Clinical Focus

• Facial Plastics
• Otolaryngology
• Otolaryngology - Head & Neck Surgery (Ear, Nose and Throat)

Honors and Awards

• Clinician Teacher of the Year, Department of Otolaryngology-HNS, University of Washington, Seattle, WA (2003)
• Ben Shuster Award, American Academy of Facial Plastic & Reconstructive Surgery (2003)

Professional Education

Graduate & Fellowship Program Affiliations

• Surgery

Current Research Interests

Division of Facial Plastic and Reconstructive Surgery-Research Program Summary

Evidence-based medicine in Facial Plastic Surgery
The primary goal of this research program is to develop a higher standard of care for facial plastic surgery patients. The approach to this goal is two-fold. The first involves development of prospective studies that examine the efficacy of new or existing surgical techniques in facial plastic surgery1. One clinical problem we have already begun to examine is nasal obstruction. Functional rhinoplasty techniques have been a mainstay of otolaryngology, and facial plastic surgery in particular, for decades. While many have attempted, with mixed success, to examine nasal function using quantitative measures, few prospective studies of quality of life have been performed. To this end, we have begun to examine prospectively various functional rhinoplasty techniques2, 3.

The second approach to development of a higher standard of care for our patients is the testing of various over-the-counter ‘cosmeceutical’ products. Generally, products that are touted as effective by industry have little or no clinical evidence to back up said claims. Two of these studies have been completed and have resulted in remarkable response from industry as well as the media4, 5. More importantly, these types of studies provide valuable information about product efficacy to physicians and patients alike.

Facial Nerve Recovery after Injury
Facial nerve injury after trauma or extirpative surgery can be devastating to patients. The Division seeks to develop a clinical and basic research program studying facial nerve recovery after such injuries. The basic research program within the Division will use a previously developed animal (mouse) model for facial nerve injury to examine the age-dependence of motor neuron survival in the facial nucleus and its correlation to facial nerve recovery6. Furthermore, the role of apoptotic cell...

Publications

• Lateral nasal wall suspension using a bone-anchored suture technique. Lieberman DM, Most SP. Arch Facial Plast Surg. 2010 Mar-Apr; 12 (2): 113
• Comparative computation of orbital volume from axial and coronal CT using three-dimensional image analysis. Kwon J, Barrera JE, Most SP. Ophthal Plast Reconstr Surg. 2010 Jan-Feb; 26 (1): 26-9
• Adult xanthogranuloma causing nasal obstruction. Worden BF, Barrera JE, Most SP. Arch Otolaryngol Head Neck Surg. 2010; 136 (5): 509-12
• Pre- and postoperative portrait photography: standardized photos for various procedures. Swamy RS, Most SP. Facial Plast Surg Clin North Am. 2010; 18 (2): 245-52, Table of Contents
• Principles of photography in rhinoplasty for the digital photographer. Swamy RS, Sykes JM, Most SP. Clin Plast Surg. 2010; 37 (2): 213-21