Christopher Homsy, M.D.

10/16/2025

Let’s talk Keloid scars:

In general , surgical scars are permanent. Some patients form thinner scars, others unfortunately may develop a scar that goes into “overdrive” mode and could grow significantly and beyond the borders of the original scar to form what is commonly known as “keloid”. The most notorious feature of keloids is that they tend to re-form even after a scar revision.

As a plastic surgeon, I see scars everyday. But, when it comes to keloids, we have treatment options to minimize recurrence rate after surgery, such as steroid injection, or low dose radiation.

This young patient had a large keloid in the center of her chest from a prior burn injury. When I removed it, the defect created was as you’d imagine, rather large and deep.

I decided to reconstruct the defect with a perforator skin flap (Anterior intercostal artery perforator). This is basically a piece of tissue that has its own blood supply, that I moved from the area under the breast, and transfer it to the defect.
She then went on to undergo postoperative radiation.

3 months post-op and she has continued to heal extremely well!

Let me know your thoughts!

03/07/2025

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(Swipe for video- viewer discretion advised 👀).

Radiation after breast conservation surgery may severely distort the contour, shape and consistency of the breast.

This young breast cancer survivor was suffering from significant pain from the scar tissue that had formed after radiation and tightened her entire skin envelope making it very difficult to feel comfortable both physically and emotionally.

After discussing all the possible options, she underwent reconstruction of her lower breast pole using a combination of lateral intercostal artery perforator (LICAP) and Thoracodorsal artery perforator (TDAP) flaps with a symmetry redo-breast lift.
This is her at one week post-op. I think she looks FANTASTIC !
😍

02/02/2025

I’m always amazed by the ability of our body to heal surgical scars.
The “after” photos are only one week post reconstruction of lower lip defect following skin cancer excision!

06/05/2024

Nothing is more satisfying than a challenging nasal reconstruction after skin cancer resection.
The approach used in this case was not necessarily the “textbook option “ but a reminder to always tailor the treatment based on patient preference and circumstances!
6 weeks postop-Happy patient, happy surgeon!

02/04/2024

Grateful for the opportunity to contribute to breast reconstruction education in at the advanced breast surgery course . Connecting with friends and family added a special touch to this experience.

01/24/2024

One of the most challenging aspects of plastic surgery is to provide patients with a customized approach that works best for them, rather than a cookie-cutter “one size fits all” procedures.

This is a fabulous transformation of a 60 year-young patient who wanted an improvement in his neck shape not desiring a full neck or facelift.
He’s one week post-op from a “direct neck lift”.
He’s enjoying a much improved jawline and sharp neck definition!

01/05/2024

What better way to start the new year, by operating with one of my mentors, Dr Martin Goodman who has taught me basic Principles of Surgery
(This may be the only time I wasn’t stressed operating with him…or was I 😂)
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06/28/2023

This 27 year young patient desired breast augmentation without looking overly “fake” in clothes.
She is now one week out of surgery and looks amazing ! She loves her result and so do we!

06/06/2023

*Reconstruction of skin cancer defect on the nose*
This patient underwent multiple stages of Mohs excision with our Dermatology colleagues, leaving him with a quite large nasal tip defect.
Fortunately we were able to reconstruct the nose without complications.
He is now 6 months post-op!
What do you think about the result??

03/03/2023

02/25/2023

In appropriately selected patients, a very natural result can still be achieved with breast implants.

This is a young patient with breast cancer who underwent double mastectomy and direct-to-implant breast reconstruction with silicone implants, at the time of mastectomy. These implants were placed in a prepectoral plane (on top of the pectoralis muscle).

02/22/2023

Plastic surgery is certainly not limited to cosmetic/Aesthetic procedures.

As a plastic surgeon, I am often faced with very challenging situations such as this young patient who suffered a severe infection of scalp, extending down to her skull, exposing a portion of her brain!

In collaboration with we were able to cover the exposed brain and provide her with soft tissue coverage.
Team work truly makes the dream work!