Pearls of Facial Soft Tissue Reconstruction: Beyond the Textbook Answer

Monday, October 2, 2023

1:45 PM - 2:45 PM East Coast USA Time

Location: 205ABC

Moderator(s)

Nina Lu, MD

Assistant Professor
UNIVERSITY OF WASHINGTON
SEATTLE, WA, United States
Nina Lu, MD

Assistant Professor
UNIVERSITY OF WASHINGTON
SEATTLE, WA, United States

Panelist(s)

ap

andrea M. park, MD

Assistant Professor
University of California, San Francisco
San Francisco, CA, United States
ap

andrea M. park, MD

Assistant Professor
University of California, San Francisco
San Francisco, CA, United States
Matthew K. Lee, MD

Residency Program Director
Cedars-Sinai Medical Center
Los Angeles, CA, United States
Matthew K. Lee, MD

Residency Program Director
Cedars-Sinai Medical Center
Los Angeles, CA, United States
NG

Nikita Gupta, MD

Assistant Professor
University of Kentucky
Lexington, KY, United States
NG

Nikita Gupta, MD

Assistant Professor
University of Kentucky
Lexington, KY, United States

Disclosure(s):

Nina Lu, MD: No relevant relationships to disclose.

andrea M. park, MD: No relevant relationships to disclose.

Matthew K. Lee, MD: No relevant relationships to disclose.

Nikita Gupta, MD: No relevant relationships to disclose.

PROGRAM DESCRIPTION: Repair of soft tissue facial defects arising from Mohs dermatologic surgery and facial trauma requires a familiarity of various techniques. Textbook algorithms are useful starting points in reconstructive considerations. However, surgical decision making often deviates from algorithmic answers when considering individual patient factors and clinical scenarios. Communicating such reconstruction plans, the course of healing, and outcome expectations to patients poses additional challenges. The panel of facial plastic surgeons will debate dogma vs alternative ideas grounded in case scenarios of facial defects based on the subsites of the nose, lip, and cheek. We will have a lively case-based discussion of opinions, delving into the pros and cons of repair options and propose options that may challenge pre-conceived notions and typical algorithmic choices. Panelists will also share their “pain points” and patient care experiences that also underlies not only optimal surgical outcomes but also optimal care of the person, emphasizing communication options to facilitate patient comprehension and shared decision making. Case successes as well as disappointments will be shared.

OUTCOME OBJECTIVE 1: Become with familiar with benefits and disadvantages for repair choices in the nasal, cheek, and lip subsites.

OUTCOME OBJECTIVE 2: Optimize patient care experience with communication of treatment course and expectations

OUTCOME OBJECTIVE 3: Challenge typical algorithmic choices to creatively expand reconstruction options.

BACKGROUND STATEMENT: Mohs defect reconstruction and challenges in patient communication in FPRS are knowledge gaps for the 2023 Annual meeting. This panel is intended to discuss facial defect repair beyond standard textbook algorithms by utilizing the experience and expertise of practicing FPRS Surgeons.