1 Vanderbilt University School of Medicine, Nashville, Tenn.
2 Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn.
3 Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn., Plastic, Reconstructive, and Hand Surgery Unit, AIC Kijabe Hospital, Kijabe, Kenya.
4 Department of Plastic Surgery, Department of Biomedical Informatics, Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tenn.