New Surgery Spotlight highlights mandible reconstruction

IN THE NEW SURGERY SPOTLIGHT, Henry C. Vasconez MD, plans the harvest of a fibula osteocutaneous free flap to perform mandible reconstruction on a 21-year-old male with severe craniofacial microsomia and other congenital anomalies. In addition, the patient will also undergo a sagittal split mandibular osteotomy on the contralateral side, as well as a rotational LeFort 1 maxillary advancement in order to obtain improved symmetry and occlusion.

Dr. Henry Vasconez is a board-certified plastic surgeon in Lexington, Kentucky. In addition to private practice, he serves as a professor at the University of Kentucky. His interests include craniofacial surgery, pediatric plastic surgery, breast reconstruction and aesthetic surgery.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

Surgery Spotlight looks at Inframammary Fold Subpectoral Breast Augmentation

IN THIS VIDEO, Rod Rohrich, MD performs a breast augmentation using silicone gel implants on a woman who wishes to regain the upper pole fullness she had prior to pregnancy. In this video, Dr. Rohrich discusses the benefits of using the inframammary fold, subpectoral approach with a smooth, round silicone gel implant. He demonstrates the markings for the operation and the rationale behind them, and discusses how breast diameter, base dimension and ptosis play into decision-making for proper implant sizing. During the operation, he demonstrates the elevation of the pectoralis major and the importance of not “over-releasing” the muscle in patients without a lot of breast tissue. He shows the aureolar plane dissection, and discusses his preference in placing implant sizers prior to final implant placement. He also discusses the importance of establishing hemostasis to prevent capsular contracture, his procedure in using triple antibiotic solution after hemostasis has been achieved, and his methodology for closure and post-surgical care.

Dr. Rohrich is a Professor and Chairman of the Department of Plastic Surgery at The University of Texas Southwestern Medical Center. He is a past president of ASPS and former director of the American Board of Plastic Surgery. Dr. Rohrich currently serves as the Editor-in-Chief of the journal Plastic and Reconstructive Surgery, as well as an editor for Selected Readings in Plastic Surgery. In the past ten years, he has been recognized many times as a top doctor in America and Dallas. Dr. Rohrich has a clinical practice at Zale Lipshy University Hospital/UT Southwestern Medical Center and the Tom Landry Sports Center/Baylor University Medical Center in Dallas, Texas.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

 

Last Surgery Spotlight of 2013 now available on PSEN

THE DECEMBER SURGERY SPOTLIGHT features Dr. Rod Rohrich performing a Secondary Facial Rejuvenation procedure on a 62-year-old Caucasian woman. The patient presents with significant loss of fat in her face, a tight skin envelope, and some laxity in her neck. Dr. Rohrich’s technique involves a lift-and-fill approach to correct facelift deformities:removing and relocating existing scars; releasing the malpositioned deep layers; refilling the depressed temporal areas and the deep malar fat compartments with harvested fat; and re-draping and re-shaping the deep layers and reshaping the final skin layers. Watch the full-length surgery on PSEN now. 

Dr. Rohrich is a Professor and Chairman of the Department of Plastic Surgery at The University of Texas Southwestern Medical Center. He is a past president of ASPS and former director of the American Board of Plastic Surgery. Dr. Rohrich currently serves as the Editor-in-Chief of the journal Plastic and Reconstructive Surgery, as well as an editor for Selected Readings in Plastic Surgery. In the past ten years, he has been recognized many times as a top doctor in America and Dallas. Dr. Rohrich has a clinical practice at Zale Lipshy University Hospital/UT Southwestern Medical Center and the Tom Landry Sports Center/Baylor University Medical Center in Dallas, Texas.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

New Surgery Spotlight: DIEP Flap Breast Reconstruction

Take a look at August’s Surgery Spotlight featuring Maurice Nahabedian, MD performing a delayed left breast reconstruction using a deep inferior epigastric perforator (DIEP) flap reconstruction on a 43-year-old woman who has had prior radiation therapy. DIEP flaps are frequently chosen for autologous reconstruction because they can be harvested with no muscle and minimal fascial sacrifice. In this video, observe how Dr. Nahabedian marks the surgical site and begins his dissection. Once the internal mammary artery and vein are exposed, and the DIEP flap has been elevated watch Dr. Nahabedian’s microsurgery technique as the new breast is reconstructed. The video is now streaming for free on PSEN, or can be purchased as part of an online course to receive CME credit.

Dr. Nahabedian‘s primary areas of interest are breast reconstruction with perforator flaps that include DIEP, SGAP, and SIEA flaps. He has performed over 1,000 breast reconstructions using flaps, as well as over 600 reconstructions using implants. He has also conducted numerous research projects on breast reconstruction, breast reduction and microsurgery, which have been published and presented in journals and at meetings around the world. Dr. Nahabedian is a Professor of Plastic Surgery at Georgetown University and Associate Professor of Plastic Surgery at John Hopkins University. He is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, American College of Surgeons, American Association of Plastic Surgeons, and the American Society for Reconstructive Microsurgery.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).

First Surgery Spotlight of 2013: Midface Rejuvenation

PSEN’s first Surgery Spotlight of the new year is Midface Rejuvenation performed by Julius W. Few, MD. The midface rejuvenation includes a lower blepharoplasty to dissect the redundant skin, a tear trough correction to eliminate the tired and aged appearance of the face, and lateral cathoplasties because there is more than six to eight millimeters lower lid distraction. The video can be streamed for free once you are logged in to PSEN, or can be purchased as part of an online course to earn CME credit.

Dr. Few is the Founder and Chief Medical Director at The Few Institute for Aesthetic Plastic Surgery, located in Chicago, IL.  Additionally, he serves as a Clinical Associate Professor for the Division of Plastic Surgery at the University of Chicago. Dr. Few specializes in providing aesthetic plastic surgery, while preserving the unique ethnic features of his patients’ face, breast, body, and skin. PSEN previously featured Dr. Few performing Blepharoplasty with Fat Injection as the October 2011 Surgery Spotlight.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).