2026 Program & Abstracts

18. The Equity Gap in Prophylactic Mastectomy: Utilization Declines Fivefold with Increasing Social Vulnerability
Emma Lascar¹, Neil Parikh¹, Sheuli Chowdhury¹, Sahil Sharma¹, Patricia Fuentes¹, Peter J. Taub¹, Peter W. Henderson^1
1. Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

19. Perioperative Antibiotic Prophylaxis and Surgical Site Infections in implant-based Breast Reconstruction
Natalia Mejia¹, Aryan Gupta¹, Maxim Narduzzi¹, Alexander Chang¹, Adam Walchak¹, Sameer A. Patel^1
1. Division of Plastic and Reconstructive Surgery, LKSOM Temple University Hospital/Fox Chase Cancer Center, Fox Chase Cancer Center, Philadelphia, PA, United States.

20. Support or Setback? Surgical Site Infection Risk with Mesh in Breast Reduction and Mastopexy
Manuela Neira Castro¹, Valeria Bustos³, Maria J. Escobar², Agustin N. Posso¹, Charlotte Thomas¹, Bernard T. Lee^1
1. Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Brookline, MA, United States. ². Plastic and Reconstructive Surgery, University of Pittsburgh, Pittsburgh, PA, United States. ³. Plastic and Reconstructive Surgery, University of Miami, Miami, FL, United States.

21. PRO-BREAST: Interpretable Machine Learning for Risk Prediction After Oncologic and Reconstructive Breast Surgery
Dany Y. Matar¹, John J. Lee², Anthony Matar³, Arnav Khera¹, Jonlin Chen¹, Adriana C. Panayi?, Anahita Nimbalkar¹, Jasleen Gill?, Charbel Saad¹, William Huang?, Esther Jung¹, Gabriel Hundeshagen?, Dennis P. Orgill?, Sashank Reddy¹, Hooman Soltanian¹, Salih
¹. Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD, United States. ². University of Virginia School of Medicine, Charlottesville, VA, United States. ³. Machine Learning Core, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States. ⁴. Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany. ⁵. Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States. ⁶. George Washington University School of Medicine, Washington D.C., DC, United States.

22. Beyond Nitroglycerin: Early Clinical Outcomes of Tacrolimus at Discharge for Threatened Mastectomy Skin Flaps
Michael Stigliano¹, Carson Gundlach¹, Paneed Jalili¹, Fiona R. Fragomen¹, Annie McVeigh¹, Daana Bajnauth¹, David Otterburn^1
1. Weill Cornell Medicine, New York, NY, United States.

23. A Propensity-Matched Analysis of Tissue Expander Morbidity Following Absorbable Antibiotic-Molded Disk Placement in the Prep
Timothy C. Olsen¹, Aamirah Mccutchen¹, Margaret M. Hornick¹, Amy MiHyun Jang¹, Ayaka N. Deguchi¹, Robyn B. Broach¹, Joseph Serletti¹, Sean Li^1
1. Division of Plastic Surgery, University of Pennsylvania, Philadelphia , PA, United States.

24. Machine Learning-Based Prediction of Tissue Expander Complications: A Multi-Institutional Analysis
Ariel Gabay¹, Timothy C. Olsen², Archana Babu³, Jonlin Chen?, Abbas Hassan?, Robyn B. Broach², Babak J. Mehrara¹, Robert J. Allen¹, Said Azoury², Alexander F. Mericli³, Jonas Nelson^1
1. Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York , NY, United States. ². Plastic and Reconstructive Surgery, University of Pennsylvania, Philadelphia, PA, United States. ³. Plastic and Reconstructive Surgery, M.D.

25. Outcomes of Free Flap Breast Reconstruction at Academic vs Non-Academic Centers.
Alan T. Makhoul¹, Said Azoury^1
1. Plastic Surgery, University of Pennsylvania, Philadelphia, PA, United States.

26. Clinically Meaningful Differences in Patient Reported Outcomes After Contralateral Prophylactic Mastectomy and Autologous Reconstruction
Jennifer Wang¹, Lillian A. Boe¹, Geoffrey Hespe¹, Francis D. Graziano¹, Evan Matros¹, Robert J. Allen¹, Jonas Nelson^1
1. Memorial Sloan Kettering Cancer Center, New York, NY, United States.

27. Spare Parts in Rhinoplasty: Repurposing Scar Tissue as Autologous Tip Grafts
Shaishav Datta¹, Matthew Morris², Alexia Lucas², Sophie C. Queler², Steven Hanna³, David Mattos?, Richard Reish^2
1. Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada. ². Plastic Surgery, Manhattan Eye, Ear and Throat Hospital, New York, NY, United States. ³. Private Practice, Toronto, ON, Canada. ⁴. Plastic and Reconstructive

28. Recent Weight Loss Identifies a Distinct Physiologic Vulnerability Phenotype in Body Contouring Surgery
Teresa Nam*¹, Alexis Aparicio², Lokesh Patil³, Christina S. Chopra¹, Isha Joshi¹, Tommaso A. addona?
¹. Division of Plastic Surgery, Stony Brook University Hospital, Stony Brook, NY, United States. ². Renaissance School of Medicine, Stony Brook University Hospital, Stony Brook, NY, United States. ³. OBGYN, Stony Brook University Hospital, Stony Brook, NY, United States.

29. Investigating the Influence of Tranexamic Acid on Adipocyte Differentiation in an In Vitro Model
Giorgianna Ellis¹, Tiffany DeSouza², Jahnavi Challagonda¹, Alex Joo¹, Anam J. Furrukh¹, Sneha Palmieri¹, Silvia Corvera², Janice F. Lalikos^1
1. Plastic Surgery, UMass Chan, Weston, MA, United States. ². Program in Molecular Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States.

30. Beyond BMI: A Physiologic Model Better Predicts Wound Complications After Body Contouring Surgery
Kyle Anderman*¹, Lokesh Patil², Christina S. Chopra³, Isha Joshi³, Tommaso A. addona?
¹. Renaissance School of Medicine, Stony Brook University Hospital, Stony Brook, NY, United States. ². OBGYN, Stony Brook University Hospital, Stony Brook, NY, United States. ³. Division of Plastic Surgery, Stony Brook University Hospital, Stony Brook, NY, United States. ⁴. New York Plastic Surgical Group, Garden City, NY, United States.

31. Operative Duration, Not Procedural Combination, Drives Postoperative Morbidity in Body Contouring Surgery
Christina S. Chopra*¹, Uttsav Patel*³, Radhika Patel³, Isha Joshi¹, Daniella Abramov², Tara L. Huston^1
1. Division of Plastic Surgery, Stony Brook University Hospital, Stony Brook, NY, United States. ². Surgery, New York-Presbyterian Queens, Queens, NY, United States. ³. Renaissance School of Medicine, Stony Brook University Hospital, Stony Brook, NY, United States

32. Microcomputed Tomography (Micro-CT) Mapping of Corrugator Supercilii and Procerus Anatomy: Implications for Procedures Involving the Glabellar Musculature
Hunter M. Rogoff¹, Maxim Narduzzi², Daniel Maskovsky², Sean Devitt^1
1. Department of Plastic and Reconstructive Surgery, Geisinger Medical Center, Danville, PA, United States. ². New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, United States.

33. Investigating breast cancer risk reduction associated with breast reduction in patients with a family history of breast cancer: a nationwide propensity score-matched retrospective cohort study
Seungil Lee*, Hannah D. Shi, BA, Theodore C. Lee, Agustin N. Posso, Chanthia Ma, Sarah Karinja, Bernard T. Lee
Beth Israel Deaconess Medical Center, Boston, MA, United States.

34. What should we tell body contouring patients of different BMI status about GLP-1s: A national propensity-matched analysis
Sophia Ahn¹, Michael J. Kuharski¹, Sanjana Challa², Amy Maselli¹, Reena Bhatt^1
1. Brown University, Rumford, RI, United States. ². Beth Israel Deaconess Medical Center, Boston, MA, United States.

35. Do conventional or biologic DMARDs impact outcomes after body contouring procedures?: A national propensity matched analysis
Sophia Ahn¹, Anirudh Kulkarni¹, Bradley Colarusso¹, John B. Park¹, Ryan P. Cauley^1
1. Beth Israel Deaconess Medical Center, Boston, MA, United States.

36. Peri-operative Selective Sodium Channel Blockade May Reduce Opioid Use after Breast Surgery
Sanjana Challa¹, Charlotte Thomas¹, Sophia Ahn¹, Dorien I. Schonebaum¹, Alynah J. Adams¹, Samuel J. Lin^1
1. Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.

37. Association of Selective Serotonin Reuptake Inhibitor Use and Development of Capsular Contracture after Breast Augmentation
Sanjana Challa¹, Sophia Ahn¹, Alynah J. Adams¹, Dorien I. Schonebaum¹, Charlotte Thomas¹, Samuel J. Lin^1
1. Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.

38. Management of Post-Surgical Fat Necrosis of the Breast: A Systematic Review & Novel Treatment Algorithm
Samantha Shellen¹, Carolyn Cafro¹, Rebecca Patrick¹, Anna Weiss¹, Jonathan Leckenby^1
1. University of Rochester, Rochester, NY, United States.

39. CTA vs. MRA perforator mapping for DIEP flap breast reconstruction: surgical outcomes from a propensity score-matched cohort
Sahil Sharma¹, Martha MacDonald¹, Sheuli Chowdhury¹, Abigail R. Tirrell¹, Sydney A. Mathis¹, Emma Lascar¹, Patricia Fuentes¹, Shahin Owji², Alexander Kagen², Alice Yao¹, Peter J. Taub¹, Peter W. Henderson^1
1. Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine, New York, NY, United States. ². Division of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

40. A Decade of National Trends and Outcomes Between Immediate versus Staged Autologous Free-Flap Breast Reconstruction
Andrew Hannoudi*¹,Timothy C. Olsen¹, Aamirah Mccutchen¹, Margaret M. Hornick¹, Ayaka N. Deguchi¹, Kaamya Varagur¹, Robyn B. Broach¹, Joseph Serletti¹, Said Azoury^1
1. Division of Plastic Surgery, University of Pennsylvania, Philadelphia , PA, United States.

41. Optimal Timing of BREAST-Q Administration in Autologous Breast Reconstruction: A Meta-Analysis
Emanuella Brito¹, Georgia A. Babb¹, James Gaston¹, Martin Newman², Graham S. Schwarz^1
1. Cleveland Clinic Foundation, Cleveland, OH, United States. ². Cleveland Clinic Florida, Weston, FL, United States.

42. Five-Year Breast Revisions Between Two-Stage Implant, Direct-to-Implant, and Autologous Reconstructions
Andrew Hannoudi*¹ Timothy C. Olsen¹, Alan T. Makhoul¹, Aamirah Mccutchen¹, Margaret M. Hornick¹, Ayaka N. Deguchi¹, Robyn B. Broach¹, Joseph Serletti¹, Said Azoury^1
1. Division of Plastic Surgery, University of Pennsylvania, Philadelphia , PA, United States.

43. Factors Associated with Satisfaction with Breasts Following Oncoplastic Mammoplasty
Benjamin D. Wagner¹, Ron Shemtov¹, Lillian A. Boe², Giacomo Montagna³, Audree B. Tadros³, J I. Choi?, Babak J. Mehrara¹, Jonas Nelson¹, Carrie S. Stern^1
1. Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. ². Biostatistics Service, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, United States. ³. Breast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. ⁴. Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States.

44. National Trends in Reduction Mammaplasty: 72,685 Cases Reveal Dramatic Growth in Pediatric Surgical Volume with Age-Based Perioperative Differences
Rachel Schafer¹, Avi Lamba¹, Kristina M. Chang¹, Sara Neimanis^1
1. Division of Plastic Surgery, University of Rochester, Rochester, NY, United States.

45. Predictors of Adverse Outcomes from Salivary Leaks after Microvascular Head and Neck Reconstruction
Hong Hao Xu¹, Jacob Y. Katsnelson¹, Fuat Baris Bengur¹, Armin Aryannejad¹, G. Zehra Kocyigit¹, Adriana M. Duncan¹, Matthew T. Bottegal¹, Seungwon Kim², Mario G. Solari^1
1. Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. ². Department of Otolaryngology-Head & Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

46. First-in-Human Robot-Assisted Cervical Lymphatic Reconstruction for Neurodegenerative Disease: Early Neurological Recovery
Yazan Mahafza¹, Wei F. Chen^1
1. Plastic and Reconstructive Surgery, Cleveland Clinic, Cleveland, OH, United States.

47. Salivary Leak after Microvascular Head and Neck Reconstruction: Clinical Course, Infectious Complications, and Management Outcomes
Hong Hao Xu², Fuat Baris Bengur², Jacob Y. Katsnelson², G. Zehra Kocyigit², Armin Aryannejad², Adriana M. Duncan², Matthew T. Bottegal², Seungwon Kim¹, Mario G. Solari^2
1. Department of Otolaryngology-Head & Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. ². Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

48. Influence of Body Mass Index on Perioperative Outcomes of Oncologic Microvascular Head and Neck Reconstruction: Comprehensive Analysis Using a Prospective Cohort
Hong Hao Xu¹, Elizabeth D. Dominguez³, Vanessa Mroueh*², G. Zehra Kocyigit¹, Armin Aryannejad¹, Adriana M. Duncan¹, Matthew T. Bottegal¹, Mario G. Solari^1
1. Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. ². Department of Surgery, NYU Langone Health, New York, NY, United States. ³. Division of Plastic & Reconstructive Surgery, University of Nebraska Medical Center, Omaha, NE, United States.

49. Lymphedema Following Cervical Lymph Node Dissection for Head and Neck Cancer: A Decade of Outcomes and Risk Modeling
Stav Brown, MD, Sarah Fargey, BS, Mehra Golshan, MD MBA, Siba Haykal MD PhD
¹. Yale School of Medicine, New Haven, CT, United States.

50. 10-Year Immunologic Outcomes After the First Full Face, Eyelid, Ear, and Scalp Transplant
Alexis K. Gursky¹, Hailey P. Wyatt¹, Sergio A. Segrera¹, Anandhini Narayanan¹, Bruce E. Gelb², Daniel J. Ceradini¹, Eduardo Rodriguez^1
1. Hansjörg Wyss Department of Plastic Surgery, New York University Langone, New York, NY, United States. ². Transplant Institute, Department of Surgery, New York University Langone, New York, NY, United States.

51. Impact of Enhanced Recovery After Surgery Implementation on Hospital Recovery Metrics Following Head and Neck Free Flap Reconstruction
Carol Wang¹, You J. Park¹, Lamorna Coyle¹, Joseph Ricci^1
1. Plastic and Reconstructive Surgery, Northwell Health, New Hyde Park, NY, United States.

52. Facing Graft Failure: A Systematic Review of Explantation and Retransplantation in Vascularized Composite Allotransplantation
Alexis K. Gursky¹, Y. Edward Wen¹, Anandhini Narayanan¹, Shaina M. Staffenberg¹, Hailey P. Wyatt¹, Sergio A. Segrera¹, Bruce E. Gelb², Daniel J. Ceradini¹, Eduardo Rodriguez^1
1. Hansjörg Wyss Department of Plastic Surgery, New York University Langone, New York, NY, United States. ². Transplant Institute, Department of Surgery, New York University Langone, New York, NY, United States.

53. Modified Frailty Index-5 Predicts Complications After Fibula Free Flap Reconstruction for Head and Neck Cancer
Alexis K. Gursky¹, Hailey P. Wyatt¹, Sergio A. Segrera¹, Anandhini Narayanan¹, Adam Jacobson², Jamie Levine^1
1. Hansjörg Wyss Department of Plastic Surgery, New York University Langone, New York, NY, United States. ². Department of Otolaryngology, New York University Langone, New York, NY, United States.

54. Targeting Lymphatic Function to Enhance Anti-Tumor Immunity and Suppress Metastasis
Xizhao Chen¹, Jinyeon Shin¹, Gopika Ashokan¹, Annica Stull-Lane¹, Sarit Pal¹, Geoffrey Hespe¹, Babak J. Mehrara¹, Raghu Kataru^1
1. Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Discussant: Carolyn De La Cruz, MD

55. Controlled Super-Zero Cooling After Volumetric Muscle Loss Injury Improves MRI Metrics of Recovery in a Large Animal Model
Eddy C. Rios¹, Daniah Al-Nafisee², Hiroshi Fujimaki¹, Francisco Batiz-Fabela¹, Mitchell Kennedy¹, Samantha Kroon¹, Monica Royo¹, Maria Bejar-Chapa¹, Bilal M. Chaudhry¹, Giorgio Giatsidis^1
1. Surgery (Division of Plastics), UMass Chan School of Medicine, Worcester, MA, United States. ². Surgery (Division of Plastic Surgery), University of Minnesota, Minneapolis, MN, United States.
Discussant: Jonathan I. Leckenby, MD, PhD

56. Tunable Hydrogel Stiffness Modulates In Situ Microvascular Growth and Long-Term Vascular Maturation
MohammadHossein Asgardoon², Saman Zavari¹, Mary Landmesser², Neekita Jikaria², Jenn Park², Amir Sheikhi¹, Dino Ravnic^2
1. Chemical Engineering, Penn State University, University Park, PA, United States. ². Surgery, The Pennsylvania State University, Hershey, PA, United States.
Discussant: Babak J. Mehrara, MD

57. First, Do No Harm: Effect of TXA in a Rodent Random-Pattern Flap Model
Samuel Medina¹, Abby Chopoorian¹, Matthew W. Liao¹, Olivia H. Carrafiell¹, Terrence C. Green¹, David Dugue¹, Malini Chinta¹, Elias Khayat¹, Jaime L. Bernstein¹, Xue Dong¹, Jason A. Spector^1
1. Weill Cornell, New York, NY, United States.
Discussant: Lawrence B. Draper, MD

58. 3-Methyl-4-Aminopyridine Enhances Functional and Electrophysiological Recovery Following Sciatic Nerve Crush in Mice
Julia Chrisbacher², Margaret Beha¹, Njima Schläpfer¹, Remy Liechti¹, Jonathan Leckenby^1
1. Division of Plastic & Reconstructive Surgery, University of Rochester Medical Center, Rochester, NY, United States. ². University of Rochester School of Medicine & Dentistry, Rochester, NY, United States.
Discussant: Jonathan M. Bekisz, MD, MSci

59. Breast Capsule Histology of Drainless, Infected Tissue Expanders With and Without Antibiotic Beads
Fiona R. Fragomen¹, Anna M. Vaeth¹, Alyssa Wan-Chei Lee¹ , Michael Stigliano¹, Paneed Jalili¹, Carson Gundlach¹, Annie McVeigh¹, Baris Boyraz¹ David Otterburn^1
1. Department of plastic surgery, Weil Cornell Medical, Woodside, NY, United States.
Discussant: Haripriya S. Ayyala, MD

60. A Statistical Fragility Analysis of Randomized Controlled Trials on Biological Therapies in Diabetic Foot Ulcer Management
Pushti Shah¹, Jacquelyn Roth¹, Sidharth Addepalli¹, Ishan Patel¹, Seth Noorbakhsh¹, Mark Granick¹, Edward Lee^1
1. Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, United States.
Discussant: Karen K. Evans, MD

61. GLP-1 Receptor Agonists and Lymphedema Prevention After Axillary Surgery: A Decade of Outcomes from the Largest Single-Center Cohort
Stav Brown¹, Siba Haykal^1
1. Yale school of Medicine, New Haven, CT, United States.
Discussant: Dhruv Singhal, MD

62. Identifying Partial Muscle Denervation After Nerve Root Injury Using PET Imaging
John Nguyen², Bashar Alsamman¹, Jeffrey Khong¹, Rachana Suresh¹, Samarth Krishna¹, Kiara quinn¹, Alec Chen¹, Mohammad Shahid¹, Santosh Yadav¹, Zachary Zamore¹, Fares Lebbos¹, Catherine Foss¹, William Padovano¹, Sami Tuffaha^1
1. Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD, United States. ². Department of General Surgery, Florida Atlantic University, Boca Raton, FL, United States.
Discussant: Danielle H. Rochlin, MD

63. Effect of Suzetrigine on Pain Medication Use after Free Flap Surgery
Alan T. Makhoul¹, Alexandra E. Makhoul², Said Azoury^1
1. Plastic Surgery, University of Pennsylvania, Philadelphia, PA, United States. ². Anesthesiology, University of Pennsylvania, Philadelphia, PA, United States.
Discussant: TBD

64. Long-Term Limb Salvage for Diabetic Foot Ulcers: A 14-Year Single-Institution Review of Reconstructive Outcomes
Hannah Soltani, BS*¹; Leila I Jones, BS²; Rachel N. Rohrich, BS¹; Priyanka Meesa, BS²; Jayson N. Atves, DPM¹; Richard C. Youn, MD¹; Christopher E. Attinger, MD¹; Karen K. Evans, MD¹; Stephen B. Baker, MD
¹. Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA, ². Georgetown University School of Medicine; Washington, DC, USA
Discussant: Christian Kauffman, MD

65. Dysphoria, Gender Congruence, and Life Satisfaction following Chest Masculinization Surgery: the Impact of Age, Body Mass Index, and Scar Revision
Calvin R. Schuster*, Alexandra J. Davis, Bashar Hassan, Madyson Brown, Danielle Sim, Fan Liang
Department of Plastic and Reconstructive Surgery, Center for Transgender and Gender Expansive Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

66. Citation Half-Life and Aging Patterns Across Plastic Surgery Subspecialties: A Bibliometric Analysis
Charbel Saad¹, Josip Plascevic², Hiren Parekh³, Sashank Reddy^1
1. Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD, United States. ². Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard University, Boston, MA, United States. ³. Yale CollegeYale University, New Haven, CT, United States.

67. Factors Influencing Post-Training Practice Decisions in Plastic Surgery: A Systematic Review
Nadeem E. Jones¹, Shreyas Rajagopal¹, Juliana M. Marquez¹, Lee D. Yang¹, Jarrod T. Bogue^1
1. Columbia University Vagelos College of Physicians and Surgeons, New York City, NY, United States.

68. Perioperative Suicide Attempt Risk Before and After Gender-Affirming Surgery: A Person-Year Analysis of the U.S. Transgender Survey
Lee D. Yang¹, Melina Wald¹, Michael B. Amrami¹, Christine H. Rohde^1
1. Columbia Vagelos College of Physicians and Surgeons, New York City, NY, United States.

69. Topical Corticosteroid Use on Vaginal Dilators Is Associated with Reduced Stricture Rates Following Gender-Affirming Vaginoplasty
Emma Lascar¹, Safia Singer², Lisa Duan², Emily Payne², Sheuli Chowdhury¹, Sahil Sharma¹, Patricia Fuentes¹, Rebecca Suydam¹, Peter J. Taub¹, Peter W. Henderson¹, Elan Horesh^1
1. Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States. ². Icahn School of Medicine at Mount Sinai, New York, NY, United States.

70. Workload, Wellness, and Coverage Models Among Burn Surgeons: A National Survey of American Burn Centers
Andrew B. Nguyen¹, Christopher Fedor¹, Mare Kaulakis¹, Kelson Huynh¹, Sarah Tepe¹, Jenny Ziembicki¹, Francesco Egro^1
1. School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.

71. SHARE-ing the World: Mandatory Global Surgery Education for Plastic Surgery Residents at the University of Massachusetts Chan Medical School
Anna Bogursky¹, Mollie B. Smith¹, Elissa Daniel¹, Joyce K. McIntyre^1
1. University of Massachusetts Medical School, Worcester, MA, United States.

72. Surgery Applicant Values: Perceptions of Residency Programs Based on Gender-affirming Surgery Training and LGBTQ+ Inclusion
Calvin R. Schuster¹, Jennifer Lee¹, Agata A. Szulia¹, Cecilia Rogers¹, Lee D. Yang¹, Keeley Newsom², Amanda Gosman², Scott Lifchez¹, Wendy Chen¹, Fan Liang^1
1. Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States. ². Division of Plastic Surgery, University of California San Diego, San Diego, CA, United States.

73. The Status of Medicaid Coverage of Gender Affirming Surgeries: A State-By-State Investigation
Sophia Ahn¹, Anirudh Kulkarni¹, Harshita Pattam², Bradley Colarusso¹, Marrisa A. Kent¹, Ryan P. Cauley^1
1. Beth Israel Deaconess Medical Center, Boston, MA, United States. ². Boston University, Boston, MA, United States.

74. Integrating Gender-affirming Surgery Education into a Core Surgery Clerkship: Impact on Medical Student Knowledge and Confidence
Calvin R. Schuster¹, Gabriela Drew¹, Helene F. Hedian², Fan Liang¹, Wendy Chen^1
1. Department of Plastic and Reconstructive Surgery, Center for Transgender and Gender Expansive Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States. ². Department of Medicine, Center for Transgender and Gender Expansive Health in Baltimore, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

75. Chest Feminization Surgery is Associated with Objective Improvement in Gender Incongruence and Chest Satisfaction
Sheuli Chowdhury¹, Katherine G. Stark¹, Subha Karim¹, Sahil Sharma¹, Peter J. Taub¹, Elan Horesh¹, Peter W. Henderson^1
1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.

76. The Association of Race with Scar and Wound Healing Outcomes following Chest Masculinization Surgery
Calvin R. Schuster¹, Yu Jui Kung¹, Camille F. Blackman¹, Margaret R. Wang¹, Fan Liang^1
1. Department of Plastic and Reconstructive Surgery, Center for Transgender and Gender Expansive Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

77. BMI is an independent predictor of urologic and major surgical complications in gender-affirming phalloplasty
Sahil Sharma¹, Martha MacDonald¹, Alyxandra Rhamsay², Sheuli Chowdhury¹, Patricia Fuentes¹, Emma Lascar¹, Peter W. Henderson¹, Peter J. Taub¹, Elan Horesh³, Joshua Safer^2
1. Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine, New York, NY, United States. ². Center for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States. ³. Center for Transgender Medicine and Surgery, Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

78. Obstructive Sleep Apnea in Cleft Palate: High Prevalence and Underutilization of Polysomnography
Fares Lebbos*¹, Thomas Ren¹, Fares Lebbos¹, Charbel Saad¹, Richard Redett¹, Robin Yang¹, Pasha Shakoori^1
1. Plastic Surgery, Johhs Hopkins School of Medicine, Hopewell Junction, NY, United States.

79. Pterional Z-Plasty with Frontal Orbital Advancement for Unicoronal Synostosis: Long-Term Craniometric Outcomes
Tiffany E. Jeong¹, Justin Beiriger¹, Alzbeta Novotna¹, Michael Hernandez¹, Viraj Govani¹, Victoria García Rodríguez¹, Shelby Nathan¹, Jesse A. Goldstein¹, Lucas Dvoracek^1
1. Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

80. NATURAL HISTORY OF CRANIAL MORPHOLOGY IN NONOPERATIVE ISOLATED SAGITTAL CRANIOSYNOSTOSIS USING MACHINE LEARNING
Tiffany E. Jeong¹, Jonathan Cho¹, Sean Lee¹, Alzbeta Novotna¹, Michael Hernandez¹, Victoria García Rodríguez¹, Viraj Govani¹, Zhazira Irgebay¹, Shelby Nathan¹, Nawazish Khan², Mokshagna Karanam², Shireen Elhabian², Jesse A. Goldstein^1
1. Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. ². SCI, University of Utah, Salt Lake City, UT, United States.

81. Late Presenting Isolated Sagittal Craniosynostosis: Can We Use Cranial Morphology to Guide Surgical Decision Making?
Tiffany E. Jeong¹, Michael Hernandez¹, Michelle Antony¹, Alzbeta Novotna*¹, Viraj Govani¹, Victoria García Rodríguez¹, Zhazira Irgebay¹, Shelby Nathan¹, Mokshagna Karanam², Nawazish Khan², Shireen Elhabian², Jesse A. Goldstein^1
1. Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. ². SCI, University of Utah, Salt Lake City, UT, United States.

82. Long-Term Surgical and Aesthetic Outcomes of Microtia Repair: Porous Polyethylene versus Autologous Costal Cartilage Reconstruction
Miriam Meghnagi¹, Jinggang Ng¹, Yuliia Kovach¹, Evrim E. Ozcan¹, Jonathan Sussman¹, Isabel Ryan¹, David Low¹, Jesse Taylor¹, Jordan W. Swanson¹, Scott Bartlett¹, Cassandra A. Ligh^1
1. Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States.

83. Buccal Myomucosal Flap as a First-Line Treatment for Velopharyngeal Deficiency: A Single-Institution Retrospective Analysis of a 13-year Trend in Procedure Utilization
Nisha K. Vora*¹, Leah Prishak¹, Golibe Okoli¹, Erona¹, David Low¹, Jesse Taylor¹, Jordan W. Swanson¹, Scott Bartlett¹, Oksana A. Jackson¹, Joseph A. Napoli^1
1Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA

84. The Relationship Between Craniometric Severity and Timing of Surgery in Craniosynostosis
William Bai*¹, Andrew Salib¹, Victoria Kong¹, Samira Glaeser-Khan¹, Grace Allen¹, Martin Kauke-Navarro¹, Omar Allam¹, Michael Alperovich^1
1. Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven , CT, United States.

85. Prediction of Osteoradionecrosis Following Radiation Therapy for Head and Neck Squamous Cell Carcinoma
Thomas Ren¹, Fares Lebbos*¹, Richard Redett¹, Robin Yang¹, Pasha Shakoori^1
1. Plastic Surgery, Johhs Hopkins School of Medicine, Hopewell Junction, NY, United States.

86. Coupling Microsurgery and Bioengineering to Guide Vascular Patterning and Maturation in a Calvarial Defect Model
MohammadHossein Asgardoon¹, Deepak Gupta², Neekita Jikaria¹, Jenn Park¹, Mary Landmesser¹, Paul Armatowicz*¹, Ibrahim Ozbolat², Dino Ravnic^1
1. Surgery, Penn State University, Hershey, PA, United States. ². Engineering Science and Mechanics, Pennsylvania State University, University Park, PA, United States.

87. Randomized Trial of Plagiocephaly Education: Comparable Outcomes Suggest a Broad Awareness Effect
Anna Bogursky¹, Yvonne Nguyen¹, Andrea R. Buendia¹, Ashley Roes¹, Courtney Heitmiller¹, Elissa Daniel¹, Seohyun Hong¹, Yiming Zhang¹, Janice F. Lalikos^1
1. University of Massachusetts Medical School, Worcester, MA, United States.

88. In-House 3D-Printed Occlusal Splints: A Cost-Effective and Scalable Workflow for Maxillofacial Surgery
Thomas Ren¹, Anahita Nimbalkar¹, Richard Redett¹, Robin Yang¹, Pasha Shakoori^1
1. Plastic Surgery, Johhs Hopkins School of Medicine, Hopewell Junction, NY, United States.

89. Pediatric Free Flap Reconstruction: An 18-Year Experience at a High-Volume Pediatric Center
Miriam Meghnagi¹, Nisha K. Vora¹, Yuri Choi¹, Garvey Cummings¹, Anushka Gattu¹, Zachary Valenzuela¹, Oksana A. Jackson¹, David Low¹, Stephen J. Kovach², Cassandra A. Ligh^1
1. Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States. ². Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

90. FEVER WITHOUT INFECTION: DE-ESCALATING DIAGNOSTIC WORKUPS IN PEDIATRIC CRANIOSYNOSTOSIS PATIENTS
Michael Hernandez¹, Ethan Richlak¹, Viraj Govani¹, Tiffany Jeong¹, Alzbeta Novotna¹, Shelby Nathan¹, Jesse A. Goldstein^1
1. Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.

91. Targeting α7-Nicotinic Acetylcholine Receptor Expression to Noninvasively Image and Localize Peripheral Nerve Injuries
Arman T. Zadeh¹, Fares Lebbos¹, Zachary Zamore¹, Jeffrey Khong¹, Rachana Suresh¹, Christopher Erb¹, Jared Zhang¹, William Padovano¹, Ala Elhelali¹, Sami Tuffaha^1
1. Plastic Surgery, Johns Hopkins University, Baltimore, MD, United States.

92. Does Location Matter? Comparing Motor Neuron Survival in Cranial vs. Spinal Nerves Following Traumatic Injury
Julia Chrisbacher², Jordan Marx², Njima Schläpfer¹, Remy Liechti¹, Jonathan Leckenby^1
1. Division of Plastic & Reconstructive Surgery, University of Rochester Medical Center, Rochester, NY, United States. ². University of Rochester School of Medicine & Dentistry, Rochester, NY, United States.

93. Transcriptomic Evidence Of Sympathetic Modulation Of Cells Involved In Peripheral Nerve Injury
Ife Shoyombo¹, Dayal Rajagopalan², Rahul Gorijavolu¹, Kaushik Madapati¹, A Lee Dellon¹, Sami Tuffaha^1
1. Johns Hopkins, Middle River, MD, United States. ². Surgery, New York Medical College, New York, NY, United States.

94. Enhancing Patient Selection for Nerve Decompression: A standardized computerized tomography protocol for frontal and rhinogenic neuralgia
Justin Lee¹, Matthew A. DePamphilis*¹, Charles D. Hwang¹, Eri Iwasaki², Josip Plascevic¹, Karen Buch², Ali Totonchi³, William G. Austen¹, Osamu Sakai², Katherine Carruthers^1
1. Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA., Boston, MA, United States. ². Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston,

95. Functional Amputation Techniques and Survival Following Below-Knee Amputation: Association of Targeted Muscle Reinnervation with Long-Term Mortality
Hannah Soltani¹, Rachel N. Rohrich¹, Christopher M. Ply¹, Karen K. Evans¹, Richard C. Youn¹, Christopher E. Attinger¹, Grant Kleiber¹, Stephen Baker^1
1. Department of Plastic and Reconstructive Surgery, Medstar Georgetown University Hospital, Washington, DC, United States.

96. Poorly Controlled Diabetes Is Associated with Decreased Neuroma Pain Following Peripheral Nerve Transection in a Rat Neuroma Model
Tiam M. Saffari¹, Varoon Phondge¹, Morgan Yun¹, Arianna Valenti¹, Bruno Pillari¹, Wan Jiao¹, Alex Wong¹, Edward Lee^1
1. Plastic Surgery, Rutgers NJMS, Newark, NJ, United States.

97. Functional Outcomes After Obturator to Femoral Nerve Transfer in Femoral Nerve Palsy
Victoria V. Szymkiewicz¹, Lahin Amlani², Fares Lebbos³, Arman Zadeh³, Aiko Puerto³, Allan Belzberg?, Sami Tuffaha^3
1. School of Medicine, Johns Hopkins, Baltimore, MD, United States. ². Department of Orthopaedic Surgery, Johns Hopkins, Baltimore, MD, United States. ³. Department of Plastic and Reconstructive Surgery, Johns Hopkins, Baltimore, MD, United States.

98. Prophylactic Retrorectus Mesh Significantly Reduces Donor-Site Bulge in Abdominally Based Autologous Breast Reconstruction (ABABR): Analysis of 1,507 Donor Sites
Aamirah Mccutchen¹, Ayaka N. Deguchi¹, Timothy C. Olsen¹, Margaret M. Hornick¹, Robyn B. Broach¹, Joseph Serletti¹, Said Azoury^1
1. Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA, United States.

99. Aesthetic Flat Closure After Mastectomy: A Retrospective Case Series and Technical Approach
Thomas J. Sorenson¹, Carter Boyd¹, Lauren E. Romanowski¹, Kshipra Hemal¹, Oriana Cohen¹, Mihye Choi¹, Nolan S. Karp^1
1. Hansjorg Wyss Department of Plastic Surgery, New York University-Grossman School of Medicine, New York, NY, United States.

100. Postdischarge prophylactic oral antibiotics do not decrease the risk of infection in implant-based breast reconstruction
Patricia Fuentes¹, Eva Ingber¹, Olivia Becker¹, Emma Lascar¹, Sahil Sharma¹, Sheuli Chowdhury¹, Peter J. Taub¹, Peter W. Henderson^1
1. Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

101. Standardizing Breast Symmetry Assessment: Development of a Five-Domain Metric with Machine Learningâ€"Based Automation
Lisa Duan¹, Erin Abbott¹, Roshan Parikh¹, Sheuli Chowdhury¹, Peter W. Henderson^1
1. Icahn School of Medicine, New York City, NY, United States.

102. Evaluation of the Total Number of Outpatient Follow-up Visits after Implant-Based versus Autologous Breast Reconstruction over 10 years
Lauriane Pinto*¹, Michael Mazarei¹, Anna E. Bazell¹, Alexa Rivera del Rio Hernandez¹, Sriram Zassenhaus¹, Carolyn De La Cruz^1
1. Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.

103. Radiate the Flap or Expander? Comparative Outcomes in Immediate Versus Delayed-Immediate DIEP Flap Reconstruction Among Postmastectomy Patients: A TriNetX Database Study
Michael L. Chang¹, Emily L. Isch², Devi Schwartz¹, John Winton¹, Matthew Jenkins³, David Kim³, Andrew Newman³, Heather McMahon^3
1. Sidney Kimmel Medical College at Thomas Jefferson University, Kennett Square, PA, United States. ². Department of Surgery, Thomas Jefferson University, Philadelphia, PA, United States. ³. Department of Plastic Surgery, Thomas Jefferson University, Ph

104. Real-World Outcomes of Postoperative Antibiotic Duration in ADM Assisted Tissue Expander Breast Reconstruction: A 20-Year Multicenter Study
Paige Richards¹, Kanika Yadav¹, Gabriel De la Cruz Ku², Ambroise H. Gilles³, Christopher Fullmer³, Ruyan Zhang?, John Roberts³, Adam Walchak?, Sameer A. Patel?
¹. Penn State College of Medicine, Hershey, PA, United States. ². Universidad Científica del Sur, Lima, Peru. ³. Division of Plastic Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States. ⁴. Department of Surgery, Univ

105. Treacher Collins Syndrome Is More Asymmetric Than Traditionally Appreciated: A Three-Dimensional Cohort Study
Kirin Naidu¹, Sarah Barnett¹, David Perrault¹, Maura Guyler¹, Santiago Lopez¹, Scott Bartlett¹, Jordan W. Swanson¹, Sameer Shakir¹, Joseph A. Napoli¹, Jesse Taylor^1
1. Children's Hopsital of Philadelphia, Philadelphia, PA, United States.

106. Airway Changes After Le Fort I Advancement: A Volumetric and Cross-Sectional Analysis
Thomas Ren¹, Yuri Zhang*¹, Anahita Nimbalkar¹, Charbel Saad¹, Richard Redett¹, Robin Yang¹, Pasha Shakoori^1
1. Plastic Surgery, Johhs Hopkins School of Medicine, Hopewell Junction, NY, United States.

107. Quantitative Assessment of Maxillary Bone Density and Thickness in Cleft Versus Non-Cleft Patients Undergoing Le Fort I Osteotomy
Thomas Ren¹, Yuri Zhang*¹, Charbel Saad¹, Richard Redett¹, Robin Yang¹, Pasha Shakoori^1
1. Plastic Surgery, Johhs Hopkins School of Medicine, Hopewell Junction, NY, United States.

108. Speech Outcomes with Modified Furlow Palatoplasty: A 20-Year, Single-surgeon Experience
Nicolás M. Kass¹, Tobi Somorin¹, Angel Dixon¹, Megan Pencek¹, Matthew Ford¹, Michael Bykowski¹, Jesse A. Goldstein¹, Joseph Losee^1
1. Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

109. Caregiver-Reported Burden and Satisfaction of Presurgical Lip, Alveolus and Nose Approximation (PLANA) Therapy Compared to Nasoalveolar Molding (NAM)
Paige E. Warner¹, Bria Etienne², Theresa K. Webster³, Thomas A. Imahiyerobo³, Jill Schechter², Naikhoba Munabi^3
1. Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States. ². Department of Dental Medicine, Columbia University Irving Medical Center, New York, NY, United States. ³. Plastic and Reconstructive Surgery, New York Pre

110. Mastectomy for Adolescent Gynecomastia Associated with Lower Risk of Incident Psychiatric Diagnosis
Victoria Kong¹, Andrew Salib¹, Albert L. Rancu¹, Karen Bach¹, Mohamed A. Ramy¹, Grace Allen¹, Samira Glaeser-Khan¹, Omar Allam¹, Martin Kauke-Navarro¹, Paris D. Butler^1
1. Yale School of Medicine, New Haven CT, CT, United States.

111. A New Metric for Craniosynostosis Surgery Selection
Ethan D. Paliwoda¹, Sawyer Farmer², Jai Patel³, Aidan O'Brien¹, Saud Rehman³, Tarun Prabhala², Michael Mellace³, Ishan Patel¹, Mason Horne¹, Lauren Angnardo¹, Amanda Awad¹, Christina Rudolph¹, Travis Bevington³, Matthew A. Adamo², Stephanie Bray^1
1. Division of Plastic Surgery, Department of Surgery, Albany Medical Center, Albany, NY, United States. ². Department of Neurosurgery, Albany Medical Center, Albany, NY, United States. ³. Department of Radiology, Albany, NY, United States.

112. Effectiveness of Operative versus Bedside Incision and Drainage for Flexor Tenosynovitis
G. Zehra Kocyigit¹, Nirbhay Jain¹, Lenny Rivera-Rosario¹, Joseph Banuelos¹, Erik Reiche¹, Dana E. Bregman^1
1. Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.

113. A Function-Based Algorithm for Hindfoot Ulcer Reconstruction: Clinical Outcomes From a Tertiary Limb Salvage Center
Kishan S. Shah¹, Christopher M. Ply¹, Luke J. Llaurado¹, Hannah Soltani¹, Rachel N. Rohrich¹, Parker Buck*¹,Jayson Atves¹, John Steinberg¹, Cameron Akbari¹, Richard C. Youn¹, Karen K. Evans¹, Christopher E. Attinger¹, Stephen Baker^1
1. Department of Plastic & Reconstructive Surgery, Georgetown University School of Medicine, San Diego, CA, United States.

114. Association Between GLP-1 Use and Short-Term Pressure Ulcer Complications
Sergio A. Segrera¹, Benjamin Herold¹, John Helm³, Eric Acosta¹, Kian Daneshi², Ernest Chiu^1
1. Department of Plastic Surgery, NYU Langone Health, New York, NY, United States. ². Imperial College London, London, United Kingdom. ³. School of Medicine at Stony Brook University, Stony Brook, NY, United States.

115. Impact of GLP-1 Agonists on Surgical Wound Complications Following Panniculectomy for Patients with Prior History of Bariatric Surgery
Janey Song¹, Charles Lee², Mary C. McDonough¹, Timothy S. Johnson^2
1. Penn State College of Medicine, Hershey, PA, United States. ². Plastic Surgery, Penn State Hershey Medical Center, Hershey, PA, United States.

116. Supermicrosurgical Perforator-to-Perforator Flaps in Lower Extremity Reconstruction: Feasibility of Perforators as Recipient Vessels
Elena Galvano¹, Laura K. Tom², Grant Kleiber², Rajiv Parikh^2
1. Georgetown University School of Medicine, Washington , DC, United States. ². Department of Plastic Surgery, MedStar Health Washington Hospital Center, Washington, DC, United States.

117. Predictors of Recurrent Deep Infection following Sternal Wound Reconstruction with Pectoralis Major Flaps: A 30-Year Single-Surgeon Experience
Michael B. Amrami¹, Jeffrey A. Ascherman^1
1. Department of Surgery, Division of Plastic Surgery, NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, United States.

118. Superthin Free Flaps in Obese Patients Undergoing Lower Extremity Reconstruction: Maximizing Function While Minimizing Morbidity
Elena Galvano¹, Laura K. Tom², Grant Kleiber², Rajiv Parikh^2
1. Georgetown University School of Medicine, Washington , DC, United States. ². Department of Plastic Surgery, MedStar Health Washington Hospital Center, Washington, DC, United States.

119. Identification of a Pre-Fibrotic Inflammatory and Apoptotic Phase Following Extremity Radiation
Alex G. Lambi¹, Brendan Hilliard², Frank L. Chen², Lewis Bright-Rowe², Ryan E. Tomlinson³, Mary F. Barbe^2
1. University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States. ². Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States. ³. Thomas Jefferson University, Philadelphia, PA, United States.

120. Postoperative Ketorolac Use and the Odds of a Nonunion in Operatively Treated Metacarpal Fractures
Madison A. Oxford¹, Christopher Fullmer¹, John Roberts^1
1. Department of Surgery, Division of Plastic Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, United States.

121. Rurality is Associated with Surgical Timeline Disparities in Breast Cancer Patients Undergoing Immediate Breast Reconstruction
Lola Ortiz-Whittingham¹, Michael Mazarei¹, Shayan M. Sarrami¹, Carolyn De La Cruz^1
1. Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.

122. Geographic Maldistribution of the Plastic Surgery Workforce in the United States: County-Level Disparities in Relative Supply and Travel Distance
Lee D. Yang¹, Nadeem E. Jones¹, Michael B. Amrami¹, Jarrod T. Bogue^1
1. Columbia Vagelos College of Physicians and Surgeons, New York City, NY, United States.

123. Referrals for Plastic Surgery following Mohs Surgery Are Declining: Trends and Financial Drivers
Renee Gao¹, Goutam K. Gadiraju³, Andrew Malek², Yizhuo Shen?, Yibin Zhang³, Alan Yang?, Justin Broyles?
¹. UMass Chan Medical School, Worcester, MA, United States. ². Louisiana State University Health Sciences Center, New Orleans, LA, United States. ³. Harvard Medical School, Boston, MA, United States. ⁴. Brigham and Women's Hospital, Boston, MA, United States. ⁵. Hospital of the University of Pennsylvania, Philadelphia, PA, United States. ⁶. Yale School of Medicine, New Haven, CT, United States.

124. Utilization of Carpal Tunnel Release in the United States by Settlement Type: Is There Equity of Access?
Nader Mujtaba^*1, Luke J. Llaurado^*1, Kishan S. Shah¹, Imran Khan², David Song¹, Stephen Baker^1
1. Plastic and Reconstructive Surgery, Georgetown University School of Medicine, Washington, DC, United States. ². Orthopaedic Surgery, Inova, Fairfax, VA, United States.

125. Geographic Plastic Surgeon Workforce Density Is Independently Associated with Immediate Postmastectomy Breast Reconstruction Utilization: A 23-Year County-Level Analysis
Nadeem E. Jones¹, Dylan K. Kim¹, Lee D. Yang¹, Kathleen Gu¹, Jarrod T. Bogue^1
1. Columbia University Vagelos College of Physicians and Surgeons, New York City, NY, United States.

126. Speaking of Reconstruction: Language-Associated Disparities in Immediate Breast Reconstruction After Mastectomy
Michael Stigliano¹, Carson Gundlach¹, Paneed Jalili¹, Fiona R. Fragomen¹, Daana Bajnauth¹, David Otterburn^1
1. Weill Cornell Medicine, New York, NY, United States.

127. Preventing Abdominal Donor-Site Morbidity in Autologous Breast Reconstruction Using OviTex Reinforced Tissue Matrix
Goutam K. Gadiraju¹, Paul Indyk², Renee Gao*³, Yizhuo Shen⁴, Yibin Zhang¹, Madeline Duncan¹, Allison Pellegrino¹, Hannah Shi¹, Justin Broyles^5
1. Harvard Medical School, Boston, MA, United States. ². Paracelsus Medical University, Salzburg, Austria. ³. UMass Chan Medical School, Worcester, MA, United States. ⁴. Yale School of Medicine, New Haven, CT, United States. ⁵. Brigham and Women's Hospital, Boston, MA, United States.

128. Hydrogen Sulfide Modulation of Microvascular Flow to Optimize Tissue Flap Viability
Neekita Jikaria¹, Paul Armatowicz², Ji Ho Park¹, MohammadHossein Asgardoon², Mary Landmesser², Lacy Alexander³, Urara Hasegawa³, Dino Ravnic^1
1. Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States. ². Penn State College of Medicine, Hershey, PA, United States. ³. Penn State University, University Park, PA, United States.

129. Non-Invasive Prediction of Wound Healing Timelines Using AI-Driven Biomechanical Analysis
Robert D. Sampson², Jayesh Rathi³, Deboparna Banerjee³, Shi Fu¹, Gurtej Singh², Hugh Rosshirt¹, Aleksandra Krajewski², Alvin Wong², Steven Skiena³, Lav Varshney³, Miriam Rafailovich¹, Sami Khan^2
1. Department of Materials Science and Chemical Engineering, Stony Brook University, Stony Brook, NY, United States. ². Division of Plastic and Reconstructive Surgery, Stony Brook University Hospital, Stony Brook, NY, United States. ³. AI Innovation Institute, Stony Brook University, Stony Brook, NY, United States.

130. Aesthetic and Oncologic Outcomes After Reconstructive Breast Augmentation following Lumpectomy: A Propensity Controlled Study
Rebecca Lisk¹, Thomas J. Sorenson¹, Lauren E. Romanowski¹, Carter Boyd¹, Chris Amro¹, Mihye Choi¹, Nolan S. Karp¹, Oriana Cohen^1
1. Hansjorg Wyss Department of Plastic Surgery, New York University-Grossman School of Medicine, New York, NY, United States.

131. The Hidden Cost of Weight Loss: GLP-1 Receptor Agonists Double Complication Rates in Implant-Based Breast Reconstruction (IBBR)
Aamirah Mccutchen¹, Margaret M. Hornick¹, Timothy C. Olsen¹, Ayaka N. Deguchi¹, Robyn B. Broach¹, Joseph Serletti^1
1. Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA, United States.

132. Modified Robertson vs. Wise Pattern Breast Reduction in Pediatric Patients: A Propensity-Matched Analysis of Early Institutional Experience
Garvey Cummings¹, Miriam Meghnagi¹, Jacob R. Thomas¹, Gustavo Capone¹, Eric C. Liao¹, Cassandra A. Ligh^1
1. Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States.

133. Preoperative Leukopenia Is Associated with Tissue Necrosis Following Two-Stage Implant-Based Breast Reconstruction
Emma Lascar¹, Olivia Becker*², Larissa Iraj², Rebecca Suydam¹, Patricia Fuentes¹, Sahil Sharma¹, Peter J. Taub¹, Peter W. Henderson^1
1. Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States. ². Icahn School of Medicine at Mount Sinai, New York, NY, United States.

134. Psychosocial Well-being in Autologous vs. Implant Breast Reconstruction: A Propensity Matched Analysis
Ariel Gabay¹, Abigail Tirrell¹, Lillian A. Boe², Carrie S. Stern¹, Babak J. Mehrara¹, Jonas Nelson^1
1. Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York , NY, United States. ². Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, United States.

135. Comparing Outcomes Following Autologous Breast Reconstruction by Body Mass Index Stratification
Ariel Gabay¹, Areeg A. Abu El Hawa¹, Lillian A. Boe², Carrie S. Stern¹, Joseph Disa¹, Babak J. Mehrara¹, Robert J. Allen¹, Jonas Nelson^1
1. Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York , NY, United States. ². Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, United States.

136. 10-Year Follow-up of Locoregional Recurrence in Single Surgeon Oncoplastic Surgery in the United States
Pascal He¹, Tyra albert¹, Rucha Kadam¹, Abhishek Chatterjee², Sarah Persing^2
1. Tufts University School of Medicine, Boston, MA, United States. ². Department of Surgery, Tufts Medical Center, Boston, MA, United States.

137. Early Reduction in Capsular Contracture With Acellular Dermal Matrix Does Not Persist Long Term After Implant-Based Breast Reconstruction
Albert Rancu*¹, Andrew Salib¹, Martin Kauke-Navarro¹, Victoria Kong¹, Jonathan N. Grauer¹, Michael Alperovich^1
1. Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven , CT, United States.

138. Adjunctive Cancer Therapeutics in Breast Reconstruction: A Comprehensive Guide for Perioperative Medication Hold Times
Nicholas Vernice*¹, Alexis C. Lakatta¹, Thomas J. Sorenson¹, Carter Boyd¹, Kshipra Hemal¹, Oriana Cohen¹, Mihye Choi¹, Nolan S. Karp^1
1. Plastic Surgery, NYU, New York, NY, United States.

139. The Growing and Unequal Burden of Lymphedema: A 10-Year Multicenter Real-World Study of 136 Million Patients
Paige Richards¹, Batool Z. Naqvi¹, Lily Karlson¹, Kanika Yadav¹, Gabriel De La Cruz¹, Christopher Fullmer¹, Ambroise H. Gilles¹, John Roberts¹, Adam Walchak², Sameer A. Patel^2
1. Penn State College of Medicine, Hummelstown, PA, United States. ². Fox Chase Cancer Center, Philadelphia, PA, United States.

140. Who Gets Immediate Lymphatic Reconstruction? A Systematic Review of Racial and Ethnic Representation in Lymphedema Preventive Surgery Trials
Morgan Cody*¹, Michael Mazarei¹, Carolyn De La Cruz^1
1. Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.

141. Assessing the Impacts of the FDA Boxed Warning on Breast Implants: Analyzing Reconstructive and Aesthetic Procedural Trends
Renee Gao¹, Goutam K. Gadiraju³, Yizhuo Shen?, Sara P. Myers², Justin Broyles?
¹. UMass Chan Medical School, Worcester, MA, United States. ². Ohio State University, Columbus, OH, United States. ³. Harvard Medical School, Boston, MA, United States. ⁴. Brigham and Women's Hospital, Boston, MA, United States. ⁵. Yale School of Medicine, New Haven, CT, United States.

142. Dermal Backflow Correlates with Inflammatory Responses and Epidermal Changes in Secondary Lymphedema
Benjamin D. Wagner¹, Sarit Pal¹, Stav Brown¹, Xizhao Chen¹, Adana-Christine Campbell¹, Joseph Dayan¹, Geoffrey Hespe¹, Raghu Kataru¹, Babak J. Mehrara^1
1. Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.

143. Anti-Diabetic Pharmacotherapy and Cancer-Related Lymphedema: Mechanistic Rationale and Clinical Evidence
Stav Brown, MD, Sarah Fargey, BS, Geronimo Salcedo, BS, Rohan Kumaran, BS, Mehra Golshan, MD MBA, Siba Haykal MD PhD
¹. Yale School of Medicineool, New Haven, CT, United States.

144. Machine Learning Prediction of Breast Cancer-Related Lymphedema
Benjamin D. Wagner¹, Ariel Gabay¹, Jonlin Chen¹, Andrea V. Barrio², Thomas Amburn², Natalia Polidorio², Tiana Le², Lillian A. Boe³, Geoffrey Hespe¹, Jonas Nelson¹, Babak J. Mehrara¹, Danielle Rochlin^1
1. Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. ². Breast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. ³. Biostatistics Service, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, United States.

145. Understanding which breast cancer patients will develop collateralized lymphatic pathways
Shayan M. Sarrami¹, Michael Mazarei¹, Nicolás M. Kass¹, Lauriane Pinto¹, Carolyn De La Cruz^1
1. Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

146. Predicting Lymphedema After Groin Lymph Node Dissection: A Risk Stratification Model from a Decade of Outcomes at a Tertiary Cancer Center
Stav Brown, MD, Sarah Fargey, BS, Geronimo Salcedo, BS, Rohan Kumaran, BS, Parisa Lotfi, MD; Mehra Golshan, MD MBA, Siba Haykal MD PhD
¹. Yale School of Medicine, New Haven, CT, United States.

147. Cancer-related Lymphedema and Alzheimer's Disease Development after ALND
Stav Brown, MD, Felix Klimitz, MD, Siba Haykal MD PhD, Bohdan Pomahac, MD
¹. Yale school of Medicine, New haven, CT, United States.