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Annual Report 2012 - 2013


The 2012-2013 academic year has been a highly productive and exciting year for the Department of Plastic and Reconstructive Surgery. During this time period we have made significant outreach endeavors into our community, opened a new surgery center, grown our new wound center, and undertaken several projects of giving back to our institution, local community, and international community. We will highlight our activities in these areas. In addition, we continue to encourage our faculty to be both clinically and academically productive.

Clinical Productivity

Plastic Surgery continues to be a very busy clinical department.  Our 8 surgeons are recognized locally, regionally, nationally, and internationally and provide state of the art care in all areas of reconstructive and aesthetic surgery.  Each faculty member has specialized talents in Pediatric Surgery, Craniofacial Surgery, Breast Reconstruction, Hand Surgery, Burn Management and Reconstruction, Wound Care, Microvascular Surgery, General Reconstructive Surgery, and Cosmetic Surgery.  Newest faculty (Drs. Sanger and Pestana) are continuing to grow their practices and reach out to hospitals in both Greensboro and Lexington that normally were not referring to our institution.

Data regarding new patient visits, return patient visits and RVU’s are not reliable at this time as a result of the Epic learning curve.

Wound Center

We added Dr. Lucian Vlad to the faculty in the July 1, 2012 and the Wound Care Center offers a full spectrum of medical care required by complex wound patients.  Prior to the opening of our wound care center in January 2011, we were losing referrals to surrounding Wound Care Centers in Forsyth County, Statesville, and Greensboro.  The Center has been and has remained profitable since its inception.  The Wound Center saw 622 new patients, 4,392 return patient visits, 21 new HBO patients and 6,288 HBO segments.  Return patient visits increased 10 percent, new HBO patients increased 65 percent and HBO segments increased 118 percent.  We expect this service line to continue to grow as we expand the number of providers that staff our clinic.

Cosmetic Surgery Center

Our outpatient surgery center and clinics have been well received by the Forsyth County community.  This center has 2 AAAASF certified operating suites, 2 procedure rooms, and 5 clinic rooms. Since its opening, the community reception has been outstanding. Patients and their families are happy with the additional space and it has significantly increased our year-to-date volume of aesthetics which is impressive given the current market restraints. In the past 12 months our cosmetic practice has generated $1,347,928.00 in revenue.  We expect the volume of patients cared for in this new facility to continue to rise. 

Press Ganey evaluations at the Cosmetic Surgery Center are consistently in the 93 to 99 percentile.

 Greensboro Clinic

The Wake Forest Baptist Health Surgical Specialists Office in Greensboro has been open for two and a half years.  The initial outreach endeavors have continued to show results with the adult and pediatric clinics at full capacity.  Patients receiving breast reconstruction after cancer treatment is fifty percent of the current clinic volume.  Dr. Sanger remains a regular participant in the weekly Cone Breast Center Tumor Board meetings and the monthly Breast Center Specialist Task Force meetings.  She is also the Inpatient and Outpatient Wound Care Director.  Surgical cases from the wound care center have doubled in the past year.  This includes referrals to WFBMC for flap reconstruction.  Complex reconstructions including microvascular breast reconstruction, craniofacial surgery and unusual wounds are referred for surgery to Wake Forest Baptist Health. 


In addition to our general Plastic Surgery Clinic, Cosmetic Surgery Clinic, and Hand Clinic we are an integral part of several multidisciplinary clinics.

 Cleft and Craniofacial Clinic

Our cleft and craniofacial clinic continues to be a thriving part of our practice. Due to increases in volume, we now have 2 scheduled cleft and craniofacial clinics monthly which translates to, on average, about 45 patients per month. This is a multidisciplinary clinic that provides coordinated care of several clinical providers including hearing and speech, genetics, ENT, Plastic surgery, dentistry, and orthodontics. Because we feel that being part of a coordinated team is critical to the care of these children, the Department of Plastic Surgery funds the membership of all team members to the ACPCA (American Cleft Palate and Craniofacial Association). This membership is a requirement for our team accreditation. In addition, we send members of the team to the annual meeting to receive additional training in their area of expertise. This year we funded these educational endeavors for our speech pathologist and geneticist, as well as our care coordinator. The multidisciplinary approach is crucial for these children so that their care is integrated and the disruption in their daily lives is minimized. 

Our center continues to be on the cutting edge for craniofacial care. The use of an innovative treatment modality, spring assisted surgery, continues to bring us patients from all over the country for treatment. In addition, we continue to be the leading trainer for craniofacial surgeons in this treatment modality. 


Since his addition to Wake Forest Baptist Health, our microvascular breast reconstruction has increased dramatically and we have performed 40 free tissue transfer breast reconstructions in 2013.

In May 2011, the PSU department began the development of a new relationship with the recently acquired Lexington Memorial Hospital.  After assessment of inpatient, outpatient, intensive care, and operating room capabilities, outreach initiatives were instituted and culminated in cooperative work with Davidson Surgical Associates, a Lexington-based general surgery practice.  The result of this relationship has allowed all forms of immediate and delayed breast reconstruction to be offered to that region which was previously devoid of reconstructive breast surgery options.  This fiscal year, the relationship between our department and the Lexington community has grown.  Not only are all forms of immediate and delayed breast reconstruction offered to the Lexington community but other forms of elective plastic surgery services such as body contouring and wound management have been performed at Lexington Memorial Hospital.

The plastic surgery residency program is now classified as a high volume microvascular reconstruction program with 50 or greater free flaps performed.

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Plastic and Reconstructive Surgery (Main Campus)
Wake Forest School of Medicine
Medical Center Boulevard
Winston-Salem, NC 27157-1075

Plastic and Reconstructive Surgery (Greensboro)
1331 N. Elm Street
Suite 100
Greensboro, NC 27401-6303

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