The Oculofacial Podcast The InBound Podcasting Network

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 EltraSelf Advanced Facial Aesthetics 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 f