Houston Methodist Division of Plastic & Reconstructive Surgery

Since 2005, the Houston Methodist Division of Plastic & Reconstructive Surgery has grown to be one of the largest plastic and reconstructive surgery groups in the nation. We are outcomes-focused, meticulously pushing the boundaries of what is possible in reconstructive surgery and microsurgery. 

 

Adding to a rich history of leading medicine at Houston Methodist and underscoring the division’s commitment to advancing the field through complex, high-impact procedures, we performed the world’s first partial human skull and scalp transplant, combined with a kidney and pancreas transplant, in collaboration with members of the Houston Methodist transplant team and MD Anderson surgeons. Additionally, our division has made transformative strides in the advancement of microsurgical breast reconstruction, facial reanimation surgery, reconstruction and treatment of peripheral nerve injuries and sports hernia correction that could not be treated elsewhere. We work in close collaboration with other specialties and will continue to push the boundaries of reconstructive medicine. 

 

We receive significant philanthropic support, which funds the most advanced research technologies and state-of-the-art surgical equipment. This support positions us to provide superior clinical care, groundbreaking research and comprehensive education. 

 

An unwavering standard of excellence in clinical care empowers our students and residents to become leaders in the field of plastic and reconstructive surgery. Our future surgeons are exposed to a broad spectrum of cases, training them to treat complex disease processes and to perform surgical procedures with absolute precision and confidence.

Our Team

The plastic and reconstructive surgeons in our division form a cohesive, like-minded group that strives to advance plastic and reconstructive medicine across diverse specialties. We are committed to excellence in clinical care, cutting-edge research and the highest standards in medical education. 

 

Our accomplished practitioners have earned national and international renown, treating many complex cases referred to our center from all over the world. Jeffrey Friedman, MD, has served as a Director and the Chairman of the American Board of Plastic Surgery, often considered the highest bar in academic plastic surgery. 

 

Michael Klebuc, MD, has a national reputation for the treatment of those afflicted with facial nerve dysfunction and has contributed to many advancements in facial reanimation surgery. This includes procedures to prevent blindness and restore function and sensation in Bell’s palsy patients. Donald Collins, MD, served as a member of the Public Education Committee of the American Society for Aesthetic Plastic Surgery. Dr. Collins has been peer-selected many times for inclusion in “Texas Super Doctors” by Texas Monthly Magazines. Anthony Echo, MD has developed groundbreaking nerve decompression techniques to relieve pain and restore function in highly functioning athletes, procedures often overlooked by other specialists. 

 

Our Faculty ➝   Our Physicians ➝ 

Our Research

Our faculty publish robust, groundbreaking clinical research on critical plastic and reconstructive surgery topics.  These topics have included microsurgical techniques that enable treatment of previously inoperable conditions, such as unresectable brain tumors. Implant-based breast reconstruction while aiming to restore near normal breast sensation thus pushing the boundaries of traditional outcomes. Nerve decompression techniques to treat chronic pain and sports-related injuries, novel techniques in body contouring procedures, the use of limited access procedures for facial and abdominal aesthetic surgery, and more. 

 

The Houston Methodist Division of Plastic & Reconstructive Surgery experts share the mission and drive to improve outcomes through innovation allowing for the development of new surgical techniques and products. Aldona J. Spiegel, MD, created and patented two dermal matrix designs for use in breast reconstruction. She pioneered the technique now widely used to re-establish breast sensation following mastectomy and recently began a preceptorship program for plastic surgeons, teaching her specialized techniques during live surgery. She also holds the title of Chief of Division of Surgical Innovation in the Department of Surgery. 

 

Our team members are sought-after authors and contributors to books and textbooks, and frequent lecturers, often invited to speak at national and international meetings and on prestigious research and clinical panels. 

Static Suspension of the Paralyzed Face Utilizing the Midfacial Corridor
Placement of tendon or fascia grafts for static support or tunneling of an orthodromic temporalis transfer through the midfacial corridor can be performed rapidly while providing midfacial support and avoiding the creation of visible cutaneous deformities.
Staged Breast Reconstruction Utilizing Primary Nipple Repositioning Surgery Prior to Nipple-Sparing Mastectomy
Results suggest that this procedure can be performed safely with cosmetically favorable results if surgeons wait an average of 25 weeks between first- and second-stage procedures. 
Acellular Dermal Matrices in Breast Reconstruction
Long-term data suggests that the use of ADM in breast reconstruction procedures may provide a benefit in reducing complications, such as capsular contracture, and may sustain low rates of seroma. 
Reconstructive Rhinoplasty Using Cadaver Cartilage in Relapsing Polychondritis
Relapsing polychondritis is a rare autoimmune disorder characterized by recurrent inflammation of cartilage. We report the use of a cadaver cartilage graft in a 55-year-old woman with relapsing polychondritis and saddle nose deformity. 

Education & Training

The Plastic Surgery Residency Program at Houston Methodist is an engaging three-year independent program enrolling two residents each year. In addition, Baylor College of Medicine residents rotate in our hospital during their third and fourth years of study. The comprehensive curriculum prepares residents for successful examination by the American Board of Plastic Surgery. 

 

Clinical rotations expose our residents to a wide variety of patient cases, including reconstructive surgery, breast reconstruction, cosmetic surgery and more. There are also clinical rotations at partner institutions including MD Anderson Cancer Center, Texas Children’s Hospital, Memorial Hermann Health System and more.  

 

Our residents regularly present research at regional, national and international meetings such as the ASPS, ASAPS, ASRM, TSPS, the monthly Houston Society of Plastic Surgeons meetings and the annual Dallas Rhinoplasty course.   

 

The Fields Rosenberg Summer Surgical Fellowship offers undergraduate students the opportunity to participate in a 10-week paid internship receiving direct mentorship from surgical specialists. Throughout the program, interns participate in weekly seminars focused on career development and professional growth. They attend didactic lectures delivered by Houston Methodist scientists and physician researchers. At the end of their programs, interns give oral presentations about their shadowing experiences. The Fields Rosenberg Summer Surgical Fellowship has a near-100% acceptance rate into medical school. This program, led by Dr. Friedman, is a highly-esteemed and high-profile initiative in the Department of Surgery’s opportunity academy and community engagement efforts. 

 

We work with learners at all levels — high school students, physician assistant students from the University of Texas Medical Branch in Galveston, EnMed medical students and more. Physicians in our division travel to Vietnam, Africa and Ukraine, teaching plastic surgical techniques and providing clinical care to global populations. We also operate a specialized local program dedicated to providing medical care and therapeutic treatment to women who have sustained facial injuries due to domestic abuse. 

 

Our team prioritizes ongoing education for the entire division through weekly conferences on complex cases and annual lectures provided by internationally renowned plastic surgeons. 

New Procedure Can Restore Function in Severed Facial Nerves Within Minutes
A clinical trial at Houston Methodist tests the efficacy of polyethylene glycol nerve fusion technique in rejoining transected facial nerves. The study is led by Michael Klebuc, MD, associate professor of clinical plastic surgery. 
Dr. Aldona Spiegel Designs a Flexible Approach to Breast Reconstruction
Aldona Spiegel, MD, has made it her mission to advance breast-restoration procedures in ways that help women enhance their physical and mental vitality as they heal. She invented the FlexHD Pliable PRE™, an acellular dermal graft for performing a new type of reconstructive breast surgery. 
For Patients

For Patients

Plastic surgeons at Houston Methodist are experts in both cosmetic surgery and the reconstructive surgery techniques needed to restore form and function lost due to trauma, tumor, disease or congenital conditions.