Azoury SC

[BACKGROUND] Postmastectomy radiation therapy (PMRT) is a key component of breast cancer care, reducing locoregional recurrence in appropriately selected patients. Concurrently, use of mastectomy with implant-based breast reconstruction has…

[PURPOSE] Radiation therapy following implant-based reconstruction (IBR) is known to contribute to increased complication rates and aesthetic challenges, particularly breast asymmetry, which often necessitates additional revision procedures…

Abdominally based breast free flap reconstruction exposes patients to potential significant donor site morbidity. Utilization of postoperative Incisional Negative Pressure Wound Therapy (iNPWT) has been proposed to minimize incision site co…

[BACKGROUND] Patients undergo abdominoplasty/panniculectomy following excessive weight loss and/or to improve abdominal appearance/shape. The authors aim to compare clinical outcomes and quality of life (QoL) following these procedures in p…

[BACKGROUND] Patients undergoing plastic surgery have higher rates of psychiatric disorders, which can influence surgical outcomes and quality of life (QoL). [METHODS] A retrospective review was conducted of patients with or without psychi…

[BACKGROUND] The use of postmastectomy radiation therapy (PMRT) in the setting of immediate 2-stage breast reconstruction is becoming increasingly widespread. However, the timeframe of tissue expander exchange for permanent implant placemen…

[BACKGROUND]  Insurance type can serve as a surrogate marker for social determinants of health and can influence many aspects of the breast reconstruction experience. We aimed to examine the impact of insurance coverage on patients reported…

[BACKGROUND] The integration of robotic technology into surgical procedures has gained considerable attention for its promise to enhance a variety of clinical outcomes. Robotic deep inferior epigastric perforator (DIEP) flap harvest has eme…

[BACKGROUND]  Autologous breast reconstruction (ABR) after mastectomy is increasing due to benefits over implant-based reconstruction. However, free flap reconstruction is not universally offered to patients of advanced age due to perceived…

[BACKGROUND]  The timing of free flap reconstruction after lower extremity trauma has been a controversial debate since Marko Godina's original 72-hour recommendation. Recent advances in microsurgery warrant an evaluation of the optimal tim…

[BACKGROUND] Autologous breast reconstruction (ABR) following nipple-sparing mastectomy (NSM) is recognized for superior aesthetic outcomes. However, body mass index (BMI)-based recommendations for free flap reconstruction remain debated du…

[BACKGROUND] Although academic plastic and reconstructive surgery has trended toward dismantling gender disparities over the past decade, gaps remain within program leadership. In this study, the authors mapped gender distributions of plast…

[BACKGROUND] Ensuring salary equity is fundamental to fostering a fair and inclusive workplace. To the authors' knowledge, this is the first study to analyze salary trends and potential income disparities among academic plastic surgeons. […

The use of liquid silicone injections for soft tissue augmentation harbors numerous risks and is not approved by the FDA. Still, such injections are frequently performed by unlicensed providers, often in the gluteal region, and can lead to …

[INTRODUCTION] Limb salvage has become the standard of care for lower extremity tumors because of improvements in adjuvant treatments and reconstructive techniques. While there is literature assessing pediatric lower extremity free flap rec…

[BACKGROUND] A recent analysis of microsurgery fellowship match data published in 2019 demonstrated increased competition for available positions. With growing opportunities in the field, the authors hypothesize that the landscape for both …

[BACKGROUND] Current consensus has established the internal mammary vessels (IMV) over the thoracodorsal vessels (TDV) as the preferred recipients for microvascular breast reconstruction due to their superior flow rates and long-established…

[BACKGROUND] Tranexamic acid (TXA), a fibrinolysis inhibitor, is widely used in various surgical fields to minimize blood loss. However, its efficacy and safety in plastic surgery, especially in reduction mammaplasty and abdominoplasty, rem…

[BACKGROUND] With marijuana use on the rise, its influence on surgical outcomes, particularly for breast reduction, warrants investigation. This study aims to clarify marijuana's effects on breast reduction surgery outcomes, given its limit…

Plastic surgery trainees are often called to render care in the emergency department (eg, for established patients, trauma, burns). Broad-based knowledge in pharmacotherapeutics during these encounters is critical. This includes an understa…

[OBJECTIVES] Using Texas STAR (seeking transparency in application to residency), we aimed to 1) examine predictors of matching success in integrated plastic surgery residency programs and 2) assess the reliability of the tool. [DESIGN, SE…

[BACKGROUND] Despite advanced wound care techniques, open fractures in the setting of lower extremity trauma remain a challenging pathology, particularly when free tissue transfer is required for coverage. We aimed to evaluate factors assoc…

Autologous free flap breast reconstruction allows for natural-appearing breasts, while avoiding the risks associated with implants, including exposure, rupture, and capsular contracture. However, this is offset by a much higher technical ch…

[BACKGROUND] Local tissue rearrangement, free flap reconstruction, and Bilayer Wound Matrix represent reconstructive modalities for coverage of scalp defects; however, preferred indications are less clear. The authors aimed to evaluate the …

An increasing number of plastic and reconstructive surgery (PRS) units have transitioned from divisions to departments in recent years. This study aimed to identify quantifiable differences that may reflect challenges and benefits associate…

[BACKGROUND] We evaluated metrics between academic plastic surgeons that were and were not presidents of national organizations to determine predictors of becoming a president. [METHODS] A cross-sectional retrospective review was performed…

[INTRODUCTION] Doximity has become integrated into the residency application process without any clear merit, comparing programs based on reputation and research. Our study aims to gather program directors' and Chiefs/Chairs' perspectives o…

[BACKGROUND]  As our population ages, the demand for total knee arthroplasty (TKA) will dramatically increase to ensure an independent lifestyle with unimpeded and pain-free ambulation. Complications will be inevitable, especially in that p…

[BACKGROUND]  In 2017, our institution initiated a cadaver laboratory-based course dedicated to teaching reconstructive microsurgery indications, preoperative planning, and flap dissection. The goals of this study are to describe the demogr…