Episodios

  • AI in Oculoplastics, The Usefulness of Tepezza, and Posterior Ptosis Repair

    AI in Oculoplastics, The Usefulness of Tepezza, and Posterior Ptosis Repair
    Nov 9 2025
    ASOPRS Website: Click Here

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

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

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 Allen leads this conversation, noting that Tepezza is not the "smoking gun" it was originally made out to be.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

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

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    1 h y 6 m
  • 2025 ASOPRS Fall Scientific Symposium

    2025 ASOPRS Fall Scientific Symposium
    Oct 31 2025
    ASOPRS Website: Click Here Now on TOP: Join hosts Dr. Cat Burkat, Dr. Deepak Ramesh, and Dr. Grant Moore for a recap of the 2025 ASOPRS Fall Scientific Symposium. In this episode, we explore what goes into planning and producing the Fall Symposium with Dr. Nick Mahoney (Fall 2025 Scientific Symposium Chair), "game changing" research presentations, and interview this year's Quickert Award finalists. Additional Interviewees include: - Dr. Hakan Demirci (Orbital Rituximab in the treatment of Xanthogranulomatous Disease) - Dr. Robert Goldberg (Titanium Strut Bar in Inferomedial Blow-out Fractures) - Dr. Altug Cetinkaya - Dr. Can Ozturkern - Dr. Kevin Wu (Aprepitant for Oculoplastic Surgeries) - Dr. Carisa Bohnak (Immune Checkpoint Expression in Orbitally Invasive Sinonasal Undifferentiated Carcinoma) - Dr. Jeremiah Tao (Quality of Facial Photographs in OPRS)
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    37 m
  • Aesthetic Laser Physics, Terminology, and Skin-Tissue Interactions

    Aesthetic Laser Physics, Terminology, and Skin-Tissue Interactions
    Oct 22 2025

    ASOPRS Website: Click Here

    Have you ever wanted to know more about aesthetic lasers, but don't know where to start? Confused by the lingo? Join Dr. Nicole Langelier as she takes Dr. Christina Choe and Dr. Sandy Zhang-Nunes through a whirlwind tour of laser physics, laser terminology, and laser-tissue interactions. We'll explain how lasers work, discuss selective photothermolysis, cover basic skin anatomy, and define workhorse terms like chromophore, wavelength, joules, watts, fluence, thermal relaxation time, and pulse width. Consider this the prequel to upcoming episodes on the clinical uses of ablative laser resurfacing, non-ablative laser resurfacing, light and energy based devices. By understanding the language and core scientific concepts of lasers, we hope to make you a safer and more educated laser provider! Corrections/Clarifications: - Blood vessels are lined by endothelium (not epithelium) - The skin registers pain from heat at 45C, but may occur between 43-44C with variability based on the time of exposure and area of exposure (I stated it occurs at 42C) https://www.cardinalhealth.com/content/dam/corp/web/documents/whitepaper/cardinal-health-localized-temperature-therapy%20White%20Paper.pdf - The exact number varies by source, but waters absorbs the erbium 2940nm wavelength 10-20 times more efficiently than it absorbs the CO2 10,600nm wavelength (I said 30 times) - Clarification: Eyelid skin is thinner closer to the lashes and on the medial aspect of the eyelid as compared to skin further from the lashes and the lateral aspect of the eyelid. A study in Korean skin by Hwang et al found the thickest part of the eyelid to be just below the eyebrow (1.127 +/- 238um) with the thinnest skin near the ciliary margin 320 +/- 49um). Jeong et al found that epidermal thickness is similar between genders while men had thicker reticular dermis than women and skin thickness was not correlated with BMI. - The UV wavelengths range from 100nm - 400nm. UVC: 100nm - 280nm; UVB: 280nm-315nm; UVA: 315-400. (I used single wavelength numbers rather than a range for ease of explanation). Citations for skin thickness: Full thickness punch biopsies from cadaver heads processed with paraffin-embedded slides: Karan Chopra, Daniel Calva, Michael Sosin, Kashyap Komarraju Tadisina, Abhishake Banda, Carla De La Cruz, Muhammad R. Chaudhry, Teklu Legesse, Cinithia B. Drachenberg, Paul N. Manson, Michael R. Christy, A Comprehensive Examination of Topographic Thickness of Skin in the Human Face, Aesthetic Surgery Journal, Volume 35, Issue 8, November/December 2015, Pages 1007–1013, https://doi.org/10.1093/asj/sjv079 Ultrasonographic measurements in live participants: Jeong KM, Seo JY, Kim A, Kim YC, Baek YS, Oh CH, Jeon J. Ultrasonographic analysis of facial skin thickness in relation to age, site, sex, and body mass index. Skin Res Technol. 2023 Aug;29(8):e13426. doi: 10.1111/srt.13426. PMID: 37632182; PMCID: PMC10370326. Cut and trichrome stained specimens from fresh cadavers Hwang, Kun MD, PhD*; Kim, Dae Joong PhD†; Hwang, Se Ho†. Thickness of Korean Upper Eyelid Skin at Different Levels. Journal of Craniofacial Surgery 17(1):p 54-56, January 2006. | DOI: 10.1097/01.scs.0000188347.06365.a0
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    1 h y 11 m
  • Surgical Technique Battle - Nonporous vs. Porous Orbital Implants in Anophthalmic Socket Surgery

    Surgical Technique Battle - Nonporous vs. Porous Orbital Implants in Anophthalmic Socket Surgery
    Oct 6 2025

    ASOPRS Website: Click Here

    Join Dr. Natalie Homer hosts Dr. David Jordan and Dr. Stuart Seiff as they debate the advantages and disadvantages of these two implant types and discuss technique nuances of enucleation and evisceration surgery.
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    36 m
  • TONES - Trans-Orbital Neuro-Endoscopic Surgery

    TONES - Trans-Orbital Neuro-Endoscopic Surgery
    Oct 2 2025
    ASOPRS Foundation: https://www.asoprsfoundation.org/donate In this episode, we dive into Trans-Orbital Neuro-Endoscopic Surgery, or TONES — a cutting-edge approach to accessing the skull base via the orbit. We're joined by leading experts to explore the indications, techniques, and future of this rapidly growing field. Whether you're a seasoned surgeon or just curious about the frontiers of orbital surgery, this is a conversation you won't want to miss.
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    54 m
  • Transitioning to a Career in Cosmetic Surgery

    Transitioning to a Career in Cosmetic Surgery
    Sep 14 2025

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

    ASOPRS Foundation: https://www.asoprsfoundation.org/donate
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    57 m
  • Starting a Solo Practice (Part 1)

    Starting a Solo Practice (Part 1)
    Sep 5 2025

    Explore the journey of launching a solo oculoplastics practice with Dr. Deepak Ramesh, alongside experts Dr. Srini Iyengar and Dr. Mahsa Sohrab. Delve into their personal experiences, discussing challenges and strategies in establishing successful practices in various locales, from New Jersey to Connecticut. Discover insights into financial planning, staff management, and balancing functional and cosmetic procedures. Whether you're a medical trainee or a seasoned physician, learn why betting on your expertise can be a rewarding path in the world of oculoplastic surgery.
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    56 m
  • Oculofacial Surgery and the War in Ukraine

    Oculofacial Surgery and the War in Ukraine
    Aug 22 2025
    About the Guest(s):
    • Dr. Parag Gandhi (host): Oculofacial plastic surgeon at Maryland Eye & Face and University of Maryland Hospitals in Baltimore. He is the Chair of the Global Outreach Committee of ASOPRS, has extensive experience leading medical missions, developing global ophthalmology programs, and two surgical mission trips to Ukraine with Face 2 Face.
    • Dr. Raymond Cho: Clinical Professor and Director of Oculoplastic & Orbital Surgery at Ohio State University Wexner Medical Center. A retired U.S. Army Colonel and veteran of Operation Iraqi Freedom, Dr. Cho has participated in multiple missions to Ukraine with the Canadian Face the Future Foundation.
    • Dr. Jorge Corona: Oculofacial plastic surgeon in private practice in Dallas, Texas, and a Clinical Associate Professor at Texas Tech University. He has extensive global medical mission experience, including four trips to Ukraine with LEAP Global Missions.
    • Dr. Dave Russell: Oculofacial plastic surgeon at Kaiser Northern California, who has participated in two humanitarian missions to Ukraine with LEAP, contributing to complex trauma care and surgical training.
    • Dr. Stuart Seiff: Emeritus Professor of Ophthalmology at UCSF and CEO of Pacific Center for Oculofacial & Aesthetic Plastic Surgery. He co-directed the Symposium on Wartime Ophthalmic Trauma in 2022, and has completed four surgical missions to Ukraine with LEAP Global.
    Episode Summary: In this compelling episode on time-urgent humanitarian efforts in Ukraine, Dr. Parag Gandhi hosts an esteemed panel of oculofacial plastic surgeons who discuss their inspiring work in Ukraine amidst ongoing conflict. The episode provides an in-depth look into the role of these surgical missions in both medical education and patient care of civilians and wounded soldiers, highlighting the transformative impact on both the Ukrainian medical community and the participating surgeons in training and practice. Throughout the discussion, the guests share their motivations and experiences, emphasizing the importance of global outreach in oculoplastic surgery, addressing wartime trauma, and the complexities of secondary trauma reconstructions seen in Ukraine. This episode underscores the essential need for humanitarian medical aid in conflict zones, and the power of medical collaboration across borders to foster resilience and adaptability in the face of adversity. Heroyam slava! Resources:
    • Razom for Ukraine, the Co-Pilot Project: Umbrella NGO and surgical education program that unites American, Canadian, and Ukrainian surgeons, and all of the initiatives we discuss on this episode.
    • Face 2 Face, Face the Future, and LEAP Global Missions: Key organizations supporting medical missions and training initiatives in Ukraine.
    • ASOPRS Foundation: Backing efforts to foster educational initiatives for Ukrainian ophthalmologists to learn key aspects of oculofacial plastic surgery to meet current wartime needs.
    • Friends of Chervonohrad: NGO involved in supporting many health initiatives, including surgical trips to Ukraine through fundraising efforts and pre-travel security assessments for teams.
    • Christian Medical Association of Ukraine: Partnering in efforts to redefine medical practices and values.
    Links to learn more about the humanitarian missions and donate to support surgical education: Razom for Ukraine, the Co-Pilot Project: https://www.razomforukraine.org/projects/cpp/ ASOPRS Foundation: https://www.asoprsfoundation.org/donate
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    1 h y 7 m