The Oculofacial Podcast

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Dr. Natalie Hoesly hosts Dr. Anne Barmettler, Dr. Michael Kazim, and Dr. Reza Vagefi to a discussion of the nuances of lower eyelid retraction repair and a debate of the pros and cons of different spacer graft materials, including hard palate, ear cartilage and acellular dermal matrix.

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Join Dr. Grant Moore for an interview with 2025 ASOPRS President, Dr. Wendy Lee. In this episode, Dr. Lee discusses her pathway to becoming ASOPRS president, her term in office, progress on board certification, and how she balances life and work.

Fun fact: she's been to at least 9 countries this year.

Happy listening!

ASOPRS Website: Click Here In this episode of the Oculofacial podcast, host Dr. Cat Burkat engages with Dr. Francois Codere, Dr. Peter Dolman, and Prof. Geoffrey Rose who are all experts in the field of DCR (Dacryocystorhinostomy) to explore the complexities of tear drainage, surgical techniques, and the evolving understanding of the lacrimal system. The conversation covers the physiological aspects of tear drainage, the importance of surgical nuances, the role of silicone intubation, and the challenges faced in DCR surgeries. The experts share their insights, experiences, and light bulb moments that have shaped their approaches to DCR, while also addressing unanswered questions in the field.

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Join our host, Dr. Edith Reshef and esteemed guests Dr. Jonathan Lu, Dr. Seanna Grob, and Dr. Reza Vagefi in their discussion of the September-October issue of OPRS. Topics include utilization of serologic inflammatory markers in predicting orbital cellulitis severity, whether silicone cream is beneficial post-operatively for periorbital surgery, and management of refractive blepharospasm with partial orbicularis myectomy. Listen in to gain insight from our experts!

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In this engaging episode of The Oculofacial Podcast, host Dr. Christopher Dermarkarian and a distinguished panel explore the current research in oculofacial surgery, particularly focusing on the evolving role of artificial intelligence, the impacts of TED treatment with teprotumumab and the pitfalls of posterior ptosis repair. This episode draws rich insights from experts Dr. David Jordan, Dr. Louise Mawn, and Dr. Richard Allen as they dissect recent peer-reviewed studies, share practical experiences, and debate the shifting landscape of oculoplastic surgery and patient care.

The episode opens with an in-depth analysis of a recent study on artificial intelligence's application in oculoplastics, highlighting its potential to outperform human analysis in certain diagnostic tasks. Dr. Louise Mawn leads the conversation, detailing how AI is being used from clinical photographs to smartphone videos, emphasizing the need for transparency and ethical considerations as technology advances. Dr. Richard Allen underscores the healthcare implications of AI's integration, while Dr. David Jordan expresses cautious optimism, highlighting the necessity for continued clinical involvement and the ethical complexities that come with use of AI.

Further discussion shifts to thyroid eye disease, particularly focusing on teprotumumab. Dr. Allen leads this conversation, noting that Tepezza is not the "smoking gun" it was originally made out to be. The panel provides contrasting views, with Dr. Mawn lauding the drug's potential and Dr. Allen critiquing its financial burden. The conversation ties into broader themes about balancing innovation with traditional surgical expertise, exploring how new drugs might alter training and practice standards.

The final discussion navigates the complexities of posterior ptosis repair. This discussion is led by Dr. David Jordan. Interestingly, Dr. Jordan and Mawn shy away from posterior ptosis repair and Dr. Allen uses it regularly. What makes this more interesting is that all three come from similar clinical backgrounds, suggesting their experiences have truly guided their clinical practice. Dr. Allen notes how the posterior ptosis approach may be detracting from trainees' ability to perform a good anterior ptosis repair.

ASOPRS Website: Click Here Now on TOP: Join hosts Dr. Cat Burkat, Dr. Deepak Ramesh, and Dr. Grant Moore for a recap of the 2025 ASOPRS Fall Scientific Symposium. In this episode, we explore what goes into planning and producing the Fall Symposium with Dr. Nick Mahoney (Fall 2025 Scientific Symposium Chair), "game changing" research presentations, and interview this year's Quickert Award finalists. Additional Interviewees include: - Dr. Hakan Demirci (Orbital Rituximab in the treatment of Xanthogranulomatous Disease) - Dr. Robert Goldberg (Titanium Strut Bar in Inferomedial Blow-out Fractures) - Dr. Altug Cetinkaya - Dr. Can Ozturkern - Dr. Kevin Wu (Aprepitant for Oculoplastic Surgeries) - Dr. Carisa Bohnak (Immune Checkpoint Expression in Orbitally Invasive Sinonasal Undifferentiated Carcinoma) - Dr. Jeremiah Tao (Quality of Facial Photographs in OPRS)

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Have you ever wanted to know more about aesthetic lasers, but don't know where to start? Confused by the lingo? Join Dr. Nicole Langelier as she takes Dr. Christina Choe and Dr. Sandy Zhang-Nunes through a whirlwind tour of laser physics, laser terminology, and laser-tissue interactions. We'll explain how lasers work, discuss selective photothermolysis, cover basic skin anatomy, and define workhorse terms like chromophore, wavelength, joules, watts, fluence, thermal relaxation time, and pulse width. Consider this the prequel to upcoming episodes on the clinical uses of ablative laser resurfacing, non-ablative laser resurfacing, light and energy based devices. By understanding the language and core scientific concepts of lasers, we hope to make you a safer and more educated laser provider! Corrections/Clarifications: - Blood vessels are lined by endothelium (not epithelium) - The skin registers pain from heat at 45C, but may occur between 43-44C with variability based on the time of exposure and area of exposure (I stated it occurs at 42C) https://www.cardinalhealth.com/content/dam/corp/web/documents/whitepaper/cardinal-health-localized-temperature-therapy%20White%20Paper.pdf - The exact number varies by source, but waters absorbs the erbium 2940nm wavelength 10-20 times more efficiently than it absorbs the CO2 10,600nm wavelength (I said 30 times) - Clarification: Eyelid skin is thinner closer to the lashes and on the medial aspect of the eyelid as compared to skin further from the lashes and the lateral aspect of the eyelid. A study in Korean skin by Hwang et al found the thickest part of the eyelid to be just below the eyebrow (1.127 +/- 238um) with the thinnest skin near the ciliary margin 320 +/- 49um). Jeong et al found that epidermal thickness is similar between genders while men had thicker reticular dermis than women and skin thickness was not correlated with BMI. - The UV wavelengths range from 100nm - 400nm. UVC: 100nm - 280nm; UVB: 280nm-315nm; UVA: 315-400. (I used single wavelength numbers rather than a range for ease of explanation). Citations for skin thickness: Full thickness punch biopsies from cadaver heads processed with paraffin-embedded slides: Karan Chopra, Daniel Calva, Michael Sosin, Kashyap Komarraju Tadisina, Abhishake Banda, Carla De La Cruz, Muhammad R. Chaudhry, Teklu Legesse, Cinithia B. Drachenberg, Paul N. Manson, Michael R. Christy, A Comprehensive Examination of Topographic Thickness of Skin in the Human Face, Aesthetic Surgery Journal, Volume 35, Issue 8, November/December 2015, Pages 1007–1013, https://doi.org/10.1093/asj/sjv079 Ultrasonographic measurements in live participants: Jeong KM, Seo JY, Kim A, Kim YC, Baek YS, Oh CH, Jeon J. Ultrasonographic analysis of facial skin thickness in relation to age, site, sex, and body mass index. Skin Res Technol. 2023 Aug;29(8):e13426. doi: 10.1111/srt.13426. PMID: 37632182; PMCID: PMC10370326. Cut and trichrome stained specimens from fresh cadavers Hwang, Kun MD, PhD*; Kim, Dae Joong PhD†; Hwang, Se Ho†. Thickness of Korean Upper Eyelid Skin at Different Levels. Journal of Craniofacial Surgery 17(1):p 54-56, January 2006. | DOI: 10.1097/01.scs.0000188347.06365.a0

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Join Dr. Natalie Homer hosts Dr. David Jordan and Dr. Stuart Seiff as they debate the advantages and disadvantages of these two implant types and discuss technique nuances of enucleation and evisceration surgery.

ASOPRS Foundation: https://www.asoprsfoundation.org/donate In this episode, we dive into Trans-Orbital Neuro-Endoscopic Surgery, or TONES — a cutting-edge approach to accessing the skull base via the orbit. We're joined by leading experts to explore the indications, techniques, and future of this rapidly growing field. Whether you're a seasoned surgeon or just curious about the frontiers of orbital surgery, this is a conversation you won't want to miss.

Dr. Deepak Ramesh hosts an expert panel featuring Drs. Robert Schwarcz, Pat Flaherty, and John Martin, who delve into transitioning medical practices into cosmetic-focused operations. These seasoned professionals share personal stories and insights on overcoming industry challenges, enhancing surgical skills, and expanding practice reach. They discuss topics like building accredited operating rooms and the importance of training and certifications in cosmetic surgery. With practical advice on career transitions and marketing strategies, this episode is a must-listen for aspiring cosmetic surgeons seeking to thrive in a competitive field.

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