About the Guests

Dr. John Holds is a leading oculoplastic surgeon at Ophthalmic Plastic and Cosmetic Surgery, Inc., located in St. Louis, Missouri. With decades of experience, Dr. Holds has performed over 800 lower blepharoplasty surgeries, focusing on fat transposition techniques. He is a published author, contributing significant knowledge to the field of oculofacial surgery.

Dr. Marie Somogyi is an esteemed eyelid and facial plastic surgeon with Eyelid and Facial Plastic Surgery Associates in Austin, Texas. Known for her expertise in lower blepharoplasty procedures, Dr. Somogyi utilizes the subperiosteal plane in fat transposition and is recognized for her innovative approach to incorporating autologous fat transfer.

Episode Summary:

Join Dr. Natalie Homer and special guests, Dr. John Holds and Dr. Marie Somogyi, in this engaging episode of the Oculofacial Podcast, where they dive into the intricacies of surgical techniques in lower blepharoplasty, exploring the preperiosteal versus subperiosteal fat transposition methods. As the debate unfolds, you’ll discover how each specialist approaches their craft, armed with unique techniques honed through years of experience. With a pre-debate poll showing a strong preference for the subperiosteal method, Dr. Holds presents a robust defense of the preperiosteal approach, while Dr. Somogyi passionately advocates for the subperiosteal technique.

The experts delve into various aspects of lower blepharoplasty, including management strategies for the three fat pads, differences in postoperative recovery, and personalized approaches for patient-specific outcomes. Through their insightful discussions, Dr. Holds emphasizes the vascular benefits of the preperiosteal plane, while Dr. Somogyi highlights the structural advantages of subperiosteal placement. This episode provides a comprehensive overview of aesthetic and functional considerations for both techniques, offering valuable insights for practitioners and patients alike.

Key Takeaways:

• Fat Transposition Techniques: Dr. Holds and Dr. Somogyi debate on the efficacy and benefits of preperiosteal versus subperiosteal planes, each presenting evidence and personal experiences.

• Surgical and Postoperative Differences: The podcast details key differences in surgical processes and post-operative outcomes of the techniques, including potential impacts on hemostasis and edema.

• Patient-Specific Approaches: The experts discuss tailoring techniques based on individual patient characteristics, including considerations for patients with festoons or previous filler use.

• Orbicularis Muscle Management: Both specialists share their methods for handling the orbicularis muscle in lower blepharoplasty to prevent complications like lower eyelid retraction.

• Canthoplasty Techniques: Insights are provided on strategies to support the lateral canthus, offering suggestions like temporary tarsorrhaphy to enhance patient outcomes.

Resources:

• Dr. John Holds at Ophthalmic Plastic and Cosmetic Surgery, Inc. (Website not explicitly mentioned but relevant)

• JAMA Facial Plastic Surgery (For referenced 2013 study by Dr. Masary)

To delve deeper into the nuances of oculofacial surgery, listen to the full episode and stay tuned for more enlightening discussions on the Oculofacial Podcast.

 

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guest(s):

Dr. Ken Morgenstern is a renowned Oculofacial Plastic and Reconstructive Surgeon in private practice in Philadelphia, Pennsylvania. He is also an Associate Professor at Wills Eye Hospital and Thomas Jefferson University. In 2024, Dr. Morgenstern served as the President of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). His distinguished career includes significant contributions to the field of oculofacial plastic surgery, as well as active involvement in the governance and policy-making aspects of ASOPRS.

Dr. Grant Moore is an oculofacial plastic surgeon in Phoenix and Scottsdale, Arizona. He is an Assistant Clinical Professor of Ophthalmology and Oral-Maxillofacial Surgery at the University of Arizona College of Medicine. He is the chair of the ASOPRS Podcast Workgroup.

Episode Summary:

In this milestone 50th episode of The Oculofacial Podcast, host Dr. Grant Moore, an oculofacial plastic surgeon in Phoenix and Scottsdale, Arizona interviews Dr. Ken Morgenstern, the outgoing President of ASOPRS. The episode features a discussion with Dr. Morgenstern about his tenure as ASOPRS president in 2024. Dr. Morgenstern delves into the achievements and challenges of his presidential term, including advocacy for a more comprehensive board certification process and the creation of an effective and equitable conflict of interest policy for ASOPRS board members. He also covers the significance of diversity and open dialogue in shaping organizational policies and propelling progressive transition within the society.

Key Takeaways:

· Leadership and Vision: Dr. Morgenstern spotlights major developments during his tenure, including enhanced board certification efforts and development of a conflict of interest policy.

· Advocacy and Representation: Insights into the need for greater advocacy for oculofacial surgeons to ensure fair practices and adequate representation in broader medical contexts.

· Strategic Transformation: Emphasizing the importance of adaptability and embracing change to maintain relevance and efficacy within professional societies.

· Community and Education: Dr. Morgenstern stresses continued education for members on complex issues and fostering volunteerism for the society's growth.

Notable Quotes:

1. "Board certification is essential for our advocacy, giving us a voice and recognition in the medical community."

2. "Embracing diverse perspectives really strengthens the decision-making process and our society's evolution."

3. "Persistence in getting involved and learning through various committees has been key to my professional growth."

Explore more on the transformation and upcoming initiatives in the oculofacial community by listening to the full episode. Stay connected for more enlightening discussions and insights by subscribing to the "Oculofacial Podcast."

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests:

Dr. Roger A. Dailey, MD, FACS: He is a renowned ophthalmologist and faculty member at Oregon Health & Science University, specializing in oculoplastics. Dr. Dailey has a vast professional history, starting his residency in 1983, and has made significant contributions to the development of oculoplastic procedures and education.

Dr. Jack Wobig, MD, MBA, FACS: A retired ophthalmologist with a rich legacy in oculoplastic and orbital surgery. Dr. Wobig was a key figure at OHSU and spent decades in private practice and teaching, contributing significantly to the field through his research and collaborations, most notably with Lester Jones.

Dr. Andrew Harrison, MD: An oculoplastic and orbital surgeon at the University of Minnesota, Dr. Harrison is well-versed in advanced surgical techniques. He completed his fellowship with Dr. Wobig and Dr. Dailey and continues to advance the field through both his surgical practice and academic contributions.

Episode Summary:

In this engaging episode of the ASOPRS podcast, hosts Dr. Roger Dailey and Dr. Andrew Harrison are joined by the legendary Dr. Jack Wobig to delve into the rich history and evolution of oculoplastic surgery. The conversation hones in on Dr. Wobig's remarkable career, including his professional journey, collaborations with Lester Jones, and the innovative development of the Jones tube for lacrimal duct surgeries. This episode not only offers a window into the pioneers of oculoplastics but also provides valuable insights for future surgeons.

Throughout the discussion, the guests highlight various milestones in the field of oculoplastics, emphasizing the importance of anatomical precision and collaboration in surgical innovations. The trio reminisces about shared experiences, with anecdotes that underscore the transformative impact of their mentors and colleagues. By examining the past and contemplating future challenges and opportunities, the episode paints a comprehensive picture of the field's trajectory. Insights into educational practices, the expanding global impact of Aesoppers, and the evolving dynamics of surgical training provide both a nostalgic and forward-looking view on the practice of oculoplastics.

Key Takeaways:

• Historical Insights: Exploration of Dr. Jack Wobig’s collaboration with Lester Jones in developing the Jones tube and its impact on lacrimal surgery.

• Evolution of ASOPRS: Discussion on the early days of ASOPRS, its formation, and Dr. Wobig's presidency, highlighting the challenges and growth in training and standards enforcement.

• Educational Influence: Reflections on the importance of international exposure and collaboration in shaping successful careers in oculoplastics.

• Retirement Advice: Dr. Wobig shares perspectives on retirement, the value of lifelong learning, and the fulfillment derived from a meaningful career and rich family life.

• Lifelong Relationships: Emphasis on the importance of maintaining connections with colleagues and fellows, fostering a family-like environment within the surgical community.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Hosts

Daniel J. Ozzello, MD - Dr. Daniel J. Ozzello is a dedicated faculty member in the Division of Oculoplastics at the University of Colorado. With a rich background that includes training in ophthalmology at the Wills Eye Hospital and an ASOPRS fellowship in San Diego under the esteemed Dr. Don Kikkawa and Dr. Bobby Korn, Dr. Ozzello has established a diverse practice in oculoplastics as well as urgent and inpatient ophthalmic care. At Colorado, he engages in clinical care, research and teaching.

Caroline Vloka, MD - Dr. Caroline Vloka recently completed her fellowship at the University of Colorado following her residency in Pittsburgh. Bringing fresh perspectives and insights, she has already made a substantial impact as a new faculty member. Her interests lie in advancing oculoplastic surgery techniques and patient outcomes, carrying forward her rigorous training and passion for patient care.

Episode Summary:

In this informative episode of the OculoFacial Podcast, Dr. Daniel J. Ozzello teams up with Dr. Caroline Vloka to delve into the latest advancements in oculoplastic surgery, focusing on two significant blepharoplasty studies. The discussion revolves around the effectiveness of tranexamic acid (TXA) in surgery, alongside an exploration of the cost-effectiveness of these surgical interventions and their impacts on patient care. Introducing listeners to these critical insights, the duo unpacks recent research findings, igniting conversations on how these might enhance surgical practices and patient outcomes.

The analysis begins with an examination of a study concerning the preoperative use of TXA in eyelid surgery, meant to reduce bruising and improve patient satisfaction. Highlighting its potential benefits, Dr. Ozzello and Dr. Vloka weigh the simplicity and cost-effectiveness of incorporating TXA into regular surgical protocols. The conversation then shifts towards evaluating the economic and quality-of-life impacts that blepharoplasty offers. The pair discuss a study that aligns the procedure with high cost-effectiveness scores, emphasizing its beneficial role in elevating patient functioning and wellbeing.

Key Takeaways:

• Tranexamic Acid Efficacy: Recent studies demonstrate that tranexamic acid significantly reduces bruising and enhances patient satisfaction in blepharoplasty procedures.

• Oculoplastics Cost-Effectiveness: Blepharoplasty is proven to be highly cost-effective, providing substantial improvements in quality of life for patients with dermatochalasis

• Importance of Context: The subjective nature of cosmetic and functional outcomes can vary based on demographic factors and patient profiles.

• Thorough Patient Education: Managing patient expectations about postoperative outcomes is crucial for satisfaction, especially when comparing with other surgeries like cataract interventions.

• Collaborative Inquiry: There is a call for larger-scale studies and collaborative data pooling in oculoplastic research to better address rare conditions like idiopathic orbital myositis

Resources:

• University of Colorado - Division of Oculoplastics: Official Website

• Publications on Tranexamic Acid and Blepharoplasty: Recent articles in OPRS (Oculoplastic and Reconstructive Surgery).

• Artilce Citations

  • Marous, Charlotte L. M.D.; Farhat, Omar J. M.D.; Cefalu, Matthew M.D.; Rothschild, Michael I. M.D.; Alapati, Sailaja M.D.; Wladis, Edward J. M.D. Effects of Preoperative Intravenous Versus Subcutaneous Tranexamic Acid on Postoperative Periorbital Ecchymosis and Edema Following Upper Eyelid Blepharoplasty: A Prospective, Randomized, Double-Blinded, Placebo-Controlled, Comparative Study. Ophthalmic Plastic and Reconstructive Surgery 40(5):p 523-532, September/October 2024.

    Lee, Tonya C. M.D.; Fung, Sammie E. B.A.; Hu, Jenny Q. M.D., M.A.S.; Villatoro, George A. M.D.; Park, Kathryn S. M.D.; Fung, Brian M. M.D.; Groessl, Erik J. Ph.D.; Korn, Bobby S. M.D., Ph.D.; Kikkawa, Don O. M.D.; Liu, Catherine Y. M.D., Ph.D. Is Blepharoplasty Cost-effective? Utility Analysis of Dermatochalasis and Cost-effectiveness Analysis of Upper Eyelid Blepharoplasty. Ophthalmic Plastic and Reconstructive Surgery 40(5):p 552-559, September/October 2024. 

    Ang, Terence M.B.B.S.; Tong, Jessica Y. F.R.A.N.Z.C.O.; Patel, Sandy F.R.A.N.Z.C.R.; Hardy, Thomas G.; McNab, Alan F; Selva, Dinesh. Magnetic Resonance Imaging of Idiopathic Orbital Myositis. Ophthalmic Plastic and Reconstructive Surgery 40(5):p 544-551, September/October 2024.

Listen to the full episode for valuable insights and stay tuned for more enlightening and engaging content from the OculoFacial Podcast!

 

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast About the Guests:

Dr. Bradford Lee

• Associate Clinical Professor at the University of Hawaii School of Medicine and private practitioner in Honolulu.

• Chair of the DEI (Diversity, Equity, and Inclusion) Committee for ASOPRS.

Dr. Andrea Kossler

• Associate Professor of Ophthalmology, Stanford University School of Medicine

• Director of Oculofacial Plastic Surgery and Orbital Oncology at Stanford University.

• Board member of the Women in Ophthalmology and LATINOUS.

Dr. Cesar A. Briceño

• Chief of Oculoplastics at Shea Eye Institute, University of Pennsylvania.

• Assistant Dean for Diversity and Cultural Affairs at the Perelman School of Medicine, UPenn.

Dr. Eydie G. Miller-Ellis

• Chief of the Glaucoma Service at the University of Pennsylvania.

• Co-director of the RAB Venable Excellence in Research Project for the NMA.

Dr. John Ng

• Division Chief and Professor of Oculofacial Plastic, Orbital, and Reconstructive Surgery at Casey Eye Institute, Oregon Health & Science University.

• Incoming Vice President of Aesoppers and future President.

Episode Summary:

Dive into an engaging panel discussion on Diversity, Equity, and Inclusion (DEI) within the sphere of ophthalmology, specifically exploring its role in oculoplastic surgery. Hosted by Dr. Bradford Lee and Dr. Andrea Kossler, this episode of Top offers profound insights into the initiatives promoting more inclusive and equitable practices in ophthalmology associations and medical education institutions. With esteemed panelists like Dr. Cesar Briceño, Dr. Eydie G. Miller-Ellis, and Dr. John Ng, the conversation shifts focus on innovative programs like the DEI Committee for ASOPRS, which prioritizes inclusion, access, and diversity for both practitioners and patients.

The episode explores the intersection of DEI and patient care, highlighting how diverse medical professionals contribute to an enriched healthcare delivery model, thereby mitigating disparities in vision health care. The insightful contributions also touch upon the importance of justice within DEI efforts, as well as the significance of recognizing intersectionality among trainees and patients, which brings emphasis to the unseen and complicated layers impacting healthcare accessibility and delivery.

Key Takeaways:

• The DEI Committee for ASOPRS is actively fostering inclusion and access through travel and research grants, as well as mentorship programs to promote diverse career pathways in ophthalmology.

• Diversity improves patient care outcomes by fostering a workforce that understands and respects varied cultural and socioeconomic backgrounds.

• Institutions must strive to create equitable support systems for trainees from diverse backgrounds to ensure they can excel in specialized fields like oculoplastic surgery.

• Addressing intersectionality is crucial in understanding the multifaceted barriers faced by diverse groups, ensuring a more comprehensive approach in medical research and education.

• Programs like the RAB Venable Excellence in Research Project aim to increase genetic representation in clinical trials, crucial for advancing targeted treatments.

Listeners are encouraged to delve deeper into this vital discussion on DEI within ophthalmology by tuning in to the full episode. Stay connected for more insightful and enlightening conversations from our series.

 

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests:

• Dr. Donovan Reed: An oculoplastic surgeon serving as the Surgical Director at Wilford Hall Eye Center and Brooke Army Medical Center in San Antonio, Texas.

• Dr. Tanuj Nakra: Associate professor at UT Austin Dell Medical School and at Texas Oculoplastics Consultants. He also serves as the Fellowship Director for the American Academy of Cosmetic Surgery Facial Cosmetic Surgery Fellowship.

• Dr. Catherine Hwang: Specialist at the Cleveland Clinic Cole Eye Institute with a focus on cutting-edge oculoplastic and aesthetic surgical techniques.

• Dr. Daniel Rootman: Esteemed surgeon at the Doheny Eye Institute at UCLA, known for his significant research contributions in oculoplastic surgery.

Episode Summary:

Welcome to another exciting episode of The Oculofacial Podcast with your host, Dr. Donovan Reed. Joining him in this episode are the esteemed Drs. Tanuj Nakra, Catherine Hwang, and Daniel Rootman. This episode delves into the latest research findings from journals beyond "OPRS" relevant to cosmetic and aesthetic surgery in the field of oculofacial surgery.

In this episode, the panel discusses anatomic insights from the article published in "Plastic and Reconstructive Surgery" including:

• Choi Y, Kim IB. Avoiding Pretarsal Denervation in Lower Blepharoplasty Incisions: Refined Pretarsal Motor Nerve Anatomy. Plast Reconstr Surg. 2024 Jul 1;154(1):81-93.
• Zhang, Yi MD; Li, Mengjuan MD; Lei, Shaorong PhD; Long, Jianhong PhD; Qi, Min PhD. Less Is Better: Full-Incision Double-Eyelid Blepharoplasty with Rapid Recovery. Plastic and Reconstructive Surgery 154(2):p 271e-274e, August 2024. | DOI: 10.1097/PRS.0000000000010700
• Blair J, Fasano M, Georgescu D. Single Barbed Suture Fat Pedicle Fixation for Fat Transposition Lower Blepharoplasty. Facial Plast Surg Aesthet Med. 2024 Jul-Aug;26(4):394-396. doi: 10.1089/fpsam.2023.0332. Epub 2024 Mar 19. PMID: 38502846.

Dr. Tanuj Nakra gives an in-depth summary and sparks a discussion about the practical applications and impacts of these new findings on common surgical techniques. Moving forward, Dr. Catherine Hwang introduces a refined method for double eyelid blepharoplasty from a group in China, emphasizing its potential to reduce postoperative swelling. Dr. Daniel Rootman wraps up with a novel approach using barbed sutures for fat transposition described in "Facial Plastic Surgery and Aesthetic Medicine."

Key Takeaways:

• New Findings on Orbicularis Innervation: The updated anatomical understanding shows the complexity and importance of the lower medial pretarsal branch, impacting lower blepharoplasty techniques.

• Innovative Double Eyelid Surgery: A modified technique introduces less trauma to the orbicularis muscle, aiming for rapid recovery and satisfactory outcomes in patients.

• Barbed Sutures for Efficiency: The single-barb suture method offers an innovative way to internalize fat pedicle fixation, though it needs careful patient selection to avoid complications like dimpling.

• Patient-Centric Techniques: Personalized approaches in aesthetics are crucial, with surgeons adapting techniques based on individual patient needs and anatomical nuances.

• Continuous Learning and Adaptation: Highlighting the importance of staying updated with the latest scientific findings to refine surgical practices and improve patient outcomes.

Resources:

• American Academy of Cosmetic Surgery Facial Cosmetic Surgery Fellowship

• Plastic and Reconstructive Surgery Journal

• Cleveland Clinic Coal Eye Institute

• Doheny Eye Institute at UCLA

Stay tuned for more enlightening discussions from the Oculofacial Podcast. If you found this episode insightful, make sure to listen to the full conversation and catch our next episode for even more professional insights!

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests: M. Reza Vagefi, M.D.

Dr. Reza Vagefi is a renowned oculofacial plastic surgeon based in Boston at Tufts University School of Medicine. He is recognized for his contributions to the treatment of orbital tumors and infections and has a particular interest in the management of acute invasive fungal rhino-orbital sinusitis.

Daniel Rootman, M.D.

Dr. Daniel Rootman is an accomplished orbital surgeon based in Los Angeles, California, at UCLA. He has significantly contributed to the field through his research, focusing on complex orbital diseases and their management. Dr. Rootman is also an advocate for evidence-based, minimally invasive treatments.

Tarjani Dave, M.D.

Dr. Tarjani Dave is a noted oculofacial surgeon from Hyderabad, India, working at the LV Prasad Eye Institute. She has gained worldwide recognition for her work on mucormycosis, especially during the Covid-19 pandemic, where her research and clinical efforts have made substantial impacts on disease management.

Episode Summary:

Welcome to the Oculofacial Podcast hosted by Dr. M. Reza Vagefi. In this insightful episode, Dr. Vagefi is joined by Dr. Daniel Rootman from UCLA and Dr. Tarjani Dave from the LV Prasad Eye Institute to discuss the complexities of acute invasive fungal rhino orbital sinusitis, particularly in the context of the Covid-19 pandemic. This episode dives deep into the debates and evolving treatment paradigms surrounding the disease, with the guests sharing their firsthand experiences and clinical insights.

The discussion starts with an exploration of the controversial topic of exenteration in treating mucormycosis. With differing viewpoints, the guests debate whether this aggressive surgical approach is justifiable or if minimally invasive procedures offer equally effective outcomes. Utilizing SEO-focused keywords, Dr. Vagefi and his guests emphasize the importance of MRI imaging in the diagnosis of orbital fungal infections and the clinical decision-making process. They also discuss the significant surge in mucormycosis cases observed in India during the Covid-19 pandemic, sharing personal experiences and clinical strategies that were developed in response to this crisis.

Key Takeaways:

• Role of Exenteration: The efficacy and necessity of exenteration in treating mucormycosis are debated, with a shift towards less invasive methods discussed.

• Imaging Importance: Emphasis on the use of MRI over CT scans for the diagnosis of orbital fungal infections, highlighting MRI’s superior sensitivity.

• Covid-19 Pandemic Impact: Insightful discussion on the surge of mucormycosis cases during the Covid-19 pandemic in India and the treatment strategies adapted.

• Retrobulbar Amphotericin Injections: Exploration of the role and efficacy of retrobulbar amphotericin B injections in sparing ocular structures and preserving the orbital tissues.

• Research Directions: Future research needs, including drug sensitivity, diagnostic techniques, and the impact of systemic advancements in antifungal therapies.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests: 

Kelsey A. Roelofs, MD - An oculofacial plastic surgeon and Assistant Professor of Ophthalmology at the University of Alberta in Edmonton, Canada.

Catherine J. Hwang, MD - An oculofacial plastic surgeon at Cleveland Clinic Foundation Cole Eye Institute.

Marie B. Somogyi, MD - An oculofacial plastic and reconstructive surgeon in private practice in Austin, Texas at Eyelid and Facial Plastic Surgery, and an affiliate faculty member in Ophthalmology at the University of Texas Dell Medical School.

Jonathan Hoenig, MD - An oculofacial plastic surgeon and Aesoppers fellowship director in private practice in Beverly Hills, California, and an affiliate professor of ophthalmology at the University of California, Los Angeles. 

Episode Summery

In this episode of the Oculofacial Podcast, host Dr. Kelsey Roelofs explores a series of insightful discussions with an expert panel on cutting-edge studies in the field of oculofacial plastic surgery, particularly focusing on topics including blepharoplasty complications, orbital implants, and hemorrhage following MMCR. 

The conversation kicks off with Dr. Marie B. Somogyi summarizing a study on postoperative hemorrhage following Mueller's muscle conjunctival resection (MMCR). They analyze the implications, risk factors, and offer practical tips for managing such complications. Next, Dr. Catherine J. Hwang sheds light on a robust study from Moorfields Eye Hospital on the efficacy of one-stage orbital volume modification for exposed and non-exposed orbital implants, emphasizing single-stage procedures' advantages. 

Continuing on, the discussion shifts to a review of two papers evaluating blepharoplasty complications, led by Dr. Jonathan Hoenig. These papers cover the risk of perforating and penetrating globe injuries during blepharoplasty, underscoring the diverse backgrounds of practitioners and the importance of procedural expertise.

Lastly, the episode delves into a large-scale study on the incidence of strabismus post-blepharoplasty from Massachusetts Eye and Ear, where they explore the potential mechanisms and prevention strategies for diplopia and strabismus following eyelid surgery. 

Key Takeaways:

• Postoperative Hemorrhage after MMCR: Hemorrhage occurred on average 4 days postoperatively in around 3% of cases, typically resolving with conservative management without affecting final outcomes. 

• Single-Stage Orbital Implant Surgery: Highlighted the success rate and benefits of single-stage surgeries for managing exposed and non-exposed implants and reducing the need for multiple interventions. 

• Blepharoplasty Safety -  Emphasizing safe practices including the potential complications arising from diverse practitioners performing eyelid surgeries and the necessity of meticulous preoperative planning and procedural caution. 

• Strabismus Post-Blepharoplasty: Installation of protocols to identify and mitigate risks related to lower blepharoplasty and its potential impact on extraocular muscles.

• Patient Follow-Up: Importance of close postoperative monitoring to ensure early identification and management of complications, including detailed patient communication and safety briefings. 

 

Produced by Dr. Lilangi Ediriwickrema Moderator: Dr. Nicole Langelier

Expert Panel Members: - Dr. Bobby Korn: Incorporating ChatBots into Your Oculofacial Practice - Dr. Pete Setabutr: Virtual Reality and Surgical Planning - Dr. Elizabeth Bradley: Facial Reanimation and Face Transplantation

Episode Summary: Join host Dr. Nicole Langelier in an enlightening episode of the Oculofacial podcast, where leading experts delve into the transformative technologies reshaping oculoplastic surgery. Dr. Bobby Korn introduces the compelling world of large language models and chatbots, illustrating their seamless integration into clinical practice and administration. Dr. Pete Setabutr follows with a discussion on the current and potential applications of virtual and augmented reality in surgical planning and education, painting a futuristic view of surgical training and execution. Dr. Elizabeth Bradley wraps up the podcast by sharing groundbreaking advancements in facial reanimation and face transplantation, highlighting a multidisciplinary collaboration at Mayo Clinic. . Key Takeaways: - AI Integration in Clinical Practice: Dr. Bobby Korn highlights the significant role of AI and chatbots in assisting with  administrative duties and clinical care.   - Virtual Reality for Surgical Training: Dr. Pete Setabutr discusses the implementation of VR and AR technologies in enhancing anatomical understanding and surgical precision, with an emphasis on ophthalmology training and education. - Facial Reanimation Innovations: Dr. Elizabeth Bradley shares advanced techniques such as using palmate longus tendon to support paralytic lower eyelid retraction and platysma muscle grafts with cross face nerve grafts for managing upper eyelid paralytic lagophthalmos. .Dr - Bradley also shares the role of technology and extensive collaboration among various specialties at Mayo Clinic in handling complex facial transplant cases. - Future of Oculoplastic Surgery: The speakers collectively forecast significant advancements in personalized AI-assisted surgery, comprehensive virtual reality applications, and envisioning a tech-driven transformation in patient care and surgical education.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

 

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

In the first of the TOP Surgical Battle Series, Dr. Natalie Homer (Stanford) moderates a debate between the frontalis sling (Dr. John Ng, OHSU) and frontalis muscle flap (Dr. Richard Allen, TOC Eye and Face) techniques for correction of myogenic ptosis.

In this episode, Dr. John Ng advocates for the frontalis sling procedure, emphasizing its straightforward nature, time-tested effectiveness, and adaptability. Dr. Ng discusses the various materials used, including silicone and fascia lata, and the procedure’s suitability for teaching and clinical practice. He addresses the potential for infection, material failure, and the cosmetic aspects of the procedure.

Dr. Richard Allen alternatively defends the frontalis muscle flap procedure, making a compelling case for its efficiency and durability. He details his comprehensive technique, incorporating elements such as levator resection. He shares his experience on patient outcomes, complications, and long-term results with this procedure. 

Key Takeaways:

• The frontalis sling procedure is known for its straightforward approach and adaptability, particularly useful in teaching environments and varying patient anatomies.
• A variety of materials can be used in the frontalis sling procedure, including silicone and fascia lata. Each material has its pros and cons, such as durability and infection risks.
• The frontalis muscle flap procedure can avoid the use of foreign materials, offering a potentially longer-lasting solution. The technique includes levator resection for optimal eyelid contour and function.
• Post-operative care and complication management, including lagophthalmos and dry eye, are critical regardless of the technique used.
• Both procedures have unique indications and may be chosen based on individual patient needs, anatomical considerations, and potential for future adjustments.

Notable Quotes:

1. “The advantage of the [frontalis] sling is…for teaching at a teaching institute. The anatomy and the procedure is a lot easier to teach and has a...shallower learning curve.” - Dr. John Ng
2. “The beauty of a frontalis flap procedure is that you’re making a single incision across the eyelid, at the eyelid crease.” - Dr. Richard Allen
3. “I think that if you don’t do it,…they’re gonna find someone that does.”- Dr. Richard Allen
4. “It’s…representation of how the materials and techniques have evolved over time, balancing traditional methods with newer innovative practices.” (Regarding the frontalis muscle flap procedure) - Dr. John Ng