 | Scott L SpearShow email addressWashington, D.C.; Baltimore, Md.; and McLean, Falls Church, and Reston, Va. | From the Department of Surgery, Division of Breast Surgery, and the Department of Plastic and ... |
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Scott L Spear:Expert Impact
Concepts for whichScott L Spearhas direct influence:Breast reconstruction,Breast implants,Breast augmentation,Breast cancer,Tram flaps,Irradiated breast,Acellular dermal matrix,Capsular contracture.
Scott L Spear:KOL impact
Concepts related to the work of other authors for whichfor which Scott L Spear has influence:Breast reconstruction,Capsular contracture,Acellular dermal matrix,Fat grafting,Tissue expander,Postoperative complications,Radiation therapy.
KOL Resume for Scott L Spear
| Year | |
|---|---|
| 2018 | Washington, D.C.; Baltimore, Md.; and McLean, Falls Church, and Reston, Va. From the Department of Surgery, Division of Breast Surgery, and the Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; the Department of Epidemiology, The Johns Hopkins University School of Medicine; National Center for Plastic Surgery; and Specialty Physicians of Northern Virginia, Reston Hospital Center. |
| 2017 | From the Department of Plastic Surgery, MedStar Georgetown University Hospital; Georgetown University School of Medicine; and private practice. Department of Plastic Surgery; Georgetown University; Washington, DC USA Washington, D.C.; and Los Angeles, Calif. Private Practice Plastic Surgery, Chevy Chase, MD. |
| 2016 | From the Department of Plastic Surgery, Georgetown University Medical Center. Department of Plastic Surgery, Georgetown University , Washington, DC 20057 , USA , |
| 2014 | Dr Spear is a Professor and Chairman of the Department of Plastic Surgery, Georgetown University Hospital, Washington, DC From the Department of Plastic Surgery, Georgetown University Hospital; and Allergan, Inc. Department of Plastic Surgery, Georgetown University Hospital, First Floor PHC Building, 3800 Reservoir Road, NW, Washington, D.C. 20007, Washington, D.C.; and Santa Barbara, Calif. |
| 2013 | Washington, D.C. From the Department of Plastic and Reconstructive Surgery, Georgetown University Hospital. |
| 2012 | Washington, D.C.; Sea Girt, N.J.; and Toronto, Ontario, Canada From the Department of Plastic Surgery, Georgetown University Hospital; private practice; and the Division of Plastic and Reconstructive Surgery, University of Toronto. |
| 2011 | Washington, D.C. From the Department of Plastic Surgery, the Division of Breast Surgery, Department of Surgery, the Department of Pathology, and the Lombardi Comprehensive Cancer Center, Georgetown University Hospital. |
| 2010 | Georgetown University Hospital, Department of Plastic Surgery |
| 2009 | Department of Plastic Surgery, Georgetown University Medical Center, 1st Floor PHC Building, 3800 Reservoir Road NW, Washington, DC 20007, USA Kansas City, Kans.; Dallas, Texas; Milwaukee, Wis.; Washington, D.C.; and Arlington Heights, Ill. From the University of Kansas Medical Center, University of Texas Southwestern Medical Center, Medical College of Wisconsin, Georgetown University Medical Center, and American Society of Plastic Surgeons Executive Office. Washington, D.C.; Los Angeles, Calif.; and Nashville, Tenn. From the Georgetown University Hospital; David Geffen School of Medicine at UCLA; and Vanderbilt University School of Medicine. |
| 2008 | Department of Plastic Surgery, Georgetown University Hospital, 1st Floor PHC Building, 3800 Reservoir Road, NW, 20007, Washington, DC, USA |
| 2007 | Washington, D.C. From the George Washington University School of Public Health and Health Services and Georgetown University Hospital. |
| 2006 | Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. Washington, D.C. From Georgetown University Hospital. Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, New York Hermann Hospital and Hermann Children's Hospital, Houston, Texas |
| 2005 | From the Department of Plastic Surgery, Georgetown University Medical Center, Washington, DC. Division of Plastic Surgery, Georgetown University Hospital, 1st Floor PHC, 3800 Reservoir Road, NW, Washington, D.C. 20007, Dallas, Texas; Minneapolis, Minn.; Eugene, Ore.; and Washington, D.C. |
| 2004 | Division of Plastic Surgery, Georgetown University Medical Center, Washington, D.C., USA. Georgetown University Hospital, Washington, DC. |
| 2003 | Washington, D.C. From the Division of Plastic and Reconstructive Surgery, Georgetown University Medical Center. |
| 2002 | Division of Plastic Surgery Georgetown University Hospital 3800 Reservoir Road, N.W. Washington, D.C. 20007 |
| 2001 | Discussion by Subodh Arora, M.D. From the Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC New York, N.Y., Washington, D.C., Palo Alto, Calif., and Bethesda, Md. |
| 2000 | Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. Washington, D.C. From Georgetown University Medical Center. |
| 1999 | Grand Rapids, Mich., New York, N.Y., Boston, Mass., and Washington, D.C. Washington, DC Dr. Spear is a medical monitor for the clinical breast implant study at McGhan Medical and is paid to review the company’s clinical research studies. He is also a paid consultant for product development with McGhan and is an advisor or consultant for medical equipment or breast implants with Dow Corning, Dow Chemical, Baxter Medical, and Hyer Schulte |
| 1998 | Scott L. Spear, MD, is Professor and Chief, Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC. Diane G. Bowen, MD, is in private plastic surgery practice in St. Simons Island, GA. Division of Plastic Surgery Georgetown University Medical Center 3800 Reservoir Road, NW Washington, D.C. 20007 Washington, D.C., and St. Simons Island, Ga. Washington, D.C., and New York, N.Y. |
| 1996 | Georgetown University Medical Center 3800 Reservoir Rd. N. W. Washington. D.C. 20007 |
| 1995 | Washington, D.C., and Orlando, Fla. From the Georgetown University Hospital and the University of South Florida. |
| 1994 | Department of Obstetrics and Gynecology, Loyola University of Chicago, Maywood, Illinois 60153; and Departments of Obstetrics and Gynecology and Plastic Surgery, Georgetown University Medical Center, Washington, D.C. 20007 |
| 1991 | Division of Plastic Surgery at the Georgetown University Medical Center., Washington, D.C. |
| 1990 | Division of Plastic Surgery, Georgetown University Hospital, Washington, DC |
| 1989 | Associate Professor and Deputy Director, Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC Washington, D.C. From the Division of Plastic Surgery at the Georgetown University Medical Center. |
| 1988 | 3800 Reservoir Rd., NW, Main Bldg., 4th Floor, Washington, DC 20007 Division of Plastic and Reconstructive Surgery, Georgetown University Medical Center, Washington, DC |
| 1987 | Washington, D.C Division of Plastic and Reconstructive Surgery at the Georgetown University Medical Center. Discussion S. Anthony Wolfe, M.D. |
| 1986 | From the Division of Plastic Surgery at the Georgetown University School of Medicine, 3800 Reservoir Road, N.W. Washington, D.C. |
| 1985 | Philadelphia, Pa., and Washington, D.C. |
| 1983 | Georgetown University School of Medicine, 3800 Reservoir Road, Northwest Washington, D.C. 20007 |
| Concept | World rank |
|---|---|
| 54 original | #1 |
| tumordirected partial mastectomy | #1 |
| rippling implant | #1 |
| implants reliable method | #1 |
| prosthetic reconstruction length | #1 |
| coverage pectoralis | #1 |
| breast reconfiguration reduction | #1 |
| 9 percent flaps | #1 |
| tattooing nipple | #1 |
| 49 breasts | #1 |
| augmentation subjects | #1 |
| aesthetic radiation therapy | #1 |
| position nipple | #1 |
| mammography controls | #1 |
| augmentation incisions | #1 |
| tabbed cohort | #1 |
| author reconstructive | #1 |
| standard alternative mastectomy | #1 |
| breasts 8 | #1 |
| 28 late seromas | #1 |
| established capsular contracture | #1 |
| contracture previous | #1 |
| nasal surgery correction | #1 |
| short alternatives | #1 |
| percent reconstructed | #1 |
| favorable scars | #1 |
| smooth simple silicone | #1 |
| precise neosubpectoral plane | #1 |
| artificial surgical flaps | #1 |
| device autologous tissue | #1 |
| secondary patients average | #1 |
| percent rippling | #1 |
| source hairbearing skin | #1 |
| flaps consisted | #1 |
| mastopexies irradiated | #1 |
| superior breast border | #1 |
| submuscular 157 percent | #1 |
| 2 indications revision | #1 |
| ptosis 3 | #1 |
| touch superficial | #1 |
| texturedsurface silicone gel | #1 |
| presented mastectomy | #1 |
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Prominent publications by Scott L Spear
Staged Breast Reconstruction with Saline-Filled Implants in the Irradiated Breast: Recent Trends and Therapeutic Implications
[ PUBLICATION ]
A retrospective review was performed of one surgeon's experience with 40 consecutive patients who had undergone two-stage saline-filled implant breast reconstruction and radiation during the period from 1990 through 1997. A randomly selected group of 40 other two-stage saline-filled implant breast reconstructions from the same surgeon and time period served as controls. This review was undertaken because of the absence of specific information on the outcome of staged saline implant ...
| Known for Breast Reconstruction | Patients Radiation Therapy | Mastectomy Radiation | Retrospective Review | Flap Implant |
BACKGROUND: Anecdotal reports and one case-control study suggested an association, without evidence of causation, between breast implants and anaplastic lymphoma kinase-negative anaplastic large T-cell lymphoma (ALCL), a rare non-Hodgkin's lymphoma. This review summarizes the published evidence, including case reports and epidemiologic studies.
METHODS: A PubMed search limited to English language articles was conducted using the search terms "breast implant" and "lymphoma," "primary ...
| Known for Breast Implants | Cell Lymphoma | Anaplastic Large | Association Alcl | Epidemiologic Studies |
Acellular Dermal Matrix for the Treatment and Prevention of Implant-Associated Breast Deformities
[ PUBLICATION ]
BACKGROUND: Acellular dermal matrix has been increasingly accepted in prosthetic breast reconstruction. Observed benefits include improved control and support of implant position, better implant coverage, and the suggestion of a decreased capsular contracture rate. Based on this positive experience, it is not surprising that acellular dermal matrix would be applied to other challenging implant-related problems. This study investigates the use of acellular dermal matrix for correction or ...
| Known for Acellular Dermal Matrix | Treatment Capsular Contracture | Implant Breast | Patient Demographics | Follow Studies |
In the absence of any published information on the indications, frequency, and outcomes of revision augmentation/mastopexy, an 8-year retrospective review was undertaken of all patients undergoing revision of a previous augmentation/mastopexy in the senior author's practice. The data collected included original implant type, location and mastopexy type, indication for revision, interval from original surgery, new implant type, location, and associated corrective surgical procedures. A ...
| Known for Augmentation Mastopexy | Surgical Procedures | Capsular Contracture | Implant Type | Patients Revision |
Effect of Obesity on Flap and Donor-Site Complications in Pedicled TRAM Flap Breast Reconstruction
[ PUBLICATION ]
BACKGROUND: The detrimental effects of obesity on pedicled and free transverse rectus abdominis myocutaneous (TRAM) flap reconstructions, including flap loss, hematoma, and donor-site hernia, are well documented. This study examined the effect of obesity on complications in patients undergoing pedicled TRAM flap breast reconstruction.
METHODS: A retrospective review of 224 pedicled TRAM flaps in 200 patients over a 10-year period was carried out. Patients were divided into three groups: ...
| Known for Tram Flap | Site Complications | Obese Patients | Breast Reconstruction | Normal Weight |
Among the potential complications associated with the use of breast implants are the risks of periprosthetic infection and device extrusion. There is little published information about the effective management of these situations. Conservative recommendations include antibiotic therapy and removal of the implant until resolution of the infection or until the wound has healed. A retrospective review identified patients with periprosthetic infection or threatened or actual device exposure ...
| Known for Breast Implant | Severe Infection | Antibiotic Therapy | Flap Coverage | Removal Female Humans |
Experience with Reduction Mammaplasty Combined with Breast Conservation Therapy in the Treatment of Breast Cancer
[ PUBLICATION ]
As the inclusion criteria for breast conservation therapy have continued to evolve to include lower quadrant tumors, very large breasts, and central tumors, the potential for significant disfigurement after breast conservation therapy has also increased. This has led some centers to develop coordinated oncology-plastic surgery approaches to ensure both adequate cancer resection and aesthetic appearance to the breasts. The authors applied this principle to a specific group of breast ...
| Known for Reduction Mammaplasty | Breast Cancer | Radiation Therapy | Patients Women | Frozen Sections |
One-Stage Augmentation Combined with Mastopexy: Aesthetic Results and Patient Satisfaction
[ PUBLICATION ]
Since the original descriptions by Gonzales-Ulloa in 1960 and Regnault in 1966, breast augmentation in combination with mastopexy has remained a difficult, and often polarizing, topic in plastic surgery, not only because of its results but also because of its litany of potential complications. Over the past few years, there has been an increase in the discussion of one-stage augmentation combined with mastopexy throughout the literature. However, a critical analysis of the aesthetic ...
| Known for Mastopexy Patients | Stage Augmentation | Breast Surgery | Retrospective Studies | 3 Ptosis |
A 7-year experience with 171 consecutive immediate breast reconstructions by one surgeon using a textured integrated-valve tissue expander was reviewed. All patients were reconstructed in multiple stages using a temporary biodimensional tissue expander followed months later by a long term implant. There was one (0.6 percent) spontaneous expander deflation that was replaced. Two (1.2 percent) expanders were removed for infection, and one was removed electively. Fourteen patients (8 ...
| Known for Breast Implants | Tissue Expanders | Retrospective Review | Radiated Patients | Satisfaction Reconstruction |
BACKGROUND: Allergan's Natrelle round silicone-filled breast implants were approved by the U.S. Food and Drug Administration in 2006 based on interim results from the Core Study; final 10-year study results are now available.
METHODS: Seven hundred fifteen subjects were implanted with smooth and Biocell textured Natrelle round silicone implants and attended clinic visits at 0 to 4 weeks, 6 months, 1 year, and annually through 10 years. Approximately one-third of subjects underwent ...
| Known for Core Study | 10 Years | Breast Implants | Round Silicone | Rupture Rate |
BACKGROUND: Silicone gel-filled breast implants were developed in 1962 but did not fall under the auspices of the U.S. Food and Drug Administration until 1976 and were not classified as class III devices until 1988. This set the stage for a series of Food and Drug Administration advisory panel meetings and a moratorium on the sale of these implants from 1992 until 2006, when sufficient clinical data were presented to demonstrate their safety.
METHODS: This study was conducted under the ...
| Known for 6 Years | Silicone Breast | Reconstruction Subjects | Safety Effectiveness | Drug Administration |
Familial and racial determinants of tumour suppressor genes promoter hypermethylation in breast tissues from healthy women
[ PUBLICATION ]
To determine the hypermethylation status of the promoter regions of tumour suppressor genes in breast tissues from healthy women and identify the determinants of these epigenetic changes. Questionnaires and breast tissues were collected from healthy women without a history of cancer and undergoing reduction mammoplasty (N= 141). Methylation for p16(INK4), BRCA1, ERalpha and RAR-beta promoter regions from breast tissues were determined by methylation specific PCR. Associations were ...
| Known for Breast Tissues | Healthy Women | Tumour Suppressor Genes | European Americans | Promoter Regions |
The Effect of Radiation on Pedicled TRAM Flap Breast Reconstruction: Outcomes and Implications
[ PUBLICATION ]
The purpose of this study was to examine the effect of postreconstruction radiation therapy on patients undergoing pedicled TRAM flap breast reconstruction. Post-TRAM radiation patients were compared with patients who received pre-TRAM radiation and a control TRAM-only group who received no radiation. Overall aesthetic appearance, evidence of symmetry, flap contracture, and hyperpigmentation were assessed by blinded reviewers. A total of 171 pedicled TRAM reconstructions were performed ...
| Known for Tram Flap | Aesthetic Outcome | Radiation Patients | Breast Reconstruction | Postoperative Complications |
The Effect of Smoking on Flap and Donor-Site Complications in Pedicled TRAM Breast Reconstruction
[ PUBLICATION ]
BACKGROUND: The detrimental effects of smoking on pedicled and free flap reconstruction are well documented. The purpose of this study was to examine the effect of smoking on flap, donor-site, and other individual and multiple complications in pedicled transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction.
METHODS: A retrospective review was carried out of 224 pedicled TRAM flaps in 200 patients over a 10-year period. Three subgroups of patients were identified: ...
| Known for Pedicled Tram | Smokers Nonsmokers | Wound Healing | Breast Reconstruction | Flap Complications |
Two-Stage Prosthetic Breast Reconstruction Using AlloDerm Including Outcomes of Different Timings of Radiotherapy
[ PUBLICATION ]
BACKGROUND: The authors compared the outcomes of two-stage, acellular dermal matrix (AlloDerm)-assisted prosthetic breast reconstruction including different timings of radiotherapy.
METHODS: A review of two-stage, AlloDerm-assisted, prosthetic breast reconstructions from 2004 to 2010 was performed. All data were recorded prospectively and the study population was stratified by the timing of radiotherapy. Complications were analyzed following first- and second-stage reconstruction. The ...
| Known for Breast Reconstruction | Radiation Therapy | Capsular Contracture | Grade Iii | Acellular Dermal Matrix |
