Technique Improves Breast Reduction Outcomes

Leslie Capo
Director of Information Services, LSUHSC

Research led by Frank Lau, MD, Assistant Professor of Clinical Surgery at LSU Health New Orleans School of Medicine, has found that long-term breast reduction outcomes can be improved by using techniques that minimally disrupt the lower breast suspensory ligaments. The paper, “The Sternum Nipple Distance is Double the Nipple Inframammary

Fold Distance in Macromastia”, is published Ahead of Print online in the Annals of Plastic Surgery.

“Breast reduction is one of the most commonly performed plastic surgery procedures. The long-term appearance after reduction is not optimized 50% of the time using standard reduction techniques,” notes lead author Dr. Frank Lau. “At LSU Health New Orleans, we offer an improved technique that preserves more of the critical breast anatomy. This study provides an anatomical foundation for why our technique may yield better, longer lasting results.”

About 50% of patients who undergo the most commonly used breast reduction technique experience pseudoptosis or “bottoming out” as a long-term complication. This occurs when breast tissue drops to the lower portion of the breast independent of nipple position.

“We want our patients to have a long lasting, aesthetically pleasing breast shape,” says Lau. Believing that disruption of the lower suspensory ligaments may be a critical factor because they are stronger than the upper sensory ligaments, the researchers conducted a retrospective review of 208 patients who underwent breast reduction surgery from 2008-2015, studying the results in 400 individual breasts. In all patients, only one reduction technique was performed per patient. Ninety two percent of the 174 reductions performed with the inferior pedicle technique used a Wise pattern incision, which disrupts the lower suspensory ligaments, and 7.5% used a Boston modification of Robertson technique, which preserves the lower suspensory ligaments. Of the 33 superomedial pedicle reductions, 25 (75.8%) used a Wise pattern incision and 8 (24.2%) used a vertical pattern incision.

By measuring the sternal notch nipple distance and the nipple inframammary fold distance (proxies for upper and lower sensory ligament strength, respectively), the study found a differential rate of stretch – for every 1 cm in upper sensory ligament stretch, the lower sensory ligament length increases by 0.45 cm. This relationship strengthens the researchers’ hypothesis that the lower pole ligaments stretch at a significantly slower rate than the upper pole ligaments. An anatomic basis for this differential may exist. A horizontal membrane of dense connective tissue originating at the level of the fifth rib that divides the breast into segments at the level of the nipple has been described. This division may signify a transition point in sensory ligament strength. On that basis, the authors recommend that techniques such as the Boston modification of Robertson technique should be preferred by surgeons seeking to avoid pseudoptosis. Other advantages of the Boston modification of Robertson technique include decreased operative time and elimination of the “triple point,” the most common site of postoperative incision rupture.

“This study is one of the largest breast anthropometry (measurement) studies ever performed,” says Lau. “These results help us provide the best breast reduction outcomes to our patients.”

Coauthors include Thomas Steele, a recently graduated medical student at LSU Health New Orleans School of Medicine, and Julian Pribaz, MD, of Brigham and Women’s Hospital, Harvard Medical School.

New Appointments

Co-Directors of the SOM Basic Science Curriculum

We are pleased to announce that Dr. Joy Sturtevant and Dr. Andrew Hollenbach will join Dr. English, Dr. Levitzky, and the rest of the Undergraduate Medical Education team as Basic Science Curriculum Co-Directors.  Both have been intimately involved in the curriculum revision process for several years and are very knowledgeable about the curriculum goals and educational program objectives that directed the revision.

 

Joy Sturtevant
Joy Sturtevant

Dr. Sturtevant, an Associate Professor in the Department of Microbiology, Immunology, and Parasitology, has been an active Curriculum Renewal Committee member since its inception.  She is the course co-director of the Diseases and Therapy of the Pulmonary System and the Medical Immunology courses.  She has been an active member of numerous work groups that developed various aspects of the revised curriculum, including clinical skills integration, infectious diseases, and ethics.

 

 

Andrew Hollenbach
Andrew Hollenbach

 

 

 

 

Dr. Hollenbach, a Professor in the Department of Genetics, has been an active Curriculum Renewal Committee member since its inception.  He is a lecturer in several courses in the revised curriculum and has also been an active member of numerous work groups including clinical skills integration and cancer.  He has been an integral contributor to our longitudinal cultural competency curriculum.

Both faculty members have been recognized for their excellent teaching and student mentorship.   They will serve as liaisons between the Office of Undergraduate Medical Education and individual courses to provide support to course directors, feedback to faculty lecturers, ensure compliance with accreditation standards, and facilitate continued integration of basic science material.

 

Promotion and Tenure

Congratulations to the following faculty for rank advancement and/or tenure!

Full Professor Clinical:

  • Andrew McWhorter (Otolaryngology)
  • John Morrison (Surgery)
  • Gabriel Tender (Neurosurgery)

Full Professor:

  • Siqiong Liu (Cell Biology & Anatomy)
  • Charles Nichols (Pharmacology)
  • Malachi Sheahan  (Surgery)

Associate Professor With Tenure:

  • Donna Neumann (Pharmacology)

Tenure only:

  • Martin Ronis (Pharmacology)
  • Christopher Taylor (Microbiology, Immunology, and Parasitology)

Associate Professor Research:

  • Jason Mussell (Cell Biology & Anatomy)
  • Tri Tran (Pediatrics)

Associate Professor Clinical

  • Jerussa Aita-Levy (Pediatrics)
  • Kelly Babineaux (Surgery)
  • Margaret Bishop-Baier (Psychiatry)
  • Raman Danrad (Radiology)
  • Scott Delacroix (Urology)
  • Julie Gayle (Anesthesiology)
  • John Godke (Medicine)
  • Tonya Jagneaux (Medicine)
  • Carmen LaBrie-Brown (Anesthesiology)
  • Matthew Lammi (Medicine)
  • Jesus Lovera (Neurology)
  • Michael Maristany (Radiology)
  • Christopher Marrero (Orthopedic Surgery)
  • Aaron Martin (Urology)
  • Najy Masri (Medicine)
  • Mandy O’Leary (Pathology)
  • Jonathan Owen (Medicine)
  • Pinki Kumari Prasad (Pediatrics)
  • Maria Reinoso (Ophthalmology)
  • Ryan Rubin (Anesthesiology)
  • Emilio Russo (Family Medicine)
  • David Smith (Radiology)
  • Bruce Torrance (Surgery)
  • Michael E. Walsh (Psychiatry)
  • John Wells (Psychiatry)
  • Jason Wilson (Neurosurgery)

Assistant Professor Clinical

  • Sarah Buzhardt (Obstetrics & Gynecology)

Clinical Professor:

  • Ellen Zakris (Medicine)

Clinical Associate Professor:

  • Richard Costa (Psychiatry)
  • Dean Hickman (Medicine)
  • Kristopher Kaliebe (Psychiatry)
  • Aravinda Rao (Ophthalmology)
  • John Steck (Neurosurgery)
  • Justin Tenney (Medicine)

Clinical Assistant Professor

  • Christopher Willoughby (Medicine)

Library Administration:

  • Carolyn Bridgewater, Associate Librarian
  • Marlene Bishop, Assistant Librarian

Faculty Assembly Delegates 2017

Congratulations to the following newly elected Delegates of the Faculty Assembly for the term 2017-2020.

Basic Sciences:

  • Judy Crabtree
  • Traci Goodchild
  • Pam Kozlowski
  • Chris Taylor

Clinical Sciences:

  • Taniya De Silva
  • Jennifer Hart
  • Sanjay Kamboj
  • Christian Lilje
  • Guy Orangio
  • Florencia Polite
  • Dana Rivera
  • Christopher Roth

To view the complete roster, meeting minutes, and other Faculty Assembly information, please visit the web site at http://www.medschool.lsuhsc.edu/faculty_assembly/.

Welcome New Comers!

We’d like to extend a warm welcome to the following faculty members who have joined the School of Medicine Family between March 1 – April 30, 2017!

Med-Pulmonary/Critical Care Medicine

  • Nicole Lapinel, M.D., – Assistant Professor-Clinical

Ophthalmology

  • Jamie Hatcher, M.D. – Clinical Assistant Professor

Otorhinolaryngology

  • Jairo Torres Acevedo, M.D. – Assistant Professor-Clinical

Pediatrics

  • Kurt Piggott, M.D. – Associate Professor-Clinical

Surgery

  • Margaret Moore, M.D. – Assistant Professor-Clinical

Welcome New Comers!

We would like to extend a warm welcome to the following faculty members who have joined the School of Medicine Family between January 1 – February 28, 2017.

Ophthalmology
Thomas Heigle, M.D.
Clinical Assistant Professor

Pediatrics
Michael Brumond, M.D
Associate Professor-Clinical

Isa Ashoor, M.D.
Assistant Professor-Clinical

Radiology
Janis Letourneau, M.D.
Clinical Professor

Surgery
Abdur Razzaque, M.D.
Assistant Professor-Research

UMC-Medicine
Farha Khan, M.D.
Assistant Professor-Clinical

Welcome Newcomers!

We would like to extend a warm welcome to the following faculty members who have joined the School of Medicine Family between January 1 – February 28, 2017.

Ophthalmology
Thomas Heigle, M.D. – Clinical Assistant Professor

Pediatrics
Michael Brumond, M.D. – Associate Professor-Clinical
Isa Ashoor, M.D. – Assistant Professor-Clinical

 Radiology
Janis Letourneau, M.D. – Clinical Professor

Surgery
Abdur Razzaque, M.D. – Assistant Professor-Research

UMC-Medicine
Farha Khan, M.D. – Assistant Professor-Clinical

 

 

 

 

Camp Tiger – A Preview

Camp Tiger- a Preview of an Annual Outreach Program!
By Scott Gaignard, Class of 2020 (L1), Camp Tiger Director

Every year, the School of Medicine hosts Camp Tiger, a week long summer camp for children with special needs. The camp is run entirely by second year and incoming first year medical students. As part of this outreach program, the students take the wonderful campers through many of New Orleans’ most exciting and fun venues, including the Audubon Aquarium and Zoo, Kidsports, City Park and many more. Not only is it an incredible opportunity to offer these children a unique camp experience, it is also completely free of charge for the campers to attend! Many of these children never had a chance to attend summer camp, and we are extremely privileged to enjoy the week with them. This annual tradition has enriched the lives of so many children throughout the years, and the School of Medicine class of 2020 hopes to continue its mission.

The camp is entirely funded through generous donations and sponsorship from our great New Orleans community. The majority of these funds are generated through the annual auction. The 32nd annual Camp Tiger Benefit and Auction this year will be held at Club XLIV in Champions Square on March 31, 2017 from 7-11 pm. The event will have both a silent and live auction, a live band, open bar, free food, and an appearance by the 610 Stompers. The auction is open to anyone and everyone from the New Orleans area that wants to come together for a great cause. We hope that you can join us and help keep one of the greatest LSUHSC traditions a success for this year and for many years to come.

Please visit our website http://www.lsuhsc.edu/orgs/camptiger/ for more information on everything including the auction and ticket prices, ways to donate, and the camp itself. If you have a question about the annual auction, please contact Todd Lambert at tlamb3@lsuhsc.edu. If you have a question about Camp Tiger, please contact Scott Gaignard at sgaign@lsuhsc.edu

Welcome NewComers

We’d like to extend a warm welcome to the following faculty members who have joined the School of Medicine Family since September 1, 2016:

Genetics

  • Rakesh Srivastava, Ph.D. – Professor-Research
  • Sharmila Shankar, Ph.D. – Associate Professor-Research

Medicine

  • Lauren Davis, M.D. – Assistant Professor-Clinical (Comprehensive Medicine)
  • Lobna Ali, M.D. – Assistant Professor-Clinical (Geriatrics)
  • Rajasree Chowdry, M.D. – Clinical Assistant Professor (Hematology and Oncology)
  • Yussef Bennani, M.D. – Assistant Professor-Clinical (Infectious Disease)

Neurology or Neurosurgery

  • Rashmi Rao, M.D. – Assistant Professor-Clinical (Neurology)
  • Aaron Mammoser, M.D. – Associate Professor-Clinical (Neurosurgery)

Obstetrics and Gynecology

  • Amelia Jernigan, M.D. – Assistant Professor-Clinical

Ophthalmology

  • Thomas Heigle, M.D. – Clinical Assistant Professor

Orthopedics

  • Matthew Cable, M.D. – Assistant Professor-Clinical
  • Abhishek Kumar, M.D. – Assistant Professor-Clinical

Otorhinolaryngology

  • Jeffrey Hotaling, M.D. – Assistant Professor-Clinical
  • Alexander Sevy, M.D. – Assistant Professor-Clinical

Pediatrics

  • Peter Tieh, M.D. – Assistant Professor-Clinical
  • Stefani Samples, M.D. – Assistant Professor-Clinical
  • Michael Brumund, M.D. – Associate Professor-Clinical

Psychiatry

  • Graham Spruiell, M.D. – Assistant Professor-Clinical

Surgery

  • Abdur Razzaque, M.D. – Assistant Professor-Research

UMC-Medicine

  • Farha Khan, M.D. – Assistant Professor-Clinical

SOM Grants

Congratulations to the following researchers for obtaining extramural funding from federal, state, and independent sources since September 1, 2016!

(NOTE: This list was compiled from information received from the Dean’s Office.  Please inform us if anyone was inadvertently omitted from the list and we will publish a correction in the next issue.)

NIH P60 Multidisciplinary Clinical Research Centers:

  • Patricia Molina, M.D., Ph.D. (Department Chair, Physiology and Director, Alcohol and Drug Abuse Center of Excellence)

NIH U01 Research Project Cooperative Agreement:

  • Patricia Molina, M.D., Ph.D. (Department Chair, Physiology and Director, Alcohol and Drug Abuse Center of Excellence)

NIH R01:

  • Augusto Ochoa, M.D. (Co-director, Louisiana Cancer Research Consortium)
  • Walter Lukiw, Ph.D. (Neuroscience Center of Excellence)
  • Jason Gardner, Ph.D. (Physiology)
  • Xinping Yue, M.D., Ph.D. (Physiology)
  • Eric Lazartigues, Ph.D. (Pharmacology)

NIH Contract:

  • Diptasri Mandal, Ph.D. (Genetics)

NIH F30 M.D./Ph.D. Training Grant:

  • Myles Ketchum (Physiology)

Additional National Funding Agencies:

  • Howard Osofsky, M.D. (Department Chair, Psychiatry)
    • Health and Human Services, Substance Abuse and Mental Health

Independent Foundations:

  • David Welsh, M.D. (Internal Medicine)
    • Spirit of Charity
  • Robert Maupin, M.D. (OB/GYN, Associate Dean – Office of Diversity and Community Engagement)
    • Robert Wood Johnson Foundation

University and Private Hospitals:

  • Lucio Miele, M.D., Ph.D. (Department Chair, Genetics)
    • Michigan State University
  • Michael Lan, Ph.D. (Genetics)
    • LSU Baton Rouge
  • Ashok Aiyar, Ph.D. (Microbiology, Immunology, and Parasitology)
    • LSU Baton Rouge

Pharmaceuticals and Companies:

  • Frank Smart, M.D. (Internal Medicine)
    • Medtronic
  • Matthew Lammi, M.D. (Internal Medicine)
    • United Therapeutics Corporation
  • Murtuza Ali, M.D. (Cardiology)
    • St. Jude Medical
  • Anthony DiGiorgio, D.O. (Neurosurgery)
    • Precision Spine, Inc.
    • Medtronic
    • Globus Medical
  • David Lefer, Ph.D. (Director, Cardiovascular Center of Excellence)
    • Novartis Pharmaceuticals Corp.
  • Michelle Loch, M.D. (Internal Medicine)
    • Cascaian Therapeutics, Inc.
  • Jayne Weiss, M.D. (Department Chair, Ophtholmology)
    • Alcon Laboratories
  • Clifford Crutcher, M.D. (Neurosurgery)
    • CoreLink Surgical