Clinical Focus

  • Cancer > Breast Cancer
  • Plastic and Reconstructive Surgery
  • Lymphedema
  • Skin Cancer
  • Facial and Body Rejuvenation

Academic Appointments

Administrative Appointments

  • Director of Breast Reconstruction, Stanford Women's Cancer Center (2012 - Present)

Professional Education

  • Board Certification: Plastic and Reconstructive Surgery, American Board of Plastic Surgery (2012)
  • Board Certification, Board of Pharmacy, CA (2003)
  • Fellowship, Chang Gung Memorial Hospital, Taiwan, Microsurgery (2011)
  • Residency, USC, Plastic & Reconstructive Surgery (2010)
  • Residency, USC, General Surgery (2007)
  • M.D., UCSD School of Medicine, CA (2004)
  • Pharm.D., UCSF School of Pharmacy, CA (2000)


All Publications

  • Motion Analysis for Microsurgical Training: Objective Measures of Dexterity, Economy of Movement, and Ability. Plastic and reconstructive surgery McGoldrick, R. B., Davis, C. R., Paro, J., Hui, K., Nguyen, D., Lee, G. K. 2015; 136 (2): 231e-40e


    Evaluation of skill acquisition in microsurgery has traditionally relied on subjective opinions of senior faculty, but is shifting toward early competency-based training using validated models. No objective measures of dexterity, economy of movement, and ability exist. The authors propose a novel video instrument motion analysis scoring system to objectively measure motion.Video of expert microsurgeons was analyzed and used to develop a resident motion analysis scoring system based on a mathematical model. Motion analysis scores were compared to blinded, global rating scores of the same videos using the Stanford Microsurgery and Resident Training scale.Eighty-five microsurgical anastomoses from 16 residents ranging from postgraduate years 1 through 6 were analyzed. Composite motion analysis scores for each segmented video correlated positively to arterial anastomotic experience (rho, +0.77; p < 0.001). Stanford Microsurgery and Resident Training scale interrater reliability was consistent between expert assessors, and mean composite motion analysis overall performance and Stanford scores were well matched for each level of experience. Composite motion analysis scores correlated significantly with combined Stanford Microsurgery and Resident Training [instrument handling (rho, +0.66; p < 0.01), efficiency (rho, +0.59; p < 0.01), suture handling (rho, +0.83; p < 0.001), operative flow (rho, +0.67; p < 0.001), and overall performance (rho, +89; p < 0.001)] motion components of the scale.Instrument motion analysis provides a novel, reliable, and consistent objective assessment for microsurgical trainees. It has an associated cost, but is timely, repeatable, and senior physician independent, and exposes patients to zero risk.

    View details for DOI 10.1097/PRS.0000000000001469

    View details for PubMedID 26218398

  • Using intraoperative laser angiography to safeguard perfusion in nipple-sparing mastectomies. Gland Surgery Journal Dua, M., Bertoni, D., Nguyen, D. H., Meyer, S., Gurtner, G., Wapnir, I. 2015
  • Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats Microsurgery Nguyen, D. H., Chou, P. Y., Hsieh, Y. H., Momeni, A., Fang, Y. D., Patel, K. M., Yang, C. Y., Ko, Y. S., Cheng, M. H. 2015

    View details for DOI 10.1002/micr.22388

  • Developing a Lower Limb Lymphedema Animal Model with Combined Lymphadenectomy and Low-dose Radiation. Plastic and reconstructive surgery. Global open Yang, C., Nguyen, D. H., Wu, C., Fang, Y. D., Chao, K., Patel, K. M., Cheng, M. 2014; 2 (3)


    This study was aimed to establish a consistent lower limb lymphedema animal model for further investigation of the mechanism and treatment of lymphedema.Lymphedema in the lower extremity was created by removing unilateral inguinal lymph nodes followed by 20, 30, and 40 Gy (groups IA, IB, and IC, respectively) radiation or by removing both inguinal lymph nodes and popliteal lymph nodes followed by 20 Gy (group II) radiation in Sprague-Dawley rats (350-400 g). Tc(99) lymphoscintigraphy was used to monitor lymphatic flow patterns. Volume differentiation was assessed by microcomputed tomography and defined as the percentage change of the lesioned limb compared to the healthy limb.At 4 weeks postoperatively, 0% in group IA (n = 3), 37.5% in group IB (n = 16), and 50% in group IC (n = 26) developed lymphedema in the lower limb with total mortality and morbidity rate of 0%, 56.3%, and 50%, respectively. As a result of the high morbidity and mortality rates, 20 Gy was selected, and the success rate for development of lymphedema in the lower limb in group II was 81.5% (n = 27). The mean volume differentiation of the lymphedematous limb compared to the health limb was 7.76% ± 1.94% in group II, which was statistically significant compared to group I (P < 0.01).Removal of both inguinal and popliteal lymph nodes followed by radiation of 20 Gy can successfully develop lymphedema in the lower limb with minimal morbidity in 4 months.

    View details for DOI 10.1097/GOX.0000000000000064

    View details for PubMedID 25289315

  • A Novel Approach to the Treatment of Lower Extremity Lymphedema by Transferring a Vascularized Submental Lymph Node Flap to the Ankle. Gynecologic Oncology Cheng, M. H., Huang, J. J., Nguyen, D. H., Saint-Cyr, M., Zenn, M. R., Tan, B. K., Lee, C. L. 2012; 126: 93-98
  • Anatomical Basis and Clinical Application of the Ulnar Forearm Free Flap for Head and Neck Reconstruction. The Laryngoscope Huang, J. J., Lam, W. L., Phil, M., Nguyen, D. H., Wu, C. W., Kao, H. K., Lin, C. Y., Cheng, M. H. 2012; 122 (12): 2670-6
  • Simultaneous Left Maxillary and Right Mandibular Reconstructions Using Split Osteomyocutaneous Peroneal Artery-based Combined Flaps. Head and Neck Nguyen, D. H., Wu, C. W., Huang, J. J., Cheng, M. H. 2011; 10: 1002-5
  • Simultaneous Contralateral Breast Reduction/Mastopexy with Unilateral Breast Reconstruction Using Free Abdominal Flaps. Annals of Plastic Surgery Huang, J. J., Wu, C. W., Lam, W. L., Lin, C. Y., Nguyen, D. H., Cheng, M. H. 2011: 336-42
  • How to Harvest a Fibula Flap in 45 Minutes. Plastic Surgery Pulse News Nguyen, D. H., Lin, C. H. 2011; 3 (2)
  • Simultaneous Scarless Contralateral Breast Augmentation During Unilateral Breast Reconstruction Using Differentially Split DIEP Flaps. Plastic Reconstructive Surgery Huang, J. J., Chao, L. F., Wu, C. W., Nguyen, D. H., Valerio, I. L., Cheng, M. H. 2011; 12 (6): 593e-604e
  • A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix. Fertility and Sterility Nguyen, D. H., Lee, C. L., Wu, K. Y., Cheng, M. H. 2011; 95 (7): 2433.e5-8
  • A Novel Approach to Acute Infection of the Glenohumeral Joint Following Rotator Cuff Repair – A case series. Wounds Dobke, M. K., Nguyen, D. H., Trott, S. A. 2005; 17 (6): 137-140
  • Estrogen Accelerates the Development of Renal Disease in Female Obese Zucker Rats. Kidney International Gades, M. D., Sterns, J. S., van Goor, H., Nguyen, D. H., Johnson, P. R., Kaysen, G. A. 1998; 53 (1): 130-5

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