John Koshy, MD

Dr. John Koshy is a board-certified, double fellowship-trained plastic surgeon who specializes in adult and pediatric hand and reconstructive surgery. He earned his Bachelor of Science degree in combined sciences at Youngtown State University in Ohio in 2004 as part of an integrated six-year medical program. He completed his medical degree at Northeastern Ohio Medical University in Rootstown in 2009. Dr. Koshy completed his Plastic Surgery residency at Baylor College of Medicine in Houston, Texas, in 2017. He then completed a fellowship in hand surgery at Baylor College of Medicine in 2018 and a fellowship in pediatric hand surgery at Children’s Healthcare of Atlanta in Georgia in 2019. Prior to joining Kelsey-Seybold in April 2022, Dr. Koshy was an assistant professor at Baylor College of Medicine and a pediatric and adult hand surgeon and plastic and reconstructive surgeon at Texas Children’s Hospital and Michael E. DeBakey VA Medical Center in Houston, Texas.

Awards & Publications

Awards

• National Merit Scholarship Finalist
• National Corporate Merit Scholarship Winner
• President's Scholarship
• St. John Macomb Hospital Scholarship Winner
• Hitoshi Nikaidoh Memorial Endowment Award
• Second place best science paper, Texas Society of Plastic Surgeons 2010 Annual Meeting, September 2010, Bastrop, Texas
• American Foundation for Surgery of the Hand Annual Meeting Traveling Scholarship 2017
• Caught You Caring Award 2019

Peer-Reviewed Journal Articles/Abstracts

• Sarrami SM, Ferry AM, Buchanan EP, Gerow FT, Koshy JC. Reconstructing Severe Lower Extremity Skin Necrosis in a Pediatric Patient. Adv Skin Wound Care. 2021 Jul 1;34(7):1-6. PMID: 34125732.
• Koshy JC, Grome LJ, Schultz K, Bell B, Reece E, Pederson WC. The Epidemiology of Operative Pediatric Hand Trauma: A Retrospective Chart Review. Hand (N. Y.). [Epub ahead of print]. PMID 31847596
• Koshy JC, Bell B. Hand Infections. J Hand Surg Am. 2019; 44 (1): 46-54. PMID 30017648.
• Craig ES, Clemens MW, Koshy JC, Wren J, Hong Z, Butler C, Garvey P, Selber J, Kronowitz S. Outcomes of Acellular Dermal Matrix for Immediate Tissue Expander Reconstruction with Radiotherapy: A Retrospective Cohort Study. Aesthet Surg J. 2018; 39 (3): 279-288. PMID 29800083.
• Koshy JC, Agrawal N, Seruya M. Nerve transfer versus interpositional nerve graft reconstruction for post-traumatic, isolated axillary nerve injuries: A systematic review. Plast Reconstr Surg. 2017; 140 (5): 953-960. PMID 29068931
• Van Wyhe RD, Trost Jr. JG, Koshy JC, Pederson WC. The duplicated thumb: A review. Semin Plast Surg. 2016; 30(4): 181-187.
• Koshy JC, Seruya M. Reconstructive algorithms in the pediatric population. J Surg Oncol. 2016 Jun; 113(8): 940-5. PMID 26956026
• Koshy JC, Eisemann BS, Agrawal N, Pimpalwar S, Edmonds JL. Sildenafil for microcystic lymphatic malformations of the head and neck: A prospective study. Int J Pediatr Otorhinolaryngol. 2015 Jul; 79(7): 980-2. PMID 25921076.
• Xue AS, Koshy JC, Weathers WM, Wolfswinkel EM, Kaufman Y, Sharabi SE, Brown RH, Hicks MJ, Hollier LH Jr. Local foreign-body reaction to commercial biodegradable implants: an in vivo animal study. Craniomaxillofac Trauma Reconstr. 2014 Mar; 7(1): 27-34. PMID 24624254.
• Xue AS, Koshy JC, Wolfswinkel EM, Weathers WM, Marsack KP, Hollier LH Jr. A prospective study of strut versus miniplate for fractures of the mandibular angle. Craniomaxillofac Trauma Reconstr. 2013 Sep; 6(3) 191-6. PMID 24436758.
• Weathers WM, Koshy JC, Wolfswinkel EM, Thornton JF. Overview of nasal soft tissue reconstruction: keeping it simple. Semin Plast Surg. 2013 May; 27(2): 83-9. PMID 24872747.
• Albright SB, Xue AS, Koshy JC, Orth RC, Hollier LH Jr. Bilateral proximal delta phalanges: an unusual presentation of familial congenital clinodactyly. Hand (N Y). 2011 Sep;6(3):340-3. PMID: 22942863.
• McKnight AJ, Koshy JC, Xue AS, Shetty M, Bullocks JM. Pediatric compartment syndrome following an insect bite: a case report. Hand (N Y). 2011 Sep;6(3):337-9. PMID: 22942862.
• Koshy JC, Sharabi SE, Feldman EM, Hollier LH Jr, Patrinely JR, Soparkar CN. Effect of dietary zinc and phytase supplementation on botulinum toxin treatments. J Drugs Dermatol. 2012 Apr;11(4):507-12. PMID: 22453589.
• Koshy JC, Hollier LH Jr. Discussion: A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes. Plast Reconstr Surg. 2012 Jan;129(1):137-8. PMID: 22186505.
• Sharabi SE, Koshy JC, Hollier LH Jr. Multiple, recurrent, refractory vascular malformations as the primary presenting feature of a PTEN mutation. Pediatr Dermatol. 2011 Jul-Aug;28(4):466-7. PMID: 21793891.
• Siy RW, Brown RH, Koshy JC, Stal S, Hollier LH Jr. General management considerations in pediatric facial fractures. J Craniofac Surg. 2011 Jul;22(4):1190-5. PMID: 21772218.
• Feldman EM, Bruner TW, Sharabi SE, Koshy JC, Hollier LH Jr. The subtarsal incision: where should it be placed? J Oral Maxillofac Surg. 2011 Sep;69(9):2419-23. PMID: 21511381.
• Sharabi SE, Koshy JC, Thornton JF, Hollier LH Jr. Facial fractures. Plast Reconstr Surg. 2011 Feb;127(2):25e-34e. PMID: 21285753.
• Kelley BP, Koshy J, Hatef D, Hollier LH Jr, Stal S. Packing and postoperative rhinoplasty management: a survey report. Aesthet Surg J. 2011 Feb;31(2):184-9. PMID: 21317116.
• Sharabi SE, Hatef DA, Koshy JC, Jain A, Cole PD, Hollier LH Jr. Is primary thinning of the anterolateral thigh flap recommended? Ann Plast Surg. 2010 Dec;65(6):555-9. PMID: 21042193.
• Hatef DA, Koshy JC, Sandoval SE, Echo AP, Izaddoost SA, Hollier LH. The submental fat compartment of the neck. Semin Plast Surg. 2009 Nov;23(4):288-91. PMID: 21037865.
• Sandoval SE, Cox JA, Koshy JC, Hatef DA, Hollier LH. Facial fat compartments: a guide to filler placement. Semin Plast Surg. 2009 Nov;23(4):283-7. PMID: 21037864.
• Roth FS, Koshy JC, Goldberg JS, Soparkar CN. Pearls of orbital trauma management. Semin Plast Surg. 2010 Nov;24(4):398-410. PMID: 22550464.
• Lee EI, Mohan K, Koshy JC, Hollier LH Jr. Optimizing the surgical management of zygomaticomaxillary complex fractures. Semin Plast Surg. 2010 Nov;24(4):389-97. PMID: 22550463.
• Nguyen M, Koshy JC, Hollier LH Jr. Pearls of nasoorbitoethmoid trauma management. Semin Plast Surg. 2010 Nov;24(4):383-8. PMID: 22550462.
• Koshy JC, Feldman EM, Chike-Obi CJ, Bullocks JM. Pearls of mandibular trauma management. Semin Plast Surg. 2010 Nov;24(4):357-74. PMID: 22550460.
• Koshy JC, Chike-Obi CJ, Hatef DA, Sharabi SE, Momoh AO, Dauser RC, Hollier LH Jr. The variable position of the ear in lambdoid synostosis. Ann Plast Surg. 2011 Jan;66(1):65-8. PMID: 20948412.
• Feldman EM, Koshy JC, Chike-Obi CJ, Hatef DA, Bullocks JM, Stal S. Contemporary techniques in inferior turbinate reduction: survey results of the American Society for Aesthetic Plastic Surgery. Aesthet Surg J. 2010 Sep;30(5):672-9. PMID: 20884896.
• Koshy JC, Goldberg JS, Wolfswinkel EM, Ge Y, Heller L. Breast cancer incidence in adolescent males undergoing subcutaneous mastectomy for gynecomastia: is pathologic examination justified? A retrospective and literature review. Plast Reconstr Surg. 2011 Jan;127(1):1-7. PMID: 20871489.
• Hollier LH Jr, Sharabi SE, Koshy JC, Schafer ME, O'Young J, Flood TW. Surgical mission (not) impossible--now what? J Craniofac Surg. 2010 Sep;21(5):1488-92. PMID: 20818246.
• Koshy JC, Sharabi SE, Jerkins D, Cox J, Cronin SP, Hollier LH Jr. Sunscreens: evolving aspects of sun protection. J Pediatr Health Care. 2010 Sep-Oct;24(5):343-6. PMID: 20804956.
• Wolfswinkel EM, Koshy JC, Kaufman Y, Sharabi SE, Hollier LH Jr, Edmonds JL. A modified technique for inferior turbinate reduction: the integration of coblation technology. Plast Reconstr Surg. 2010 Aug;126(2):489-91. PMID: 20679833.
• Hollier LH Jr, Sharabi SE, Koshy JC, Stal S. Facial trauma: general principles of management. J Craniofac Surg. 2010 Jul;21(4):1051-3. PMID: 20613558.
• Koshy JC, Ellsworth WA, Sharabi SE, Hatef DA, Hollier LH Jr, Stal S. Bilateral cleft lip revisions: the Abbe flap. Plast Reconstr Surg. 2010 Jul;126(1):221-7. PMID: 20595869.
• Momoh AO, McKnight AJ, Echo A, Sharabi SE, Koshy JC, Hollier LH Jr. The first silicone breast implant patient: a 47- year follow-up. Plast Reconstr Surg. 2010 Jun;125(6):226e-9e. PMID: 20517063.
• Sharabi SE, Hatef DA, Koshy JC, Hollier LH Jr, Yaremchuk MJ. Mechanotransduction: the missing link in the facial aging puzzle? Aesthetic Plast Surg. 2010 Oct;34(5):603-11. PMID: 20440493.
• Shamhart PE, Luther DJ, Hodson BR, Koshy JC, Ohanyan V, Meszaros JG. Impact of type 1 diabetes on cardiac fibroblast activation: enhanced cell cycle progression and reduced myofibroblast content in diabetic myocardium. Am J Physiol Endocrinol Metab. 2009 Nov;297(5):E1147-53. PMID: 19706787.
• Bryant JE, Shamhart PE, Luther DJ, Olson ER, Koshy JC, Costic DJ, Mohile MV, Dockry M, Doane KJ, Meszaros JG. Cardiac myofibroblast differentiation is attenuated by alpha(3) integrin blockade: potential role in post-MI remodeling. J Mol Cell Cardiol. 2009 Feb;46(2):186-92. PMID: 19041328

Peer-Reviewed Book Chapter

• Koshy JC, Peljovich AE (2020). Middle and Proximal Phalanx Fractures. In R. Cornwall and K. Little (Ed.), ASSH Surgical Anatomy: Pediatric Trauma, American Society for Surgery of the Hand.
• Feldman EM, Koshy JC, Hollier LH, Stal S. (2012). Secondary deformities of the cleft lip, nose, and palate. In P.C. Neligan (Ed.), Plastic Surgery, Saunders.
• Hollier LH Jr, Kelley P, Koshy JC. (2013). Soft Tissue and Skeletal Injuries of the Face. In C.H. Thorne et al. (Ed.), Grabb and Smith, Lipincott Williams & Wilkins.

Other Articles

• Koshy JC, Sharabi SE, Jerkins D, Cox J, Cronin SP, Hollier Jr LH. (2010, March 1). Sunscreens: Evolving aspects of sun protection. Journal of Pediatric Health Care.

Poster Presentations

• Koshy JC. (2010, May). Breast Cancer Incidence in Adolescent Males Undergoing Subcutaneous Mastectomy for Gynecomastia: Is Pathologic Examination Justified? A Retrospective and Literature Review. Poster presented at: Texas Children's Hospital Surgical Research Day; Houston, TX.
• Koshy JC. (2011, April). On Beauty: Survey Results Defining Familial and Adolescent Motivations and Perceptions Towards Cosmetic Procedures. Poster presented at: Texas Children’s Hospital Pediatric Fellows Day; Houston, TX.
• Koshy JC. (2011, May). On Beauty: Survey Results Defining Familial and Adolescent Motivations and Perceptions Towards Cosmetic Procedures. Poster presented at: Texas Children’s Hospital Surgical Research Day; Houston, TX.
• Wolfswinkel, E.M., Brown, R.H., Weathers, W.M., Koshy, J.C., Xue, A.S., Izaddoost, S., Bullocks, J.M. (2013, May). Abdominal-based free flap breast reconstruction in the obese, severely obese and morbidly obese: Modified Techniques for Safe Outcomes. Poster presented at: Texas Children’s Hospital Surgical Research Day; Houston, TX. (Presented by Dr. Wolfswinkel).
• Koshy JC, Eisemann BS, Agrawal N, Pimpalwar S, Edmonds JL. (2014, May) Sildenafil for microcystic lymphatic malformations of the head and neck: a prospective study. Texas Children’s Surgical Research Day; Houston, TX.
• Sarrami SM, Ferry AM, Buchanan EP, Gerow FT, Koshy JC. The Use of TheraSkin® to Reconstruct Severe Lower Extremity Skin Necrosis in a Pediatric Patient. TTUHSC Thirty-third Annual Student Research Week. Lubbock, TX, 03/2021. Second Place Winners.

Oral Presentations

• Grome L, Raj S, Abu-Ghname A, Bell B, Reece E, Pederson WC, Koshy JC MD. (2020, October) Operative Pediatric Hand Infections: A Retrospective Review. Virtual Podium Presentation. American Society of Plastic Surgery. Plastic Surgery the Meeting.
• Feldman EM, Koshy JC, Chike-Obi CJ, Hatef DA, Bullocks JM, Stal S. (2010, August). Contemporary Techniques in Inferior Turbinate Reduction: Survey Results of the American Society for Aesthetic Plastic Surgeons. Oral Presentation presented at: 20th Biennial Congress of ISAPS; San Fransisco, CA.
• Hatef DA, Koshy JC, Sandoval SE, Hollier LH. (2009, September). The Submental Fat Compartment. Oral Presentation presented at: Texas Society of Plastic Surgery Annual Meeting; Fort Worth, TX.
• Koshy JC. (2010, September). Breast Cancer Incidence in Adolescent Males Undergoing Subcutaneous Mastectomy for Gynecomastia: Is Pathologic Examination Justified? A Retrospective and Literature Review. Oral Presentation presented at: Texas Society of Plastic Surgeons 2010 Annual Meeting; Houston, TX
• Koshy JC, Cole PD, Kaufman Y, Hollier Jr LH, Stal S. (2010, May). Safety and Efficacy of the On-Q PainBuster® - Post-op Pain Relief System in Pediatric Surgery: A Prospective, Randomized, Double-blind Study. Oral Presentation presented at: Texas Children's Hospital Surgical Research Day; Houston, TX.
• Koshy JC, Soparkar CNS. (2010, October). Effect of dietary zinc supplementation on botulinum toxin treatments: A modified randomized, double-blind, placebo-controlled, crossover pilot study. Oral Presentation presented at: American Society of Ophthalmic Plastic and Reconstructive Surgery; Chicago, IL.
• Koshy JC, Soparkar CNS. (2011, May). Effect of dietary zinc supplementation on botulinum toxin treatments: A Randomized, Placebo-Controlled Study in a Murine Model. Texas Children’s Hospital Surgical Research Day; Houston, TX.

Peer Reviewed Online Publication

• Koshy JC. (2009, May 1). Pure Orbital Floor Fractures. eplasty.com.
• Stal S, Hollier LH, Cole P, Koshy JC. (2009, September 1). Facial Clefts and Holoprosencephaly. www.uptodate.com.
• Koshy JC, Sandoval SE, Hollier LH Jr. (2012). Facial Fractures: Mandibular Fractures. www.psenetwork.org.
• Sandoval SE, Koshy JC, Hollier LH Jr. (2012). Facial Fractures: Facial Fractures. www.psenetwork.org.

Hobbies & Interests

Dr. Koshy enjoys spending time with his wife and two children, being active through travel and exercise, and reading.

Fun Facts

The best advice Dr. Koshy has ever received is “The goal isn’t to live a happy life; the goal is to live a meaningful life” and “It is not the most intellectual of the species that survives; it is not the strongest that survives; but the species that survives is the one that is able to adapt and adjust to the changing environment in which it finds itself.”

The most exotic places he has visited are Kerala in India, the Amalfi Coast in Italy, and Palawan in the Philippines.

Not everyone knows this about Dr. Koshy, but he was voted “best personality” in his high school graduating class.

Video games are his guilty pleasure.

As a child, Dr. Koshy wanted to be a businessman because he enjoyed building human connection and leveraging that to create value.