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Joshua Fosnot, M.D.
Plastic Surgery

 
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Administrative Office:
Hospital of the University of Pennsylvania
3400 Spruce Street
10th Floor Penn Tower
Philadelphia, PA 19104
Administrative Assistant: Beth Gerrick
Administrative Telephone: 215-662-7300
Administrative Fax: 215-662-2172

Clinical Office:
Perelman Center for Advanced Medicine
Center for Human Appearance
South Pavillion 1st Floor
3400 Civic Center Boulevard
Philadelphia, PA 19104
Clinical Telephone: 215-662-7300
Clinical Fax:
215-662-2172

Penn Plastic Surgery Main Line
23 Morris Avenue, Suite 219
Bryn Mawr, PA 19010
Patient Appointments: 610-902-5612

Contact Information (internal use only)

joshua.fosnot@uphs.upenn.edu

 

Joshua Fosnot, MD is an Assistant Professor of Surgery at the University of Pennsylvania. He earned his Bachelor of Arts from Cornell University in 1998, graduating with Distinction in All Subjects.  This was followed by his MD degree from the University of Pennsylvania School of Medicine in 2003 and he completed his general surgery residency at the University of Pennsylvania in 2009. After a year of research studying outcomes of autologous breast reconstruction he then completed his training in plastic surgery in 2013 at the University of Pennsylvania and is board certified by both the American Board of Plastic Surgery and the American Board of Surgery.

His clinical practice encompasses both reconstructive and cosmetic surgery.  This includes general reconstruction and microsurgery of the head/face, torso and extremities.  Dr. Fosnot offers all aspects of reconstructive and aesthetic surgery of the breast including free flap and implant based reconstruction, cosmetic augmentation, reduction, lifting and treatment of congenital deformities.  In addition, he has an interest in the aging face and offers a variety of less invasive methods for rejuvenation including botox, fillers, fat grafting and lasers as well as surgical approaches including upper and lower eyelid surgery, neck and facelift.  Lastly, he offers procedures for body contouring including abdominoplasty, liposuction and a variety of procedures for the treatment of the massive weight loss patient.

 
Faculty Appointments
2013 - present Assistant Professor of Surgery at HUP & PPMC
Perelman School of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
 
Hospital and/or Administrative Appointments
2013 - present Attending Surgeon
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
   
2013 - present Active Surgeon
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania
   
2013 - present Active Surgeon
Pennsylvania Hospital
Philadelphia, Pennsylvania
 
Education/Training
1999 - 2003 MD - University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania
   
1994 - 1998 BA - Cornell University of Arts & Sciences
Ithaca, New York
(Biology with Distinction in All Subjects)
 
Postgraduate Training and Fellowship Appointments
2010 - 2013 Plastic Surgery Residency, Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
   
2009 - 2010 Clinical Research Fellowship in Plastic Surgery
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania
   
2004 - 2009 General Surgery Residency, Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
   
2003 - 2004 Transitional Internship, Penn Presbyterian Medical Center
Philadelphia, Pennsylvania
 
Memberships/Societies
  • American Society of Reconstructive Microsurgery (ASRM)
  • American College of Surgeons (ACS)
  • American Society of Plastic Surgeons (ASPS)
 
 
 
 
 
 
 
Research
Clinical Research Fellow, July 2009 to June 2010
Division of Plastic Surgery, The University of Pennsylvania Health System, Pennsylvania
Outcomes research, primarily focusing on free flap breast reconstruction
 
Clinical Research, April 2002 to May 2003
Department of Pediatric Ophthalmology, Children's Hospital of Philadelphia, Pennsylvania
Studied visual field outcomes in children with retinopathy of prematurity (ROP)
 
Scholarly Pursuit, June 2002 to May 2003
Kirby Center for Molecular Ophthalmology, Scheie Eye Institute, Pennsylvania
Studied anti-angiogenesis therapeutics
 
Clinical Research Coordinator, July 1998 to July 1999
Department of Pediatrics, Thomas Jefferson University, Philadelphia, Pennsylvania
Philadelphia Consortium Coordinator for STOP-ROP, investigating the effect of oxygen therapy on the development of ROP. Coordinator for a clinical trial evaluating the role of magnesium therapy in premature neonate
 
Undergraduate Research Assistant, June 1997 to May 1998
Department of Neurobiology, Ronald R. Hoy, PhD, Cornell University, Ithaca, New York
Studied neural development in flies
 
Publications
Book Chapters
  1. Neligan PC, Buck DW, editors. Core Procedures in Plastic Surgery: Chapter 18 – Autologous breast reconstruction using abdominal flaps, Adapted Plastic Surgery: Third Edition. Free TRAM Breast Reconstruction. Fosnot J, Serletti JM. Saunders, 2014.
  2. Grotting JC, Breast Volume editor.  Plastic Surgery: Third Edition. Chapter 16 – Free TRAM Breast Reconstruction.  Fosnot J, Serletti JM. Saunders, 2013.
  3. Serletti JM, Taub PJ, Wu LC, Slutsky DJ, editors. Current Reconstructive Surgery. Chapter 22 – Orbital Fractures and Deformities.  Fosnot J, Serletti JM. McGraw-Hill. 2013.
  4. Serletti JM, Taub PJ, Wu LC, Slutsky DJ, editors. Current Reconstructive Surgery. Chapter 43 – Autologous Breast Reconstruction.  Fosnot J, Serletti JM. McGraw-Hill. 2013.
  5. Babiera GV, Skoracki RJ, Esteva FJ. Advanced Therapy of Breast Disease: Third Edition. Chapter 44  – Autogenous Breast Reconstruction.  Serletti JM, Fosnot J.  People’s Medical Publishing House, 2012.
  6. RosesRE, Paulson EC, KanchwalaS, Morris JB, editors.  Gowned and Gloved Surgery: Introduction to Common Procedures.  Chapter 5 - Ventral Herniorrhaphy.  Fosnot J, Kirkland III ML, Elsevier, 2009.
  7. Porrett PM, Roses RE, Frederick JR, Kaiser LR, editors. The The Surgical Review: An Integrated Basic and Clinical Science Study Guide: Third Edition. Chapter 14 - The Pancreas.  Fosnot J, Rosato EF, Lippincott Williams & Wilkins, 2009.
Research Publications, peer reviewed
  1. Fischer JP, Basta MN, Shubinets V, Serletti JM, Fosnot J. A Systematic Meta-analysis of Prosthetic-Based Breast Reconstruction in Irradiated Fields With or Without Autologous Muscle Flap Coverage. Ann Plast Surg. 2014 Dec 19.
  2. Silvestre J, Tomlinson-Hansen S, Fosnot J, Taylor JA. An analysis of combined and integrated plastic surgery residency websites. Plast Reconstr Surg. 2014 Oct;134
  3. Nelson JA, Fischer JP, Yan C, Fosnot J, Selber JC, Wu LC, Serletti JM, Kanchwala S. The impact of obesity on abdominal wall function after free autologous breast reconstruction. Microsurgery. 2014 Jul;34(5):352-60.
  4. Nelson JA, Stransky CA, Fischer JP, Fosnot J, Serletti JM, Wu LC. Reexamining Free Flap Breast Reconstruction in the Community and University Setting: Is There a Difference? Ann Plast Surg. 2014 Jul 18.
  5. Nelson JA, Fischer JP, Chung CU, Fosnot J, Selber JC, Serletti JM, Wu LC. Preoperative anemia impacts early postoperative recovery following autologous breast reconstruction. J Plast Reconstr Aesthet Surg. 2014 Jun;67(6):797-803.
  6. Lu SM, Nelson JA, Fischer JP, Fosnot J, Goldstein J, Selber JC, Serletti JM, Wu LC. The impact of complications on function, health, and satisfaction following abdominally based autologous breast reconstruction: a prospective evaluation. J Plast Reconstr Aesthet Surg. 2014 May;67(5):682-92.
  7. Fosnot J, Fischer JP, Wu LC, Serletti JM. The Patient's Perspective on the Effect of Autologous Breast Reconstruction on Lymphedema. Ann Plast Surg. 2014 Mar 29.
  8. Silvestre J, Tomlinson-Hansen S, Fosnot J, Taylor JA. Plastic surgery residency websites: a critical analysis of accessibility and content. Ann Plast Surg. 2014 Mar;72(3):265-9.
  9. Medina ND, Fischer JP, Fosnot J, Serletti JM, Wu LC, Kovach SJ 3rd. Lower Extremity Free Flap Outcomes Using an Anastomotic Venous Coupler Device. Ann Plast Surg. 2014 Feb;72(2):176-9.
  10. Nelson JA, Fischer JP, Pasick C, Nelson P, Chen AJ, Fosnot J, Selber JC, Wu LC, Serletti JM. Chronic pain following abdominal free flap breast reconstruction: a prospective pilot analysis. Ann Plast Surg. 2013 Sep;71(3):278-82.
  11. Mirzabeigi MN, Smartt JM, Nelson JA, Fosnot J, Serletti JM, Wu LC. An assessment of the risks and benefits of immediate autologous breast reconstruction in patients undergoing postmastectomy radiation therapy. Ann Plast Surg. 2013 Aug;71(2):149-55.
  12. Fosnot J, Serletti JM. Plastic and Reconstructive Surgery. Discussion: Complications of acellular dermal matrices in breast surgery. 2012 Nov;130(5 Suppl 2):173S-4S.
  13. Fosnot J, Serletti JM. Discussion: Abdominal Wall Stability and Flap Complications after Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction: Does BMI make a Difference? Analysis of 418 Patients and 639 Flaps. Plastic and Reconstructive Surgery. Plastic and Reconstructive Surgery. 2012 Jul;130(1):34e-35e.
  14. Jandali S, Mirzabeigi MN, Fosnot J, Low DW. Thoracodorsal artery perforator flaps and muscle-sparing latissimus dorsi myocutaneous flaps for the treatment of axillary hidradenitis. Annals of Plastic Surgery. 2012 Oct;69(4):371-5.
  15. Nelson JA, Fosnot J, Selber JC, Wu LC, Serletti JM. Age and abdominal wall strength: Assessing the aging abdominal wall after autologous breast reconstruction.  Microsurgery. 2012 Apr 18.
  16. Fosnot J, Serletti JM. Abdominal Based Free Flaps. A Tutorial for the Plastic Surgery Hyperguide. Release Date Jan 2012.
  17. Fosnot J, Serletti JM. Free Flap Breast Reconstruction. Part II: Alternative Free Flaps to the Abdominal Donor Site and Other Considerations. A Tutorial for the Plastic Surgery Hyperguide. Release Date Jan 2012.
  18. Fosnot J, Serletti JM. Discussion: Simultaneous Scarless Contralateral Breast Augmentation During Unilateral Breast Reconstruction Using Bilateral Differentially Split DIEP Flaps. Plastic and Reconstructive Surgery. 2011 Dec;128(6):605e-6e.
  19. Au AF, Fosnot J, Wu LC. Case Report: Coumadin-Induced Skin Necrosis of the Breasts. Annals of Plastic Surgery. May 2011.
  20. Fosnot J, Kovach SJ III, Serletti JM. Acellular Dermal Matrix:  General Principles for the Plastic Surgeon. The Aesthetic Surgery Journal. 2011 Sep;31(7 Suppl):5S-12S.
  21. Fosnot J, Fischer JP, Smartt JM, Low DW, Kovach III SJ, Wu LC, Serletti JM.  Does Previous Chest Wall Irradiation Increase Vascular Complications in Free Autologous Breast Reconstruction?  Plastic and Reconstructive Surgery. 2011 Feb;127(2):496-504.
  22. Fosnot J, Jandali S, Low DW, Kovach III SJ, Wu LC, Serletti JM. Closer to an Understanding of Fate – The Role of Vascular Complications in Free Flap Breast Reconstruction.  Plastic and Reconstructive Surgery. 2011 Oct;128(4):835-43.
  23. Selber JC, Nelson JA, Fosnot J, Goldstein J, Bergey M, Sonnad S, Serletti JM.  A Prospective Study Comparing the Functional Impact of the SIEA, DIEP and MS fTRAM on the Abdominal Wall:  Part I, Unilateral Reconstruction .  Plastic and Reconstructive Surgery. Oct 2010;126(4):1142-53.
  24. Selber JC, Fosnot J, Nelson JA, Goldstein J, Bergey M, Sonnad S, Serletti JM.  A Prospective Study Comparing the Functional Impact of the SIEA, DIEP and MS fTRAM on the Abdominal Wall:  Part II, Bilateral Reconstruction .  Plastic and Reconstructive Surgery. Nov 2010. 126(5):1438-53.
  25. Serletti JM, Fosnot J, Nelson JA, Disa JJ, Bucky LP. Breast Reconstruction after Breast Cancer (CME Article). Plastic and Reconstructive Surgery. 2011 Jun;127(6):124e-35e.
  26. Dejneka NS, Kuroki AM, Fosnot J, Tang W, Tolentino MJ, Bennett J. Systemic rapamycin inhibits retinal and choroidal neovascularization in mice. Molecular Vision. 2004 Dec 22;10:964-72.
  27. Lin J, Fosnot J, Edmond J.  Bilateral angle closure glaucoma in a child receiving oral topiramate. J AAPOS 2003 Feb;7(1):66-8.
  28. Reich SJ, Fosnot J, Kuroki A, Tang W, Yang X, Maguire AM, Bennett J, Tolentino MJ.  Small interfering RNA (siRNA) targeting VEGF effectively inhibits ocular neovascularization in a mouse model.  Molecular Vision. 2003 May 30;9:210-6.
  29. Fosnot J, Glazer-Hockstein C, Tolentino MJ.  Central retinal vein occlusion immediately following cardiac surgery.  Ophthalmic Surgery Lasers and Imaging. 2003 May-Jun;34(3):215-6.
Abstracts
  1. Jandali S, Mirzabeigi MN, Fosnot J, Low DW. Thoracodorsal Artery Perforator Flaps and Muscle-Sparing Latissimus Dorsi Myocutaneous Flaps for the Treatment of Axillary Hidradenitis. Poster Presentation at the Robert H. Ivy Society of Plastic Surgeons, June 2011. 
  2. Mirzabeigi M, Smartt J, Fosnot J, Nelson J, Wu LC, Serletti JM. The effect of Postoperative Radiation in Assessing the Risks and Benefits of Immediate Bilateral Free Flap Breast Reconstruction.  European Association of Plastic Surgeons, 2011.
  3. Fosnot J, Jandali S, Fischer JP, Wu LC, Serletti JM. Does Delayed Reconstruction Affect Lymphedema?  Another Viewpoint.  Podium presentation at the Northeastern Society of Plastic Surgeons, October 2010.
  4. Fosnot J, Jandali S, Low DW, Kovach III SJ, Wu LC, Serletti JM. Closer to an Understanding of Fate – The Role of Vascular Complications in Free Flap Breast Reconstruction.  Podium presentation at the Northeastern Society of Plastic Surgeons, October 2010 and the American Society for Reconstructive Microsurgery, January 2011.
  5. Fosnot J, Fischer JP, Smartt JM, Low DW, Kovach III SJ, Wu LC, Serletti JM.  Does Previous Chest Wall Irradiation Increase Vascular Complications in Free Autologous Breast Reconstruction?  Podium presentation at the American Association of Plastic Surgeons, March 2010 and The Robert H. Ivy Society of Plastic Surgeons, March 2010.
  6. Nilton D. Medina, John P. Fischer, Joshua Fosnot, Joseph M. Serletti, Liza C. Wu, Steven J. Kovach, III. Lower Extremity Microvascular Reconstruction Outcomes Using an Anastomotic Venous Coupler Device.  Northeastern Society of Plastic Surgeons, October 2010.
  7. James M. Smartt, Jr, Joshua Fosnot, Nilton D. Medina, Liza C. Wu, Joseph M. Serletti. Does Post-Operative Radiation Increase Complications or the Need for Revision Surgery in Patients Undergoing Immediate Free Flap Breast Reconstruction?  Northeastern Society of Plastic Surgeons, October 2010 and the American Society of Plastic Surgeons, October 2010.
  8. Ines C. Lin, Joshua Fosnot, Jesse C. Selber, Joseph M. Serletti. Do 2 Free Flaps Put the Patient at More Risk? Comparing Patient Characteristics and Complications in Unilateral and Bilateral Autologous Free Flap Breast Reconstruction . Northeastern Society of Plastic Surgeons, October 2010.
  9. J.Fosnot, S.J. Reich, A.Kuroki, X.Y. Yang, J.Bennett, M.J. Tolentino.  VEGF Directed siRNA Inhibits Hypoxia Induced VEGF Upregulation In Vitro [Abstract]. 2003 Annual Meeting Abstract and Program Planner [on CD-ROM].  Association for Research in Vision and Ophthalmology.  Abstract 2904.  Poster Presentation at ARVO, 2003.
  10. A.Kuroki, N.S. Dejneka, J.Fosnot, M.J. Tolentino, J.Bennett.  Rapamycin Inhibits Retinal and Choroidal Neovascularization in Mice [Abstract]. 2003 Annual Meeting Abstract and Program Planner [on CD-ROM].  Association for Research in Vision and Ophthalmology.  Abstract 573.
  11. S.J. Reich, A.Kuroki, J.Fosnot, X.Y. Yang, A.M. Maguire, J.Bennett, M.J. Tolentino. VEGF Directed siRNA Inhibits Experimental Choroidal Neovascularization [Abstract]. 2003 Annual Meeting Abstract and Program Planner [on CD-ROM].  Association for Research in Vision and Ophthalmology.  Abstract 578.
  12. K.C. Behling, A.Kuroki, J.Fosnot, S.J. Reich, A.M. Maguire, M.J. Tolentino, J.Bennett. Adeno-associated Delivery of TIMP-3 Inhibits Experimental Choroidal Neovascularization [Abstract]. 2003 Annual Meeting Abstract and Program Planner [on CD-ROM].  Association for Research in Vision and Ophthalmology.  Abstract 1425.
  13. M.J. Tolentino, S.J. Reich, J.Fosnot, A.Kuroki, W.X. Tang, A.M. Maguire, J.Bennett. In Vivo RNA Interference in the Murine RPE [Abstract]. 2003 Annual Meeting Abstract and Program Planner [on CD-ROM].  Association for Research in Vision and Ophthalmology.  Abstract 2331.
Acknowledgements
  1. The STOP-ROP Multicenter Study Group.  Supplemental Therapeutic Oxygen for Pretheshold Retinopathy of Prematurity (STOP-ROP), A Randomized, Controlled Trial. I: Primary Outcomes.  Pediatrics.  Feb 2000; 105;2: 295-310.               
 
Awards
 
 
 
 
 
 
 
 
 

Dr. Joshua Fosnot

 
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