, but no data exists specifically for readmissions in plastic surgery. In an effort to both optimize patient care and prevent negative financial impact, this study aims to identify patient factors contributing to unanticipated postoperative readmissions.

METHODS: An IRB approved retrospective review was done evaluating 1000 randomly selected surgical procedures on the Plastic & Reconstructive Surgery service at our institution between January 1, 2013 and December 31, 2014. All readmissions within 60 days of an operation were identified and subjected to statistical analysis to determine factors associated with unanticipated readmission.

RESULTS: Of the 1,000 admissions investigated, 84 (8.4%) unanticipated readmissions were identified. 18 (1.8%) were hospital readmissions, alone, while 51 (5.1%) were readmissions with operative intervention, and 15 (1.5%) were outpatient reoperations. Unanticipated readmissions were associated with hypertension (p=0.0008), smoking history (p=0.009), CHF (p=0.0015), COPD (p=0.0226), higher mean age (52.4 vs. 38.3, p=0.0001), and Comorbidity Score (0.94 vs. 0.39, p=0.0001).

CONCLUSION: These results identify patient factors associated with unanticipated postoperative readmissions. A risk calculator is being designed to translate these factors, as well as patient demographic and heath history data, into an objective value predicting the likelihood of 30-day postoperative readmissions. With this information, practitioners can provide appropriate postoperative resources and planning for patients at increased risk of readmission, ultimately satisfying quality-directed metrics linked with CMS reimbursement as well as optimizing the delivery of patient care.

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#5 “Patient Care and Quality Improvement: Utilization of a Novel Risk Calculator to Predict

Unanticipated Postoperative Readmission”Peter A. Felice, MD1; David T. Kerekes, BS2; Bruce A. Mast, MD1

1 University of Florida College of Medicine, Department of Surgery, Division of Plastic & Reconstructive Surgery, Gainesville, FL

2 University of Florida College of Medicine, Gainesville, FL

ABSTRACT: Purpose: We have previously identified patient risk factors contributing to unanticipated postoperative readmission, a quality-directed metric that will be linked to CMS reimbursement. Building on this knowledge, the aim of this study is to create a risk index calculator to quantifiably predict the likelihood of 60-day postoperative readmissions.

METHODS: An IRB approved retrospective review was done evaluating 671 randomly-selected patients undergoing procedures with the Plastic & Reconstructive Surgery service at our institution between January 1, 2013 and December 31, 2014. 60-day postoperative readmissions were identified for 58 (8.6%) patients. Logistical regression and backward variable selection with an inclusive p-value <0.30 yielded patient age, BMI, same-site procedure, renal disease, thyroid disease, CAD, COPD, and history of malignancy as variables associated with readmission.

RESULTS: We used a linear combination rule with the associated variables to create a risk index calculator (Figure 1). The product of the risk calculator yields a Risk Index Value (RIV) corresponding to a Predicted Percentage (PP) representing the probability of 60-day readmission (Figure 2).

CONCLUSION: Patient risk factors associated with unanticipated postoperative readmissions can be used to calculate the percentage likelihood of 60-day postoperative readmission. With this information, practitioners can provide appropriate resources for patients at increased risk of readmission, ultimately satisfying quality-directed metrics and optimizing the delivery of patient care.

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Figure 1.

Risk Calculator Equation(-) 2.5309+ Age x 0.0127+ BMI x 0.041+ Same Site (Yes = 1, No = 0) x 0.4427+ Renal Disease (Yes = 1, No = 0) x 0.499+ Thyroid Disease (Yes = 1, No = 0) x 0.392+ CAD (Yes = 1, No = 0) x 0.3743+ COPD (Yes = 1, No = 0) x 0.4644+ History of Malignancy (Yes = 1, No = 0) x 0.4644

= Risk Index Value, RIV

Figure 2.

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#6 “Microcystic Adnexal Carcinoma: A Comprehensive Analysis of Recurrence Rates

for Mohs Micrographic Surgery and Surgical Excision”Scott Hirsch, BS1; Collier S. Pace, MD2; Wyndell H. Merrit, MD2

1 Virginia Commonwealth University, School of Medicine2 Virginia Commonwealth University Health System, Division of Plastic and Reconstructive Surgery

INTRODUCTION: Microcystic Adnexal Carcinoma (MAC) is a rare invasive cancer with no established treatment guidelines. Dermatology literature suggests decreased recurrence using Mohs Micrographic Surgery (MMS) compared with surgical excision. Our purpose is to delineate the most successful treatment for MAC and identify risk factors for recurrence.

METHODS: A comprehensive PubMed literature review was performed with the search parameter “microcystic adnexal carcinoma”. Of 164 papers reviewed, 111 contained individualized data for each patient. Patient demographics, lesion characteristics, treatment modality, recurrence, and follow-up were recorded for each patient and compiled for analysis.

RESULTS: Of 213 cases, 98 (46.0%) received MMS and 104 (48.8%) received surgical excision. The incidence of recurrence for MMS (6.3%) was significantly lower than surgical excision (20.6%) (p=.004). Lesions with perineural invasion had a higher recurrence rate (25.9%) compared to those that did not (10.8%), but this did not reach statistical significance (p=.091). The MMS and surgical excision groups did not differ in patient age, lesion size, or duration of follow-up, however perineural invasion was more prevalent in surgically excised lesions (p=.014).

CONCLUSION: Our literature review confirms that reported treatment of MAC with MMS results in lower recurrence rates compared with surgical excision. The increased incidence of perineural invasion in surgically excised lesions may contribute to this difference. These findings support the treatment of MAC with MMS and identifies perineural invasion as a risk factor for recurrence. We offer explanations for these results and suggest treatment modifications for this rare tumor.

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MEMBER PAPERS ............................8:00–8:45 am

#6 “Protecting the Legitimacy of Board Certification—The Louisiana Experience”

Michael S. Hanemann Jr., MD, FACS

OBJECTIVES: To inform plastic surgeons about the American Board of Cosmetic Surgery’s (ABCS) ongoing attempts in Louisiana to achieve equivalency to American Board of Medical Specialties (ABMS) member boards.

To protect the public by preventing deceptive advertising by unqualified practitioners.

BACKGROUND: In 2011, the Louisiana Society of Plastic Surgeons (LSPS) was instrumental in the passage of the state’s truth in advertising law, which illegalizes improperly credentialed physicians from advertising themselves as “board certified.”

Attorneys representing the ABCS petitioned the Louisiana State Board of Medical Examiners (LSBME) to approve a rule which would establish a pathway to equivalency for non-ABMS member boards, whose diplomates have not completed American Council for Graduate Medical Education (ACGME) approved training in the specialty they are certifying.

When the LSBME hesitated to approve this rule, the ABCS solicited Louisiana legislators to amend the law to include the ABCS as a recognized board. The American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the LSPS have united to prevent this legislative shortcut for unmerited recognition of a certifying medical board.

DISCUSSION: The public equates board certification with expertise in a given field of medicine. The nation’s gold standard credentialing bodies, the ABMS and ACGME, ensure that medical boards maintain rigorous standards for their diplomates’ education, training, and maintenance of certification.

Educating state legislators and medical boards about the importance of following ABMS and AGME requirements for recognition of a certifying board is critical for public safety.

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MEMBER PAPERS ............................8:00–8:45 am

#7 “What Do Our Patients Truly Want? Conjoint Analysis of an Aesthetic Plastic Surgery

Practice using Internet Crowdsourcing”Cindy Wu, MD; Paul Diegidio, MD; Steven Hermiz, MD; Roja Garimella; Scott Hultman, MD; Clara N. Lee, MD

INTRODUCTION: Inadequate evidence exists regarding which aesthetic surgery practice attributes are most important to patients. Conjoint analysis identifies what is most important to consumers by requiring simultaneous tradeoffs among multiple product attributes. Its application in aesthetic surgery practices hasn’t been well studied.

METHODS: A pilot electronic survey was administered to anonymous participants from an academic institution asking them to pick a surgeon for facelift (F) surgery based on five attributes (pricing, photos, testimonials, reputation, years in practice), each with three levels (i.e. low, medium, high pricing). Once validated, the facelift, breast augmentation (BA) and mommy makeover (MM) surveys were administered to anonymous participants worldwide via Amazon MTurk, an Internet crowdsourcing service. Attribute importance (after trading off other attributes) was calculated using empirical Bayes modeling.

RESULTS: Photos were the most important attribute in the BA group (35.3%), while testimonials were most valuable in the MM (38.3%) and F groups (37.2%). The second most important attribute was testimonials in the BA (33.9%) group, and photos in the MM (27.9%) and F (28.8%) groups. Surgeon reputation, pricing, and years in practice were the least important in all three groups.

CONCLUSION: All three cohorts placed the highest relative importance on testimonials and photos, then reputation, pricing and practice duration. Despite age differences, participants worldwide seeking all procedures value the same two attributes when looking for an aesthetic plastic surgeon. This is the first study to anonymously survey worldwide participants on the attributes most important to potential aesthetic surgery patients when seeking breast augmentation, mommy makeover and facelift procedures.

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Figure 1. Breast Augmentation Group (BA) Importance Summary

Figure 2. Mommy Makeover Group (MM) Importance Summary

Figure 3. Facelift Group (F) Importance Summary

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MEMBER PAPERS ............................8:00–8:45 am

#8 “Oncoplastic Breast Reduction Technique and Outcomes: An Evolution Over 20 years”

Albert Losken, MD; Alexandra M. Hart, MD; Justine Broecker, MD; Toncred M. Styblo, MD; Grant W. Carlson, MD

PURPOSE: Oncoplastic reduction has gained popularity in women with breast cancer and macromastia. We evaluated outcomes over 20 years.

METHODS: A prospectively maintained database was reviewed of breast cancer patients who underwent oncoplastic reduction. Demographics were reviewed. Pre and post op patient satisfaction (BREAST-Q) and cosmetic results were evaluated. Comparisons were made between early and recent cases.

RESULTS: 353 patients were included. The average lumpectomy specimen was 207g (Range: 11.6–1954g) and total reduction weight averaged 545g (Range: 21–4102g). Tumor size averaged 2.02cm. The positive margins rate was 6.2%. Completion mastectomy rate was 9.9% with pathology often DCIS (40%) and IDC (40.0%). Overall complication rate was 16%. The recurrence rate was 2.8% at a mean follow up 2 years. Resection weight >1000g were associated with having a positive margin (16.7% vs. 5.0% p= 0.016), and tended to be associated with having a completion mastectomy (p=0.069). Outcomes improved in the last 5 years (Table 1).

At over 1 year follow up, women reported increased self-confidence (p=0.020), feelings of attractiveness (p=.085), emotional health (p=0.037), and satisfaction with sex life (0.092) compared to pre op. Satisfaction with breast symmetry was 94.4%.

Table 1.

N Before 2010 After 2010 p-value

Re-excision 101 30.6% 12.5% <0.001*

Completion Mastectomy 192 13.2% 8.2% 0.138

CONCLUSION: Oncoplastic reduction is effective with improved patient reported outcomes and cosmesis. Resections over 1000g are associated with a higher incidence of positive margins and may increase the risk for completion mastectomy. Outcomes improved with experience and refinement in technique.

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MEMBER PAPERS ............................8:00–8:45 am

#9 “Muscle Sparing Autologous Free Tissue Reconstruction In Patients With BMI>30: A 6

Year Review of 839 Perforator Flaps In 523 Patients”Chris G. Trahan, MD, FACS (Presenting Author); Scott K. Sullivan, MD, FACS; Frank J. DellaCroce, MD, FACS; Matthew W. Wise, MD; Craig A. Blum, MD

Breast reconstruction in the obese patient represents a challenging and increasingly frequent problem for the plastic surgeon to manage. It is well accepted that higher Body mass Index (BMI) is associated with higher post-surgical morbidity. Prosthetic reconstruction in obese patients is associated with significant short and long-term complications as well as inherent limitations in ability to volumetrically and aesthetically restore the breast. The development and refinement of muscle sparing free-tissue reconstructive methods have given the plastic surgeon an important tool in meeting the reconstructive requirements of the obese patient. Multiple studies have reviewed outcomes of TRAM and DIEP in higher BMI patients.

This series reviews 839 flaps in 523 patients over 6 years and represents the largest single institution outcome experience of autogenous tissue reconstruction using abdominal and gluteal donor sites in obese patients with BMI > 30.

839 flaps in 523 patients of BMI > 30 were retrospectively analyzed over a 6 year period. Multiple pre-operative variables including BMI, timing of reconstruction, adjuvant treatments, preoperative comorbidities, and operative times were analyzed with respect to multiple outcome measures. (See Table 1)

Autologous free tissue breast reconstruction using muscle sparing techniques is a safe, reliable, and effective method of meeting the volumetric and aesthetic challenges in breast reconstruction of obese and morbidly obese patients.

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MEMBER PAPERS ............................8:00–8:45 am

#10 “Muscle Sparing Latissimus Dorsi (MSLD) Myocutaneous Flaps for Breast

Reconstruction: Risks versus Rewards of Muscle Sparing”Yoav Barnavon, MD, FACS; Christopher Brooks, MD; Dawn Hardin, RNFA; Yin Kan Hwee, MD

BACKGROUND: Thoracodorsal artery based breast reconstructions can range from full latissimus dorsi muscle harvest to perforator flaps with no muscle harvest. We hypothesized that a muscle sparing flap which includes only the anterior portion of the latissimus dorsi muscle supplied by the anterior descending branch of the thoracodorsal artery provides reliable perfusion, simplifies flap elevation, and reduces morbidity.

METHODS: We retrospectively reviewed patients who underwent MSLD flaps from September 2008 thru January 2016. These flaps were based on an approximately 5 cm strip of muscle attached to an extended-transversely oriented skin paddle, see Figure 1. Patients with at least six weeks of follow-up were included in this study. Outcomes were evaluated by chart review and peri-operative photographs.

RESULTS: 83 patients underwent a total of 126 MSLD flap reconstructions and met inclusion criteria. Flaps were performed for 26 immediate, 42 delayed, and 57 salvage reconstructions. 52 patients had subsequent fat grafting. Flap related complications included: 14 infections, 7 seromas, and 2 hematomas, 5 partial skin flap necroses, 11 fat necroses, and 10 nipple flap necroses when nipple reconstruction was performed at the time of initial flap surgery.

CONCLUSION: MSLD flaps provide a reliable alternative to full muscle harvest. Harvest of the anterior 5cm of the latissimus dorsi muscle captures the anterior descending branch of the thoracodorsal artery with sufficient perforators to reliably perfuse extended transversely-oriented skin paddles. Benefits of muscle sparing include ease of harvest and insetting, low seroma rates, and preservation of functioning muscle.

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Figure 1. Muscle-sparing Latissimus Dorsi Flap

Extended-transverse skin paddle 5 cm anterior Latissimus Dorsi muscle sparing harvest

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MEMBER PAPERS ............................8:00–8:45 am

#11 “The Nipple-to-IMF Distance in Macromastia: Poor Correlation with

Sternum-to-Nipple Distance but Predictive of Nipple-Areolar Complex Necrosis”Thomas N. Steele, BS, Louisiana State University Health Sciences Center New Orleans; Frank H. Lau, MD, Assistant Professor, Louisiana State University Health Sciences Center New Orleans Division of Plastic & Reconstructive Surgery

BACKGROUND: Anecdotally we observed that patients with extremely ptotic breasts did not always have a long nipple-inframammary fold (N-IMF) distance. We hypothesized that N-IMF does not increase proportionally with SN-N. We further hypothesized that long N-IMF measurements would predict nipple-areola necrosis following reduction mammoplasty.

METHODS: An IRB-approved retrospective review of patients undergoing bilateral reduction mammoplasty between 2008 and 2015 at a single institution was performed. Breast anthropometric measurements and postoperative complications were recorded. Linear regression and correlation analysis were performed with SPSS Statistics Version 23.

RESULTS: Data from 144 patients, totaling 288 individual breast measurements, were collected. The mean SN-N length was 35.4 cm, mean N-IMF 16.4 cm, and mean resection weight was 1123 grams. N-IMF correlated weakly with SN-N (R .624, p <.001, Fig. 1); linear regression determined N-IMF = 0.4604 * SN-N. NAC necrosis occurred in 15 breasts (5.2%); SN-N (R 0.129, p=0.029) and N-IMF (R 0.134, p=0.023) were both weakly correlated with NAC necrosis (Fig. 2).

CONCLUSIONS: N-IMF increased 0.46 cm for every 1 cm increase in SN-N, disproving our primary hypothesis. This anthropometric relationship had not previously been described. In our series SN-N and N-IMF were equally predictive of NAC necrosis. These anthropometric variables may be used as a quick predictor of NAC loss in reduction mammaplasty.

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Figure 1. Sternal Notch-Nipple Distance vs Nipple-Inframammary Fold Distance

Figure 2. Bivariate correlation table

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MEMBER PAPERS ............................8:00–8:45 am

#12 “A Formula for Planning and Predicting Post-Operative Mammoplasty Results”

Mina S. Mousa1; Carly Bramel2; Mary Smithson1; Sherry S. Collawn, MD, PhD3

1 University of Alabama School of Medicine2 Univeristy of Alabama School of Health Professions3 Division of Plastic Surgery, Department of Surgery, University of Alabama at Birmingham

PURPOSE: Modern mammoplasty techniques were introduced by Lassus using the vertical approach in 1970, followed by Lejour in the 1990’s; Hammond’s SPAIR (short scar periareolar inferior pedicle reduction) technique in 1998; the Hall-Findlay technique in 19991; and the SPEAR (superomedial pedicle efficient anatomical reduction mammoplasty) technique in 2003.2 In this abstract we are quantifying the perioperative measurements of our modified SPEAR technique.

METHODS: We performed a retrospective analysis of all mammoplasties performed by the senior author of this abstract from 2008 until 2016 for a total of 126 patients. Perioperative measurements of nipple to sternal notch (N-S), nipple to inframammary fold (N-I), nipple to midline (N-M), and breast diameter (BD) were reported. The improvement in each parameter is reported in centimeters per 100 grams of breast tissue removed.

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RESULTS: Measurements from 17 surgeries were analyzed and improvement in N-S was 1.3±0.7cm/100g and in N-I 0.6±0.5cm/100g (Figure 2). Skin closure was done using a vertical approach in 40% of our patients, inverted-T in 40%, and short-L in 20%.

CONCLUSIONS: Our current surgical approach shows a maximum of 2.0cm/100g elevation of the nipple and up to a 1.1cm/100g decrease in the nipple to fold distance. In addition post-operative follow-ups have shown rapid healing and intact bilateral nipple sensation in 95%, and lost unilaterally in 5% of patients.

REFERENCES:1. Hall-Findlay EJ. Vertical Breast Reduction. Seminars in Plastic Surgery. 2004;18(3):211-224.

doi:10.1055/s-2004-831908.

2. Spear SL, Davison SP, Ducic I. Superomedial Pedicle Reduction with Short Scar. Seminars in Plastic Surgery. 2004;18(3):203-210. doi:10.1055/s-2004-831907.


#1 “Clinical Application of Three Dimensional Modeling, Computer-Assisted Virtual Surgical Planning, and Three Dimensional Printing in Congenital Craniofacial Reconstruction”K.M. Day, K.S. Gabrick, P.M. Phillips, D. Griner, L.A. Sargent; Department of Plastic Surgery, University of Tennessee College of Medicine Chattanooga

#2 “Outcomes in Deep Inferior Epigastric Perforator Flap and Implant-Based Breast Reconstruction—Does Age Really Matter?”Lauren Kuykendall, MD1; Corin Agoris, MS2; Sara Bijan, MS2; Bugra Tugertimur, MS2; Ambuj Kumar, MD, MPH3; Deniz Dayicioglu, MD1

1 Division of Plastic Surgery, University of South Florida, Morsani College of Medicine2 University of South Florida, Morsani College of Medicine3 Department of Internal Medicine, University of South Florida, Morsani College of Medicine

#3 “Largest Single Institution Experience of Breast Reconstruction in Obese Patients”Vinay Gundlapalli, Brielle Weinstein, Tahira Prendergast, Ellen Youbi, Milton Armstrong

#4 “Effects of Collagenase Digestion in Conjunction with Cell-Assisted Lipotransfer on Volume Retention of Free-Fat Grafts”Jonathon B. Olenczak, MD, Scott A. Seaman, PhD; Brent R. DeGeorge, MD, PhD; Catherine E. Davis; Angela Pineros-Fernandez, MD; Lisa S. Salopek, LVT, RLATG; Patrick S. Cottler, PhD; Kant Y. Lin, MD

#5 “Acellular Abdominal Wall Allograft: Preclinical Biomechanical Investigation of a Novel Reconstructive Adjunct” Brent R. DeGeorge Jr., MD, PhD; J. Bryce Olenczak, MD; Anthony J. Archual, MD; Patrick S. Cottler, PhD; David B. Drake, MD

#6 “Toradol Use and Hematoma Incidence in Breast Reconstruction”Jennifer Dixon Swartz, MD; Brielle Weinstein, MS; Tahira Prendergast, MD; Kevin O. Delaney, MD

#7 “30 Year Follow-Up After Reduction Mammaplasty in Women Under 25 Years of Age” Anna Carlson, MD; Kate Buretta, MD; Ronnie Shammas, BS; Hui-Jie Lee, PhD; Gregory Georgiade, MD

POSTERS FOR PRESENTATION


#8 “Long Term Facial Morphology Following Mandibular Distraction in Patients with Pierre Robin Sequence”Justin Daggett, MD; Ernesto Ruas, MD; Catherine Conley, RN; Jonathan Ford, PhD; Summer Decker, PhD

#9 “Follow the Sun: Continued Surveillance of Industry’s Payments to Plastic Surgeons”Rizwan Ahmed, MD; Kate Buretta, MD; Justin Sacks, MD; Dorry Segev, MD, PhD; Allexander Allori, MD; Jeffrey Marcus, MD

#10 “Primary Straight-line Palatoplasty with Intravelar Veloplasty and Simultaneous Sphincter Pharyngoplasty in the Management of Submucous Cleft Palate”Colin Brady, MD; Kazlin Mason, MS, CCC-SLP; John Riski, PhD; Joseph K. Williams, MD; Children’s Healthcare of Atlanta at Scottish Rite, Atlanta, GA

#11 “Gracilis Muscle Interposition for the Treatment of Rectourethral Fistulas: A Review of Our Experience in Nine Patients”Analise B. Thomas, MD1; George Kokosis, MD2; Andrew C. Peterson, MD3; Christopher Mantyh, MD2; Detlev Erdmann, MD, PhD, MHSc1

1 Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center2 Department of Surgery, Duke University Medical Center3 Division of Urology, Duke University Medical Center

#12 “Venous Thromboembolism in the Cosmetic Patient”Julian Winocour, MD; Varun Gupta, MD; Christodoulos Kaoutzanis, MD; Nanyuan Shi, BA; R. Bruce Shack, MD; James C. Grotting, MD; Kye Higdon, MD

#13 “The Use of Vasopressors in Pedicled Flaps for Chest Wall Reconstruction”Amy Kite, MD; Lauren Nigro, MD; Michael Feldman, MD; Andrea Pozez, MD

#14 “A Comparative Analysis of The Reverse Sural Flap and Single-Staged Bipedicle Local Tissue Transfer for Achilles Tendon and Malleolar Wound Coverage”Yash Avashia, Luke Poveromo, Travis Dekker, Samuel Adams, Howard Levinson, Detlev Erdmann, Suhail Mithani



#15 “Obesity and Aesthetic Satisfaction in Autologous and Implant-Based Reconstruction: A Reappraisal”Ashley Rawson Kerekes, MD; William K. Snapp, BS; Brian Rinker, MD

#16 “Ethnicity Significantly Affects Anterolateral Thigh Flap Anatomy”Soobin Lim, Noah Atwi, Sarah Long, Aran Toshav, Frank H. Lau

#17 “Reconstruction of An Entire Thumb Metacarpal: A Case Report”Soobin Lim, Kelly L. Babineaux

#18 “PSITE and ABSITE Scores correlate with Previous Standardized Exam Success”Steven J. Hermiz, Tara Rao, Lloyd J. Edwards, Alex Fanning, Michael Meyers, C. Scott Hultman, Michelle C. Roughton

#19 “Evolution of Abdominal Wall Reconstruction for Incisional Hernia Repair”Jorge I. de la Torre, MD; Brad D. Denney, MD; Antonio Espinosa de los Monteros, MD

#20 “Retrospective Review of Horse Bite injuries in the Horse Capital of the World”William North, Brian Rinker, Henry Vasconez, Christopher Kubajak

#21 “Comparing Ways to Augment Breasts After Reconstruction”Bugra Tugertimur, MS; Paul Smith, MD;, Ambuj Kumar, MD, MPH; Deniz Dayicioglu, MD

#22 “The Use of Degradable Biomaterial to Regulate Fibrosis at the Implant-host Interface”Katrina A. Harmon, Henrik Berdell, Brooks A. Lane, Richard L. Goodwin, Harold I. Friedman

#23 “Outcomes of Leech Therapy for Venous Congestin After Reconstructive Surgery”Ronnie L. Shammas, BS1; Agustin Cornejo, MD2; Luke P. Poveromo, BS1; Adam D. Glener, BS1; Hui-Jie Lee, PhD3; Scott T. Hollenbeck, MD2

1 Duke University School of Medicine, Durham, NC2 Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Hospital, Durham, NC3 Duke University Department of Biostatistics and Bioinformatics, Durham, NC



#24 “Risk Factors for Venous Thromboembolism in Bilateral Breast Reduction Surgery”Gustavo A. Rubio, MD; Seth R. Thaller, MD, DMD

#25 “Interfrontal Angle in the Measurement of Outcome and Relapse in Metopic Craniosynostosis: Utility and Limitations”Adam D. Glener, BS1; Ronnie L. Shammas, BS1; Alexander C. Allori, MD, MPH2; Alfredo E. Farjat, PhD3; Jeffrey R. Marcus, MD2

1 Duke University School of Medicine2 Duke University Medical Center, Division of Plastic and Reconstructive Surgery3 Duke University Department of Biostatistics and Bioinformatics

#26 “Easy Guide for Platelet-Rich Plasma for Facial Rejuvenation”G. Mabel Gamboa, MD, FACS; Susie Rhee, MD; Jaqueline Cruz, MD

#27 “Aesthetic Refinements in Secondary Cleft Surgery”Henry C. Vasconez, MD; Krishna S. Vyas, MD, MHS

#28 “Fat Graft Enrichment Strategies: A Systematic Review”Krishna S. Vyas, MD, MHS; Henry C. Vasconez, MD

#29 “Laparascopic DIEP Pedicle Harvest Reduces Length of Fascial Incisions”M. Whitten Wise, MD; Craig Blum, MD; Chris Trahan, MD; Frank DellaCroce, MD; Scott Sullivan, MD

#30 “Instagram: Implementation, Lead Generation, and Conversion Analysis”Michael Shatkin, Adam J. Oppenheimer, MD



PAST PRESIDENTS AND LECTURERS


PAST PRESIDENTS

1958 Founding1959 Neal Owens1960 Greer Ricketson*1961 Robert F. Hagerty*1962 Lorenzo H. Adams*1963 Clifford C. Snyder*1964 Samuel E. Upchurch*1965 McCarthy DeMere*1966 Charles Horton*1967 Francis Marzoni*1968 Andrew M. Moore*1969 Carter P. Maguire*1970 James H. Hendrix*1971 John R. Lewis*1972 James G. Stuckey*1973 James B. Cox1974 William M. Berkeley*1975 Henry T. Brobst*1976 John M. Hamilton1977 Jerome E. Adamson1978 Byron E. Gree1979 George W. Hoffman*1980 William E. Huger*1981 Eugene F. Worthen1982 Joel W.L. Mattison*1983 James H. Fleming*1984 Robert C. Reeder*1985 Andrew W. Walker*1986 John R. Reynolds

1987 John R. Royer1988 James H. Carraway1989 John H. Hartley, Jr.1990 W. Michael Bryant1991 Allen H. Hughes1992 Norman M. Cole1993 Edward A. Luce1994 Benjamin H. Wofford1995 William F. Mullis1996 Thomas W. Orcutt1997 J. Barry Bishop1998 Kenna S. Given1999 W. Howard Kisner2000 R. Cole Goodman2001 L. Franklyn Elliott2002 Andrew M. Moore, II2003 Ronald J. Johnson2004 William H. Wallace2005 Michael E. Beasley2006 Anthony J. Pizzo2007 R. Bruce Shack2008 Suman K. Das2009 James W. Wade2010 James Moore2011 James C. Grotting2012 W. Byron Barber2013 Ann Ford Reilley2014 Harold I. Friedman2015 Henry C. Vasconez

*deceased


Samuel Upchurch (1909–1968) was born in Clanton, Alabama on April 13, 1909. He died in 1968 at the age of 59 at University Hospital in Birmingham, Alabama. He started his undergraduate education at the Citadel in Charleston, SC in 1925 and later finished his A.B. degree at Vanderbilt University in 1929. He stayed at Vanderbilt to complete his M.D. degree in 1933 and then began his surgical training at Duke University. He became Chief Resident in Surgery and stayed on the Duke faculty as Instructor in Surgery. He then trained in plastic surgery in St. Louis under Drs. Barrett Brown, Frank McDowell, and Louis Byars.

During World War II, he was ordered to active duty and installed as a Major in the Surgical Division of the 65th General Hospital, which was sent to England for the duration of the war. He ultimately became Regional Consultant in Plastic Surgery for the Eighth Air Force. After the war, he returned to St. Louis for an additional year of training with the plastic surgical group, and in 1947 he moved to Birmingham, Alabama and became the pioneer plastic surgeon in Alabama. He was soon made Chief of the Division of Plastic Surgery. He published numerous scientific articles and was an investigator in the use of silicones as a soft tissue substitute. He was President of the Southeastern Society of Plastic and Reconstructive Surgeons in 1964. Upon his death, his wife, Ann (Samford) Upchurch, bequeathed to the Society the funds for the establishment of the Upchurch Educational Fund and the annual Upchurch Lectureship.

PAST UPCHURCH LECTURERS


The inaugural Samuel E. Upchurch Memorial lecture was given on May 27, 1975 by Ian Jackson entitled, “Reconstruction of the Upper Limb in Rheumatoid Arthritis.”

Ian Jackson .............................1975Thomas Cronin .........................1977Sal Castanares .........................1978Kenneth Pickrell ......................1979Robert Goldwyn .......................1980Richard Stark ...........................1981William Hamm ..........................1982Red Dingman ...........................1983Clifford Snyder .........................1984John Mustarde .........................1985Fernando Ortiz-Monasterio .....1986Jack Sheen ..............................1987Jacques van der Meulen .........1988Thomas Rees ...........................1989Paul Weeks ..............................1990Frederick McCoy ......................1991Simon Fredericks ....................1992John Hoopes ............................1993J.B. Lynch .................................1994Maurice J. Jurkiewicz .............1995

Milton T. Edgerton ...................1996Carl R. Hartrampf .....................1997John B. McCraw.......................1998D. Ralph Millard .......................1999Burton D. Brent ....................... 2000Jacques Baudet ...................... 2001Leonard Furlow ....................... 2002Norman M. Cole ...................... 2003Michael E. Jabaley .................. 2004P.G Arnold ................................ 2005Luis O. Vasconez ..................... 2006Edward A. Luce ....................... 2007Wayne Morrison ...................... 2008Gustavo Colon ......................... 2009T. Roderick Hester ...................2010William P. Magee, Jr. ...............2011Thomas Biggs ..........................2012R. Bruce Shack ........................2013Foad Nahai ...............................2014Wyndell Merritt ........................2015

PAST UPCHURCH LECTURERS


Maurice (Josh) Jurkiewicz, M.D. (1923–2011) was born on September 24, 1923 in Claremont, New Hampshire. He died on May 29, 2011. He was the second of five children born to his Polish immigrant parents who passed through Ellis Island before World War I. The family moved to Bellow’s Falls, VT where they operated a family grocery store. After high school, Josh graduated magna cum laude with a D.D.S. from the University of Maryland in 1946. During a brief enlistment in the Navy, he became interested in surgery. After his discharge, he enrolled at Harvard Medical School completing his M.D. studies and stayed for residency training in general surgery.

He received his plastic surgery training at Barnes Hospital in St. Louis under Drs. Brown and Byars. After completing his surgical training in 1959, he was appointed chief of plastic surgery at the University of Florida. He did not take his plastic surgery board exam until 1963. Thus, formal plastic surgery resident training did not occur until 1965 at the University of Florida. In 1971, Dr. Jurkiewicz

moved to Atlanta and became the chief of plastic surgery at Emory University. His surgical skills coupled with excellent faculty recruitment and training resulted in Emory’s residency training program becoming renowned throughout the country. After years of national and international contributions to surgery, Dr. Jurkiewicz was selected as president of the American College of Surgeons in 1989. In 2001, the Jurkiewicz Society of Emory University honored him by providing funding for a biannual Jurkiewicz lecture to be presented on odd years during the annual SESPRS meeting. The first Jurkiewicz lecture was presented by Dr. Carl Hartrampf, Jr. on June 11, 2001 entitled “Plastic Surgery at Emory Before Jurkiewicz and Plastic Surgery at Emory, 1971–2001.”

Carl R. Hartrampf ................ 2001Leonard T. Furlow ............... 2003Luis O. Vasconez ................. 2005T. Roderick Hester .............. 2007John McCraw ...................... 2009John J. Coleman, III .............2011Jack Fisher ..........................2013Grant Carlson .......................2015

PAST JURKIEWICZ LECTURERS


UPCOMING EVENTS

FUTURE ANNUAL SCIENTIFIC MEETINGS

June 10–14, 2017 The Cloister, Seal Island, GAJune 16–20, 2018 The Breakers, Palm Beach, FLJune 8–12, 2019 The Ritz-Carlton, Naples, FL

FUTURE OCULOPLASTIC SYMPOSIUM

January 19, 2017 Intercontinental Hotel, Atlanta, GAJanuary 18, 2018 Intercontinental Hotel, Atlanta, GAJanuary 17, 2019 Intercontinental Hotel, Atlanta, GA

FUTURE ATLANTA BREAST SURGERY SYMPOSIUM

January 20–22, 2017 Intercontinental Hotel, Atlanta, GAJanuary 19–21, 2018 Intercontinental Hotel, Atlanta, GAJanuary 18–20, 2019 Intercontinental Hotel, Atlanta, GA

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AWARD WINNERS


AWARD WINNERS

SPECIAL ACHIEVEMENT AWARD

William J. Pitts ..........................1977Robert C. Reeder .......................1979John R. Lewis ............................1981Bernard L. Kaye .........................1982Joel Mattison .............................1985McCarthy DeMere ......................1987Greer Ricketson .........................1994Allen Hughes ..............................1995Richard Hagerty ........................1997Erle Peacock ............................. 2001Andrew Moore, II .......................2010

FOUNDERS AWARD

The Founders Award initiated in 2011 honors the best presentation by a SESPRS Member from the preceding Annual Meeting with votes cast by those members attending.

Albert Losken ...........................2012Wyndell Merritt ..........................2013Adam Katz..................................2014C. Scott Hultman .......................2015Galen Perdikis ...........................2015

PICKRELL AWARD

Kenneth L. Pickrell, M.D. (1910–1984) was born on June 6, 1910 in Reading, PA. He died on August 20, 1984 in Durham, NC. He completed his undergraduate studies at Franklin and Marshall College in 1931. He received his MD from Johns Hopkins University in 1935. He completed his general surgery and plastic surgery training under Dr. John Stage Davis (1872–1946) at Johns Hopkins from 1935–1943. He subsequently became Chief of the Division of Plastic Surgery at Duke University where he trained scores of talented plastic surgery residents. The SESPRS honored him posthumously by creating the Pickrell Award given meritoriously to a Southeastern member exemplifying outstanding teaching attributes in plastic surgery. The first recipient of the award was Dr. Andrew Moore from Lexington, KY in 1985.

Andrew M. Moore .......................... 1985Charles E. Horton ........................... 1986James W. Davis .............................. 1987James H. Hendrix ........................... 1988Maurice J. Jurkiewicz ................... 1989Carl R. Hartrampf ........................... 1990Leonard T. Furlow .......................... 1992Hal. G. Bingham ............................. 1993Norman Cole .................................. 1994John McCraw ................................. 1996

Robert F. Hagerty ........................... 1997John B. Lynch ................................. 1998Joel Mattison ................................. 1999John Bostwick, III .......................... 2001Milton T. Edgerton .......................... 2002Luis Vasconez ................................ 2005Michael E. Jabaley ......................... 2006Wyndell Merritt .............................. 2012Edward Luce .................................. 2015


GLANCY AWARD

General Alfred Robinson Glancy, a former vice president of General Motors Corporation, was appointed by Franklin Roosevelt in 1942 to become Brigadier General in charge of running the automotive combat division of Army Ordnance in Detroit. In 1944, General and Mrs. Glancy donated funds at the request of their daughter, Nora, to help build a hospital in Duluth, GA. The hospital was named the Joan Glancy Memorial Hospital in memory of their other daughter, Joan, who died of pneumonia as a child. While visiting Georgia long after his retirement, General Glancy had a successful surgical encounter with Southeastern member Dr. Billy Huger of Atlanta. When the General asked what he could do for Dr. Huger in gratitude for medical services rendered, he was politely asked to fund a residency competition award for the SESPRS. Hence, the Glancy Competition and the Glancy Award were founded. This award is given every year to the resident judged to have the best paper presented in the resident’s competition. The winning resident’s program director is allowed to retain the coveted Glancy Bowl and display it at their institution for the following year until a new resident winner is named. The first award was presented to Dr. Foad Nahai in 1977 for the paper “Facial Reconstruction with Microvascular Free Omental Transfer and Split Rib Grafts.”

Foad Nahai .................................... 1977Emory University

H. Louis Hill ................................... 1978Emory University

E.D . Newton ................................. 1979University of Tennessee

Dan H. Shell .................................. 1981University of Tennessee

Donato Viggiano ........................... 1982University of Tennessee

Larry Nichter ................................. 1983University of Virginia

Leonard Miller .............................. 1984Emory University

Richard Sadove ............................ 1985Eastern Virginia Medical School

Mason Williams ............................ 1986Eastern Virginia Medical School

David Hurley.................................. 1987University of Virginia

J.D. Stuart ..................................... 1988University of Virginia

James H. Schmidt ........................ 1989University of Florida

AWARD WINNERS


AWARD WINNERS

Paul A. Watterson ......................... 1990Emory University

Michael G. Kanosky ...................... 1991University of Mississippi

Joseph M. Woods, IV .................... 1992Vanderbilt University

David Brothers .............................. 1993University of N.C. at Chapel Hill

Scott N. Oishi ................................ 1994University of Kentucky

Gregory Mackay ........................... 1995Emory University

R.C. High ....................................... 1996Bowman Gray School of Medicine

Henry F. Garazo ............................ 1997Medical College of Georgia

Kim Edward Koger ........................ 1998Duke University

J. Timothy Katzen ......................... 1999Vanderbilt University

Richard Rosenblum ...................... 2000Vanderbilt University

Colin Riordan ................................ 2001Vanderbilt University

Julia MacRae ................................ 2002University of Virginia

M.I. Okwueze ................................ 2004Vanderbilt University

Robert E.H. Ferguson ................... 2005Kentucky Clinic

Dean DeRoberts ............................ 2006Wake Forest

Howard Levinson .......................... 2007Duke University

S. S. Tholpady ............................... 2008University of Virginia

Scott Hollenbeck .......................... 2009Duke University

Yvonne Pierpont ........................... 2010University of South Florida

Anthony Capito ..............................2011University of Virginia

Matthew Blanton .......................... 2012Duke University

Michael Lynch............................... 2013University of Kentucky

Brent R. DeGeorge ........................ 2014University of Virginia

Michael Lynch............................... 2015University of Kentucky


2016 MEMBER ROSTER

2016 MEMBER ROSTER


2016MEMBERSROSTER

NourAbboushiActivePanaceaPlasticSurgery1368WellbrookCircle,Ste.BConyers,GA30012(770)[email protected]

EdwardA.AbellActiveNortheastGeorgiaPlasticSurgeryAssoc.1296SimsStreet,Ste.BGainesville,GA30501(770)[email protected]

LeonikAhumadaActiveOcalaPlasticSurgery3320SW34thCircleOcala,FL34474(352)[email protected]

PeterA.AldeaActiveCosmeticSurgerySpecialistsofMemphis6401PoplarAvenue,Ste.360Memphis,TN38119(901)[email protected],MD

RobertJ.AllenActiveRobertJ.Allen,MD2525SevernAve.Metairie,LA70002(888)[email protected]

EricaD.AndersonActiveEmoryUniversity3200DownwoodCircleNW,Ste.640Atlanta,GA30327(404)[email protected]

MichaelF.AngelActiveNorthMississippiMedicalCenterClarksdale,MS38614(662)[email protected]

DavidJ.ApplebaumActiveDavidJ.Applebaum,MDFACS1599N.W.9thAvenueBocaRaton,FL33486(561)[email protected]

Ralph'Trey'LeoAquadro,IIIActiveEastAlabamaPlasticSurgery778N.DeanRoad,Ste.400Auburn,AL36830(334)[email protected]

RaleighArcherLife

Retired

Carol

LouisC.ArgentaLifeWakeForestUniversityMedicalCenterBlvdWinstonSalem,NC27157(336)[email protected]

MiltonB.ArmstrongActiveMedicalUniversityofSouthCarolina96JonathanLucasSt.,CSB404Charleston,SC29425(843)[email protected]

PeterB.ArnoldActiveUniversityofMississippiMedicalCenter2500NorthStateStJackson,MS39216(601)[email protected]

H.DanielAtwoodActiveH.DanielAtwood,MD1794JoyceSt,Ste.1Fayetteville,AR72703(501)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

AdamC.AugensteinActiveTheRefineInstitute7725BallantyneCommonsPkwy.,Ste.101Charlotte,NC28277(704)[email protected]

WilliamTroyAustinActiveSoutheasternAestheticSurgery447NBelairRd.,Ste.105Evans,GA30809(706)[email protected]

L.DwightBakerActiveDothanPlasticSurgery105ProfessionalLaneDothan,AL36303(334)[email protected]

ThomasJ.BakerLife9155S.DadelandBlvdSuite1708Miami,FL33156(305)670-9995

JosephC.Banis,Jr.ActiveJosephC.Banis,Jr.,MP,PSC901DupontRd.,Ste.202Louisville,KY40207(502)[email protected]

WilliamByronBarber,IIActiveBarberCenterforPlasticSurgery1591YanceyvilleSt.,Ste.100Greensboro,NC27405(336)[email protected]

YoavBarnavonActiveYoavBarnavon,MD,PA1201N.35thAve.,Ste.200Hollywood,FL33021(954)[email protected]

FredricM.BarrActivePalmBeachPlastic&CosmeticSurgery1411N.Flagler,Ste.5800WestPalmBeach,FL33401(561)[email protected]

KennethR.BarrazaActivePlastic&HandSurgeryAssociates,PLLC2550FlowoodDrive,Ste.200Flowood,MS39232(601)[email protected]

[email protected]

PatrickLouisBasileActiveCoastalCosmeticSurgery4147SouthpointDriveEastJacksonville,FL32216(904)[email protected]

JosephG.BauerActiveTheSwanCenterforPlasticSurgery4165OldMiltonPkwy,Ste.200Alpharetta,GA30005(770)[email protected]

MichaelE.BeasleyActiveCharlottePlasticSurgery2215RandolphRoadCharlotte,NC28207(704)[email protected]

MichaelBeckensteinActiveMichaelS.BeckensteinPlasticSurgery800St.Vincent'sDrive,Ste.610Birmingham,AL35205(205)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

JamesS.Beckman,Jr.LifeTheraponSkinHealth2081DimeDriveSpringdale,AR72764(479)[email protected]

PhillipH.Beegle,Jr.ActiveAtlantaPlasticSurgery975JohnsonFerryRdNESuite100Atlanta,GA30342(404)[email protected]

MichaelP.BentleyActivePlasticSurgeryAssociatesofMontgomery6727TaylorCourtMontgomery,AL36117(334)[email protected]

A.Griswold‘Biff’Bevin,[email protected]

GauravBhartiActiveHunstad/Kortesis11208StatesvilleRd.,Ste.300Huntersville,NC28078(704)[email protected]

J.BarryBishopLifePlasticSurgeryAssociates24MemorialMedicalDrGreenville,SC29605(864)[email protected]

PaulW.BlackLife

[email protected]

ElizabethR.BlakemoreActiveUpstatePlasticSurgery301ThePkwyGreer,SC29650(864)[email protected]

PhillipK.BlevinsLifeUniversityofMississippiMedicalCenter5316KaywoodDriveJackson,MS39211(601)[email protected]

KristinA.BoehmActiveBuckheadFacialPlasticSurgery1218WestPacesFerryRd.,Ste.108Atlanta,GA30327(404)[email protected]

RichardT.BosshardtActiveBosshardt&MarzekPlasticSurgeryAssociates1879NightingaleLane,Ste.A2Tavares,FL32778(352)[email protected]

DianeG.BowenActiveGoldenIsleCenterforPlasticSurgery1015ArthurJ.MooreDriveSt.SimonsIsland,GA31522(912)[email protected]

StephaneAlainBraunActiveVanderbiltMedicalCenterD-4207MCNNashville,TN37232(615)[email protected]

E.EdwardBreazeale,Jr.Active2068LakesideCentreWayKnoxville,TN37922(865)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

RogerT.BrillActiveRogerT.Brill,MD,FACS,PA6520NW9thBlvdGainesville,FL32605(352)[email protected]

ChristopherJ.BrooksActiveBrooksPlasticSurgery1150North35thAve.,Ste.670Hollywood,[email protected]

RobertG.BrownLife

Retired(334)[email protected]

JohnS.BrunoLifeFt.MyersPlasticSurgeryCenter15971GlenisleWayFortMyers,[email protected]

W.MichaelBryantLife1991HydeParkStreet,Ste.2Sarasota,FL34231(941)[email protected]

MarkA.BrzezienskiActiveThePlasticSurgeryGroup979E.ThirdSt.,SteC-920Chattanooga,TN37403(423)[email protected]

JenniferB.BuckActivePalmHarborPlasticSurgeryCentre35080USHighway19NorthPalmHarbor,FL34684(727)[email protected]

GlennS.BuckspanLifeAestheticSurgeryandLaserCenter2204CrestmoorRd.Nashville,TN37215(615)[email protected]

PatrickJ.BudnyActivePlasticSurgeryAssociatesofMontgomery6727TaylorCourtMontgomery,AL36117(334)[email protected]

[email protected]

RobertW.Burk,IIIActivePonteVedraPlasticSurgery209PonteVedraParkDrivePonteVedraBeach,FL32082(904)[email protected]

[email protected]

PeterN.ButlerActiveGulfCoastPlasticSurgery543-AFontaineStreetPensacola,FL32503(850)[email protected]

M.BradleyCalobraceActiveCalobrace&MizuguchiPlasticSurgeryCenter2341LimeKilnLaneLouisville,[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

ChristopherAlanCampbellActiveUniversityofVirginiaPOBox800376Charlottesville,VA22908(423)[email protected]

D.J.CampbellActiveNortheastGeorgiaPlasticSurgeryAssociates1296SimsSt.,Ste.BGainesville,[email protected]

AnthonyEmilCapitoActiveCarilionClinicPlasticandReconstructiveSurgery-3RiversideCir.,Ste.400Roanoke,VA24014(540)[email protected]

C.BrettCarlinActiveCarlinPlasticSurgery3634SunsetBlvd.W.Columbia,SC29169(803)[email protected]

GrantW.CarlsonActiveEmoryHealthCare1365CliftonRoadAtlanta,GA30322(404)[email protected]

MartinJ.CarneyActiveCarneyCenterforCosmetic&PlasticSurgery-1868WildwoodDr.VirginiaBeach,VA23454(757)[email protected]

JamesH.CarrawayLifePlastic&CosmeticSurgeryCenterofEVMS-5589GreenwichRoad,Ste.100VirginiaBeach,VA23462(757)[email protected]

MichaelP.CashActiveNashvillePlasticSurgery2201MurphyAvenue,Ste.301Nashville,TN37203(615)[email protected]

AbigailElizabethChaffinActiveTulaneUniversity,PlasticandReconstructiveSurgery1430TulaneAvenue,SL-22NewOrleanns,[email protected]

RobertChandlerActivePlasticSurgeryGroupofMemphis80Humphreys,Ste.100Memphis,TN38120(901)[email protected]

ElliottChenActiveUniversityofSouthCarolina2MedicalParkSuite302Columbia,[email protected]

OrlandoJosephCicilioni,Jr.ActiveOrlandoPlasticSurgery2501NOrangeAve.,Ste.209Orlando,FL32804(407)[email protected]

J.AllenClark,IIIActivePlasticSurgeryAssociatesofMontgomery6727TaylorCourtMontgomery,AL36117(334)[email protected]

RickyP.ClayActiveUniversityofMississippiMedicalCenter2500NorthStateStreetJackson,MS39216(601)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

MichaelS.ClintonActiveClintonPlasticSurgeryCenter7191CahabaValleyRoad,Ste.200Birmingham,AL35242(205)[email protected]

BrianCoanActiveCAREPlasticSurgery6216FayettevilleRd.Ste.103Durham,NC27713(919)[email protected]

MarkA.CodnerActiveMarkCodnerMDPlasticSurgery1800HowellMillRd.,Ste.140Atlanta,GA30318(404)[email protected]

AlvinB.CohnActiveGrotting&CohnPlasticSurgeryOneInvernessCenterPkwy.Ste.100Birmingham,AL35242(205)[email protected]

[email protected]

RobertA.Colgrove,Jr.ActiveRobertA.Colgrove,Jr.,MD4355CobbPkwy.,PMB216,Ste.JAtlanta,GA30339(770)[email protected]

SherryS.CollawnActiveUABDivisionofPlasticSurgery2850CahabaRd.Birmingham,AL35223(205)[email protected]

JohnP.Connors,IIIActivePlasticSurgeryGroupofAtlanta755MountVernonHwy.,Ste.250Atlanta,GA30328(404)[email protected]

LeeE.CorbettActiveCorbettCosmeticAestheticSurgeryandMedispa13125EastpointParkBlvdLouisville,KY40223(502)[email protected]

[email protected]

MarkH.CraigActiveAccentPlastic&ReconstructiveSurgery2147SouthridgeDrTupelo,MS38801(662)[email protected]

JamesE.CraigieActiveCenterforNaturalBreastReconstruction1300HospitalDr,Ste.120Mt.Pleasant,SC29464(843)[email protected]

C.WayneCruseActiveUniversityofSouthFlorida#2TampaGeneralCir.,POBox1289Tampa,FL36606(813)[email protected]

LynnAnnDamitzActiveUNCChapelHill7034Burnett-WomackBldg.,CB7195ChapelHill,NC27599(919)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

JarrodRyanDanielActiveCharlottePlasticSurgery2215RandolphRd.Charlotte,NC28207(704)[email protected]

SumanK.DasActiveSumanDasMD1320FontaineDriveJackson,MS39211(601)[email protected]

LisaR.DavidActiveWakeForestUniversityMedicalCenterBlvdWinston-Salem,NC27157(336)[email protected]

JeffersonU.DavisActiveTenentHealthCare222SouthHerlongAve.RockHill,SC29732(803)[email protected]

JamesWilsonDavisActiveAestheticSurgeryAssociates1100JohnsonFerryRd.,BldgII,Ste.850Atlanta,GA30342(404)[email protected]

PuyaDavoodiActiveAestheticCenterofGainesville1296SimsSt.,SuiteBGainesville,GA30504(770)[email protected]

HowardG.DawkinsLifeAestheticPlasticSurgeryCenterP.O.Box2809Greenville,NC27836(252)[email protected]

JosephCartDeBrux,Jr.ActiveGHSDivisionofPlasticSurgeryAesthetics200PatewoodDr.,Ste.B480Greenville,[email protected]

JorgeI.DeLaTorreActiveUABPlasticSurgery51020thStreetSouth,FOT-1101Birmingham,AL35294(205)[email protected]

JohnA.DeanActiveAssociatesinPlasticSurgery8425CumberlandPlaceBatonRouge,LA70806(205)[email protected]

AnthonyJ.DefranzoActiveWakeForestUniversityMedicalCenterBoulevardWinstonSalem,NC27157(336)[email protected]

KevinO'NeillDelaneyActiveMedicalUniversityofSouthCarolina96JonathanLucasSt.,MSC613,CSB404Charleston,SC29425(843)[email protected]

StephenJ.DelatteActiveStephenJ.Delatte,MD917CoolidgeBlvdLafayette,LA70503(337)[email protected]

JosephB.Delozier,IIIActiveDelozierCosmeticSurgeryCenter20923rdAvenueN.Nashville,TN37203(615)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

JohnW.Derr,Jr.ActivePlasticandAestheticSurgerySpecialists4001KresgeWaySte320Louisville,KY40207(502)[email protected]

AnkitR.DesaiActiveFloridaPlasticSurgeryGroup14546OldSt.AugustineRd.,Ste.407Jacksonville,FL32258(904)[email protected]

ThomasM.DeWire,Sr.LifeAdvancedArtsofCosmeticSurgery3974SpringfieldRd.GlenAllen,VA23060(804)[email protected]

LuisMiguelDiazActiveMichaelDiazMD970TommyMunroDr.,Ste.BBiloxi,MS39532(228)[email protected]

[email protected]

WilliamL.DowdenLifeDowdenPlasticSurgery715ShakerDrive,Suite100Lexington,KY40504(859)[email protected]

DavidB.DrakeActiveUVAHealthSystemsBox800376DeptofPlasticSurgeryCharlottesville,VA22908(434)[email protected]

DeasonC.DunaganActiveDunagan,Yates&AllisonPlasticSurgeryCenter-303WilliamsAve.SWHuntsville,AL35801(256)[email protected]

CharlesDupinActiveWestbankPlasticSurgery3700St.CharlesAvenue3rdFloorNewOrleans,LA70115(504)[email protected]

AlanJDurkinActiveOceanDrivePlasticSurgery5070N.HwyA1A,SuiteAVeroBeach,FL32963(772)[email protected]

CharlesL.Dyas,Jr.ActiveCharlesL.Dyas,Jr.MD2860A.DauphinStMobile,AL36606(251)[email protected]

StevenAlexanderEarleActiveClevelandClinicFlorida2950ClevelandClinicBlvd.Weston,FL33331(954)[email protected]

N.BradleyEasterlinActiveRenewPlasticSurgery2500StarlingSt.,Ste.1603Brunswick,[email protected]

FelmontF.Eaves,IIIActiveEmoryUniversity3200DownwoodCircle,Ste.640Atlanta,GA30327(404)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

PatriciaL.EbyActiveCosmeticSurgerySpecialistsofMemphis6401PoplarAve.,Ste.360Memphis,TN38119(901)[email protected]

[email protected]

JayD.EllenbyLife2954BAventuraBlvdAventura,FL33180(305)[email protected]

L.FranklynElliottActiveAtlantaPlasticSurgery975JohnsonFerryRoadNE,Suite100Atlanta,GA30342(404)[email protected]

ScottJ.EngelActiveSarasotaPlasticSurgeryCenter2255S.TamiamiTrailSarasota,FL34239(941)[email protected]

O'NeilJ.EngeronLifeAcadiaPlasticSurgeryClinic615DunnStreetHouma,LA70360(985)[email protected]

DetlevErdmannActiveDukeUniversityBox3181Durham,NC27710(919)[email protected]

WalterL.Erhardt,Jr.ActiveWalterErhardtMD5064thStreetAlbany,GA31701(229)[email protected]

BenjaminD.EskraActiveEskraPlasticSurgery2400WayneMemorialDr.,Ste.BGoldsboro,NC27534(919)[email protected]

ChristopherEwartActiveAugustaPlasticSurgeryAssociates1348WaltonWay,Suite6300Augusta,GA30901(706)[email protected]

JamesE.EyssenLifeAssociatesinPlastic&ReconstructiveSurgery-3404NavajoDr.Chattanooga,TN37411(423)[email protected]

[email protected]

MichaelA.FalluccoActiveFloridaPlasticSurgeryGroup14546OldSt.AugustineRd.,Ste.407Jacksonville,FL32258(904)[email protected]

TimothyE.FeeActiveCoastalCosmeticCenter4147SouthpointDr.EJacksonville,FL32216(904)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

MarkE.Feldmann,Jr.ActiveCarilionClinicPlasticandReconstructiveSurgery3RiversideCircleRoanoke,[email protected]

E.RonaldFingerLifeFinger&Associates410MallBlvd.,Ste.ESavannah,GA31406(912)[email protected]

StephanJ.FinicalActiveCharlottePlasticSurgery2215RandolphRdCharlotte,NC28207(704)[email protected]

R.JobeFixActiveUniversityofAlabamaatBirminghamBirmingham,AL35223(205)[email protected]

JamesL.FowlerActiveGHSDivisionofPlasticSurgeryAesthetics200PatewoodDr.,Ste.B480Greenville,SC29615(864)[email protected]

AndrewCharlesFreelActiveAssociatesinPlasticSurgery13725ClarendonDriveBatonRouge,LA70810(225)[email protected]

RonaldA.FreemanLife760BassRoadMacon,GA31210(478)[email protected]

JamesH.FrenchActiveJamesH.FrenchMD3299WoodburnRd.,Ste.490Annandale,VA22003(703)[email protected]

HaroldI.FriedmanActiveUniversityofSouthCarolinaDivisionofPlasticSurgery,Suite3022MedicalParkRd,Columbia,SC29203(803)[email protected]

DavidWFriedmanActiveClevelandClinicFL2950ClevelandClinicBlvdWeston,[email protected]

MichaelThomasFrielActiveUniversityofMississippi,PlasticSurgery2500N.StateSt.ClinicalScienceBldL-222Jackson,MS39110(601)[email protected]

[email protected]

LeonardT.Furlow,[email protected]

GregoryC.GainesActiveGainesPlasticSurgery108NW76thDr.,Ste.AGainesville,FL32607(352)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

TomT.GallaherActiveGallaherPlastic&ReconstructiveSurgeryPOBox51866Knoxville,TN37950(865)[email protected]

G.MabelGamboaActiveAugustaUniversity,PlasticSurgery1467HarperSt.,HB-5040Augusta,GA30912(706)[email protected]

ThomasJ.GampperActiveUniv.ofVirginiaHealthSystems,Dept.ofPlasticSurgery,Box800376Charlottesville,VA22908(434)[email protected]

OnelioGarcia,Jr.ActiveAestheticPlasticSurgeryMiami3850BirdRd.,Ste102Miami,FL33146(305)[email protected]

RobertGarzaActiveGarzaPlastic&ReconstructiveSurgery4322HardingPike,Ste.326Nashville,TN37205(615)[email protected]

AntonioJulioGayosoActiveGayosoPlasticSurgery151522ndAvenueNorthSt.Petersburg,FL33704(727)[email protected]

TimothyJ.GermainActiveGermainPlasticSurgery1355BeverlyRd.,Ste.200McLean,VA22101(703)[email protected]

JacobGerzenshteinActive3000MedicalParkDriveSuite400Tampa,FL33613(813)[email protected]

BahairHGhaziActiveAtlantaPlastic&ReconstructiveSpecialists5673PeachtreeDunwoodyRd.,Ste.870Atlanta,GA30342(404)[email protected]

KennaS.GivenActiveKevinS.GivenMDPC748TrippsCourtAugusta,GA30909(706)[email protected]

MichaelS.GolinkoActiveArkansasChildren’sHospitalOneChildren'sWay,Slot707LittleRock,AR72202(501)[email protected]

R.ColeGoodmanLifeMercyClinicofFortSmith2901South74thStreetFortSmith,AR72903(479)[email protected]

NeumonT.GoshornActiveGoshornAestheticClinic1044BrookfieldRd.Ste.102Memphis,TN38119(901)[email protected]

BraunH.GrahamActiveSarasotaPlasticSurgery2255S.TamiamiTrailSarasota,FL34239(941)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

SuttonL.Graham,IIActiveAestheticCenterforBreast&CosmeticSurgery-615HaltonRd.Greenville,SC29607(864)[email protected]

RichardJudeGrecoActiveTheGeorgiaInstituteforPlasticSurgery5361ReynoldsStreetSavannah,GA31405(912)[email protected]

[email protected]

JohnM.GriffinLifeCenterforPlasticSurgery365EastPacesFerryRoadAtlanta,GA30305(404)[email protected]

LawrenceR.GrossActiveSouthernCrescentPlasticSurgery919EaglesLandingParkwayStockbridge,GA30281(770)[email protected]

JamesC.GrottingActiveGrotting&CohnPlasticSurgeryOneInvernessCenterPkwy,Ste.100Birmingham,AL35242(205)[email protected]

JoshuaGrovesActiveTheGeorgiaCenterforPlasticandReconstructiveSurgery6501PeakeRd.Ste.1000Macon,GA31210(478)[email protected]

CharlesGruenwald,[email protected]

CesarA.GumucioActiveCesarA.GumucioMDPC489NMilledgeAve.Athens,GA30601(706)[email protected]

RoxanneJ.GuyActiveBrevardPlasticSurgery&SkinTreatmentCenter-111EastHibiscusBlvd.Melbourne,FL32901(321)[email protected]

JosefHadeedActiveJosefHadeedMDCenterforPlasticandReconstructiveSurgery-465N.RoxburyDr,Ste.1020BeverlyHills,CA90210(310)[email protected]

[email protected]

KevinF.HaganActiveVanderbiltUniversity,Dept.ofPlasticSurgery-D-4207MCNNashville,TN37232(615)[email protected]

[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

PeterC.HainesActivePalmettoHealth/HealingWaters300PalmettoHealthPkwyColumbia,SC29212(803)[email protected]

JohnM.HamiltonLifeRetired

MichaelStephenHanemann,Jr.ActiveHanemannPlasticSurgery5233DijonDriveBatonRouge,LA70808(225)[email protected]

KeithHannaActiveMariettaPlasticSurgery823CampbellHillStreetMarietta,GA30060(770)[email protected]

LarryHarperActiveTallahaseePlasticSurgeryClinic2452MahanDr.,Ste.101Tallahassee,FL32308(850)[email protected]

MichaelAndrewHarringtonActiveUniversityofSouthFlorida2TampaGeneralCircleSuiteG215Tampa,[email protected]

JohnB.HarrisActiveJohnB.HarrisMD1030NorthAIAPonteVedraBeach,FL32082(904)[email protected]

[email protected]

[email protected]

TracyHarveyActiveCharlesonPlasticSurgery,PA2295HenryTecklenburgDr.Charleston,SC29414(843)[email protected]

KentVictorHasenActiveAestheticPlasticSurgeryofNaples4081TamiamiTrailN.,Ste.C203Naples,FL34103(239)[email protected]

MelindaJoHawsActiveThePlasticSurgeryCenterofNashville1915StateStreetNashville,TN37203(615)[email protected]

[email protected]

DanielF.HaynesActiveETSUPhysicians&Associates325N.StateofFranklinRd.JohnsonCity,TN37604(423)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

WilliamJ.HeddenActiveHeddenPlasticSurgery140VillageSt.,Ste.100Birmingham,AL35242(205)[email protected]

DarrellL.HendersonActivePlasticSurgeryAssociates1101S.CollegeRdSte400Lafayette,LA70503(337)[email protected]

FernandoA.Herrera,Jr.ActiveMedicalUniversityofSouthCarolina96JonathanLucasStreetCharleston,SC29425(843)[email protected]

KentHigdonActiveVanderbiltMedicalCenterD-4207MCN,116121stAvenueSouthNashville,TN37232(615)[email protected]

RhettC.HighActiveRaleighPlasticSurgeryCenter1112DresserCourtRaleigh,NC27609(919)[email protected]

[email protected]

StanleyM.HirschbergLifeWinchesterPlasticSurgerySpecialists,Inc.3034ValleyAve.,Suite100Winchester,VA22601(540)[email protected]

JosephJ.HirschfeldActiveBayAreaCosmeticSurgicalCenter3000EFletcherAve,Suite260Tampa,FL33613(813)[email protected]

RoyHobbsActivePrecisionPlasticSurgery2995ReidvilleRd.Ste.150Spartanburg,SC29301(864)[email protected]

HowardHolderness,Jr.LifeNorthCarolinaPlasticSurgeryCenter1126N.ChurchStreet,Suite101Greensboro,NC27415(336)[email protected]

ScottT.HollenbeckActiveDukeUniversityMedicalCenterDUMC3945Durham,NC27710(919)[email protected]

[email protected]

PaulS.HowardActiveDr.PaulS.HowardPlasticSurgeonPOBox660180Birmingham,AL35266(205)[email protected]

GeorgeEliHowell,IIActiveMississippiPermierPlasticSurgery971LakelandDrSuite315Jackson,MS39216(601)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

CharlesScottHultmanActiveUNCChapelHill,PlasticSurgery7038Burnett-WomackBldg,CB#7195ChapelHill,NC27599(919)[email protected]

DavidH.HumphreysLifePlasticSurgeryCenter5LivingstonStreetAsheville,NC28801(828)[email protected]

J.RobertIsraelLife

[email protected]

MichaelE.JabaleyLifePlastic&HandSurgeryAssociates2550FlowoodDrive,Ste.200Madison,[email protected]

A.DeanJabsActiveCosmeticSurgeryAssociates6430RockledgeDr.,Ste.100Bethesda,MD20817(301)[email protected]

SonuA.JainActiveTheOhioStateUniversity915OlentangyRiverRd.,Ste.3200Columbus,OH43212(614)[email protected]

AshishK.JainActiveJainPlasticSurgery2522WarmSpringsRd.Columbus,GA31904(706)[email protected]

JohnArthurJarrellActiveGHSPlasticSurgery&Aesthetics200PatewoodDr.,Ste.B-480Greenville,SC29615(864)[email protected]

GeorgeRussellJenningsActiveShoalsPlasticSurgery203WestAvalonAve.,Ste.300MuscleShoals,[email protected]

RonaldJ.JohnsonActiveWofRiverPlasticSurgery7910WolfRiverBlvdGermantown,TN38138(901)[email protected]

RoxanneJohnson-GiebinkActiveBrevardPlasticSurgery&SkinTreatmentCenter1033SFloridaAveRockledge,FL32955(321)632-0351James

RamKalusActivePlasticSurgeryoftheCarolinas578LoneTreeDriveMountPleasant,SC29464(843)[email protected]

YoungS.KangLife

[email protected]

[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

[email protected]

AdamJ.KatzActiveUniversityofFloridaPOBox100138Gainesville,FL32610(352)[email protected]

CarmenKavaliActiveKavaliPlasticSurgery6045BarfieldRd.,Ste.100Atlanta,GA30328(404)[email protected]

KevinM.KellerActiveUpstatePlasticSurgery301TheParkwayGreenville,SC29650(864)[email protected]

JamesE.Kelly,IIIActiveWesternArkansasPlastic,HandandReconstructiveSurgeryCenterPOBox10810FortSmith,AR72917(479)[email protected]

KevinJ.KellyActiveVanderbiltUniversityMedicalCenterD-4207MedicalCenterNorthNashville,TN37232(615)[email protected]

J.WoodfinKennedyActiveThePlasticSurgeryGroup979E.3rdSt.,Ste.C920Chattanooga,TN37403(423)[email protected]

MaryKimActiveLSUHealthSciencesCenter1501KingsHighwayPOBox33932Shreveport,LA71130(318)[email protected]

GilsonJ.KingmanActiveForsythPlasticSurgery2901MaplewoodAvenueWinston-Salem,NC27103(336)[email protected]

ElizabethA.KinsleyActiveElizabethA.KinsleyMD1441OchsnerBlvdCovington,LA70433(985)[email protected]

DavidS.KirnActiveDavidS.KirnMD2376AlexandriaDrLexington,KY40504(859)[email protected]

[email protected]

IvetteEliseKlumbActiveH.H.McGuireVAMC1201BroadRockBlvd.Richmond,VA23249(804)[email protected]

[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

RobertJ.KnowlingActiveTheCosmeticSurgeryCenterofHuntsville4011BalmoralDriveSWHuntsville,AL35801(256)[email protected]

PhillipLimbaughLackeyActiveBellefonteCosmetic&ReconstructiveSurgery1000AshlandDr.,Ste.303Ashland,[email protected]

WilliamA.Lambeth,[email protected]

F.TrueLansdenActiveTruePlasticSurgeryofTheFloridaKeys605UnitedSt.,UnitBKeyWest,FL33040(305)[email protected]

[email protected]

StephenM.LazarusActiveAestheticPlasticSurgeryAssociates801WeisgarberRd,NW,Ste.500Knoxville,TN37909(865)[email protected]

ToddS.LefkowitzActiveLexingtonPlasticSurgery2728SunsetBlvd.,Ste.105WestColumbia,SC29169(803)[email protected]

CarlW.Lentz,IIIActiveLentzPlasticSurgery1265W.GranadaBlvd,Suite3OrmondBeach,FL32174(386)[email protected]

AshleyK.LentzActiveUniversityofFloridaPOBox1001381600SWArcherRoadGainesville,FL32610(352)[email protected]

E.DwayneLettActiveTheLettCenter660S.MountJulietRd.,Ste.210MountJuliet,TN37122(615)[email protected]

JohnT.LettieriActiveCarolinaPlasticSurgery100EWoodSt.,Ste.100Spartanburg,SC29306(864)[email protected]

JocelynLevequeActiveJocelynE.LevequeMDPA543-AFontaineSt.Pensacola,FL32503(850)[email protected]

AndreYuanLevesqueActiveUABDivisionofPlasticSurgery1158FacultyOfficeTowerBirmingham,AL35294(205)[email protected]

GeorgeA.LevineLife8700N.KendallDrive,Suite102Miami,FL33176(305)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

HowardLevinsonActivePrivateDiagnosticClinicDukeUniversityBox3181Durham,NC27710(919)[email protected]

KantLinActiveUniversityofVirginia,,DeptofPlasticSurgeryPOBox800376Charlottesville,VA22908(434)[email protected]

JohnT.LindseyActiveEastJeffersonGeneralHospital4228HoumaBlvd.,Ste.500Metairie,LA70006(504)[email protected]

WilliamC.LineaweaverActiveJosephM.StillBurn&ReconstructiveCtr.,1850ChadwickDr.Ste.1427,Jackson,MS39204,(601)[email protected]

JamesN.LongActive611AlcornDr.,Suite100Corinth,MS38834(662)[email protected]

AlbertLoskenActiveEmoryUniversity,Div.OfPlasticSurgery550PeachtreeSt.,Ste.9000Atlanta,GA30308(404)[email protected]

MariaLoTempioActiveLoTiempoPlasticSurgeryforWomen630ThirdAvenue,Ste.601NewYork,NY10017(212)[email protected]

JamesE.Lovett,IIIActiveUpstatePlasticSurgery301TheParkwayGreer,SC29650(864)[email protected]

EdwardA.LuceActiveUTHealthScienceCenter1608CresthavenRd.,Suite500Memphis,TN38119(901)[email protected]

[email protected]

W.GlennLyleActiveRaleighPlasticSurgeryCenter1112DresserCourtRaleigh,NC27609(919)[email protected]

BillyP.LynnActiveAugustaPlasticSurgeryAssociates4350TowneCentreDr.,Ste.1400Evans,GA30809(706)[email protected]

JamesJ.Madden,Jr.ActiveVanderbiltUniversityMedicalCenterPlasticSurgery,D-4207MCNNashville,TN37232(615)[email protected]

R.KevinMajzoubActiveLouisvillePlasticSurgeryConsultants6440Dutchman'sPky,Ste210Louisville,KY40205(502)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

DevA.ManisundaramActivePlastic&HandSurgeryAssociates2550FlowoodDrive,Suite200Flowood,MS39232(601)[email protected]

JeffreyR.MarcusActiveDukeUniversityMedicalCenter200TrentDr.,Box3974Durham,NC27710(919)[email protected]

MalcolmW.MarksActiveWakeForestUniversityMedicalCenterBlvdWinstonSalem,NC27157(336)[email protected]

HamidMassihaLifeMassihaPlasticSurgeryCenterOneParkIslandDriveNewOrleans,LA70122(504)[email protected]

BruceA.MastActiveUniversityofFloridaPlasticSurgeryPOBox100138,1600SouthwestArcherRd.,Gainesville,FL32610(352)[email protected]

CarlosMataActiveCarlosMataMD2310WestRayRoadChandler,AZ85224(480)[email protected]

DavidC.MatthewsActiveDavidMatthewsMDPA1719SouthBlvd.,Ste.BCharlotte,NC28203(704)[email protected]

G.PatrickMaxwellActiveMaxwellAestheticsPlasticandReconstructiveSurgery-202021stAveSouth,Nashville,TN37212(615)[email protected]

NathanMaylLifeSuriaPlasticSurgery411N.NewRiverDriveEast,Unit3301Ft.Lauderdale,FL33301(954)[email protected]

[email protected]

JamesM.McDonoughActiveAshevillePlasticSurgery5LivingstonatVictoriaAsheville,NC28801(828)[email protected]

ThomasC.McFaddenActiveAdvancedCosmeticSUrgery29RockySlopeRdGreenville,SC29607(864)[email protected]

BenjaminClaytonMcIntyreActivePlasticSurgeryConsultants1220BlandingStreetColumbia,SC29201(803)[email protected]

DavidMcKeeActiveDavidE.McKeeMD3443DickersonPikeSte740Nashville,TN37207(615)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

CharlesA.McLaughlinActiveCharlesA.McLaughlinMDPA2727W.MLKBlvd.,Suite510Tampa,FL33607(813)[email protected]

ChristopherL.McLendonActiveRenaissancePlasticSurgery4030RiversideParkBlvdMacon,GA31210(478)[email protected]

JohnW.MenardActive

401TownCenterBlvd.,Ste.BTuscaloosa,AL35406(205)[email protected]

WyndellH.MerrittLifeWyndellH.MerrittMDFACS7660EParhamRd.,Ste.200Henrico,VA23294(804)[email protected]

SchuylerMetlisActiveHannibalRegionalMedicalGroup6500HospitalDrHannibal,MO63401(573)[email protected]

StephenE.MetzingerActiveAestheticSurgicalAssociates3223EighthSt.,Ste.200Metairie,LA70002(504)[email protected]

TimothyJ.MickelActiveMichelPlasticSurgery903NorthSecondStreetMonroe,LA71201(318)[email protected]

RobertAlanMillerActiveAesthetic&ReconstructiveSurgery105CollierRd.,Ste.3010Atlanta,[email protected]

CynthiaL.MizgalaActiveAWomanPlasticZSurgeon4720SouthI10ServiceRd,Ste.105Metairie,LA70001(504)[email protected]

DavidL.MobleyActiveSarasotaPlasticSurgery2255S.TamiamiTrailSarasota,FL34239(941)[email protected]

ChristianMogelvangLifeNaplesPlasticSurgeryPOBox3316Naples,FL34106(239)[email protected]

AndrewM.Moore,IIActivePlasticSurgeonsofLexington1401HarrodsburgRoad,SteB488Lexington,KY40504(859)[email protected]

JamesL.MooreLifeAthensRegionalMedicalCenter740PrinceAve,Bldg10Athens,GA30606(706)[email protected]

J.MichaelMooreActivePlasticSurgeonsofLexington1401HarrodsburgRoad-SuiteB488Lexington,KY40504(859)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

ElizabethMorganActiveMorganCosmeticSurgery2045PeachtreeRoadNE,Ste.412Atlanta,GA30309(404)[email protected]

MartinA.MorseActiveMorseHandandPlasticSurgery10132ColvinRunRoad,SuiteFGreatFalls,VA22066(703)[email protected]

GerardC.MosielloActiveTampaPalmsPlasticSurgery15243AmberlyDriveTampa,FL33647(813)[email protected]

KurtisEugeneMoyerActiveCarilionClinicRiverside3,Suite400Roanoke,VA24016(540)[email protected]

MirsadMujadzicActiveAugustaUniversity1467HarperSt.BldgHB5040Augusta,[email protected]

WilliamF.MullisLifeWilliamF.MullisMD2410RoswellAve.#301Charlotte,NC28209(704)[email protected]

J.GarnettMurphyLifeDefyGravity1000Brookfield,Ste.100Memphis,TN38119(901)[email protected]

FoadNahaiLifeEmoryAestheticCenter3200DownwoodCircle,Suite640Atlanta,GA30327(404)[email protected]

FarzadRNahaiActiveDr.FarzadR.NahaiPlasticSurgery875JohnsonFerryRoad,NE,Ste.300Atlanta,GA30342(404)[email protected]

RajaNalluriActiveNalluriPlasticSurgery6118STamiamiTrlSarasota,FL34231(941)[email protected]

VincentNamanActiveChattahoocheePlasticSurgery2430BrookstoneCentrePkwyColumbus,[email protected]

JamesD.NamnoumActiveAtlantaPlasticSurgery975JohnsonFerryRoad,NE,Ste.100Atlanta,GA30342(404)[email protected]

GregoryChristopherNeilActiveAtlanticSurgicalAssociates500S.AndrewsAvenue,Ste.2266PompanoBeach,[email protected]

RichardL.NesmithActiveGainesvilleFloridaPlasticSurgery6801NW9thBlvd.-Suite2Gainesville,FL32605(352)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

MartinI.NewmanActiveClevelandClinicFLDeptofPlasticSurgery2950ClevelandClinicBlvdWeston,FL33331(954)[email protected]

R.ThomasNoelActiveAssociatesinPlasticSurgery4001KresgeWay,Suite220Louisville,KY40207(502)[email protected]

PhillipH.NunneryActivePhillipH.NunnberyMD1936JenksAvePanamaCity,FL32405(850)[email protected]

Seung-JunOActiveDr.Seung-JunOMDFACS966HoustonNorthcuttBlvdSuiteHMountPleasant,SC29464(843)[email protected]

JohnJ.ObiLifeJacksonvillePlasticSurgery3599UniversityBlvd.South,Ste.1600Jacksonville,FL32216(904)[email protected]

KennethL.OdinetActiveKennethOdientDDSMD200BeaullieuDr.,Bldg.6Lafayette,LA70508(337)[email protected]

StanleyA.OkoroActiveGeorgiaPlastic&ReconstructiveSurgery2285AsquithAvenueMarietta,GA30008(770)[email protected]

PatrickJ.O'NeillActiveO’NeillPlasticSurgery245SevenFarmsDr.,Ste.210Charleston,SC29492(843)[email protected]

AdamJ.OppenheimerActiveOppenheimerPlasticSurgery1601ParkCenterDr.,Ste.11Orlando,FL32835(407)[email protected]

ThomasW.OrcuttLifePOBox425494RendezvousRoadWinthrop,WA98862(509)[email protected]

HermannK.OrletLifeJMSBurnCenters3510TurnberryLaneMartinez,GA30907(706)[email protected]

MichaelJamesOrseckActiveMichaelJ.OrseckMD391SerpentineDr.,Ste.250Spartanburg,[email protected]

RichardF.OttLifeRichardOttPlasticSurgery3536N.FederalHighway,Suite100Ft.Lauderdale,FL33308(954)[email protected]

KittiK.OutlawActiveOutlawPlasticSurgery3290DauphinSt.Ste.204Mobile,AL36606(251)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

WilliamLeonardOverstreetActiveBlueRidgePlasticSurgery420FifthAvenueWest,Suite300Hendersonville,NC28739(828)[email protected]

PaulW.PapillionActiveCoolSpringPlasticSurgery1909MalloryLn.,Suite104Franklin,TN37067(615)[email protected]

AlfredoParedesActiveTallahaseePlasticSurgeryClinic2452MahanDr,Ste101Tallahassee,FL32308(850)[email protected]

ChristopherA.ParkActiveMobilePlasticandReconstructiveSurgery&Dermatology-3153DauphinStreetMobile,AL36606(251)[email protected]

AnnK.PassmoreActiveCooperClinic3017South70thStreet,SuiteGFortSmith,AR72903(479)[email protected]

NathanW.PattersonActivePattersonPlasticSurgery1040GulfBreezePkwySte207GulfBreeze,FL32561(850)[email protected]

WarrenR.PattersonLife

Retired

[email protected]

RichardA.PecuniaActiveHattiesburgClinicPlasticSurgery18ChandeleurPointHattiesburg,MS39402(601)[email protected]

GalenPerdikisActiveMayoClinic4500SanPabloRoadJacksonville,FL32224(904)[email protected]

JaimePerezActivePlasticSurgeryCenterofTampa307SMacdillAveTampa,FL33609(813)[email protected]

MyronM.PersoffLife3659S.MiamiAvenue,Suite4006Miami,FL33133(305)[email protected]

CalvinR.PetersLifeCenterforPlastic&ReconstructiveSurgery801N.OrangeAve.,Suite815Orlando,FL32801(407)[email protected]

KendallK.PetersActiveCenterforPlastic&ReconstructiveSurgery801N.OrangeAve.,Suite815Orlando,FL32801(407)[email protected]

MarkH.PetersActiveDr.MarkH.Peters181CorporateDrHouma,LA70360(985)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

F.LeighPhillips,IIIActive2855UniversityDr,Suite400CoralSprings,FL33065(954)[email protected]

AnthonyJ.PizzoLifeSkinSavvyRx455MarmoraAvenueTampa,FL33606(813)[email protected]

RichardA.PollockActiveDr.RichardPollockMDP.O.Box20404SaintSimonsIsland,GA31522(859)[email protected]

NortonA.PopeLifeRetiredJerry

JohnS.PoserActiveJohnS.PoserMDPA12921SW1stRd.,Ste.219Tioga,FL32669(352)[email protected]

EdwinC.Pound,IIIActiveEdwinC.Pound,IIIMDPC993-CJohnsonFerryRd,Site210Atlanta,GA30342(404)[email protected]

RoyPowellActiveRenaissancePlasticSurgery4030RiversideParkBlvdMacon,GA31210(478)[email protected]

AndreaL.PozezActiveVCUDivisionofPlasticSurgery1200EastBroadStreetBox980154Richmond,[email protected]

JasonN.PoznerActiveSanctuaryPlasticSurgery4800NorthFederalHighway,Ste.C101BocaRaton,FL33431(561)[email protected]

JeremyW.PyleActiveDavis&PylePlasticSurgery2304WesvillCt.,Ste.360Raleigh,NC27607(919)[email protected]

KarenK.QuigleyActiveThePlasticSurgeryGroupofMemphis80HumphreysCenterDr.,Ste.100Memphis,TN38120(901)[email protected]

RichardF.RadochaActiveGesslerClinic635FirstSt.NorthWinterHaven,FL33881(863)[email protected]

A.ClarkRaynorLife

[email protected]

DavidB.ReathActiveDavidB.ReathMD109NorthshoreDr,Ste.101Knoxville,TN37919(865)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

DavidS.Reid,IVActiveHiltonHeadIslandPlasticSurgery35BillFriesDr.,BldgEHiltonHead,SC29926(843)[email protected]

AnnFordReilleyLifeAssociatesinPlasticSurgery18425SMissionHillsAvenueBatonRouge,LA70810(225)[email protected]

AndreJ.RenardLifeParkwayPlasticSurgeons2401UniversityParkway,#204Sarasota,FL34243(941)[email protected]

WilliamL.Reno,IIIActivePlasticSurgeryCenterofHattiesburg40FranklinRoadHattiesburg,MS39402(601)[email protected]

JenniferLynnRhodesActiveVCUSchoolofMedicine1200E.BroadSt.,POBox980154Richmond,VA23298(804)[email protected]

EdwardJ.RicciardelliActiveSummitPlasticSurgery&Dermatology1717ShipyardBlvdSuite100Wilmington,NC28403(910)[email protected]

DanielQ.RichardsonActiveGulfCoastPlasticSurgery390CourthouseRoadGulfport,MS39507(228)[email protected]

SamW.Richwine,Jr.LifeNortheastGeorgiaPlasticSurgeryAssociates1296SimsSt.,Ste.BGainesville,GA30501(770)[email protected]

RonaldRiefkohlActiveDukeRegionalHospital110E.CarverStDurham,NC27704(919)[email protected]

FrancisW.RiegerActiveHydeParkCosmeticSurgeryCenter607SouthMagnoliaAveTampa,FL33606(813)[email protected]

BrianD.RinkerActiveUniversityofKentucky740S.Limestone,KentuckyClinic,K454Lexington,KY40536(859)[email protected]

ChadwellM.RobbinsActiveRobbinsPlasticSurgery2201MurphyAvenue,Suite307Nashville,TN37203(615)[email protected]

[email protected]

J.DouglasRobertsonActivePlasticSurgeryAssociatesofMontgomery6727TaylorCtMontgomery,AL36117(334)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

O.GordonRobinson,Jr.LifeO.GordonRobinsonMD3616FifthAvenue,S.Birmingham,AL35222(205)[email protected]

[email protected]

LaurenceZ.RosenbergActiveSoutheasternPlasticSurgery2030FleischmannRdTallahassee,FL32308(850)[email protected]

[email protected]

RobertE.RothfieldActiveWesternPlasticSurgery2300N.CommercePkwySte202Weston,FL33326(954)[email protected]

MichelleCurtisRoughtonActiveUNCChapelHill7031Burnett-WomackBldg.,CB7195ChapelHill,NC27599(919)[email protected]

DouglasS.RoweLifePlasticSurgeryMCV/VCUHS7301ForestAvenue,Suite100Richmond,VA23226(804)[email protected]

SamuelJonathanRoyActivePiedmontPlastic&OralSurgeryCenter310JakeAlexanderBlvd.WestSalisbury,NC28144(704)[email protected]

[email protected]

C.CayceRumsey,IIIActivePonteVedraPlasticSurgery209PonteVedraParkDrivePonteVedraBeach,FL32082(904)[email protected]

RogerB.RussellActiveSpecialistsinPlasticSurgery3633HardenRdSte200Raleigh,NC27607(919)[email protected]

JamesB.RussellActiveJamesB.RussellMD11WinonaDrMaumelle,AR72113(501)[email protected]

MichelC.SamsonActiveMichelC.SamsonMD3635S.ClydeMorrisBlvd.Ste.400PortOrange,FL32129(386)[email protected]

ThomasTreySandsActiveColon&SandsPlasticSurgery4224HoumaBlvd.,Ste.120Metairie,LA70006(504)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

LarrySargentActiveThePlasticSurgeryGroup979EastThirdStreet,SuiteC-920Chattanooga,TN37403(423)[email protected]

AndresG.SarragaActiveAndresG.SarragaMDFACS21110BiscayneBlvd.,Ste.103Aventura,FL33180(305)[email protected]

[email protected]

PetraR.Schneider-ReddenActiveHattiesburgClinic421South28thAve.,Ste.110Hattiesburg,MS39401(601)[email protected]

MarkBernhardtSchoemannActiveSchoemannPlasticSurgery9850GenesseeAve.,Suite500LaJolla,CA92037(858)[email protected]

RichardG.SchwartzActivePalmBeachPlasticSurgery1500N.DixieHighway,Ste.304WestPalmBeach,FL33401(561)[email protected]

PaulJ.SciosciaActivePonteVedraPlasticSurgery209PonteVedraParkDrPonteVedraBeach,FL32082(904)[email protected]

[email protected]

NathanAlexanderSewellActiveSewellPlasticSurgery8220MeadowbridgeRd.,Ste.304Mechanicsville,VA23116(804)[email protected]

GregoryA.SextonActiveCapitalPlasticSurgery1708LaurelSt.Columbia,SC29201(803)[email protected]

R.BruceShackActiveVanderbiltMedicalCenter116121stAvenue,South-D4207Nashville,TN37232(615)[email protected]

JoelL.ShanklinActiveCoastalEmpirePlasticSurgery900MohawkRdSteASavannah,GA31419(912)[email protected]

DanielShell,IVActiveShellPlasticSurgery2716WestOxfordLoop,Ste.171Oxford,MS38655(662)[email protected]

DanH.Shell,IIIActiveShellCosmeticSurgeryCenter1068CresthavenRd.Suite200Memphis,TN38119(901)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

FredH.SiegelActiveFredH.SiegelMD700NBattlefieldBlvd#AChesapeake,VA23322(757)[email protected]

NicholasE.SievekingActiveSievekingPlasticSurgery204-23rdAvenueNorthNashville,TN37203(615)[email protected]

KarenSingerActiveKarenSingerMDPA6675-38thAve.N.,Suite102St.Petersburg,FL33710(727)[email protected]

KimberlySinghActivePanaceaPlasticSurgery1368WellbrookCir.,Ste.BConyers,GA30012(770)[email protected]

DhruvSinghalActiveUniversityofFlorida,PlasticSurgery1600SWArcherRd.,POBox100138Gainesville,FL32610(352)[email protected]

[email protected]

StevenJ.SmithActiveStevenJ.SmithMD9239ParkWestBlvd.,Suite201Knoxville,TN37923(865)[email protected]

RandolphR.SmithLife1348WaltonWay,Suite6300Augusta,GA30901(706)[email protected]

DavidJ.Smith,Jr.ActiveUniversityofSouthFlorida7thFloorMR.,2TampaGeneralCircleTampa,FL33606(813)[email protected]

KevinL.SmithActiveCharlottePlasticSurgery2215RandolphRoadCharlotte,NC28207(704)[email protected]

PaulDavidSmithActiveUniversityofSouthFlorida2TampaGeneralCircle7thFloorTampa,[email protected]

KevinR.SnodgrassActiveDr.KevinSnodgrassPlasticSurgery184ThreeRiversDrNERome,GA30161(706)[email protected]

SomprasongSongcharoenLifeSomprasongSongcharoenMD971LakelandDr.,Suite315Jackson,MS39216(601)[email protected]

JohnG.SparrowActiveTheJacksonClinic2863Hwy45BypassJackson,TN38305(731)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

DavidHeathStaceyActiveNorthwestArkansasCenterforPlasticSurgery137W.VanAscheLoopFayetteville,AR72703(479)[email protected]

WilliamR.StaggersLifeEasternShorePlasticSurgeryPOBox309Montrose,AL36559(251)[email protected]

[email protected]

DavidStecklerActiveTheMississippiCenterforPlasticSurgery200WestJacksonSt.,Ste.100Ridgeland,MS39157(769)[email protected]

MatthewSteeleActivePlasticSurgeryTexas80012thAve.,Ste.100FortWorth,TX76104(817)[email protected]

EricStelnickiActiveDr.StelnickiMDPA100SE15thAvenueFt.Lauderdale,FL33301(954)[email protected]

J.AnthonyStephensActiveJ.AnthonyStephensMD5233DijonDr.BatonRouge,LA70808(225)[email protected]

JamesD.SternActivePhysician’sInstituteofCosmetic&ReconstructiveSurgery3449JohnsonStreetHollywood,FL33021(954)[email protected]

ErezG.SternbergActive209PonteVedraParkDr.PonteVedra,FL32082(904)[email protected]

JoelMelfordStewart,Jr.ActiveAdvancedAesthetics100HighlandParkLaGrange,GA30240(706)[email protected]

DanielStewartActiveUniversityofKentucky740S.LImestoneK454KentuckyClinicLexington,[email protected]

BrianH.StrandActiveMandevillePlasticSurgery200GreenleavesBlvdSuite11Mandeville,LA70448(985)[email protected]

JohnBlairSummittActiveVanderbiltMedicalCenterD-4207MedicalCenterNorth116121stAvenueSouthNashville,TN37232(615)[email protected]

JohnSymbasActiveAtlantaPlastic&ReconstructiveSpecialists5673PeachtreeDunwoodyRd.,Ste.870Atlanta,GA30342(404)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

GaryE.TalbertActiveArkansasPlasticSurgery9500KanisRoad,Suite502LittleRock,AR72205(501)[email protected]

PaulJ.TalbotActivePlasticSurgeryofHattiesburg40FranklinRoadHattiesburg,MS39402(601)[email protected]

NicholasA.TarolaActiveTarolaPlasticSurgery1800MedicalCenterParkwaySte.420Murfreesboro,TN37129(615)[email protected]

JamesW.TaylorLifeUniv.ofTennessee-MedicalBldgA1930AlcoaHighway,SuiteA-235Knoxville,TN37920(865)[email protected]

JuliaK.TerzisLifeTheInternationalInstituteofReconstructiveMicrosurgery27-28ThomsonAve,Ste.620LongIslandCity,NY11101(718)[email protected]

WesleyThayerActiveVanderbiltUniversityMedicalCenterD-4207MCN116121stAve.S.Nashville,TN37232(615)[email protected]

William‘Trey’O.ThomasActiveHattiesburgClinic28thPlace,421South28thAve.,Ste.100Hattiesburg,MS39401(601)[email protected]

WilliamO.B.ThompsonActiveTheClinicofPlasticSurgery1421StateStreet,Suite504Jackson,MS39202(601)[email protected]

JamesT.Thompson,IIActiveWakeForestUniversityMedicalCenterBlvdWinstonSalem,NC27157(336)[email protected]

LeeK.ThorntonActiveMeridianPlasticSurgery5002Hwy39N.,BuildingCMeridian,MS39301(601)[email protected]

GordonR.TobinActiveUniversityofLouisville550SJacksonSt.Louisville,KY40202(502)[email protected]

MichaelA.TolsonActivePlasticSurgeryCenter349SuiteADahlonegaStreetCumming,GA30040(770)[email protected]

ScottL.TuckerActiveSalemPlasticSurgery1345AWestgateCenterDrWinstonSalem,NC27103(336)[email protected]

VernonP.TurnerLife3536N.FederalHighway,Suite100FortLauderdale,FL33308(954)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

JohnW.Tyrone,IIIActiveJohnW.TyroneMD108NW76thDr.,SuiteAGainesville,FL32607(352)[email protected]

JasonPatrickUlmActiveMUSC-DivisionofPlasticSurgery,96JonathanLucasSt.,613/CSB404Charleston,SC29464(843)[email protected]

C.KendrickUrquhartActiveUrquhartPlasticSurgeryMediSpa&LaserCenterOneTimothyPassAnniston,AL36207(256)[email protected]

HenryC.VasconezActiveUniversityofKentuckyKentuckyClinicSuiteK454,740SLimestoneStLexington,KY40536(859)[email protected]

LuisO.VasconezLifeUniversityofAlabamaatBirminghamFacultyOfficeTower,Ste.1102501-20thSt.SouthBirmingham,AL35294,(205)[email protected]

VictoriaL.VastineActiveMarthaJeffersonAesthetic&ReconstructiveSurgery,600PeterJeffersonParkway,Suite270Charlottesville,VA22911(434)[email protected]

FrankX.VenzaraActiveBrevardSurgicalCenter280N.SykesCreekPkwy,SuiteAMerrittIsland,FL32953(321)[email protected]

[email protected]

WilliamJosephVinyardActivePlasticSurgeryofPalmBeach1620SouthCongressAve.,Ste.100PalmSprings,FL33461(561)[email protected]

ArthurJ.VonWerssowetzActive3404NavajoDr.Chattanooga,TN37411(423)[email protected]

JamesW.WadeActiveJamesW.WadeMDPlastic&ReconstructiveSurgery5233DijonDriveBatonRouge,LA70808(225)[email protected]

HarlanI.WaldLifeHarlanI.WaldMDJD1501S.E.10thStreetFortLauderdale,FL33316(954)[email protected]

JefferyWaldingActiveSouthernInstituteofPlasticSurgery2800RossClarkCircleSuite2Dothan,AL36301(334)[email protected]

JimmyLeeWaldrop,Jr.ActiveThePlasticSurgeryGroup979East3rdStreetSuiteC920Chattanooga,TN37403(423)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

HollyCaseyWallActiveTheWallCenterforPlasticSurgery8600FernAve.Shreveport,LA71105(318)[email protected],Jr.

SimeonWall,Jr.ActiveTheWallCenterforPlasticSurgery8600FernAve.Shreveport,LA71105(318)[email protected]

RobertD.WallaceActiveUniversityofTennesseeCollegeofMedicine910MadisonAve.,Ste.315Memphis,TN38163(901)[email protected]

WilliamH.WallaceLife116WashingtonAvenueSavannah,GA31405(601)[email protected]

MarkD.WalshActiveEmoryUniversity550PeachtreeStreetMOT9thFloorAtlanta,GA30308(404)[email protected]

PeterA.WardLifePaducahPlasticSurgery242BergerRoadPaducah,KY42003(270)[email protected]

RichardJ.WassermannActivePlasticSurgeryConsultants1220BlandingSt.Columbia,SC29201(803)[email protected]

PaulA.WattersonActiveCharlottePlasticSurgery2215RandolphRoadCharlotte,NC28207(704)[email protected]

LisleWayne,[email protected]

JohnM.WeeterActiveAssociatesinPlasticSurgery4010KresgeWay,Suite220Louisville,KY40207(502)[email protected]

HarveyA.WeissLife5673PeachtreeDunwoodyRd.Suite370Atlanta,GA30327(404)257-9888Jeanne

KarenE.WellsActiveKarenE.WellsMDPA508S.HabanaAve,#180Tampa,FL33609(813)[email protected]

J.JasonWendelActiveDr.J.J.WendelPlasticSurgery2103CrestmoorRoadNashville,TN37215(615)[email protected]

KeithWestActiveMariettaPlasticSurgery823CampbellHillStreetMarietta,GA30060(770)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

G.MarcWetheringtonActiveWetheringtonPlasticSurgery406East2ndAveRome,GA30161(706)[email protected]

KennethS.WhiteActiveWilmingtonPlasticSurgery2305CanterwoodDrWilmington,NC28401(910)[email protected]

BrianG.WidenhouseActivePortCityPlasticSurgery2683LakeParkDr.Charleston,SC29406,(843)[email protected]

VirgilV.Willard,IIActivePiedmontPlasticSurgery1011NLindsaySt.HighPoint,NC27262(336)[email protected]

RichardB.WilliamsActiveThePlasticSurgeryGroup340ThomasMoreParkwayCrestviewHills,KY41017(513)[email protected]

JosephK.WilliamsActiveAtlantaPlasticSurgery975JohnsonFerryRd.,Suite100Atlanta,GA30342(404)[email protected]

JoelA.Williams,IIIActiveWilliamsPlasticandReconstructiveSurgery1506ProfessionalCourtDalton,GA30720(706)[email protected]

HenryB.WilsonActiveCentraMedicalGroupPlasticSurgeryCenter1330OakLn.,Ste.100Lynchburg,VA24503(423)[email protected]

TimothyS.WilsonActive9430ParkwestBlvdSuite240Knoxville,TN37923(865)[email protected]

MatthewWhittenWiseActive1717St.CharlesAvenueNewOrleans,LA70130(504)[email protected],MD

BenjaminH.WoffordLifeRetiredSandra

S.AnthonyWolfeActiveS.AnthonyWolfeAesthetic&ReconstructiveSurgery-3100SW62ndAve.,Ste.2230,Miami,FL33155(305)[email protected]

LesleyWongActiveUniversityofKentucky740S.Limestone,SuiteK454Lexington,KY40591(859)[email protected]

WilliamA.WoodenActive545BarnhillDrEmersonHall232Indianapolis,IN46202(317)[email protected]

2016 MEMBER ROSTER


2016MEMBERSROSTER

[email protected]

AsafYalifActiveYPlasticandReconstructiveSurgery145TowneLakeParkwaySte.101Woodstock,GA30188(404)[email protected]

MichaelD.YatesActiveMichaelD.YatesMDPC303WilliamsAve.SWHuntsville,AL35801(256)[email protected]

MarshallR.YellenActiveThePlasticSurgeryClinicofJackson10LynoakCoveJackson,TN38305(731)[email protected]

RodneyB.Young,IIIActivePalmettoPlasticSurgery2801TricomSt.Charleston,SC29406(843)[email protected]

[email protected]

SergioM.ZamoraActiveSergioM.ZamoraMD1890LPGABoulevardSte.150DaytonaBeach,FL32117(386)[email protected]

ThomasJ.Zaydon,Jr.ActiveCosmeticSurgeryInstituteofMiami3661S.MiamiAvenue,Ste.509Miami,FL33133(305)[email protected]

MichaelR.ZennActiveDukeUniversityMedicalCenterDUMC3358Durham,NC27710(919)[email protected]

JohnW.ZinsserActiveZinsserPlasticSurgery1501MapleAve,Ste101B,NWBldg.Richmond,VA23226(804)[email protected]

VincentN.ZubowiczActiveCenterforPlasticSurgery365EastPacesFerryRdNEAtlanta,GA30305(404)[email protected]

MarkL.ZukowskiActiveTheZukowskiCenter3612WLakeAveWilmette,IL60091(847)[email protected]


2016 CANDIDATE MEMBERS



2016CANDIDATES

JonathanStevenBlackCandidateUniversityofVirginiaPlasticSurgeryBox800376Charlottesville,VA22908(434)[email protected]

JamesChelnisCandidateUniversityofTennesseeHamiltonEyeInstitute930MadisonAvenue,Ste.100Memphis,TN36813(901)[email protected]

TrajanAlistairCuellarCandidateUniversityofMississippiMedicalCenter2500N.StateStreetJackson,[email protected]

CarolynA.CushingCandidateUniversityofMississippiMedicalCenter1500N.StateStreetJackson,MS39215(601)[email protected]

KristopherM.DayCandidateThePlasticSurgeryGroup,PC979E.ThirdStreet,SuiteC-920Chattanooga,TN37403(423)[email protected]

JeffreyS.DeMercurioCandidateHalifaxHealth311NClydeMorrisSuite500DaytonaBeach,FL32114(386)[email protected]

BradDavidDenneyCandidateUniversityofAlabamaFOTSuite1102,51020thStBirmingham,[email protected]

BradMichaelGandolfiCandidateDUMC-40DukeMedicalCircleM150,GreenZone,DMB2824Durham,NC27710(919)[email protected]

AlexandraMarieHartCandidateEmory550PeachtreeSt.,8thFloor,Suite4300Atlanta,GA30306(404)[email protected]

GregoryD.HicksCandidate3801BeeRidgeRoad,Suite#1Sarasota,FL34233(941)[email protected]

DuncanB.HughesCandidateSouthpointPlasticSurgery1415NCHwy54West,Ste.105Durham,NC27707(919)[email protected]

SantoshS.KaleCandidateMedicalCollegeofVirginia1200EastBroadStreetBox980154Richmond,VA23298(804)[email protected]

MichaelP.LynchCandidatePlasticSurgeonsofLexington1401HarrodsburgRd.,SuiteB-488Lexington,KY40504(859)[email protected]

HunterReidMoyerCandidateAtlantaPlasticSurgery975JohnsonFerryRoad,Suite100Atlanta,GA30342(404)[email protected]



2016CANDIDATES

JosephWilliamParks,IVCandidateFloridaPlasticSurgeryGroup14540OldSt.AugustineRdJacksonville,[email protected]

BrettThomasPhillipsCandidateDukeUniversityMedicalCenter40DukeMedicalCircleM150,GreenZone,DMB2824Durham,[email protected]

RukminiSatyamrithaRednamCandidateHoustonPlasticCraniofacialandSinusSurgery,6400FanninStreet,Suite2290Houston,TX77030(713)[email protected]

CalebM.SteffenCandidateUniversityofTennesseeThePSG979E.ThirdStreet,SuiteC-920Chattanooga,TN37416(423)[email protected]

ShrutiChudasamaTannanCandidateWakeForestBaptistHealthMedicalCenterBlvd.Winston-Salem,NC27157(336)[email protected]

PeterWilliamThompsonCandidateEmoryUniversity3200DownwoodCircleNW,Suite640Atlanta,GA30327(404)[email protected]

RahulVemulaCandidateTulaneUniversity1430TulaneAve.,SL22RM8207NewOrleans,LA70112(504)[email protected]

BenjaminC.WoodCandidateGeorgeWashingtonUniversitySchoolofMedicine2150PennsylvaniaAve.,NWWashington,DC20037(202)[email protected]

JeyhanWoodCandidateUNCChapelHill7033Burnett-Womack,CB7195ChapelHill,[email protected]

CindyWuCandidateUNCChapelHill7040Burnett-WomackBuilding,CB#7195,UNC,ChapelHill,NC27599(919)[email protected]

AlexanderZuriarrainCandidateClevelandClinicFL2950ClevelandClinicBlvdWeston,FL33331(954)[email protected]

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2016 GEOGRAPHICAL ROSTER



ALABAMA

Alexander CityO. Gordon Robinson Jr.

AnnistonC. Kendrick Urquhart

AuburnRalph Leo Aquadro

BirminghamMichael BeckensteinMichael S. ClintonAlvin B. CohnSherry S. CollawnBrad D. DenneyJorge de la TorreR. Jobe FixJames C. GrottingPaul HowardWilliam J. HeddenPaul HowardAndre Yuan LevesqueLuis O. Vasconez

DothanL. Dwight BakerJeffery Walding

HuntsvilleDeason C. DunaganRobert E. KnowlingRobert J. KnowlingMichael D. Yates

LillianByron E. Green

MobileCharles L. Dyas Jr.Byron GreenKitti K. OutlawChristopher Park

MontgomeryMichael P. BentleyPatrick J. BudnyJ. Allen Clark IIIJ. Douglas Robertson

MontroseWilliam Staggers

Muscle ShoalsGeorge Russell Jennings

OpelikaRobert Brown

TuscaloosaJohn Menard

ARIZONA

ChandlerCarlos Mata

PaysonJohn R. Royer

ARKANSAS

FayettevilleH. Daniel AtwoodDavid Heath Stacey



Fort SmithR. Cole GoodmanJames E. Kelly, IIIAnn K. Passmore

Little RockMichael GolinkoNorton PopeGary E. Talbert

MaumelleJames B. Russell

SpringdaleJames S. Beckman Jr.

CALIFORNIA

Beverly HillsJosef Hadeed

La JollaMark Bernhardt Schoemann

FLORIDA

AventuraJay EllenbyRobert FabricLawrence B. RobbinsAndres Sarraga

Boca RatonDavid J. ApplebaumJason Pozner

BrunswickN. Bradley Easterlin

Coral SpringsF. Leigh Phillips III

Daytona BeachJeffrey S. DeMercurioSergio M. Zamora

Del Ray BeachGary Rosenberg

Fort LauderdaleNathan MaylRichard F. OttEric StelnickiVernon P. TurnerHarlan I. Wald

Fort MyersJohn S. Bruno

GainesvilleLeonik AhumadaRoger T. BrillAdam J. KatzLeonard T. FurlowGregory C. GainesAshley K. LentzBruce A. MastRichard L. NesmithMichael Brent SeagleDhruv SinghalJohn W. Tyrone, III

Gulf BreezeNathan W. Patterson

HollywoodYoav BarnavonChristopher BrooksJames D. Stern



JacksonvillePatrick BasileAnkit R. DesaiMichael A. FalluccoTimothy E. FeePatrick J. ObiJoseph William ParksGalen Perdikis

Key WestF. True Lansden

MaitlandHarry Eisenberg

MelbourneRoxanne J. Guy

Merritt IslandFrank X. Venzara

MiamiThomas BakerOnelio Garcia, Jr.George A. LevineMyron PersoffS. Anthony WolfeThomas J. Zaydon Jr.

NaplesKent HasenChristian Mogelvang

OrlandoOrlando Joseph Cicilioni, Jr.Adam OppenheimerCalvin R. PetersKendall Peters

Ormond BeachCarl Lentz

OcalaLeonik Ahumada

Palm HarborJennifer B. Buck

Palm SpringsWilliam Vinyard

Panama CityPhillip Nunnery

PensacolaPeter N. ButlerJocelyn Leveque

Pompano BeachGregory Neil

Ponte Verda BeachRobert W. Burk, IIIJohn B. HarrisC. Cayce Rumsey, IIIPaul J. SciosciaErez G. Sternberg

Port OrangeMichel C. Samson

RockledgeRoxanne Johnson- Giebink

SarasotaW. Michael BryantScott J. EngelBraun H. GrahamGregory D. HicksCharles H. HillDavid L. MobleyRaja Nalluri Andre Renard



Saint PetersburgAntonio GayosoJohn M. HamiltonKaren Singer

StuartA. Clark Raynor

TallahasseeLarry HarperAlfredo ParadesLaurence Z. Rosenberg

TampaCarl Wayne CruseJacob GerzenshteinGeorge HaedickeMichael HarringtonJoseph J. HirschfeldCharles McLaughlin Jr.Gerard C. MosielloJaime PerezAnthony J. PizzoFrancis W. RiegerDavid J. Smith Jr.Paul D. SmithKaren E. Wells

TavaresRichard T. Bosshardt

TiogoJohn S. Poser

Vero BeachAlan Durkin

WestonSteven Alexander EarleDavid W. Friedman

Martin I. NewmanRobert E. RothfieldAlexander Zuriarrain

West Palm BeachFredric M. BarrRichard G. Schwartz

Winter HavenRichard F. Radocha

GEORGIA

AlbanyWalter L. Erhardt Jr.

AlpharettaJoseph Bauer

AthensCesar A. GumucioJames L. Moore

AtlantaErica D. AndersonPhillip H. Beegle Jr.Kristin A. BoehmGrant W. CarlsonMark A. CodnerRobert A. Colgrove Jr.John P. Connors IIIJames Wilson DavisFelmont F. EavesL. Franklyn ElliotBhair H. GhaziJohn M. GriffinAlexandra HartCarl R. Hartrampf Jr.Carmen Kavali



Albert LoskenRobert Alan MillerElizabeth MorganHunter Reid MoyerFoad NahaiFarzad R. NahaiJames D. NamnounEdwin C. PoundJohn SymbasPeter ThompsonMark WalshHarvey WeissJoseph K. WilliamsVincent N. Zubowicz

AugustaChristopher EwartC. Mabel GamboaKenna S. GivenMirsad MujadzicRandolph R. Smith

BrunswickNathan Bradley Easterlin

ColumbusAshish K. JainVincent Naman

ConyersNour AbboushiKimberly Singh

CummingMichael A. Tolson

DaltonJoel A. Williams, II

EvansWilliam Troy AustinBilly P. Lynn

GainesvilleEdward AbellD.J. CampbellPuya DavoodiArden L. HothemSamuel W. Richwine, Jr.

LagrangeJoel Melford Stewart Jr.

MaconRonald A. FreemanJoshua GrovesChristopher McLendonRoy Powell, Jr.

MariettaKeith HannaStanley OkoroKeith WestBenjamin H. Wofford

MartinezHermann Orlet

RomeKevin R. SnodgrassG. Marc Wetherington

Saint Simons IslandDiane BowenJimmy L. DixonRichard Pollock



SavannahE. Ronald FingerRichard Jude GrecoJoel ShanklinDavid H. SmithWilliam H. Wallace

StockbridgeLawrence R. Gross

WoodstockAsaf Yalif

ILLINOIS

WilmetteMark Zukowski

INDIANA

EvansvilleLisle Wayne, II

IndianapolisWilliam A. Wooden

KENTUCKY

AshlandPhillip Limbaugh Lackey

Crestview HillsRichard B. Williams

LexingtonRaleigh ArcherWilliam L. DowdenJoseph Lee Hill

David S. KirnMartin J. LuftmanMichael LynchJ. Michael MooreAndrew M. Moore, IIBrian D. RinkerDaniel StewartHenry C. VasconezLesley Wong

LouisvilleJoseph C. Banis, Jr.M. Bradley CalobraceLee CorbettJohn W. Derr Jr.R. Kevin MajzoubR. Thomas NoelHarry D. StambaughGordon R. TobinJohn M. Weeter

PaducahPeter A. Ward

LOUISIANA

Baton RougeJohn A. DeanAndrew Charles FreelCharles Gruenwald Jr.Michael S. Hanemann Jr.W. Howard KisnerAnn Ford ReilleyJ. Anthony StephensJames W. Wade

CovingtonElizabeth Kinsley



HoumaO’Neil J. EngeronMark H. Peters

LafayetteStephen J. DelatteDarrell L. HendersonKenneth L. Odinet

MandevilleBrian H. Strand

MetairieRobert J. AllenJohn T. LindseyStephen E. MetzingerCynthia L. MizgalaThomas Sands

MonroeTimothy J. MickelEugene F. Worthen

New OrleansAbigail Elizabeth ChaffinCharles DupinHamid MassihaRahul VemulaMatthew Whitten Wise

ShreveportMary KimHolly Casey WallSimon Wall, Jr.

MARYLAND

BethesdaA . Dean Jabs

MISSISSIPPI

BiloxiLuis Miguel Diaz

ClarksdaleMichael Angel

CorinthJames N. Long

FlowoodKenneth R. BarrazaDev A. Manisundaram

GulfportDaniel Q. Richardson

HattiesburgRichard A. PecuniaWilliam L. Reno, IIIPetra R. Schneider-ReddenPaul TalbotWilliam O. Thomas

JacksonPeter B. ArnoldPhillip BlevinsRicky P. ClayTrajan Alistar CuellarCaroline CushingSuman K. DasMichael Thomas FrielGeorge Eli Howell, IIWilliam C. LineaweaverSomprasong SongchareonWilliam O.B. Thompson

MadisonMichael Jabaley



MeridianLee K. Thornton

OxfordDaniel Shell, IV

PontotocJanis Burn-Tutor

RidgelandDavid Steckler

TupeloMark H. Craig

WallsJohn Vincent

MISSOURI

HannibalSchuyler Metlis

NEW YORK

Long IslandJulia K. Terzis

New York CityMaria LoTempio

NORTH CAROLINA

AshevilleDavid H. HumphreysJames M. McDonoughC. Gary Zahler

BelmontNorman C. Cole

Black MountainJames Schmidt

CashiersJohn H. Hartley

Chapel HillA. Griswold Bevin Jr.Lynn Ann DamitzCharles Scott HultmanMichelle Curtis RoughtonJeyhan WoodCindy Wu

CharlotteAdam AugensteinMichael E. BeasleyJarrod R. DanielStephen J. FinicalDavid C. MatthewsWilliam F. MullisKevin L. SmithPaul A. Watterson

DurhamBrian CoanDetlev ErdmannBrad Michael GandolfiScott T. HollenbeckDuncan HughesHoward LevinsonJeffrey R. MarcusBrett Thomas PhillipsRonald RiefkohlMichael R. Zenn

FairviewJ. Robert Israel



GoldsboroBenjamin D. Eskra

GreensboroWilliam Byron BarberHoward Holderness, Jr.

GreenvilleHoward Dawkins

HendersonvilleWilliam L. Overstreet, III

High PointVirgil V. Willard, II

HighlandsPaul Black

HuntersvilleGaurav Bharti

RaleighRhett C. HighWilliam A. Lambeth, IIIW. Glenn LyleJeremy W. PyleRoger B. Russell

SalisburySamuel J. Roy

WilmingtonEdward RicciardelliKenneth White

Winston SalemLouis C. ArgentaLisa R. DavidAnthony J. DefranzoGlison J. KingmanMalcolm W. Marks

Shruti Chudasama TannanJames T. Thompson, IIScott L. Tucker

OHIO

ColumbusSonu A. Jain

SOUTH CAROLINA

CharlestonMilton B. ArmstrongKevin O’Neill DelaneyRichard C. HagertyTracy HarveyFernando A. HerreraRaymond S. KaplanPatrick O’NeillJason Patrick UlmBrian G. WidenhouseRodney B. Young, III

ColumbiaElliot ChenHarold I. FriedmanPeter C. HainesBenjamin McIntyreGregory A. SextonRichard J. Wassermann

GreenvilleJ. Barry BishopJoseph Cart deBrux, Jr.James L. FowlerSutton L. Graham, IIJohn A. Jarrell, IVKevin M. KellerThomas C. McFadden, Jr.



GreerElizabeth R. BlakemoreJames E. Lovett, III

Hilton HeadRobert LaughlinDavid S. Reid, IV

Mt. PleasantRam KalusJames E. CraigieSeung-Jun O

Rock HillJefferson U. Davis

SpartanburgRoy HobbsJohn T. LettieriMichael James Orseck

West ColumbiaC. Brett CarlinTodd S. Lefkowitz

TENNESSEE

ChattanoogaMark A. BrzeienskiKristopher M. DayJames E. EyssenCauley W. HayesJ. Woodfin KennedyLarry SargentCaleb M. SteffenArthur J. Von WerssowetzJimmy Lee Waldrop, Jr.

FranklinPaul Warner Papillion

GermantownRonald J. Johnson

JacksonJohn G. SparrowMarshall R. Yellen

Johnson CityDaniel F. Haynes

KnoxvilleFreddie T. BarronEarl E. Breazeale Jr.Tom T. GallaherFred B. KasermanRobert E. KnowlingStephen M. LazarusDavid B. ReathSteven J. SmithJames W. TaylorTimothy S. Wilson

MemphisPeter A. AldeaRobert ChandlerJames ChelnisPatricia L EbyNeumon T. GoshornEdward A. LuceJ. Garnett MurphyKaren K. QuigleyDan Shell, IIIRobert D. Wallace

Mount JulietE. Dwayne Lett

MurfreesboroDaniel Scott CorlewNicholas Tarola



NashvilleStephane BraunGlenn S. BuckspanReuben A. BuenoMichael CashJoseph B. Delozier, IIIJohn FristRobert GarzaKevin F. HaganMelinda Jo HawsKent HigdonKevin J. KellyJames J. Madden, Jr.G. Patrick MaxwellDavid McKeeWarren R. PattersonChadwell M. RobbinsR. Bruce ShackNicholas E. SievekingJohn Blair SummittWesley ThayerJ. Jason Wendel

TEXAS

Fort WorthMatthew Steele

HoustonRukmini Rednam

VIRGINIA

AnnandaleJames H. French

CharlottesvilleJonathan Steven BlackChristopher Alan Campbell

David B. DrakeThomas J. GampperKant LinVictoria L. Vastine

ChesapeakeFred H. Siegel

Glen AllenThomas M. Dewire, Sr.

Great FallsMartin Morse

HenricoWyndell H. Merritt

LynchburgHenry B. Wilson

McLeanTimothy J. Germain

MechanicsvilleNathan A. Sewell

RichmondSantosh S. KaleIvette KlumbAndrea L. PozezJennifer RhodesDouglas S. RoweJohn W. Zinsser

RoanokeAnthony E. CapitoMark FeldmannYoung KangKurtis Eugene Moyer



Virginia BeachMartin J. CarneyJames H. CarrawayWilliamsburgJohn McCraw

WinchesterStanley M. Hirschberg

WirtzRobert F. Roth

WASHINGTON

WinthropThomas W. Orcutt

WASHINGTON DCBenjamin C. Wood


NOTES

Southeastern Society of Plastic and Reconstructive Surgeons6300 Sagewood Drive, Suite H255, Park City, Utah 84098Phone: (435) 901-2544 • Fax: (435) 487-2011 www.sesprs.org

60th Annual Scientific MeetingThe Cloister —Sea Island, Georgia

June 10–14, 2017

S A V E T H E D A T E

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