The Oculofacial Podcast

In this episode of TOP, we discuss customized facial implants in aesthetic surgery, as well as pearls for when to use and not to use facial implants with Dr. Barry Eppley, Dr. Robert Glasgold, and Dr. Deepak Ramesh Dr. Barry Eppley - https://www.instagram.com/dreppley/ Dr. Robert Glasgold - https://www.instagram.com/drglasgold/ 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

Join Dr. Kian Eftekhari as he hosts Dr. Dan Straka and Dr. Maryam Nazemzadeh for a captivating discussion on the transformative power of social media in oculofacial surgery. Discover how both experts leverage social platforms to connect globally, educate patients, and build their practices. Dan and Maryam share insights into their personal journeys, offer tips for generating engaging content, and discuss maintaining authenticity in a digital world. Gain practical advice from these leading figures on navigating the challenges and maximizing the opportunities social media offers in medical practice. Follow on Instagram Dr. Kian Eftekhari @drkiane Dr. Maryam Nazemzadeh @drmaryamnaz Dr. Dan Straka @drdanstraka 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 this episode of TOP, we discuss facial implants in aging face surgery, as well as patient-specific implants for oculofacial reconstructio with Drs, Raymond Cho, Deepak Ramesh, and Jow Niamtu. 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

Have you ever wondered about the different dials, switches, and settings on your digital camera or how to make your before-and-after photos sharper and more consistent? This episode covers digital camera settings and explores different patient photography setups to help listeners determine what can best fit the needs of their practices. Guests: Jason Johnson- Founder and CEO of Simple Studios. Jason has been a professional photographer for over 15 years and has served as the chief clinical photographer for several product launches. In his segment, Jason educates listeners on digital cameras, lenses, camera settings, and how to adjust these settings for optimal before-and-after photos. If you have questions for Jason, you can email him at jason@simplestudios.pro or visit the Simple Studios website (www.simplestudios.pro) Dr. Nicole Langelier- Oculofacial Plastic Surgeon, Private Practice, Richmond, Virginia. Dr. Langelier takes all of her before-and-after patient photos on an iPhone 13. Her photos maximize the capabilities of the iPhone's camera, and she shares her tips on patient positioning, controlling room lighting, and optimizing color correction. You can see her photos @drlangelier on Instagram. Dr. Eric Hamill- Oculofacial Plastic Surgeon, Private Practice, Bellaire, Texas. Dr. Hamill uses a digital-SLR camera in a dedicated photo room for his patient photos. He educates listeners on optimal lighting, patient positioning, lens choice, and how he acquired his photography equipment (It's not as expensive as you might think!). You can see his photos @erichamillmd on Instagram. Dr. Allan Wulc- Oculofacial Plastic Surgeon, Private Practice, Philadelphia, Pennsylvania. Dr. Wulc has used a few different camera setups over the course of his career, and he currently uses both a Canfield IntelliStand and Canfield Vectra in a dedicated photo room for his patient photos.  Dr. Wulc shares his experience with the Canfield system and provides pearls that will help surgeons take superb before-and-after photos with any camera set up. You can see his photos @dr.allanwulc on Instagram. Episode Host: Dr. Grant Moore- Oculofacial Plastic Surgeon, Private Practice, Phoenix and Scottsdale, Arizona. Dr. Moore uses a mirrorless digital camera for his patient photos. You can see his photos @drgrantmoore on Instagram. 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

Dr. Natalie Homer hosts Dr. Guy Massry, Dr. Sean Blayden and Dr. Deepak Ramesh as they discuss surgical nuances of endoscopic forehead lifting, including a debate on the necessity of paracentral fixation and their preferred fixation techniques.   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

On this week's episode of The Oculofacial Podcast, host Phil Tenzel and guests Zac Keenum and David Della Rocca discuss utility of phenylephrine testing in mullerectomy planning, an ultra-low-dose radiotherapy regimen for treatment of ocular adnexal lymphoma, and comparing two different surgical approaches of treating periocular melanoma in situ. Resources: American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS): asoprs.org   

Participant names: Dr. Evan Kalin-Hajdu (host), Dr. Jeffrey A. Nerad (panelist), Dr. David Jordan (panelist), Dr. Robert C. Kersten (panelist) Episode Summary Dr. Evan Kalin-Hajdu hosts this episode of The Oculofacial Podcast. Dr. Kalin-Hajdu is an assistant professor of Ophthalmology at the University of Montreal in the division of Oculofacial Plastic Surgery. The panel includes Dr. Jeffrey A. Nerad, Dr. David Jordan, and Dr. Robert C. Kersten. Dr. Nerad is an Oculofacial Plastic Surgeon in private practice in Cincinnati, Dr. Jordan is a Professor of Ophthalmology at the University of Ottawa in the division of Oculofacial Plastic Surgery, and Dr. Kersten is a Professor of Ophthalmology at the Moran Eye Center at the University of Utah in the division of Oculofacial Plastic Surgery. Drs. Nerad, Jordan and Kersten are icons of the field of Oculofacial Plastic Surgery. Combined, they have nearly 700 peer reviewed publications and an innumerable list of awards, guest speakerships, textbooks, and book chapters. Dr. Kalin-Hajdu engages these three legendary panelists to discuss their most memorable cases. The incredible cases touch subjects ranging from psychiatry to oncology to nutrient deficiencies. Resources: American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS): asoprs.org  Journals and Publications for related case studies, such as Survey of Ophthalmology We invite you to delve into the full episode for these extraordinary and educational case discussions. Stay tuned to the Oculofacial Podcast for more inspiring content and insights from the world of oculoplastic and reconstructive surgery.

Dr. Davin Ashraf is an Assistant Professor of Ophthalmology at the Casey Eye Institute (Oregon Health and Science University) in the division of Oculofacial Plastic Surgery. He acts as host in this episode of the Oculofacial Podcast. Dr. Robert Kersten is a Professor and ASOPRS Fellowship Program Director at the Moran Eye Center (University of Utah) within the division of Oculoplastic and Facial Plastic Surgery. Dr. Shravani Mikkilineni is an oculofacial surgeon in private practice at Consultants in Ophthalmic and Facial Plastic Surgery in the metro Detroit area. Dr. Emily Li is an Assistant Professor at the Wilmer Eye Institute (Johns Hopkins University). Episode Summary: Dive into the November-December 2024 issue of Oculofacial Plastic and Reconstructive Surgery (OPRS) as Dr. Davin Ashraf leads engaging discussions with expert colleagues Dr. Robert Kersten, Dr. Shravani Mikkilineni, and Dr. Emily Li. The episode covers cutting-edge topics and insightful research findings in oculoplastic surgery, providing listeners with an in-depth understanding of the latest surgical techniques and postoperative outcomes in the specialty. Dr. Robert Kersten initiates the podcast with an exploration of the phenylephrine test's influence on the outcomes of external levator advancement surgery. Key discussions revolve around the phenylephrine's role in selecting the appropriate approach to ptosis surgery and its implication for eyelid compliance. Following this, Dr. Shravani Mikkilineni highlights significant corneal astigmatism changes post-levator surgery, sparking considerations for toric intraocular lens surgery timing. Dr. Emily Li concludes the episode by presenting an innovative surgical technique to address punctal stenosis, prompting dialogue on traditional methods' efficacy. Together, these discussions offer a comprehensive look into evolving methodologies and patient management strategies in oculoplastic surgery. Key Takeaways: Phenylephrine Test Utilization: Dr. Kersten discusses how phenylephrine positive patients had better outcomes in external levator resection and challenges common practices involving phenylephrine tests. Corneal Astigmatism Considerations: Changes in corneal astigmatism post-levator surgery could impact future toric IOL procedures, emphasizing the need for careful preoperative evaluation. Novel Approach to Punctoplasty: The podcast explores traditional versus novel techniques in handling punctal stenosis, weighing practicality against surgical outcomes. Resources: Casey Eye Institute, Oregon Health and Science University Moran Eye Center, University of Utah Wilmer Eye Institute, Johns Hopkins University Consultants in Ophthalmic and Facial Plastic Surgery Explore this enlightening episode to gain valuable insights and stay informed about critical topics in the field of oculoplastic surgery. Be sure to tune in for future episodes filled with expert discussions and cutting-edge discoveries in ophthalmology.  

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). 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" about avoiding pretarsal denervation in lower blepharoplasty incisions. 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: “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 “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 “I think that if you don't do it,…they're gonna find someone that does.”- Dr. Richard Allen “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

Join Dr. Kian Eftekhari in this insightful episode of the Oculofacial Podcast where he explores the field of oculoplastic surgery as a career option for ophthalmology residents. Dr. Eftekhari, based in Salt Lake City, Utah, is accompanied by two esteemed colleagues, Dr. Cat Burkat (current ASOPRS Fellowship Education Director and AUPO Oculofacial Plastic Surgery Manager) and Dr. Seanna Grob (Young ASOPRS Chair). Given their unique roles and perspectives, together they delve into the diverse and expanding scope of oculoplastic surgery, its unique blend of artistic and medical practices, and the personal journeys that led them to pursue this fascinating specialty. The discussion opens with Dr. Burkat describing the breadth of oculoplastic surgery, highlighting procedures from lacrimal system surgery, pediatric oculoplastics, droopy eyelids, thyroid eye disease, to orbital tumors and aesthetic enhancements. Dr. Grob adds that the field allows practitioners to evolve their interests and specialize as their careers progress. Both emphasize the importance of mentorship and connections within the oculoplastic community, which plays a crucial role in fostering interest and skill development in the field. These relationships can help provide collaborations that can be beneficial for fellowship applications, as well as for long-term career aspirations. Dr. Burkat also emphasizes that the ASOPRS-approved Oculofacial Plastic fellowships have a long-standing reputation of excellent training and are carefully selected to provide the best fellowship education for patient care. The episode transitions into the specifics of academic oculoplastic surgery, discussing the dynamic nature of clinic and OR schedules, the collaboration with other specialties, and the rich opportunities for teaching and research. Key Takeaways: The Scope of Oculoplastic Surgery: Oculoplastic surgery encompasses lacrimal system surgery, orbital tumors, trauma, eyelid surgeries, pediatric conditions, aesthetics, and more, offering a wide variety of challenges and opportunities. Mentorship and Connection: Building relationships with mentors in the field is crucial for personal and professional growth, creating a supportive environment for learning and innovation. Life as an Academic Oculoplastic Surgeon: This career path includes a mix of clinical work, surgery, research, and teaching, allowing for a diverse and exciting professional experience. Differentiating Fellowships: ASOPRS-approved fellowships are comprehensive and rigorous, spanning two years to ensure high-level training and expertise in the field. An ASOPRS-approved fellowship is respected and recognized by other specialties, and is often highly desirable for career and leadership advancement. Flexibility and Career Phases: The field allows for career evolution, enabling surgeons to shift between academic and private practice and adjust their focus as their careers develop. Notable Quotes: “We see some patients for a specific surgery that we take care of, and they are happy and move on. But we also have patients that we follow over many years and have a longer relationship with, which is like the best of both worlds.” - Dr. Cat Burkat “In terms of academics, I really like the variety of things that I do during the day, and I don't think that's just unique to academics.” - Dr. Seanna Grob “Our field is really just bursting through the seams in recent years. And I do agree [our members] are the best of the best.” - Dr. Cat Burkat “Dealing with such a unique part of the body, like the eyes, they're a beautiful part of our anatomy.” - Dr. Seanna Grob “It's important to be in a place where you feel comfortable, where you can take what that person's teaching you and really make it in your own practice.” - Dr. Kian Eftekhari Resources: American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS): https://www.asoprs.org University of Wisconsin Madison - Department of Ophthalmology and Visual Sciences: https://www.ophth.wisc.edu/ UC Irvine - Gavin Herbert Eye Institute: https://www.eye.uci.edu/ 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

This highly engaging episode will give you a comprehensive look at the journey of ASOPRS and the luminaries whose contributions continue to shape the future of this field.  About the Guests: Dr. David B. Samimi, MD: An esteemed oculoplastic surgeon based in Los Angeles, Dr. Samimi is driven by his passion for the history and future of oculoplastic surgery. He has trained under many prominent figures in the field and brings a wealth of experience and insightful storytelling to the discussion. Dr. Steven C. Dresner, MD: A pioneer in orbital implants and aesthetic surgery, Dr. Dresner is a leading figure in oculoplastic surgery, teaching at USC and known for his captivating stories and deep knowledge of the field's history. Sadly, Dr Dresner passed away 2 weeks after this recording. We are fortunate to have his animated story telling captured here.  Dr. Jill A. Foster, MD: Operating out of Ohio, Dr. Foster is renowned for her expertise in both functional and aesthetic surgery. She trained with Bill Katowitz and works at the Ophthalmic Surgery Consultants of Ohio. Dr. Michael Hawes, MD: Based in Colorado, Dr. Hawes is celebrated for his innovations in eyelid reconstructive surgeries. He recently retired after a distinguished career, having worked with numerous people and served as a key figure in the field's development. Dr. David M. Reifler, MD: An authority on the history of oculoplastic surgery, Dr. Reifler has documented the evolution of this field via his books. He trained in Manhattan and now enjoys retirement across Austin and Michigan. Host Dr. David B. Samimi engages with prominent oculoplastic surgeons Drs. Steven C. Dresner, Jill A. Foster, Michael Hawes, and David M. Reifler. They delve into the fascinating history of oculoplastic surgery and its evolution, highlighting the contributions of the founding figures, the development of fellowship training, and the transformative events that have shaped the field today. Listeners will gain insight into the establishment of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and how its meetings foster collaboration and progress in this specialized area. The discussion covers both the noble beginnings from war and trauma care and the more personal anecdotes from early days, offering a captivating mix of technical evolution and personal stories within the profession. Key Takeaways: Historical Origins: The roots of oculoplastic surgery tie back to trauma and war, with foundational figures such as Wendell Hughes and Byron Smith pushing the field forward. Fellowship Training: Evolution from informal observerships to structured fellowship programs marked significant progress in the specialized training of oculoplastic surgeons. Influential Figures: Notable mentors like Dr. Henry Baylis and Dr. Richard Dortzbach significantly contributed to oculoplastic surgery's growth and modern practices. Gender Pioneers: Early female surgeons like Dr. Virginia Lubkin and Dr. Bernice Brown played crucial roles in breaking barriers within the specialty. Evolving Practices: The panel discusses the importance of maintaining excellence and mentorship while acknowledging shifts in practice dynamics towards aesthetics and broader surgical capabilities. Resources: Dr. David B. Samimi's Profile on ASOPRS: asoprs.org Dr. David M. Reifler's Books: “ASOPRS: The First 25 Years” and “ASOPRS: The Next 50 Years” available on the ASOPRS website. Jeremiah Tao's Chapter on Mentorship with the ASOPRS Family Tree: Available in the ASOPRS 50th Anniversary book on asoprs.org  

About the Guest(s): Dr. Richard Dortzbach: A pioneering figure in oculofacial surgery, Dr. Richard Dortzbach, affectionately known as “Dortz,” was the first fellowship-trained oculoplastic surgeon at the University of Wisconsin - Madison. Over his illustrious career, he trained 19 fellows and significantly influenced the field through his contributions to both clinical practice and education. Notably, Dr. Dortzbach held the Pa Noh professorship at UW-Madison and served in numerous leadership roles within the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), including President in 1995. Dr. Mark Lucarelli: Dr. Mark Lucarelli is an esteemed colleague of Dr. Dortzbach and his final fellow. He has continued the tradition of excellence in oculofacial surgery as a distinguished member of the UW-Madison faculty. Dr. Lucarelli is highly respected for his contributions to both patient care and the education of future oculoplastic surgeons. He has been an ASOPRS fellowship program director since 2005 and served as President in 2020. Dr. Suzanne van Landingham: Dr. Suzanne van Landingham is an assistant professor of oculofacial surgery at UW-Madison and a former fellow of Dr. Lucarelli. She plays a vital role in ongoing educational efforts and upholding the high standards set by her predecessors. Episode Summary: In this insightful episode of TOP (The Oculofacial Plastic Surgery podcast), Dr. Mark Lucarelli and Dr. Suzanne van Landingham sit down with Dr. Richard Dortzbach, a towering figure in oculofacial surgery. They delve into Dr. Dortzbach's impactful career, exploring his journey as the first fellowship-trained oculoplastic surgeon at the University of Wisconsin - Madison and his extraordinary dedication to teaching and patient care. From pioneering procedures dating back to the times of Hammurabi to the modern-day complexities of oculoplastic surgery, Dr. Dortzbach discusses the evolution of the specialty. The conversation highlights key milestones such as the establishment and growth of ASOPRS and the invaluable legacy left through his fellowship program. The episode offers a wealth of insights into educational excellence, mentorship, and the profound impact of Dr. Dortzbach's work on numerous generations of surgeons. Key Takeaways: Evolution of Oculoplastic Surgery: Dr. Dortzbach shares compelling anecdotes about the specialty's origins,  including significant contributions from early pioneers and the formalization of ASOPRS. The Importance of Fellowship and Mentorship: Emphasizing continuous learning and teaching, Dr. Dortzbach underlines the value of fellowship training and how it has shaped the landscape of oculofacial surgery. Scientific Contributions and Publications: Dortz discusses his most impactful research and educational materials, including his seminal textbook and the prestigious White Coat Society. Lessons and Aphorisms: Dr. Dortzbach's pearls of wisdom, such as the necessity of patient-centered care and his distinctive mottos that continue to influence his trainees. Balancing Professional and Personal Life: Insights into maintaining a work-life balance and the importance of family and personal milestones in a demanding medical career. Notable Quotes: Dr. Richard Dortzbach: “The most important thing is to always focus on the patient.” Dr. Mark Lucarelli: “Dortz, you really established the concept of “fellowship family”.” Dr. Richard Dortzbach: “Commitment only, no lip service.” Dr. Suzanne van Landingham: “You've also done a lot to foster community in your fellowship graduates.” Dr. Richard Dortzbach: “Education in all aspects is really the key for trainees.” Resources: ASOPRS Website  

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 this insightful episode of The Oculofacial Podcast, Dr. Christy Nelson sits down with Dr. Sara Wester and Dr. Parag Gandhi to discuss the exciting and rewarding world of global outreach in oculoplastic surgery. This episode delves into personal narratives from their international experiences, the impact of their work, and the comprehensive efforts led by the ASOPRS Global Opportunities Committee in making oculoplastic care accessible worldwide. Listeners will discover how Dr. Wester and Dr. Gandhi first got involved in global health initiatives and the profound personal and professional impacts of these experiences. From overcoming logistical challenges to the joy of teaching and learning in diverse cultural settings, the episode is packed with rich, first-hand insights and practical advice. They also discuss current projects, partnerships like the Honduras fellowship with Ace Global, and provide actionable tips for those interested in starting their own global outreach work. Key Takeaways: Getting Started in Global Outreach: Dr. Wester and Dr. Gandhi stress the importance of starting small and leveraging existing connections and organizations for initial trips. Impact of International Work: Personal stories highlight how global outreach can be both humbling and empowering, offering unique opportunities to learn and teach. Specific Challenges: Overcoming hurdles such as varying medical equipment availability, cultural differences, and adapting to different surgical environments. Sustainable Programs: Both doctors emphasize the importance of education and creating sustainable programs that continue to benefit communities long-term. Global Opportunities Committee: The committee's efforts in providing resources, networking opportunities, and structured programs for ASOPRS members interested in international outreach. Notable Quotes: “I've always kind of loved feeling a little bit out of my comfort zone and these opportunities push me in unique ways.” - Dr. Sara Wester “Outreach doesn't always have to be overseas. One can work locally with nonprofits like Lions International to develop programs for the underserved in state.” - Dr. Parag Gandhi “ I've experienced gratitude in these experiences that is truly unique” - Dr. Sara Wester “One should note there are many reasons to get interested in international work. It's really kind of a very individual driver.” - Dr. Parag Gandhi “You have to adapt to different surgical environments, different equipment, and different team structures.” - Dr. Sara Wester Resources: Virtue Foundation: Website Orbis International: Website Seva Foundation: Website  

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 Dr. Evan Kalin-Hajdu - Assistant Professor of Ophthalmology at the University of Montreal. Dr. Kalin-Hajdu is the host of the current "Oculofacial Podcast Journal Club". Dr. Bryan J. Winn - Professor of Ophthalmology and Vice Chair and Division Director for Oculofacial Plastic Surgery at UCSF. He also serves as the Chief of Ophthalmology at the San Francisco VA Healthcare System. Dr. Davin Ashraf - Assistant Professor of Ophthalmology at Oregon Health & Science University (OHSU). Dr. Kyle J. Godfrey - Assistant Professor of Ophthalmology at Weill Cornell Medicine and the New York Presbyterian Hospital. He is also the Director of the Ophthalmology Residency Program and a member of the Departments of Ophthalmology and Neurological Surgery. Episode Summary: In this engaging episode of the Oculofacial Podcast Journal Club, distinguished host Dr. Evan Kalin-Hajdu from the University of Montreal is joined by renowned experts Dr. Bryan J. Winn, Dr. Davin Ashraf, and Dr. Kyle J. Godfrey to discuss three key articles from the May-June 2024 issue of the Ophthalmic Plastic and Reconstructive Surgery (OPRS) journal. The discussion delves into short-term versus long-term results of teprotumumab, a more custom management of patients with thyroid eye diseases, as well as rapidly popular transorbital surgery. The episode begins with Dr. Bryan J. Winn summarizing an article on teprotumumab for recalcitrant thyroid eye disease. The panelists then discuss the strengths and weaknesses of the paper, highlighting the medication's short-term effectiveness but raising concerns about its long-term durability. Following this, Dr. Davin Ashraf provides insights into a study that compared teprotumumab versus orbital decompression for thyroid eye disease, highlighting the likely additive effects of these combined treatments, but also raising compelling points about regression of proptosis that was only observed in the teprotumumab group. Dr. Kyle J. Godfrey then wraps up with an in-depth look at a novel transorbital endoscopic approach to the foramen rotundum for infraorbital nerve stripping, emphasizing the technique's potential utility, risks, and anatomical considerations. The participants then discussed the growing popularity of transorbital surgery from the standpoint of oculofacial plastic surgeons. Key Takeaways: Teprotumumab's Effectiveness: Teprotumumab shows significant short-term efficacy in reducing proptosis and clinical activity scores in recalcitrant thyroid eye disease, but data on long-term durability remains unknown in that cohort. Teprotumumab versus decompression: Combining teprotumumab with orbital decompression may provide additive benefits for proptosis reduction. Surgical decompression provides the greatest proptosis reduction and does not appear to wane in time. However, patients treated solely with teprotumumab appear to start regressing within months of therapy. Evolving Treatment Protocols: The participants theorize a potential shift in managing thyroid eye disease, gradually incorporating a more evidence-based approach with an effective short-term modulator, like teprotumumab, followed by a long-term disease modifier, like tocilizumab or radiation therapy. Advanced Surgical Techniques: Introducing a transorbital endoscopic approach for infraorbital nerve stripping could expand the surgical arsenal for managing complex orbital and perineural pathologies. Resources: Dr. Evan Kalin-Hajdu: University of Montreal Dr. Bryan J. Winn: UCSF Department of Ophthalmology Dr. Davin Ashraf: OHSU Knight Cancer Institute Dr. Kyle J. Godfrey: Weill Cornell Medicine

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. Sandy Zhang Nunes: Sandy is a seasoned Oculoplastic Surgeon with approximately ten years of experience at USC. She has published papers on the use of light therapies to treat dry eyes and contributes significantly to the field with her knowledge of aesthetics and laser technologies. Dr. Laura Perriman: Based in Seattle, Dr. Perriman runs a private practice where she specializes in cornea and external disease. Known as the "Dry Eye Master," she leverages her Instagram platform to share extensive knowledge on treating dry eyes with advanced light devices. Dr. James Chilnis: Practicing in Manhattan Eye and face and serving as volunteer faculty at Mount Sinai, Dr. Chilnis has spoken on laser technology at prestigious ophthalmology courses. He brings a wealth of experience in private practice to the discussion. Dr. Annaise Carnesieu: With valuable practical knowledge in both intense pulse light and broadband light, Dr. Carnesieu draws from her background in private practice in Westchester to contribute to the conversation on light therapies for ocular conditions. Episode Summary: In this enlightening episode of The Oculofacial Podcast, host Dr. Julie Woodward leads an insightful discussion with four esteemed experts on the innovative use of light therapies for treating dry eye conditions. The talk covers intricate details and theories behind technologies such as intense pulse light (IPL) and broadband light (BBL), unveiling the impact on ocular health. Diving into the subject matter, Dr. Sandy Zhang Nunes shares her transitional journey from facial aesthetics to the world of dry eye treatment, highlighting how light therapies have evolved to offer relief to patients. This is paralleled by Dr. Laura Perriman's own experiences, who has noticed incidental improvements in dry eyes from aesthetic treatments. Dr. James Chilnis brings a perspective on treating diverse conditions such as thyroid eye disease with light therapies and contemplates the future of these treatments. Lastly, Dr. Annaise Carnesieu discusses the importance of targeting the underlying problems of dry eye with meticulous treatments around the eyelids. Key Takeaways: IPL and BBL are effective light-based treatments for managing dry eye symptoms and meibomian gland dysfunction (MGD). There are varying approaches and protocols for treating the eyelid margins, with some experts opting for direct treatment and others focusing on adjacent areas. The discussion includes acknowledgment of associated conditions such as blepharospasm and the potential systemic benefits of light therapy in dry eye patients. Debates on the use of corneal shields during treatments highlight differing opinions on safety and patient comfort. Insurance coverage for light-based dry eye treatments remains a largely out-of-pocket expense for patients, reflecting the ongoing challenge of integrating new modalities into established healthcare systems.

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: Scott M. Goldstein, MD: Dr. Scott Goldstein, Oculofacial Plastic Surgeon in the Philadelphia, PA area is the current Finance Director of ASOPRS, an adjunct Associate Professor of Ophthalmology at the University of Pennsylvania and a busy clinician dedicated to helping patients of all ages. He is also involved in promoting medical education as well as advocacy for patients & the field of ophthalmology. John Holds, MD, Ophthalmic Plastic Surgeon: Dr. John Holds is an esteemed ophthalmic plastic surgeon based in St. Louis, Missouri. An integral part of the ASOPRS community, Dr. Holds is the chair of the ASOPRS Foundation Board and has made substantial contributions to its growth. James Chris Fleming, MD, FACS: Dr. Fleming is the past chair of the Hamilton Eye Institute, University of Tennessee Department of Ophthalmology and past president of ASOPRS. With significant experience in oculofacial plastic surgery, he has been a key figure in the early operations of the ASOPRS Foundation and involvement in several humanitarian endeavors. Ralph E. Wesley, MD: Dr. Wesley is an influential former president of ASOPRS and a critical force in the establishment and operation of the ASOPRS Foundation. His professional journey started at Emory and progressed to Vanderbilt, contributing to the evolution of oculoplastic surgery as a recognized subspecialty. Craig N Czyz DO: Dr. Craig Czyz is an active and generous member of the ASOPRS Foundation Board. Practicing in Columbus, Ohio, he brings new insights to the board, emphasizing the importance of integrating new members and legacy donations. In this remarkable episode, we venture into the charitable realm of the ASOPRS Foundation, exploring its multifaceted contributions to education, humanitarian initiatives, and research in oculofacial plastic surgery. Showcasing the foundation's journey, the episode brings together pioneers like Drs. John Holds, Chris Fleming, Ralph Wesley, and the newest board member, Craig Czyz, to shed light on the organization's milestones, significant projects, and vision for the future. As we delve into the valued traditions and the ongoing mission of nurturing global talent in oculofacial plastic surgery, our guests recount anecdotal experiences, guiding principles, and the ASOPRS Foundation's unique role in advancing the field. Their discussions highlight the power of collective philanthropy and how strategic humanitarian efforts shape the landscape of oculoplastic surgery worldwide. This episode not only addresses the essence of the foundation but also reinforces the impact of individual contributions to sustain and propel its endeavors. Key Takeaways: The ASOPRS Foundation is essential in supporting education, humanitarian projects, and research in oculofacial plastic surgery. Key contributions have been used to fund lectures and honor distinguished society members, while also emphasizing the need for wider member participation. Projects have spanned from practical courses to training oculoplastic surgeons in underserved areas like Ethiopia and Honduras. The integration of new members and fostering diversity within ASOPRS through grants and educational support is paramount. Legacy donations are highly encouraged to ensure the foundation's future growth and capabilities. Visit ASOPRSFoundation.org to learn more and donate Notable Quotes: "You make a living by what you earn. You make a life by what you give away." - Ralph E. Wesley, MD "The main thing I see is the foundation needs to get some big, audacious goals and make something." - Ralph E. Wesley, MD "If every single ASOPRS member would give us $100 a year, I could probably fund a lot more projects." - John Holds, MD "You have to do good things with the foundation and figure out how to do that." - James Chris Fleming, MD, FACS

About the Guest(s): Catherine Maley, MBA, is an accomplished author and a recognized consultant with over 25 years of experience working with plastic surgeons. Her expertise lies in patient attraction and conversion in the aesthetic practice niche. She is known for her book "Your Aesthetic Practice," where she provides strategic insights into efficiently running a clinic and maximizing patient satisfaction within the cosmetic surgery industry. With an MBA and entrepreneurial acumen, Catherine brings a unique perspective to the medical community, focusing on the intersection of healthcare and client experience. Episode Summary: In this episode of The Oculofacial Podcast, Dr. Kian Eftekhari and Dr. John Martin dive into the specifics of transitioning from functional to aesthetic surgery with special guest Catherine Maley, MBA. Catherine lends her extensive expertise to the conversation, providing critical strategies that empower surgeons to enhance their clinic management and customer interactions in the field of aesthetics. Catherine shares invaluable insights into the nuanced approach required to cater to aesthetic patients as opposed to those seeking functional surgery. She emphasizes the importance of understanding patient expectations and customizing the patient experience in a practice. Her discussion includes practical tips on managing the operational aspects such as phone answering protocols, consultation structures, and staff-patient interaction, all crucial for driving a successful aesthetic practice. Key Takeaways: Surgeons transitioning to aesthetics must adapt to a service-oriented patient experience, focusing on customer service and nurturing the patient journey. The customer experience is central to a successful aesthetic practice, from the first phone call to postoperative care. Having a dedicated aesthetic coordinator can significantly increase conversion rates by being the patient's advocate within the clinic. It's vital to distinguish and market the unique skill set of oculoplastic surgeons, particularly to patients who may not be aware of the specialized treatments these surgeons offer. Practices should gradually integrate cosmetic services for existing patients and invest in marketing and staff training to foster growth. Notable Quotes: "Patients who like you don't sue you." - Catherine Maley "Your staff can really be such an asset to you." - Catherine Maley "There's only a few of you. So honestly, as long as you can just stay with it, be persistent, and adapt as the world changes, you're fine." - Catherine Maley "Patients who love you will absolutely be your sales ambassadors if you take care of them." - Catherine Maley Resources: Catherine Maley's website: CatherineMaley.com Book: "Your Aesthetic Practice" by Catherine Maley Catherine Maley's podcast "Beauty and the Biz” 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: Dr. Don Kikkawa is a respected figure in the field of ophthalmology, serving as a professor at the University of California, San Diego Shiley Eye Institute. As a former president of ASOPRS, he holds the prestigious Hollander Chair and boasts considerable expertise in the realm of thyroid eye disease treatments, contributing extensively to scholarly research. Dr. Cesar A. Briceno is an accomplished advisory dean and associate professor of ophthalmology at the University of Pennsylvania Scheie Eye Institute. His professional journey has been marked by a keen focus on cutting-edge clinical trials and advancements in the autoimmune aspects of ocular disease. Dr. Kira L. Segal is an oculofacial surgeon practicing at the Ultra Self Advanced Facial Aesthetic Center in Florham Park, New Jersey. Additionally, she extends her expertise as a voluntary faculty member at the Weill Cornell University School of Medicine. Dr. Segal's contributions to the field, particularly in preoperative evaluation and surgical techniques, have earned her a reputable standing. Episode Summary: In this enriching episode of the Oculofacial Podcast Journal Club, host Lilangi Ediriwickrema, MD, as she moderates a discussion with experts Don Kikkawa, MD, Cesar A. Briceno, MD, and Kira L. Segal, MD, on three recent articles published in the field of oculofacial surgery. The panel reviews a study on proptosis regression after teprotumumab treatment, the current uses of amniotic membrane transplantation, and the association between obstructive sleep apnea and ptosis repair failure. They delve into the findings, limitations, and potential implications of each study, providing valuable insights for oculofacial surgeons and patients alike. Don't miss this engaging and informative episode of the Oculofacial Podcast Journal Club. Key Takeaways: Teprotumumab treatment for thyroid eye disease shows varying rates of proptosis regression in patients, signaling the potential need for personalized retreatment strategies. Amniotic membrane transplantation offers diverse applications in oculoplastic surgery and holds promise in enhancing patient outcomes for various reconstructive procedures. The presence of obstructive sleep apnea in patients correlates with higher failure rates of ptosis repair, warranting a more cautious preoperative evaluation and emphasizing the complexity of ptosis surgery in such cases. Staging surgical interventions, especially in cases of tarsal instability and floppy eyelid syndrome, can improve outcomes and minimize potential complications. Medical compliance in managing sleep apnea plays a role in patient outcomes, although further study is needed to understand the full impact on oculofacial surgical procedures. 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: Dr. Kenneth Steinsapir is a renowned oculofacial plastic surgeon with a profound interest in the intricacies of eyelid anatomy and reconstructive surgery. Dr. Steinsapir's expertise particularly shines in the realm of revision procedures, stemming from a deep understanding of levator anatomy, which he believes is crucial yet often overlooked in oculoplastic specialty training. Beyond his clinical and scientific contributions, Dr. Steinsapir also has a fascination with mountaineering and photography, which speaks to his appreciation for aesthetics in both nature and his professional work. Episode Summary: In this enlightening episode of the oculofacial podcast , Dr. Brett Kotlus speaks with Dr. Kenneth Steinsapir who shares his profound knowledge and experience in dealing with the aesthetic and functional challenges that arise from upper eyelid surgeries.  The conversation delves into the the complex issue of postoperative upper blepharoplasty syndrome. The episode begins with Dr. Kotlus expressing admiration for Dr. Steinsapir's methodical approach to oculofacial issues, setting the stage for a deep dive into the common yet not universally recognized post upper blepharoplasty syndrome. Dr. Steinsapir paints a compelling picture of this condition, one marked by undesirable outcomes like high sulcus, hollow eyelids, ptosis, and compensatory brow elevation—issues that defy patient expectations and call for deft surgical revision strategies. Through this detailed discourse, enrich your understanding of the anatomical nuances that define successful cosmetic upper eyelid surgeries. Explore the key principles of structuring blepharoplasty, uncovering the potential pitfalls that can lead to post-surgical dissatisfaction, and learn about the transformative techniques that can help patients regain both function and form in their eyelids. Key Takeaways: Post upper blepharoplasty syndrome involves issues such as a high sulcus, hollow eyelids, and ptosis, often accompanied by a compensatory brow lift. Proper levator function and attachment are crucial for a successful eyelid surgery outcome, and its anatomy is often underemphasized. Dr. Steinsapir advocates for a more involved and thoughtful approach to upper blepharoplasty, including carefully planned crease placements. Patient satisfaction following blepharoplasty is dependent on both the aesthetic and functional aspects of the surgery. Physical examination and measurements are essential, yet sometimes neglected aspects of preoperative assessment for eyelid surgery. 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. Alison Callahan Dr. Alison Callahan is an accomplished oculoplastic surgeon serving as an Assistant Professor at Tufts University School of Medicine and member of the Center for Aesthetic Eyelid and Facial Surgery at Tufts Medical Center in Boston, contributing significantly to advancements in the field of oculoplastics research and practice. Dr. Fatemeh Rajaii Dr. Fatemeh Rajaii brings her expertise as an Assistant Professor of Ophthalmology and the Odd Fellows Rising Professor of Ophthalmology at Johns Hopkins University School of Medicine. Based in Baltimore, she significantly influences the field of ophthalmology through both her teaching, basic science research and clinical work. Dr. Michael Kazim A seasoned Clinical Professor of Ophthalmology and Surgery at the Harkness Eye Institute, Columbia University Medical Center, Dr. Michael Kazim has contributed decades of experience to the field of oculoplastics. He is also the director of the ASOPRS Fellowship in New York City and serves as the Associate Editor for the Ophthalmic Plastic and Reconstructive Surgery Journal, bridging the gap between academia and practical application in oculoplastic surgery. Episode Summary: In this episode of T.O.P. Journal Club, host Dr. Ashley Campbell orchestrates an engaging discussion with three distinguished oculoplastic surgeons from the United States. The session delves into probing analyses of two articles from the January/February edition of the Ophthalmic Plastic and Reconstructive Surgery journal and one article from the November/December edition. These conversations unlock deeper understandings of vital topics in ophthalmology, ranging from infantile hemangioma treatment protocols to thyroid eye disease management. Key Takeaways: Oral propranolol might be beneficial for a broader range of infantile hemangiomas, considering it is well-tolerated with minimal side effects. Intraorbital injections combining 5-FU and steroids may offer improvement in diplopia associated with thyroid eye disease. Advances in spheno-orbital meningioma management, including resection of the anterior clinoid process, are essential due to the condition's propensity for recurrence. Radiotherapy decisions for spheno-orbital meningioma remain complex and should be guided by further investigation into tumor biology and behavior. Long-term follow-up is crucial in managing spheno-orbital meningioma to appropriately adapt treatment protocols and understand disease progression. 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. Cat Burkat: Acclaimed Oculofacial Plastic Surgeon and host of the podcast, Dr. Cat Burkat serves as Professor at the University of Wisconsin Madison. With a thriving academic and clinical practice, Dr. Burkat is widely recognized for her expertise in the field of oculofacial plastics and has been instrumental in various educational and research initiatives. Dr. Evan Black: Esteemed Professor of Ophthalmology at Wayne State University and Oakland University, and in private practice in the Detroit Metro Area, Dr. Evan Black is recognized for his authoritative knowledge and pioneering contributions in oculofacial surgery. His academic endeavors and clinical practice have significantly influenced the discipline. Dr. Ken Morgenstern: With dual roles as a private practitioner and an associate professor at Thomas Jefferson University in Philadelphia, Dr. Ken Morgenstern brings vast experience and nuanced insights into facial reconstructive and cosmetic surgery as he also serves as President of the American Society of Ophthalmic Plastic and Reconstructive Surgery. Dr. Kristin Tarbet: Based in Seattle, Dr. Kristin Tarbet blends private practice with her role as a clinical professor at the University of Washington. Her personalized approaches to facial aesthetics and rejuvenation have made her a respected figure in the field. Dr. David Samimi: Engaged in private practice and serving as an associate professor at USC, Dr. David Samimi's clinical acumen and educational contributions have enriched both his patients' lives and the professional community's knowledge. Episode Summary: In this enlightening episode of "T.O.P. - The Oculofacial Podcast," Dr. Cat Burkat shines the spotlight on the intricate world of forehead and brow lifting surgery. The conversation revolves around the diverse methodologies and personal experiences of acclaimed surgeons who navigate the vast terrain of forehead rejuvenation. Leading experts in oculofacial plastics convene to share their seasoned perspectives and preferred techniques that define the art and science of elevating the forehead and brow aesthetics. They dissect critical considerations, such as the impact of forehead height and hairline on surgical approaches and weigh in on nuanced choices that influence both the functional and cosmetic outcomes of these procedures. Key Takeaways: The height of the forehead and the patient's hairline are pivotal factors in determining the appropriate surgical approach for forehead and brow lifting. Approaches to forehead lifting must consider gender-specific nuances to achieve aesthetically pleasing results that align with the patient's facial structure. The breadth of techniques, from pretrichial approaches to endoscopic lifts, provides a versatile array of options tailored to individual patient needs and expectations. Surgeons have evolved from aggressive muscle alteration techniques to more conservative approaches, focusing on volume conservation and natural contours. Volumization, through fat grafting or fillers, plays a significant role in three-dimensional rejuvenation and is considered alongside lifting procedures for comprehensive outcomes. 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 this Journal Club episode of T.O.P., The Oculofacial podcast, host Dr. Seanna Grob welcomes three distinguished guests to discuss pivotal research articles from the 2023 November/December issue of OPRs. Dr. Anne Barmettler is an esteemed Associate Professor of Ophthalmology and the Director of the Oculoplastic Service at Albert Einstein College of Medicine in Montefiore Medical Center, New York. She is recognized for her extensive knowledge and specialization in ophthalmic plastic and reconstructive surgery, and she lends her expertise as a member of the editorial board for OPRS. Dr. Grace Lee serves as an Associate Professor of Ophthalmology and an accomplished oculoplastic surgeon at Harvard Medical School and Massachusetts Eye and Ear. Her rich experience and scholarly work are pivotal in the advancement of her field. Dr. Pete Setabutr is a Professor of Ophthalmology and the Director of the Oculoplastic Service at the University of Illinois College of Medicine and Illinois Eye and Ear Infirmary. He is also the Vice Chair of Global Ophthalmology and a valuable contributor to the editorial board for OPRS. The episode delves into potential novel surgical techniques in patients with epiphora and addresses perioperative considerations in overweight and obese patients as well as outcomes of primary monocanalicular stent placement in pediatric patients with Down Syndrome and nasolacrimal duct obstruction. The conversation begins with an intriguing exploration of an alternative to dacryocystorhinostomy, Nasolacrimal Duct Coronary Stent Recanalization (NCR), and its potential to utilize the physiologic anatomy for treating nasolacrimal duct obstructions. Additionally, the episode sheds light on the complexities of managing overweight and obese patients in oculofacial plastic surgery, encompassing perioperative risks and specialized care protocols. The third segment is a retrospective look at the success rates of primary monocanalicular stent placement in pediatric patients with Down Syndrome versus those without, highlighting varied outcomes and the quest for optimal treatments in such clinical scenarios. Key Takeaways: New techniques like Nasolacrimal Duct Coronary Stent Recanalization (NCR) are being investigated as potential alternatives to traditional dacryocystorhinostomy. Managing oculofacial surgery in overweight and obese patients presents unique challenges, including the likelihood of extended operative times and postoperative wound healing difficulties. Pediatric oculoplastic surgery may require bespoke approaches, especially in children with Down Syndrome, where success rates for primary monocanalicular stent placement are significantly lower than in non-Down Syndrome patients. Bicanalicular stent placement with suture tying as a new method to potentially reduce operative room removal is discussed. The conversations in this podcast provide rich, practice-changing insights that could influence oculoplastic surgeons' approach to diverse patient groups. 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. Kellie Satterfield, MD, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon working in private practice in San Diego. Dr. Satterfield has a keen interest in contract negotiations rooted in advocacy. She attended Medical School at UC San Diego, followed by Ophthalmology Residency at the University of Washington, and ASOPRS Private Practice Fellowship under Dr Bryan Sires, MD, PhD, in Seattle, WA. Dr. Satterfield's distinctive insight into contract negotiations stems from her time as President of the University of Washington Housestaff Association, during which she negotiated the contract between all ACGME residents and fellows and the University. She is passionate about advocating for and educating her colleagues on contract negotiations to empower their ability to make big career decisions. Dr. Rao Chundury, MD, MBA, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon, currently a faculty member at the University of Nebraska, having completed his fellowship at the Cleveland Clinic. His diverse career encompasses academia, private practice, and navigating ownership transitions. Holding an MBA from the Kelley School of Business at Indiana University, Dr. Chundury's expertise is enriched by his interest in the business aspects of Oculoplastics in addition to Resident and Medical Student mentorship and career guidance. Episode Summary: This episode features an enlightening conversation between Dr. Kellie Satterfield and Dr. Rao Chundury on the vital aspects of contract negotiations in the healthcare industry. They focus on empowering physicians with the knowledge to identify suitable job opportunities, understand and negotiate contracts effectively, and the importance of being well-informed throughout this process. Dr. Satterfield recounts her journey into contract negotiations, sparked during her role as Union President at the University of Washington. Her transition from academia to private practice deepened her understanding of contracts, wages, contract-pitfalls and self-advocacy. Similarly, Dr. Chundury shares his experiences of moving between academia and private practice, exploring the complexities of contracts at each stage. Together, they discuss the various environments physicians may encounter, from academic institutions to private and larger healthcare systems. The episode provides a comprehensive overview of considerations for medical professionals, whether they are new or experienced, when exploring job opportunities and contract specifics. The goal is to illuminate the often overlooked yet critical aspects of a medical career that can ensure professional growth and personal satisfaction. Key Takeaways: Knowledge of contract negotiation is essential for all physicians no matter the practice setting Academic and larger healthcare systems (ie. Kaiser) may offer less flexibility in contract terms, whereas private practices might allow more room for negotiation. Approaching contract negotiations with a clear understanding of what constitutes a fair and balanced deal is advisable, considering personal and professional priorities. Essential elements of physician contracts, such as compensation structure, benefits, vacation time, non-compete clauses, and termination provisions, demand careful attention. Average base salaries can vary significantly across different practice environments, with academic and private equity settings generally offering higher initial salaries. Notable Quotes: "You've acquired all these skills and talents, and now it's time to reap the rewards of what you've been sowing for so long." - Dr. Kellie Satterfield "It's always in your best interest to think about things early. Even in the private group, show early interest. So they've got a list, and they're going to go out to you first." - Dr. Rao Chundury "The best non-compete is no non-compete." - Dr. Rao Chundury Resources: ASOPRS and ETS Vision Job boards where physicians can find potential job listings. Professional networks and medical associations: Platforms for discovering job opportunities and gathering industry insights. Dive into this comprehensive discussion with Dr. Kellie Satterfield and Dr. Rao Chundury for valuable insights on navigating the complex world of contract negotiations in the medical field. Stay tuned for more episodes that explore the business side of healthcare and provide guidance for a thriving career. 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

CAT BURKAT, MD, FACS:
Dr. Cat Burkat is Professor of Ophthalmology and Oculoplastics at the University of Wisconsin-Madison with expertise in the health and beauty of the eyes and face. She is recognized for her contributions to the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and American Academy of Ophthalmology and is celebrated for her engaging and impactful presence at international meetings. Her professional prowess extends to delivering insightful data on new surgical techniques, Asian eyelid surgery, and aesthetic and lacrimal research. David B. Samimi, M.D, FACS:
A partner at Eyesthetica, Los Angeles and Associate Professor of Ophthalmology at USC, Dr. David B. Samimi is a voice representing the next generation of ASOPRS members. He is dedicated to enriching the practice through education and social engagement. His career accomplishments include expanding the scope of Eyesthetica's aesthetic offerings to include advanced techniques in fat grafting and deep plane facelifting. Episode Summary:
 In this episode of T.O.P., the spotlight is cast on the intriguing world of oculofacial plastic surgery through lively discussions at the fall meeting of ASOPRS in San Francisco, 2023. Listeners are given front-row access to the stimulating and thought-provoking dialogues that took place among the experts in the field. The show captures the electrifying atmosphere that envelops the meeting, bringing together professionals from around the world passionate about the health and aesthetics of the eyes and face. Here, experts exchange transformative insights and revel in the camaraderie that only a gathering of like-minded individuals can offer. From breakthroughs in gender-affirming surgeries to the quick tip sessions on ptosis repair and specialty interest groups, this episode is packed with intellectual wealth and social festivities. The discussions underscore the value of in-person meetings for the exchange of live feedback and how the adoption of new surgical techniques can significantly shape future practices. Key Takeaways: - Our guests discuss the latest trends and advancements in oculofacial plastic surgery presented at the ASOPRS 2023 fall meeting. - There is an emphasis on the critical nature of learning from peers, especially through the exchange of experiences and insights on surgical outcomes and complications. - The meeting highlights include a focus on gender-affirming surgeries and the evolution of ptosis repair techniques. - Social interactions and networking are recognized as priceless facets of the conference, boosting both educational and personal connections. Progressive ideas for future conferences are floated, such as integrating additional social events and more interactive session formats. 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  

Dr. Richard C. Allen, MD, PhD, FACS, is an esteemed figure in the field of Oculoplastics. He has served notably as the immediate past president of ASOPRS, the American Society of Ophthalmic Plastic and Reconstructive Surgery. With a background that encompasses both clinical and academic realms, Dr. Allen has contributed significantly to the field through various roles, including scientific symposium director, counselor, and educator. His diverse experience includes private practice, general ophthalmology, and academic positions. Dr. Allen is known for his dedication to improving patient care and commitment to advancing the standards of Oculoplastics. Summary: In this inaugural 2024 episode of Top, Dr. Scott M. Goldstein welcomes Dr. Richard C. Allen, reflecting on the pivotal developments and themes from the year 2023 under Dr. Allen's ASOPRS presidency. This conversation provides an in-depth view into the evolving landscape of Oculoplastic Surgery, highlighting key projects, organizational growth, and strategic planning. Dr. Allen shares the accomplishments of ASOPRS in 2023, detailing the completion of projects from previous presidents and emphasizing communication and unity within the society. He also discusses the challenges and successes faced during his presidency, such as the relationship management with AUPO for fellowship oversight and the society's bylaws update. Additionally, Dr. Allen addresses the importance of advocacy in ophthalmology, focusing on the impact of state and national representation. Key Takeaways: The need for effective communication within ASOPRS to address concerns and promote unity among members. The evolution of ASOPRS into a large society necessitates careful planning and management of long-term projects, such as potential board certification for Oculoplastics. Importance of maintaining strong relationships with state societies and national organizations for advocacy in Oculoplastics. ASOPRS' international relations and the push towards standardizing Oculoplastic fellowships globally. The need for continuous involvement from younger members to ensure the society's progressive and adaptive future. 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: - Dr. Kyle J. Godfrey is an assistant professor in the Departments of Ophthalmology and Neurological Surgery and the Ophthalmology Residency Program Director at Wild Cornell Medicine and New York Presbyterian Hospital in New York, New York. - Dr. Evan Kalin-Hajdu is an assistant professor at the University of Montreal and a member of the department of Ophthalmology at Maisonneuve-Rosemont and Ste. Justine hospitals in Montreal, Quebec. - Dr. Amina Malik is the director of Ophthalmic Plastic and Reconstructive Surgery and an associate professor at the Blanton Eye Institute at Houston Methodist Hospital. She also has a joint appointment in the Department of Otolaryngology at Houston Methodist and an academic affiliation at Texas A&M and Wild Cornell Medicine. - Dr. Gary Lelli is the vice Chair of Ophthalmology, Director of Ophthalmic Plastic and Reconstructive Surgery, and an associate professor at Wild Cornell Medicine and New York Presbyterian Hospital in New York, New York. ​ Summary: Dr. Kyle Godfrey hosts a discussion with Dr. Evan Kalin-Hajdu, Dr. Amina Malik, and Dr. Gary Lelli about three selected articles from the current issue of OPRS Journal. The first article discusses the predictability of the phenylephrine test in congenital ptosis, the second article evaluates the incidence and risk factors for poor postoperative visual outcomes after excision of orbital cavernous venous malformations, and the third article presents a surgical technique for reconstructing large full-thickness lower eyelid defects. The experts provide their insights and opinions on the articles, discussing the findings, limitations, and potential implications for clinical practice. ​ Key Takeaways: - MMCR is a viable option for moderate levator function congenital ptosis, and the phenylephrine response appears to be the most valuable predictor of surgical outcome. - Surgical excision of orbital cavernous venous malformations carries a risk of vision loss, and the incidence and risk factors for poor postoperative visual outcomes should be carefully considered. - The reconstruction of large full-thickness lower eyelid defects can be achieved using remnant eyelid rotation, semicircular skin and muscle flaps, and lateral tarsoconjunctival flaps, providing good cosmetic outcomes and avoiding the need for a second stage reconstruction. 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. Robi N. Maamari: Facial plastic surgeon on faculty at Washington University and the School of Medicine in St. Louis. - Dr. Chau Pham: Assistant professor of Ophthalmology and Visual Sciences at the University of Iowa. - Dr. John Holtz: Private practice Oculofacial plastic surgeon at Ophthalmologic Plastic and Cosmetic Surgery in St. Louis. Episode Notes: Dr. Robi N. Maamari hosts a journal club podcast where he discusses articles from the July and August issue of Ophthalmic Plastic and Reconstructive Surgery (OPRS). In this episode, he reviews three articles regarding, Recurrence and Surveillance Strategies for Orbital Basal Cell Carcinoma with Dr. Chau Pham and Dr. John Holtz.  Key Takeaways: - Absorbable and non-absorbable sutures have similar outcomes in conjunctival Müllerectomy with or without tarsectomy. - Globe-sparing excisions for basal cell carcinoma with anterior orbital invasion can lead to visual morbidity and recurrence. - Regular surveillance with MRI scans is crucial for detecting recurrence in patients with orbital basal cell carcinoma. - Understanding and recognizing artifacts on MRI scans is essential to avoid misdiagnosis and unnecessary procedures. 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. Morris Hartstein is an ophthalmologist and oculoplastic surgeon, and the founder of Operation Ethiopia, an NGO that provides eye care services in Ethiopia. He has been traveling to Ethiopia since 2014, helping build an extensive program in Gondar and Addis Ababa. - Dr. Seblewongel Eshetu is an oculoplastic surgeon from Ethiopia. She completed her fellowship in oculoplastics with Dr. Hartstein in Israel as part of Operation Ethiopia's Physician Training Program. Dr. Eshetu is currently working at St. Paul's Hospital in Addis Ababa, where she is the first female oculoplastic surgeon in the country. Episode Summary: Dr. Cat Burkat interviews Dr. Morris Hartstein who shares his journey of getting involved in global ophthalmology and oculoplastics in Ethiopia. He initially visited Ethiopia with his family on a volunteer trip and was inspired by the level of need and poverty he witnessed. Since then, he has been traveling to Ethiopia multiple times a year, providing eye care services, training residents and fellows, and organizing cataract surgery campaigns. Dr. Hartstein emphasizes the importance of building relationships, understanding the local culture, and going through proper government and medical channels to ensure the success and sustainability of global outreach programs. At the conclusion of the episode, Dr. Cat Burkat interviews Dr. Seblewongel Eshetu, who shares her experience training in oculoplastics with Dr. Hartstein, which included training both in Israel and Ethiopia. She also describes the challenges she faces as an oculoplastic surgeon in Ethiopia and the importance of sharing surgical skills and knowledge between visiting surgical groups and local physicians. Dr. Eshetu emphasizes the need for advanced materials and instruments to treat patients in Ethiopia, where many cases present in advanced stages. She also highlights the impact of oculoplastic surgery on both patients and their families, as many travel from rural areas and face significant disruptions to their lives. Both Dr. Hartstein and Eshetu conclude by expressing their commitment to teaching and expanding oculoplastic surgery in Ethiopia. Key Takeaways: 1. Global surgical trips should always respect local culture, traditions, and other providers. 2. Sustainable education and training are the ideal as this allows for local surgeons to continue optimal patient care. 3. Working in global oculoplastics must be properly approached with the government health department, local hospitals, NGOs to provide safe and effective outcomes. 4. Training in oculoplastics in Israel provided Dr. Eshetu with a different perspective and advanced surgical knowledge. 5. The transition back to Ethiopia was challenging due to differences in lighting, instruments, and materials. 6. Sharing surgical skills and knowledge with visiting surgical groups is crucial for advancing oculoplastic surgery in Ethiopia. 7. Access to advanced materials and instruments is essential for treating patients in Ethiopia and similar countries, where many cases present in advanced stages. 8. Oculofacial plastic surgery can have a significant impact on patients, who can then move forward in their daily lives and provide for their families. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: https://asoprs.memberclicks.net/podcast#!/  

In this episode, Dr. Julie Woodward (Duke), Dr. Dan Rootman (UCLA), and Dr. Allan Wulc (Private Practice, Philadelphia) bring the Aesthetics Abstracts section of the Ophthalmic Plastic and Reconstructive Surgery journal to The Oculofacial podcast. Join them as they discuss recently published articles on endoscopic brow lifting for patients with receding hairlines, tear trough filler techniques, patient experience as it relates to online reviews, and neck lifting with percutaneous sutures 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

Dr. Alison Watson moderates a discussion with Dr. Scott Goldstein, Dr. Ron Mancini, and Dr. Kelsey A. Roelof on three articles related to oculoplastic and orbital surgery. The first article discusses the success of Mueller Muscle Conjunctival Resection (MMCR) in correcting Ptosis and achieving symmetry. The second article compares the efficacy of sutureless MMCR with conventional MMCR in Ptosis correction. The third article explores the prevalence of obstructive sleep apnea (OSA) in patients with floppy eyelid syndrome (FES). 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

Dr. Cat Burkat, Dr. Mike Yen, Dr. Ilya Leyngold, and Dr. Andrea Kossler discuss the evolving technique of corneal neurotization in this episode of The Oculofacial Podcast. They explain how this procedure has revolutionized the treatment of neurotrophic keratitis, offering a viable solution to address the root cause of the condition. Our panel discusses everything from patient selection, surgical techniques and nuances, outcomes, potential complications, and further research directions in this field. They also emphasize the importance of early intervention and collaboration between ophthalmologists and subspecialists. Overall, corneal neurotization is seen as a game-changing procedure with promising outcomes for patients with neurotrophic keratitis. 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 Part 2 of a special two-part series, Dr. Natalie Homer moderates a discussion on face and neck lifting with cosmetic facial surgeons Dr. Roger Dailey, Dr. Tanuj Nakra and Dr. Rob Schwartz. 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 Part 1 of a special two-part series, Dr. Natalie Homer moderates a discussion on face and neck lifting with cosmetic facial surgeons Dr. Roger Dailey, Dr. Tanuj Nakra and Dr. Rob Schwartz 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 this episode of TOP, Lt Col Brett Davies (USAF) hosts a panel with Drs. Raymond Cho, Robb Mazzoli, and John Shore to discuss the challenges and rewards of practicing oculoplastic surgery in the US Military.  They share insights from serving in conflicts ranging from Viet Nam to Ukraine, and lessons learned from a broad range of professional experiences during and after their time in uniform. 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 this episode, Dr. Julie Woodward (Duke University), Dr. Cathy Hwang (Cleveland Clinic) and Dr. John Burroughs (Private Practice, Colorado Springs) bring the Aesthetics Abstracts section of the Ophthalmic Plastic and Reconstructive Surgery journal to The Oculofacial Podcast. Join them as they discuss recently published articles on the use of micro-botox injections in acne, tips and tricks for facial toxin injection, inflammatory reactions following COVID vaccination in patients with previously placed soft tissue filler, and pain following endoscopic brow lift surgery.  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 this episode, we memorialize Dr. Rick Anderson, who passed away earlier this year. Having published over 300 papers and trained 40+ fellows, Rick was one of the first ASOPRS members to apply an academic, translational research-based approach to oculoplastic surgery. He was equally well known for his lust for life, rambunctious spirit, and ability to infuse fun into most settings.* This episode features Dr. John Holds, Dr. John Burroughs, Dr. Robert Kersten, Dr. Pat Flaharty, Dr. Jeff Nerad, Dr. Richard Daly, Dr. David Pratt, Dr. Geeta Been, and Dr. David Tse.   *Rick would want listeners to know that most of the interviews in this podcast were heavily edited to remove explicit content.  He will be missed.    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

Dr. Ann Tran welcomes Dr.  Sruti Akella an assistant professor at Ohio State University, and Dr. Cat Burkat a Professor at the University of Wisconsin to review three articles from the March and April Ophthalmic Plastic & Reconstructive Surgery Journal. 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