Dr. Dorafshar is a highly distinguished plastic and reconstructive surgeon who specializes in gender-affirming facial surgery. He offers Facial Feminization and Masculinization Surgery as part of the Gender Affirmation Surgery Program at Rush university Medical Center. Dr. Dorafshar’s research is focused on gender-affirming surgery, transplant surgery, and using the latest technologies to achieve superior functional and aesthetic outcomes in craniofacial surgery.
A narrative review of outcomes following metoidioplasty: complications and satisfaction [FULL TEXT]
Alireza Hamidian Jahromi, Ari M. Spellman, Sydney Horen, Edward E. Cherullo, Amir H. Dorafshar, Loren S. Schechter. Plast Aesthet Res, Special Issue Gender Confirmation Surgery: Risk Factors and Complications, June 2022;9:41.
While satisfaction with this procedure is high, complications can occur. This narrative review discusses postoperative outcomes, including both satisfaction and complications. Published data on complications include fistula and stricture rates from 0%-50% and 0%-63%, respectively. Overall satisfaction with appearance ranges from 48%-100%, and patient ability to void while standing ranges from 67%-100%. Metoidioplasty is a safe and effective procedure for transgender men.
Strategic Planning and Essential Steps for Establishing a Uterine Transplant and Rehabilitation Program: From Idea to Reality
Dorafshar AH, Jahromi AH, Horen SR, Schechter LS, Johannesson L, Testa G, Hertl M, Dewdney S, Aschkenasy J, Molo MW, Brincat C, Cherullo E, Behel JM, Hebert C, Shulman R, Bassi S, Alecci AT, Konety B. Ann Surg. 2021 Nov 18.
Uterine transplant (UTx) is performed to address absolute uterine infertility in the presence of uterine agenesis, a non-functional uterus, or following a prior hysterectomy. Following the initial success of UTx resulting in a livebirth (2014) in Sweden, there are over 70 reported UTx surgeries resulting in more than 40 livebirths worldwide. Currently, UTx has been performed in over 10 countries. As UTx is transitioning from an “experimental procedure” to a clinical option, an increasing number of centers may contemplate a UTx program. This article discusses essential steps for establishment of a successful UTx program. These principles may be implemented in cis- and transgender UTx candidates.
Advanced Three-Dimensional Technologies in Craniofacial Reconstruction
Day KM, Kelley PK, Harshbarger RJ, Dorafshar AH, Kumar AR, Steinbacher DM, Patel P, Combs PD, Levine JP. Plast Reconstr Surg. 2021 Jul 1;148(1):94e-108e.
Increasingly used in craniofacial surgery, virtual surgical planning is applied to analyze and simulate surgical interventions. Computer-aided design and manufacturing generates models, cutting guides, and custom implants for use in craniofacial surgery. Three-dimensional computer-aided reconstruction may improve results, increase safety, enhance efficiency, augment surgical education, and aid surgeons’ ability to execute complex craniofacial operations. The aim of these techniques is to achieve superior functional and aesthetic outcomes compared to conventional surgery. This article summarizes advanced three-dimensional techniques in craniofacial surgery with cases highlighting clinical concepts.
Trends of Medicare Reimbursement Rates for Common Plastic Surgery Procedures
Siotos C, Cheah MA, Damoulakis G, Kelly J, Siotou K, Schechter LS, Shenaq DS, Derman GH, Dorafshar AH. Plast Reconstr Surg. 2021 May 1;147(5):1220-1225.
Medicare reimbursement rates have changed significantly over the past decade. However, these changes did not keep pace with the rate of inflation. Plastic surgeons should be aware of these trends and advocate for more fair reimbursement rates.
The Affordable Care Act and Its Impact on Plastic and Gender Affirmation Surgery.
Wiegmann AL, Young EI, Baker KE, Khalid SI, Seu M, Shenaq DS, Dorafshar AH, Schechter LS. Plast Reconstr Surg. 2021 Jan 1;147(1):135e-153e.
The Affordable Care Act’s provisions have affected and will continue to affect plastic surgeons and their patients, and an understanding of its influence on the current American health care system is essential. In addition, gender-affirmation surgery has seen exponential growth, largely because of expanded insurance coverage through the protections afforded to transgender individuals by the Affordable Care Act. As gender-affirming surgery continues to grow, plastic surgeons have the opportunity to adapt and diversify their practices.
Discussion: Promoting Centers for Transgender Care
Jazayeri HE, Lopez J, Sluiter EC, O’Brien-Coon D, Bluebond-Langner R, Kuzon WM Jr, Berli JU, Monstrey SJ, Deschamps-Braly JC, Dorafshar AH, Schechter LS. J Oral Maxillofac Surg. 2021 Jan;79(1):3-4.