Podcasts about Breast surgery

In this episode of the RWS Clinician's Corner, Margaret Floyd Barry sits down with Dr. Robert Whitfield, a world-renowned holistic plastic surgeon and leading expert in breast implant illness (BII). Together, Margaret and Dr. Whitfield unpack the complexities of BII—what it is, how to recognize it in clients, and the critical intersection between surgical expertise and functional health support. Dr. Whitfield shares his personal journey that led him to specialize in BII, the science behind chronic inflammation related to implants, and what functional practitioners need to know when helping clients navigate unexplained fatigue, hormonal imbalance, detox challenges, and much more.   In this interview, we discuss:    -Dr. Whitfield's transition from cancer reconstruction to explant surgeries   -Recognizing and assessing breast implant illness   -Various surgical approaches and controversies   -The functional approach: assessing genetics, methylation, and toxicity   -Dr. Whitfield's “SHARP” protocol: holistic pre- and post-op recovery program   -Detoxification Do's and Don'ts & Lymphatic post-operative support The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/   Connect with Dr. Robert Whitfield: Website: www.drrobertwhitfield.com YouTube: @breastimplantillnessexpert Instagram: @breastimplantillnessexpert Facebook: @drrobertwhitfield TikTok: @drrobertwhitfield   To book a discovery call: https://www.drrobertwhitfield.com/discovery-call/   Timestamps:  00:00 Breast Implant Illness Insight 05:16 Breast Cancer Treatment Access Challenges 10:38 Breast Implants and Chronic Inflammation 20:03 Navigating Complex Health Evaluations 21:03 Guidance on Medical Device Removal 30:19 Hormonal Imbalance Detection in Bloodwork 32:18 Understanding Hormone Impact on Recovery 41:15 Managing Environmental Toxins for Health 45:23 Breast Surgery and Surveillance Concerns 47:44 Support for Clients Undergoing Explants 53:11 Detoxing: Recognizing When to Slow Down 01:02:38 "Clinicians Corner Podcast Callout" Speaker bio: Dr. Robert Whitfield, M.D., is a world-renowned holistic plastic surgeon certified by the American Board of Plastic Surgery. He is an author and the leading expert in Breast Implant Illness (BII), known for his pioneering surgical techniques and groundbreaking "No-Cut" Facelift. With a deep specialization in oncology and microsurgery, Dr. Whitfield is at the forefront of advanced breast explant procedures, delivering exceptional patient outcomes worldwide.   Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. He then completed six years of surgical training and a plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He entered private practice in 2017. In 2019, Dr. Whitfield was chosen to speak at the FDA hearings on breast implants and their safety. In 2024, he published his first book, SHARP (Strategic Holistic Accelerated Recovery Program), to share his protocol and expertise in holistic surgical preparation and recovery. The same year, he published his first scientific paper on microbial communities and associated biofilm in breast augmentation failure.   Dr. Whitfield's work has earned him consistent recognition on the Texas Super Doctors list as one of the "Best Doctors in America." As the host of the popular podcast "Breast Explant Surgery & Recovery," he shares patient stories, explores cutting-edge treatments, and discusses the latest advancements in plastic surgery, further solidifying his status as a trusted authority in the field.   Keywords: breast implant illness, explant surgery, functional medicine, detox pathways, plastic surgery, chronic inflammation, genetic testing, microbial communities, biofilm, capsular contracture, holistic recovery, autoimmune symptoms, estrogen toxicity, oxylipin 10-HOME, fatigue, mold exposure, hormone imbalance, fat transfer, gut health, food sensitivities, toxicity burden, liposomal supplements, cellcore detox, dietary protocols, GI-MAP testing, inflammation markers, SOD2 enzyme, impaired methylation, Vibrant Wellness testing, Sharp program   Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

In a conversation with CancerNetwork®, Oluwadamilola “Lola” Fayanju, MD, MA, MPHS, FACS, discussed the key findings from a study she published in JAMA Network Open, which demonstrated that most patients with inflammatory breast cancer do not receive all available types of guideline-concordant care they are eligible for. Additionally, data showed disparities regarding receipt of modality-specific therapy among patients who were Black, Asian, Hispanic, or other racial minority populations. Based on these findings, Fayanju highlighted potential next steps for mitigating these gaps in care for certain patients with breast cancer. These strategies included revising stringent inclusion criteria for clinical trial enrollment, which may disproportionately exclude racial minority populations who have higher rates of diabetes or other medical conditions. Fayanju also emphasized educating clinicians across different oncology specialties to recognize how different populations present with inflammatory breast cancer and better understand the context in which patients receive treatment. “I hope [the study] makes some people angry…Frustration can be a wonderful fuel,” Fayanju stated regarding her research. “[By] recognizing that there isn't as much guideline-concordant care receipt amongst all people as there should be and the hope that's provided when we achieve concordant care, we can mitigate and eliminate racial disparities. I hope [that] will motivate people to think about how we can get more guideline-concordant care to more people and how we can incorporate diverse populations in the development of guidelines for concordant care at the beginning. Then, how can we also develop treatments that achieve efficacious results across diverse populations?” Fayanju is the Helen O. Dickens Presidential Associate Professor, chief in the Division of Breast Surgery at Penn Medicine, surgical director of Rena Rowan Breast Center, director of Health Equity Innovation at Penn Center for Cancer Care Innovation (PC3I), and senior fellow at Leonard Davis Institute of Health Economics (LDI), Perelman School of Medicine at the University of Pennsylvania. Reference Tadros A, Diskin B, Sevilimedu V, et al. Trends in guideline-concordant care for inflammatory breast cancer. JAMA Netw Open. 2025;8(2):e2454506. doi:10.1001/jamanetworkopen.2024.54506

Who Is That Girl in The Mirror?  It is challenging for women to see changes to their bodies during and after treatment. Some have to cope with hair loss, others with changes to skin tone and texture, many others with scars from lumpectomy or mastectomy, with or without reconstruction which adds another layer of complexity to an already difficult cancer diagnosis. Hear from Heather and Lauren Spiezia who have experienced this firsthand, Yonni and Jana Siegel as caregivers and friends, and Dr. Lucy de la Cruz as a breast surgeon about handling side-effects, cold-capping, managing surgical expectations and more. Episode 3 Guest Bios: Lauren Spiezia: Lauren Spiezia is a passionate advocate and breast cancer warrior, diagnosed in 2024 at the age of 31. Despite still undergoing treatment, she is dedicated to sharing her journey with others, offering strength and insight to those in similar battles. Professionally, Lauren brings a wealth of experience in wealth management, coupled with a strong entrepreneurial spirit. Following her diagnosis, she was inspired to launch a venture in clean, non-toxic cosmetics, reflecting her commitment to health and wellness both personally and professionally. Outside of her cancer journey and business endeavors, Lauren enjoys spending time with her husband and 2-year-old son in New Jersey. A former collegiate athlete at Babson College, she continues to prioritize an active lifestyle, valuing health in all aspects of her life. Jana Shopkorn Siegel: Jana Shopkorn Siegel is a New York State licensed speech-language pathologist who earned her Bachelor's and Master's degrees in Child Development from Tufts University before going on to receive her Master of Arts in Speech-Language Pathology from NYU. She has worked in a wide range of settings, including schools, daycares, homes, and virtual platforms with diverse populations, and in private practice as well. Jana is passionate about helping individuals of all ages find their voice and build confidence through communication. She holds a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA) and is a proud member of the organization. Jana was born and raised in NYC and lives there with her husband and three teenagers. She is involved with the Ronald McDonald House, and supports other charities that have touched her life and community.  Dr. Lucy de la Cruz: Dr. Lucy De La Cruz is an internationally recognized breast surgical oncologist and the Chief of Breast Surgery at MedStar Georgetown University Hospital. She serves as the Director of the Lombardi Betty Lou Ourisman Breast Health Center and is an Associate Professor of Surgery at Georgetown University School of Medicine. Dr. De La Cruz is deeply committed to advancing women's health through personalized, compassionate care, innovative treatment, and education. Her pivotal manuscript on nipple-sparing and oncoplastic surgical outcomes has been widely cited and continues to shape the global landscape of breast surgery for both patients and physicians. Known for blending surgical precision with empathy and advocacy, she brings a powerful voice to conversations around leadership, equity, and the evolving role of women in medicine and beyond. Dr. De La Cruz's unique perspective is shaped by her experience as a surgeon, mother, and mentor—blending clinical excellence with heart, humor, and humanity. Find Yonni & Heather here https://www.herhealthcompass.com/

Please join myself and Dr. Tiwari as we discuss "How to get optimized for breast surgery" with Dr. Knackstedt, who is a plastic surgeon as well as a functional medicine specialist.1. What does it mean to be truly “optimized” for breast surgery—both physically and emotionally?2. What are some of the most important things patients can do in the weeks leading up to surgery to support healing and recovery?3. How does nutrition play a role in surgical recovery, and are there specific supplements or foods you recommend—or avoid?4. Do you integrate any alternative or complementary therapies, like acupuncture or stress reduction techniques, into the surgical prep or recovery process?5. What lab markers or health parameters do you check or optimize before surgery (e.g., inflammation, blood sugar, hormones)?6. How can patients advocate for themselves when they feel like their concerns—especially around whole-body wellness—aren't being heard?9. What common myths or misconceptions do patients have about breast reconstruction that you'd like to clear up?Post-Surgery Support10. What are some of the most under-discussed aspects of post-op recovery that you think patients should know about?11. Are there any red flags during recovery that patients should watch for and not ignore?12. What long-term lifestyle practices support optimal outcomes after reconstruction?Dr. Tiwari of Midwest Breast and Aesthetic Surgery has teamed up with Breast Cancer Surgeon and Breast Cancer Survivor, Dr. Deepa Halaharvi to bring you this new educational series.Connect with Midwest Breast on Instagram: Instagram:Instagram: @MWBreastRebecca Knackstedt, MD, PhD, is a plastic and reconstructive surgeon specializing in breast reconstruction, microsurgery, and gender-affirmation surgery. Dr. Knackstedt is certified by the American Board of Plastic Surgery and is a certified functional medicine practitioner. She incorporates her functional medicine expertise into her surgical practice, helping patients initiate lifestyle-based interventions before surgery to improve outcomes, minimize pain, and optimize recovery. Dr. Knackstedt received her degrees at the Medical University of South Carolina in 2015 and completed her medical residency at Cleveland Clinic. In addition to her medical practice, Dr. Knackstedt is an assistant professor of plastic and reconstructive surgery as well as the assistant program director for the plastic surgery residency affiliated with Duke University Medical Center and Duke Raleigh Hospital.Youtube: https://www.youtube.com/@surgical_recoveryInstagram: @surgical_recoveryStay Connected with Dr. Deepa Halaharvi:TikTok: @breastdoctorInstagram: @drdhalaharviTBCP Instagram: @thebreastcancerpodcastWebsite: https://drdeepahalaharvi.com/YouTube: https://www.youtube.com/@deepahalaharvi5917Instagram: @thebreastcancerpodcast

I speak to Dr. Oluwadamilola "Lola" Fayanju, Chief of the Division of Breast Surgery at Penn Medicine.  Dr, Fayanju discusses the factors that have resulted in higher mortality rates for Black Women and the critical importance of early detection and knowing family history.  https://pennmedicine.org/BreastCancerCare  

Listen to the final episode of this 4-part Women in Cancer Surgery podcast series on finance hosted through SurgOnc Today®. In this episode, Dr. Melissa Hogg, a member of the Women in Cancer Surgery Committee, and Dr. Tari King, Chief of Breast Surgery at Dana-Farber Brigham Cancer Center discuss organizational fund flow and share insights on managing financial matters in the field.

In this episode, Dr. Lauren Ramsey shares her journey from being inspired by her childhood pediatrician to becoming a breast surgical oncologist and innovative entrepreneur. After years of rigorous medical training, she realized she wanted to make an impact beyond one-on-one patient care, leading her to pursue an MBA and explore entrepreneurship. Witnessing a rise in breast cancer among young women and experiencing the loss of a colleague, she identified a critical gap in radiation protection for healthcare workers—a flaw in traditional aprons that left key areas exposed. This led her to develop BAT™ (Breast, Axilla, Thyroid protection), a groundbreaking safety innovation designed to reduce cancer risks in the medical field. Dr. Ramsey's story is a testament to fearlessly following your calling, bridging expertise with innovation, and creating solutions that outlive you. Whether in medicine, business, or leadership, her journey proves that recognizing a problem and daring to solve it can change lives at scale. Dr. Lauren Ramsey is Breast Surgical Oncologist with a passion for advancing healthcare through clinical care, research, and innovation. Board-certified by the American Board of Surgery, Dr. Ramsey specializes in breast cancer treatment, radiation protection, and patient advocacy. Dr. Ramsey is originally from Pittsburgh, Pennsylvania and earned her M.D. from the University of Pittsburgh, where she was inducted into the Alpha Omega Alpha Honor Medical Society. She then completed her surgical training in Breast Surgical Oncology at Baylor University Medical Center, and earned her M.B.A from American University. Her dedication to improving safety in healthcare led her to the development of the BAT™, an innovative radiation protection garment designed to reduce cancer risks in healthcare workers. Dr. Ramsey has presented her research at numerous international conferences, authored peer-reviewed publications, and serves as a reviewer for the British Medical Journal. Currently, she leads as the Medical Director of Breast Surgery for Acclaim Multi-Specialty Group in Forth Worth, Texas, and mentors the next generation of surgeons as an Assistant Professor at TCU Burnett School of Medicine. Her work is driven by a commitment to improving patient outcomes, fostering innovation, and creating meaningful change in the medical community. Links: laurenramseymd.com Burmed.com/BAT You can buy Erin's book Nothing Can Stop You Here. If you buy 25 books you get a 1:1 session with Erin, just email receipt to hello@erinracheldoppelt.com

When you have cancer you become a patient, and advocate, a student, and yes, I said student. It's like taking one of those classes at university that you must take to learn the topic, but you don't really want to take it. Have you ever met someone in the breast cancer community, and you think to yourself, “Damn! They really did a good job of navigating this whole process.” They view their life before cancer. They view their life during diagnosis, after treatment, after surgery, and what that should look like to them. Then they got on with it. I met one of those people and we chat on this episode of the DiepCJourney podcast. We met through a mutual friend who is a trained microsurgeon. Dr. Anita Mohan introduced me to the inspirational Samantha Vale. They have known each other for quite some time; before Anita was a microsurgeon and before Sam had breast cancer. They danced, celebrated, and traveled together. Their friendship continues today and I'm lucky to know them both. The story of her multiple occurrences, surgeries, and the lessons she learned along the way will inspire the listener to put your own story into a new light and perspective. Sam is a single mom with two young children who continues to navigate her personal Journey and choice not to reconstruct after a double mastectomy. Listen to Sam's story and how dance and music continue to nourish her creative strengths. She is a published author, and her book link can be found at the bottom of these notes.   Connect with Samantha across these platforms: Instagram: https://www.instagram.com/samanthavaleuk/                      https://www.instagram.com/samanthavaledance/ Samantha's book on Amazon: The Lady with no Hair    

We are joined by Dr. Claudia Lago of Nuvance Health. Dr. Lago is a board-certified general surgeon who is fellowship-trained in breast surgical oncology. Ray Graf hosts.

Love the episode? Send us a text!In this episode of Breast Cancer Conversations, I had the pleasure of speaking with Dr. Kohli, the Director of Breast Surgery at Monmouth Medical Center in New Jersey. We delved into the multifaceted journey of breast cancer survivorship, emphasizing the importance of treating the whole person, not just the disease.Dr. Kohli shared her insights on the increasing incidence of breast cancer in younger women and the importance of focusing on the quality of life for long-term survivors. We discussed the initial overwhelming phase of diagnosis and treatment decisions, and how crucial it is to consider mental and emotional health alongside physical health.One of the key topics we explored was the decision-making process regarding surgery options—lumpectomy, mastectomy, and double mastectomy.  We also touched on the long-term management of side effects, particularly lymphedema. Dr. Kohli explained what lymphedema is, its risks, and the importance of early detection and proactive management. She introduced the use of bioimpedance spectroscopy for early detection and shared her approach to monitoring and managing this condition.SURVIVINGBREASTCANCER.ORGAttend a free virtual SurvivingBreastCancer.org event:https://www.survivingbreastcancer.org/eventsFollow us on InstagramSurvivingBreastCancer.org: https://www.survivingbreastcancer.org/Breast Cancer Conversations: https://www.instagram.com/breastcancerconversations/About SurvivingBreastCancer.org: SurvivingBreastCancer.org, Inc. (SBC) is a federally recognized 501(c)(3) non-profit virtual platform headquartered in Boston with a national and global reach. Through education, community, and resources, SurvivingBreastCancer.org supports women and men going through breast cancer. We provide a sanctuary of strength, compassion, and empowerment, where those diagnosed with cancer unite to share their stories, learn invaluable coping strategies to manage wellness and mental health, and find solace in the unbreakable bond that fuels hope, resilience, and the courage to conquer adversity.Support the show

CancerNetwork® spoke with Rachel A. Greenup, MD, MPH, an associate professor of surgery (oncology), section chief of Breast Surgery, and co-director of the Center for Breast Cancer at the Yale School of Medicine, about the rationale behind conducting a study evaluating the lived experiences among women of color following breast cancer mastectomy, as well as data collection strategies employed during the study and key themes outlined in questionnaire responses. First, Greenup, senior author of the study, emphasized that disparities persist for women of color following mastectomy for breast cancer, both in those seeking breast reconstructive surgery and those choosing to forego it, which is an act called “living flat.” She explained that many of the stories behind these disparities were left untold, and this study was seeking to unearth them. She then explained that women of color who underwent a mastectomy for breast cancer were sampled for the study. The patient population included women from her institution and survivors willing to share their experiences. Expressing that her team strove to let the stories of these women speak for themselves, she discovered 2 major findings during her research. The first theme that emerged was a cultural stigma surrounding cancer diagnoses among minority groups, which impact knowledge of family history as well as timely screening, care, and support for their disease. The second major theme that her study revealed was spirituality as a driver for many of the decisions following mastectomy. Greenup further emphasized a need for cultural, racial, and ethnic inclusion during clinical trials, which extends to anticipating differences in cancer developments among diverse populations. She concluded by encouraging all patients to share their family history of cancer, regardless of background, as it can impact screening and prevention measures. “I would encourage all families and all individuals from different cultural backgrounds to share their family history of cancer. It has a critical impact in terms of screening and cancer prevention for other family members,” Greenup said. “It can be difficult to have those conversations, but it is information that can be powerful for future prevention.” Reference Khubchandani JA, Suttiratana SC, Washington R, et al. Living flat: stories from women of color after mastectomy. Ann Surg Oncol. Published online October 15, 2024. doi:10.1245/s10434-024-16337-y

When Your Producer Becomes the Patient! What happens when our fearless producer, Maria, swaps her seat behind the scenes for a spot in the surgical spotlight?This episode dives deep into Maria's personal journey as she finally takes the leap to address a decades-long struggle with overly large breasts. At 60 years young, Maria shares the emotional, physical, and psychological factors behind her decision to undergo a breast reduction and implant removal. Dr. Rady Rahban peels back the layers of vulnerability, courage, and logistics that go into life-changing surgery—especially for someone who's spent years in the shadows of hesitation. From navigating fears of pain and complications to redefining confidence and intimacy, Maria's candid story will resonate with anyone who's ever felt “stuck” in their own skin. Whether you're contemplating a procedure yourself, supporting a loved one, or simply curious about the process, this episode delivers raw truths, expert insights, and a front-row seat to transformation.

To conclude our Breast Cancer Awareness Month series, KYW Newsradio and Bridging Philly hosted a live conversation about breast reconstruction with an audience of survivors, doctors, advocates, and supporters. Racquel Williams spoke with surgeons Dr. Alexander Au and Dr. Lori Timmerman with The Penn Medicine | Virtua Health Cancer Program and two reconstruction patients to hear all the options available, how procedures like implants and DIEP flap reconstruction work, what recovery looks like, and more. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Dr. Dionisia Quiroga discusses emerging approaches to personalizing locoregional treatment for breast cancer with Drs. Walter Paul Weber and Charlote Coles, who share insights on tailoring axillary surgery, escalating lymphatic surgery, and implementing hypofractionated radiotherapy. TRANSCRIPT Dr. Dionisia Quiroga: Hello, I'm Dr. Dionisia Quiroga, your guest host of the ASCO Daily News Podcast today. I'm a breast medical oncologist and assistant professor in the Division of Medical Oncology at the Ohio State University Comprehensive Cancer Center. On today's episode, we'll be discussing emerging approaches to personalize locoregional treatment for patients with breast cancer, including many of the latest updates on axillary surgical staging, lymphatic surgery, and evidence-based radiotherapy in the treatment of breast cancer. We're very fortunate to have joining me today for this discussion Dr. Walter Paul Weber, a professor and head at the Division of Breast Surgery at the University Hospital Basel in Switzerland, and Dr. Charlotte Coles, a professor of cancer clinical oncology and the deputy head of the Department of Oncology at the University of Cambridge in the United Kingdom. Our full disclosures are available in the transcript of this episode. Dr. Weber and Dr. Coles, it's very wonderful to have you on the podcast and thank you so much for being here. Dr. Walter Paul Weber: Thank you very much for having us. Dr. Charlotte Coles: Thank you. Dr. Dionisia Quiroga: Now, for many decades prior, axillary lymph node dissection has very much been our standard of care. But recently, axillary surgeries have been able to be gradually deescalated to spare some of our patients from relative and relevant long-term morbidity. There are still some indications in which axillary lymph node dissection still remain. And therefore, we still see breast cancer-related lymphedema, a well-known sequela of the axillary surgery to continue to be prevalent. And I think it's important also to acknowledge that today there's about an estimated 1.5 million cancer survivors who deal with breast cancer-related lymphedema. Now, Dr. Weber, at the recent ASCO Annual Meeting, you and your co-presenters discussed tailoring axillary surgery, escalating lymphatic surgery and implementing evidence-based hypofractionated radiotherapy to really personalize locoregional treatment for people who've been diagnosed with breast cancer. And in addition to that, you and Dr. Coles have also published this work in the 2024 ASCO Educational Book. Can you tell us about some of the recent advances in axillary surgery and what are really the current indications for axillary dissection? Dr. Walter Paul Weber: Yes, I'm happy to do so. So as you've said, we've known for a while that we can omit axillary dissection in patients with clinically known negative breast cancer and negative sentinel nodes. We've known for about 10-15 years that we can omit axillary dissection in patients with one or two positive sentinel nodes in many patients. But what we've learned recently is that we can omit axillary dissection also in patients with one or two positive sentinel nodes who have larger primary tumors who undergo mastectomy or who have extranodal extension. This is a landmark trial that was published just a few months ago, the SENOMAC trial that established this. The remaining indications for axillary dissection are situations where you expect a heavy tumor load in the axilla. For example, when you have more than two positive sentinel nodes or you have a patient with clinically node-positive breast cancer who undergoes upfront surgery and has palpable disease or significant disease on imaging. Patients with locally advanced breast cancer, who are considered by some to be not eligible for nodal downstaging, such as patients with CN2, CN3 disease or CT4 breast cancer. And then the big group of patients who have residual disease after neoadjuvant chemotherapy in the nodes, standard of care is still axillary dissection. But we now have some real-world evidence that it's safe for selected patients with low volume nodal disease left in the nodes, mostly isolated tumor cells, to not undergo axillary dissection. So these are the remaining indications today. Dr. Dionisia Quiroga: Can you speak to situations where maybe even sentinel lymph node biopsies might be omitted? I know you spoke a little bit about the use of imaging in your work. Dr. Walter Paul Weber: Yes, this is correct. So, we started about maybe 7 or 8 years ago to omit sentinel lymph node biopsy in older patients above 70 years of age who have luminal disease, according to recommendations from the Choosing Wisely initiative. And now indeed there are several ongoing randomized trials that investigate if axillary imaging can replace surgical staging of the axilla. And the first of these trials was published recently, the SOUND trial with almost 1,500 patients, who underwent breast conserving surgery and had small tumors and all had a negative ultrasound of the axilla. And then they were randomized into a sentinel lymph node biopsy versus no axillary surgery. And that trial showed non-inferiority of the omission of sentinel lymph node biopsy in these patients. Now, it's a bit early to roll out the Choosing Wisely recommendation to all patients who have a negative ultrasound. The SOUND trial showed that about 14% had a false-negative ultrasound. So, in the control arm, they actually did have a positive sentinel node. And in patients where that one missed sentinel node makes a big difference in terms of systemic therapy, most experts would still recommend sentinel biopsy, and these are patients mainly with HER2-positive or triple-negative breast cancer or premenopausal patients or those who have G3 biology. Dr. Dionisia Quiroga: I think you bring up a very important point. Coming from the side of a breast medical oncologist, we're also very interested to see what these studies show because many of our practices are based on what we find out from our lymph node biopsies. So, I think a lot of interesting prospective studies to look at in the future. Dr. Walter Paul Weber: Absolutely. Dr. Dionisia Quiroga: One other topic we wanted to discuss was local regional management of stage four disease and particularly oligometastatic disease. And this is not a new topic of interest. We've been speaking about this for a long time in breast cancer management, but can you address some of the axillary management strategies that you currently use for stage 4 disease? Dr. Walter Paul Weber: Yes, it depends on your intention. If your intention is to cure the patient, then you would apply all the locoregional standards that apply in the curative setting, which means lymph node biopsy with or without axillary dissection. Now in a palliative situation, it's individualized. Very often you don't touch the axilla and sometimes you open it and just remove palpable disease, trying to minimize morbidity. The question of which intent you should follow is controversial; three out of the four randomized trials did not show a benefit for locoregional surgery in patients with de novo stage 4 disease. However, experts seem to disagree. The last St. Gallen consensus recommendation was in favor of the curative intent in such a patient with oligometastatic disease; 85% favored the curative intent. So there's a bit of discrepancy there, but everybody would agree, and this is what has been done in all of these trials, that if you try to cure the patient, then you should apply the curative standards of sentinel and axillary dissection that you use also in early-stage breast cancer. Dr. Dionisia Quiroga: Thank you. Now, moving on from surgical axillary management and more into lymphedema prevention and treatment. Can you speak to some of the promising advances that have happened in this field? Dr. Walter Paul Weber: Yes, so the best way to prevent lymphedema still is not to perform axillary dissection, which is the number 1 risk factor, which is all the axillary surgery de-escalation research that we've just discussed is all about. Prevention of lymphedema is one major aim of this. Now, once you indicate axillary dissection and you expect the patient to be at high risk – for example, if there are other risk factors such as obesity or neoadjuvant chemotherapy or extended regional nodal radiotherapy, then indeed there are emerging techniques that really seem to work. There is some evidence supporting it, which is categorizable as immediate lymphatic repair basically or bypass. And that is usually in a patient who undergoes axillary dissection, and also undergoes axillary reverse mapping. That allows the identification of the lymph nodes that are probably most relevant to the drainage of the lymphatic fluid from the arm. And then you can try to spare these. But if you decide, and this is effective, there is a consistent body of evidence, not phase 3 trials, but pretty consistent evidence that axillary reverse mapping works just by sparing the identified nodes. But if you decide that you have to remove these nodes as part of the radical concept of axillary dissection, then immediate lymphatic repair is also increasingly being done and is also supported by consistent evidence, even some single center randomized trials, low volume, but all consistently showing quite a striking benefit of this immediate lymphatic repair technique. There are different ways you can do it. You can either use it the microscope, and it's being done by the plastic surgeons, but it's also a simplified technique described that can be used by specialized general and breast surgeons. Both techniques seem to really work based on what we know from the studies, but also based on our common sense. Dr. Dionisia Quiroga: You talked about the procedures that can be offered to patients at time of breast surgery. And unfortunately, many of our patients maybe did not have the availability of those techniques when they undergo their initial breast cancer treatment. Once lymphedema is developed in a limb following breast cancer diagnosis, can you speak to other interventions that can be done to potentially help mitigate lymphedema? Dr. Walter Paul Weber: Right, so for patients who no longer benefit from or wish to further undergo conservative treatment of lymphedema, there are emerging procedures that are now out of my personal comfort zone because they're being performed by plastic surgeons; they use the microscope. There are two groups, the lymphovenous anastomosis and then the real vascular lymph node transfer as a free flap. And both of these procedures (there are no randomized trials yet published), but some really good ones are on the way and currently recruiting based on the evidence we have, which is over 20 observational studies all consistently again showing a benefit in terms of what you can measure in terms of centimeters or with a bioimpedance spectroscopy, or also when you ask the patients, you see quite some dramatic improvements by both of these techniques. And it's increasingly being done. Personally, I strongly believe that it works based on everything we know and understand from lymphedema development, but also prevention and treatment. So I am quite sure that in 5-10 years, we will see much more surgical treatment of patients with lymphedema by highly specialized plastic surgeons. Dr. Dionisia Quiroga: That's my hope as well. Now, another important component of local regional treatment we know is of course radiotherapy. And there have been many incredible advances in breast radiotherapy over the past decades, which has really improved cancer control and decreased side effects in our patients. Dr. Coles, you've led practice changing radiotherapy trials in the past and your research has really influenced international hypofractionation policy. Can you expand upon the emergence of hypofractionated radiation for breast cancer and the effects that it can have on our patient care? Dr. Charlotte Coles: Yes, so thank you very much, Dr. Quiroga. So I think the first thing to say is that radiotherapy hypofractionation isn't a new concept. And in fact, the breast radiotherapy hypofractionation trial started around three decades ago. And the rationale for this was the hypothesis that breast cancer is as sensitive to fraction, which is the treatments that we give, we split it into fractions, is sensitive as late responding tissue. So what does this mean? It means that the small traditional 2 Gy fraction spare tumor and normal tissues equally, so there's no advantage. So therefore, fewer fractions with a larger dose per fraction are worth testing. The problem is there's a concern that hypofractionation might increase the risk of side effects, and that includes the really important one we've been talking about, lymphedema. But we can reduce this risk by reducing the total radiotherapy dose over the whole course. But the question was by how much. So that's why randomized trials were needed. And there's been really high-quality trials with robust radiotherapy quality assurance, and they've been designed in partnership with patients. So just a very quick run through: A landmark trial was the UK START B trial. And this was a pragmatic design that compared 50 Gy in 25 fractions, which was commonly used in the south of the country with 40 Gy in 15 fractions, which was used at that time in the north [of the UK]. And this recruitment was around in the late 1990s and early 2000s. What we knew was that the three-week regimen was actually radiobiologically lower dose. And therefore the results that we got, it wasn't surprising that the 40 Gy was actually gentler on the normal tissue. So that's an advantage for patients. But what was surprising was it wasn't gentler on the tumor and non-inferiority was proven. So this suggests that overall treatment time is important for local control. So this fits with hypofractionation. Way back in 2009, 40 Gy in 15 fractions to both the breast and regional nodes became standard of care in the UK. But five-week nodal and actually breast as well remained standard of care in many countries for many years after that, a little bit to do with the fact that there were few patients treated in the START trial in terms of treating the node. So more recently we've had more randomized trials, particularly for nodal radiotherapy. And this includes the recently reported Danish SKAGEN 1 trial and also the French HypoG-01 trial, which was actually presented at ESMO in Barcelona a couple of weeks ago. So we've now got data for over 5,800 participants in really high-quality randomized trials testing three weeks and five weeks of nodal radiotherapy. And there's no statistically significant difference in late normal tissues for any of these, including lymphedema. So certainly, in my opinion and reflecting in many of the European guidelines, five-week radiotherapy is no longer indicated and three-week nodal radiotherapy is the international standard of care. So, in conclusion, the question is can we hypofractionate even further? So the UK FAST-Forward trial tested three weeks with two different dose levels of one week for the whole breast. Primary endpoint was ipsilateral breast tumor response. More than 4,000 patients participated and this was reported in 2020 with a median follow -up of six years and this was very timely because this is a time of COVID and the results showed non-inferiority for local control with similar late normal tissue side effects and we've also had other results from the UK IMPORT HIGH trial which shows that we can safely deliver a small, highly targeted team of boost simultaneously with the whole breast in all in three weeks. Finally, these two landmark trials have come together for the design of the UK FAST-Forward Boost Study led by my colleague Dr. Anna Kirby. And this is going to test three-week simultaneous integrated boost with two levels of one-week simultaneous integrated boost. And it's also going to test the safety of 5 fraction nodal radiotherapy, including the internal mammary node. Primary endpoint is ipsilateral breast tumor response, multiple normal tissue endpoints, including patient-reported outcomes of course, and the target recall is large with 4,800 participants. So, in summary, I would say that hypofractionation is efficacious, has similarly reduced toxicity. Importantly, it reduces patient burden and that's incredibly important because it means that people can get back on with their life quicker. It reduces health system costs, and also increases equity of access. So we really do need to continue to recruit and design high quality trials in this area. Dr. Dionisia Quiroga: Thank you, Dr. Coles. I think you highlight that there really aren't any downsides to looking into hypofractionated radiotherapy at this point. So excited to see what those future trials yield. And I want to thank you so much, Dr. Weber and Dr. Coles for sharing your valuable insights with us today on the ASCO Daily News Podcast. Dr. Walter Paul Weber: Thank you very much. Dr. Charlotte Coles: Thank you. Dr. Dionisia Quiroga: And thank you to our listeners for joining us today. Our listeners will find a link to our guests' article from the ASCO Educational Book in the transcript of this episode, as well as a link to their presentation from the most recent ASCO Annual Meeting. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcast. Disclaimer:   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  Find out more about today's speakers:   Dr. Dionisia Quiroga @quirogad Dr. Walter Paul Weber Dr. Charlotte Coles Follow ASCO on social media:     @ASCO on Twitter    ASCO on Facebook    ASCO on LinkedIn    Disclosures: Dr. Dionisia Quiroga: No relationships to disclose Dr. Walter Weber: Honoraria: MSD Dr. Charlotte Coles: No relationships to disclose

In this episode, Dr. Rob Whitfield, a board-certified plastic surgeon specializing in breast implant illness and explant surgery, discusses the complexities of breast implant illness with his patient, Petra. Petra shares her journey from getting breast implants influenced by societal beauty standards to facing complications like capsule contracture. She recounts her decision to undergo explant surgery and the subsequent relief and recovery. Dr. Whitfield emphasizes the importance of understanding both the physical and psychological aspects of breast implant illness, offering insights into treatment options and the significance of a supportive environment for healing. Show Highlights: Cultural Influences in Austria (00:03:35) Dr. Whitfield and Petra explore the cultural pressures regarding body image in Austria. Fat Transfer Experience (00:06:17) Petra shares her first surgery experience, opting for a fat transfer due to financial constraints. Capsule Contracture (00:18:34) Petra explains her experience with capsule contracture, leading to further surgeries. Surgical Challenges (00:20:21) Dr. Whitfield explains the complications associated with repeated surgeries and the impact on patient recovery. Symptoms After Implants (00:23:19) Petra describes the onset of symptoms after her third surgery, including fatigue and anxiety. Discovering Adrenal Fatigue (00:26:25) A doctor in San Francisco diagnoses Petra with adrenal gland fatigue, providing a potential explanation for her issues. Researching Breast Implant Illness (00:27:28) Petra discovers information about breast implant illness through social media, leading to further research. Choosing the Right Surgeon (00:31:24) Petra explains her decision-making process in selecting Dr. Whitfield for her surgery, focusing on his holistic approach. Post-Surgery Recovery Techniques (00:41:15) Overview of Petra's recovery, including hyperbaric chamber use and lymphatic massage Heavy Metals and Sauna Use (00:42:27) Exploration of the impact of sauna use on heavy metal exposure post-explant Connect with Dr. Whitfield: Podcast (https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554) Spotify (https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667) TikTok (https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1) IG (https://www.instagram.com/breastimplantillnessexpert/) FB (https://www.facebook.com/DrRobertWhitfield) Linkedin (https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/) X.com (https://x.com/rjwhitfield?lang=en) Read this article (https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness) Shop Dr. Whitfield's Solutions (https://drrobssolutions.com) SHARP (https://www.harp.health) NVISN Labs (https://nvisnlabs.com/) Get access to Dr. Rob's Favorite Products below: Danger Coffee (https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg) - Use our link for mold-free coffee. JASPR Air Purifier (https://jaspr.co/)- Use code DRROB for the Jaspr Air Purifier. Echo Water (https://echowater.com/)- Get high-quality water with our code DRROB10. BallancerPro (https://ballancerpro.com) - Use code DRROBVIP for the world's leader in lymphatic drainage technology. Ultrahuman (https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield)- Use code WHITFIELD10 for the most accurate wearable.

How proactive are you when it comes to breast health, and are you prepared for surgery if the need arises?In this special Breast Cancer Awareness Month episode of "Plastic Surgery Uncensored," Board-Certified Plastic Surgeon Dr. Rady Rahban and his sister, Terry, a brave breast cancer survivor, dive deep into breast health and breast surgery preparedness. Dr. Rahban stresses the importance of self-breast exams and routine mammograms for early breast cancer detection, while Terry shares her personal journey of discovering a lump through a self-exam, which led to an early diagnosis and successful treatment. This episode highlights the critical need to stay proactive about breast health, advocate for yourself, and follow recommended breast cancer screening protocols prior and 6 months after undergoing breast surgery. Dr. Rahban also provides an inside look at his unique approach to breast surgery, including the crucial step of sending removed tissue for pathology analysis. Tune in to learn how you can take control of your breast health and be prepared for any breast surgery should you ever want or need to and help spread breast health awareness. 

13 years after Danielle switched from saline to silicone breast implants, something felt off. When it felt like one of her implants was playing hide and seek during mammograms, she knew something needed to be done.When she met with Dr. Salazar, he found that her right implant shifted out of place and the crease under her breasts disappeared. He decided to swap out the old implants for new ones and give her a breast lift while he was at it.Safety was huge for Danielle, so she did her research before moving forward with anything. Find out why she knew Dr. Salazar was the right doctor as soon as she met him, how her recovery went, and how she's feeling about her breast revision results.LinksLearn more about San Diego plastic surgeon Dr. Hector Salazar-ReyesLearn more about revision breast augmentationLearn from the talented plastic surgeons inside La Jolla Cosmetic, the 20x winner of the Best of San Diego and global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice.Join hostess Monique Ramsey as she takes you inside La Jolla Cosmetic Surgery Centre, where dreams become real. Featuring the unique expertise of San Diego's most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticThe La Jolla Cosmetic Podcast is a production of The Axis: theaxis.io 

This week on the Milk Minute, we're talking all about nipples—specifically, nipple wounds and how they make breastfeeding wayy less enjoyable. Hear firsthand accounts from real parents who've experienced these challenges and get practical tips as we guide you through effective protocols for healing and prevention. Join Maureen & Heather for support, solutions, and a bit of reassurance on your breastfeeding journey!Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.THANKS TO OUR NEW PATRONS: Slade Wilson, Gwyn Poblete, Ashley Haus, Chris John, Franziska Ronquillo,  Jennifer Raines,  Grace, Leigh Campbell, Erica Metzner, and Sid Conley.Listener question: Do you work with clients in Europe?Mentioned in this episode:Ep. 202 - Breast Surgery and Breastfeeding: Interview with Dr. Katrina MitchellPhysicianguidetobreastfeeding.orgPrefer to read the transcript? Click Here Support the showCheck out Milk Minute Podcast's website here!Become a VIP Click here to get exclusive access and more!Send us an e-mail! MilkMinutePodcast@gmail.comFacebook | Instagram | TikTok

In this episode, we're joined by Dr. Oluwadamilola "Lola" Fayanju, a leader in breast cancer care and health equity. With a remarkable background that spans clinical excellence and innovative research, Dr. Fayanju holds the Helen O. Dickens Presidential Associate Professorship at the University of Pennsylvania (PENN) and serves as Chief of Breast Surgery at Penn Medicine. She also leads as the Surgical Director of the Rena Rowan Breast Center, directs Health Equity Innovation at the Penn Center for Cancer Care Innovation, and is a Senior Fellow at the Leonard Davis Institute of Health Economics.

This is one of those episodes where we're happy to have Alba's perspective. We'll explore the history of breast surgery, it's various early procedures, and a host of things done to change women's chests for a variety of reasons.References: https://citylights.com/topographies/cleavage-man-made-breasts/ Cleavage book, Nora Jacobson, 2000 (MAIN SOURCE)Squeezing saline bag story, https://www.chron.com/local/history/innovators-inventions/article/Local-invention-made-Houston-international-hub-9122371.php Angelina Jolie Harvard Study on testing, https://hms.harvard.edu/news/angelina-jolie-effectThe history and development of breast implants, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450417/Angelina Jolie's NYT Column https://www.nytimes.com/2013/05/14/opinion/my-medical-choice.html?_r=1& ----- Patreon Page (support the show) -----Submit a Question for Non-Medical Advice Segment (website form with instructions)-----Podcast Linktree (social media links / reviews / ratings)-----

Breast sensation, “sensibility,” is a topic I personally cannot talk enough about. Breast cancer patients want to be protected from burns. They want to feel the hugs from their children, grandchildren, partners, friends, and family. Sensibility refers to awareness, emotional response, and feeling so it makes perfect sense to use this word in our conversation on this episode of the DiepCJourney podcast. To be honest, the feeling of numbness that many feel after a mastectomy just feels odd. I speak from experience, and I listen to other survivors who tell me this. It felt odd for me, but I was fortunate to have nerve reconstruction at the time of my DIEP flap and now have sensate breasts, thankfully. I feel that my breasts are part of my body. I feel so fortunate today to be speaking to a world leader in breast sensation/sensibility. You will learn so much from her in our discussion. I first met her at the London Breast Meeting in September of 2023. This is one of the leading breast meetings in the world. Her talk absolutely mesmerized me. I saw her again in January of this year, 2024, at the microsurgery meeting and we said, this podcast needs to happen. She is approachable, warm, and accessible. Dr. Stefania Tuinder performs complex microsurgical breast reconstruction at the Maastricht hospital in the Netherlands. Dr. Tuinder has published multiple papers on this topic. I was inspired by a mutual friend, Mr. Vimal Gokani, who mentioned Dr. Tuinder and her work with sensibility and neurotized breasts on his podcast, PRS Global Open, DEEP cuts. Sensation and sensibility are something women talk about and deal with after autologous breast reconstruction. I'm fascinated with neuroplasticity and how are brains can adjust to these new sensations. Links to papers published by Dr. Tuinder: What does a breast feel like? A qualitative study among healthy women Sensory recovery and the role of innervated flaps in autologous breast reconstruction—a narrative review Somatotopic mapping of the human breast using 7 T functional MRI Connect with Dr. Tuinder: Email: s.tuinder@mumc.nl LinkedIn: https://www.linkedin.com/in/stefania-tuinder-0440176b/ Instagram: https://www.instagram.com/stefania_tuinder/

Dr. Jill Carnahan sits down with the brilliant Dr. Jenn Simmons to discuss "The Smart Women's Guide to Breast Cancer".  Breast cancer is a topic that affects millions of women worldwide, and this conversation is packed with valuable insights and information that every woman should know. Dr. Jenn Simmons, an expert in the field, shares her expertise and sheds light on the latest advancements in breast cancer prevention and treatment. Key Points ✅ Key things every women diagnosed with breast cancer needs to know now ✅ Why routine mammograms may be causing more harm than good and what your best options for low-risk imaging are ✅ Toxic load and environmental chemicals and why they may be the biggest risk for breast cancer in young women

There are many reasons why women undergo breast explant surgery. Although some women do breast explant because they don't want them anymore, some opt for breast explant surgery due to health issues or complications such as capsular contracture (scar tissue tightening around the implant), rupture, infection, or chronic pain. Knowing the expected recovery time gives people reasonable expectations regarding their healing process. It prepares them for the temporary limits and pain they may encounter during this period, which can help lessen worries. In today's episode, we'll be talking about how long breast explant surgery and recovery take. Optimizing your immune system When you undergo an operation, whether breast explant surgery, breast implant, breast reconstruction, or others, you have to ensure that your immune system is in its optimum state. To optimize your immune pathways, we do genetic testing and saliva tests which normally take a couple of months to get the results. We also conduct urine tests to identify toxicities and inflammation. Another thing that should be taken into consideration is the environment, as it also affects one's immune system and recovery after a breast explant surgery. If you're in an environment with molds, you have to be careful as these affect the air quality, which can also negatively impact your health. Optimizing your diet and taking supplements Having a healthy lifestyle boosts the immune system. Diet obviously plays a key role in all of these because if you can't eat and absorb nutrients, you can't recover easily. You have to stay on track with your diet as it limits fluid accumulation by changing your oncotic pressure, which is the protein content in your blood so that you go from a leaky phase or catabolic phase after surgery to an anabolic phase or a non-leaky phase. This helps your swelling to lessen quicker. Optimizing your diet includes an examination of food sensitivities and assessing your body's food and nutrient absorption. We also have to check if you have bacterial, fungal, or parasitic overgrowth or leaky gut. It's also important to ensure proper blood work and hormone balance for recovery since women have high levels of cortisol and sometimes estrogen as well, which can prolong recovery. We carefully look into all of these factors, particularly the levels of estrogen, progesterone, and even testosterone, and optimize them through our supplements to shorten the patient's recovery time. We also use red light therapy and lymphatic massage. Many of my clients also like to use hyperbaric oxygen therapy. Generally, it takes one to two weeks of recovery if you've had an explant and it's above the muscle and a couple of weeks - depending on how hard it is to get it out from behind the muscle. However, the recovery period still depends on many factors like your genetics, diet, lifestyle, environment, and hormone balance. If we carefully optimize these, we'll be able to give you the possible results and decrease the time for recovery. We're also introducing new things to enhance recovery like peptide therapy because we want you to recover as efficiently as possible. Links and Resources Dr. Robert Whitfield's Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield's approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.

Behind the fascination with augmented breasts is a complex truth that involves a number of experiences such as trauma and the necessity for explants or breast implant removal. While breast implants have provided benefits for many women, they have also been connected with major complications and traumatic experiences. In today's episode, we are joined by Candice Barley, a breast implant illness patient advocate, and by Dr. Amanda Savage Brown, the author of Busting Free: How to Liberate Yourself from the Quest for Better Breasts Before, During, and Long After Explant. Links and Resources Dr. Robert Whitfield's Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield's approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.

Ever wondered what the best approach is to recovering from cosmetic breast surgery and getting back to your fitness routine? Join hosts Dr. Sam Jejurikar @samjejurikar, Dr. Salvatore Pacella @sandiegoplasticsurgeon, Dr. Lawrence Tong @yorkvilleplasticsurgery, and Dr. Sam Rhee @bergencosmetic as they discuss advice on exercise restrictions post-surgery. The surgeons share their different protocols regarding how long to refrain from from upper body weightlifting to promote optimal healing, especially when implants are placed behind the muscle. Learn how to minimize risks such as hematomas, before gradually reintroducing upper body movements. The experts highlight the need for patience and careful progression to prevent complications and ensure long-term success.We also tackle the tricky issues of lateral implant displacement and bottoming out in breast augmentation. Discover why even smaller implants can be prone to these problems due to pocket tension and why placing implants behind the muscle isn't always the foolproof solution it's thought to be. The surgeons also delve into strategies for mitigating these risks, including post-surgery exercise restrictions and precise muscle release techniques. They stress the importance of tailoring advice to individual patients, acknowledging factors such as an individual's activity level. The episode concludes with a crucial reminder: trust your surgeon and prioritize direct communication to ensure the best possible recovery and outcomes. Tune in for invaluable insights that could make all the difference in your recovery journey.@3plasticsurgerypodcast #podcast #plasticsurgery #cosmeticsurgery #plasticsurgeon #beauty #boardcertified #aesthetic #3plasticsurgeonsandamicrophone ⁠#bergencosmetic ⁠#bestplasticsurgeon #beforeafter #aesthetics #realpatientrealresult #boardcertifiedplasticsurgeon #njplasticsurgeon #njplasticsurgery #nyplasticsurgeon #nyplasticsurgery   

Many women undergo breast surgery hoping to achieve the body of their dreams. Too many women I know personally and professionally experience the opposite. Recovery often leads to weight gain and the inability to exercise can trigger disordered eating. Amie from events with Amie is a Melbourne based event's planner who recently underwent breast surgery. She shares her honest struggles with her weight and how she is attempting to manage it all! Meet Amie LaytonAmie's Decision for SurgerySurgery and RecoveryPsychological ImpactGaining Weight and Body ChangesMental and Emotional ChallengesGallbladder Surgery and DietDating and RelationshipsOne piece of advice Amies socials: https://www.instagram.com/eventswithamie?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Book a retreat call herehttps://stan.store/mindfoodsteph/mindfoodsteph_funnel_312254 Want to build a healthy relationship with food?Book a FREE 1:1 eating evaluation call HEREAsk Stephhttps://forms.gle/uMBhmtLW16ancWEc8 To access more of my courses use this linkhttps://stan.store/mindfoodstephFREE Resources:Download my [FREE binge eating tracker tool](https://stan.store/mindfoodsteph/p/get-my-free-binge-eating-tracker-tool-now.)**Experiencing burnout? Free guide here‌Psychological support:ADHD Assessment enquiry‌Website: http://www.mindfoodpsychology.com‌Social media:TikTokInstagramFacebookHelp lines ‌DISCLAIMER: This is NOT therapy or a substitute for psychological and medical advice.Review the podcast on Apple By sharing, following, or rating the podcast, you help me reach more people so they can understand the importance of mental health. Hosted on Acast. See acast.com/privacy for more information.

Breast augmentation or breast implant surgery has become a more popular surgical procedure throughout the years for various reasons. While it has many benefits, it also comes with potential risks such as capsular contracture, infection, breast implant illness, and more. These risks are some of the reasons why many women opt to undergo breast explant surgery. That's why it's important to have a qualified plastic surgeon when considering surgery and to carefully assess both the risks and benefits of having breast implant surgery and other procedures. What Are the Reasons for Having Breast Explant Surgery? My main take from the thousands of operations I've done is that we don't want to leave biofilm of any quantity in somebody. So what we do is remove all of what's intact, if possible. Women seek breast explant surgery for many reasons. There are those who want to lessen the pain from symptoms associated with breast implant illness like brain fog, sound and light sensitivity, shortness of breath, heart palpitations or chest tightness, neurologic symptoms in the arms, nerve pain, muscle pain, and joint pain, while some even experience gastrointestinal symptoms. Whereas some are just tired and unhappy with their implants, some undergo breast explant surgery for breast reconstruction because they have issues with the appearance of their breasts. Maybe they're uncomfortable with the size or maybe there are gaps or capsular contracture. It's important to carefully consider having breast explant surgery and to have a qualified plastic surgeon whom you can trust. It also helps to have a great support system around you throughout the process. In our Holistic Accelerated Recovery Program, we have staff in place to provide more emotional support. I have several staff members who've had explant surgery, including our patient advocate and leader of our heart program. If they want to discuss this, we have discovery sessions you can participate in as well. The Best Way to Find Out if Your Implant is Inflamed In our previous episodes, we've talked about how inflammation worsens the illness. That's why we have to figure out whether or not there's inflammation in the breast implants. So what we do is we work up all the factors that contribute to inflammation by testing through our Holistic Accelerated Recovery Program (HARP) to really prepare the patients and optimize them for surgery. If you want to learn more about HARP, you can secure your seat through this link: https://harp.health/ Links and Resurces Dr. Robert Whitfield's Website (https://drrobssolutions.com/) For any inquiries or concerns, feel free to connect with us on Instagram (@breastimplantillnessexpert). https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ Try the Echo Hydrogen Water Bottle (https://echowater.com/?oid=21&affid=720) Code is DRROB10. About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield's approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.

June 17, 2024 ~ Dr. Nayana Dekhne, Section Chief and Breast Surgery Fellowship Director, Marilyn and Walter Wolpin Breast Center joins Anthony Bellino at Oakland Hills Country Club.

This week Stefanie is joined by Prof. Malcolm Kell, Breast Surgeon from Mater Private Network, Dublin. Follow Stefanie on Instagram @StefaniePreissner You can support Stefanie and the show on HeadStuff+ Thanks to Cathal O'Gara for our artwork and our music is from Only Ruin. This episode of Basically is sponsored by "Mater Private Network" and Rockwell Financial. With HeartCheck you take control of your heart health, giving yourself the peace of mind and reassurance that you are doing everything you can to protect your heart, now and into the future. For more information visit materprivate.ie Learn more about your ad choices. Visit megaphone.fm/adchoices

Breast explant surgery or breast implant removal is a surgical procedure commonly done for various reasons such as implant issues, breast reconstruction, implant rupture, dissatisfaction with the appearance of the implants, or other cosmetic purposes. In breast explant surgery, the implants alone may be removed or the surrounding scar tissue may also be included. In some circumstances, a breast lift may be done with the explant procedure to enhance the look of the breasts. In today's episode, we're going to discuss what breast explant surgery is and why people want to undergo such surgery. What is breast explant surgery? When we're talking about breast explant surgery, we're referring to the removal of breast implants and any scar tissue formed around the implants. Nowadays, many plastic surgeons do explants for various reasons. My approach to explant surgery is to everything out in its entirety, which is why many people seek me out for that very reason. Typically, my clients are those who had a placement of a device either for cancer reconstruction or other cosmetic purposes and are experiencing symptoms associated with breast implant illness. The most common symptoms experienced by my patients are anxiety, depression, brain fog, dry eyes, headache, light sensitivity, sound sensitivity, shortness of breath, heart palpitations, nerve pain down their arms or legs, joint pain, and other gastrointestinal issues. Oftentimes, patients find me through what I offer in terms of holistic rejuvenation with fat transfer. In fact, I've been doing fat transfer since the 2000s for cancer reconstruction and other cosmetic purposes. I'm very comfortable with doing these operations and I have already refined my process, having done over 1,500 fat transfers. Why do I prefer fat transfer? When it comes to breast lifts, we have different kinds of techniques such as vertical, crescent, peri-areolar, and anchor breast lifts. The patients may have a preferred kind but it actually depends on the necessity. If the patient had a peri-areolar placement, then we try to use that scar and remove the implant intact through it. The average length of a surgery is about two and a half hours. If we add a lifting procedure, it's a little over three hours. If I'm doing a combination procedure of fat removal to be used for fat transfer, it usually takes between four to five hours. The main reason as to why I like to use fat is because it's your own tissue. It has actually been used as a filler for over 100 years. Besides providing or enhancing the breast volume, it also helps offset some visual changes that the patient's not happy with. This is why as much as I can, I try to help patients learn about fat transfers and make them understand from my perspective. Doing these operations can be draining, especially mentally, so it's best for patients to have a great support system that shows up to help them and provide much-needed support. What I always emphasize is if you're considering explants or doing other procedures, it's important to find a reliable professional with whom you can communicate your concerns.You can check my website to help you along the way. *Links and Resources * Dr. Robert Whitfield's Website (https://drrobssolutions.com/)

March 13, 2024, I had fat transfer to the breast and I had SO many questions on the procedure, rightfully so. For every question, I had even more answers and things to talk about. There's so many misconceptions about this procedure, so many things people don't realize (and things even I didn't realize), and honestly just a lot to talk about with a surgery like this. If you've followed along for a while, you know I got very sick from breast implants back in 2016 and had them removed. In this episode, I dive into: why I chose to have fat transfer after having implants choosing a surgeon (or in my case, surgeons) considerations + expectations for fat transfer, especially as an already lean + athletic person without a lot of fat to "give" the day of surgery the first few days of recovery, the first few weeks of recovery, and the first 2 months of recovery restrictons + rules for recovery the importance of lymphatic drainage + wearing your compression garment the SWELLING dear god the swelling (including in areas I didn't expect to have swelling in) pain, stiffness, hardness, numbness, etc in recovery exercise restrictions + getting back into movement post-op looking worse after surgery before you look normal the timeline of swelling, recovery, etc the mind f*ck of surgery, swelling, and being a little heavier/puffier post op than I was pre-op other things that I didn't expect or fully expect from this surgery that you may want to know if you do this the results/outcome/etc Fitness, health, and holistic wellness for $22/month Interested in a luxury 1:1 online health coaching experience? Look no further than FENIX ATHLETICA, where we fuse science and soul for life-long transformation (inside AND out). LMNT is LMNT is a DELICIOUS, science-based electrolyte drink mix with everything you need and nothing you don't. No sugar. No coloring. No artificial ingredients. No gluten. No fillers. No BS. Head to drinklmnt.com/emdunc to get a FREE variety pack with your purchase! Follow me on Instagram Follow EMBody Radio on Instagram Shop CURED NUTRITION CBD/Hemp wellness products with code EMILY.

Have you searched endlessly for days and weeks for a microsurgeon to perform breast reconstruction? Access to care is a real concern for patients who are affected by breast cancer. Finding a plastic surgeon who specializes in tissue reconstruction in the area you live in is not always a service afforded to all patients. Traveling for breast reconstruction is not out of the ordinary. It was something I did myself for my DIEP flap. I want to bring awareness to microsurgical services in various geographic areas and interview surgeons to help patients who are looking for a reconstructive surgeon. I am introducing a new surgeon to our listeners. I hope this helps streamline the time you are taking during an already challenging time in your life. Dr. Sarosh Zafar is a double board-certified microsurgeon in plastic and reconstructive surgery and general surgery. She specializes in the most advanced methods of breast reconstruction, complex reconstruction, and microsurgery. Dr. Zafar joined the team of pioneering surgeons at (CRBS) the Center for Restorative Breast Surgery and the St. Charles Surgical Hospital in 2021. She practices in the state of Louisianna but takes patients from across the U.S. and the world. Dr. Zafar shares why she chose the field of plastic and reconstructive breast surgery. She tells us the services provided at CRBS highlighting the value of the co-surgeon model in breast reconstruction surgery. Dr. Zafar shares the pathways to find her services both at CRBS and IFAR (Institute for Advanced Reconstruction), part of the Advanced Reconstructive Surgery Alliance (ARSA) network of surgeons. Her compassionate comment at the end of the podcast will benefit patients listening. “If patients have any questions, never hesitate. That would be my number one message. Always ask. Always ask us for clarification. It can be a very confusing, intimidating process, but that's what we're here for to help figure everything out and help you get the best outcome that we can.” Links to find Dr. Sarosh Zafar: Center for Restorative Breast Surgery (CBRS) The Institute for Advanced Reconstruction (IFAR) (IFAR) Patient Portal to Schedule an appointment: tel:1-833-887-2417 Social Media Links for Dr. Sarosh Zafar: Dr. Sarosh Zafar: LinkedIn Facebook: Center for Restorative Breast Surgery Instagram: Breast Center NOLA  

Artificial intelligence is being harnessed by a team of researchers at Leicester University in the United Kingdom to predict the risk of lymphedema (and potentially other toxicities) from the use of postoperative radiation therapy for breast cancer. The 2024 European Breast Cancer Conference heard the latest news on an artificial intelligence tool that promises to help cancer clinicians individualize radiotherapy regimens after surgery to minimize toxicity. Tim Rattay, MBChB, PhD, Associate Professor in Breast Surgery in the Leicester Cancer Research Centre at the University of Leicester and Consultant Breast Surgeon at the University Hospitals of Leicester in the UK, told the conference about his group's machine-learning algorithm, PRE-ACT (Prediction of Radiotherapy side Effects using explainable AI for patient Communication and Treatment modification), that predicts post-operative lymphedema. After reporting his research in Milan, Rattay called into the OncTimesTalk studio to give Peter Goodwin the details.

In this episode of the Award-winning PRS Journal Club Podcast, 2024 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Amanda Sergesketter- and special Scott Hollenbeck, MD, discuss the following articles from the April 2024 issue: “Symmetric Breast Surgery: Balancing Procedures versus Prophylactic Mastectomy and Immediate Reconstruction” by Bitoiu, Grigor, Hardy, et al. Read the article for FREE: https://bit.ly/BalancingBreastSurgery Special guest Dr. Scott Hollenbeck completed his medical degree at The Ohio State University followed by general surgery residency at Cornell and plastic surgery training at Duke University. He started his career at Duke University, where he led the Duke Flap Course and was Vice Chief of Research and Director of Breast Reconstruction, and this past year was appointed the Raymond F. Morgan Professor & Chair of the Department of Plastic Surgery at the University of Virginia. His clinical interests focus on microsurgical reconstruction and breast reconstruction. He holds many leadership positions nationally and this year is serving as the President-Elect of ASPS READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCApril24Collection

In this episode of the Award-winning PRS Journal Club Podcast, 2024 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Amanda Sergesketter- and special Scott Hollenbeck, MD, discuss the following articles from the April 2024 issue:   “Symmetric Breast Surgery: Balancing Procedures versus Prophylactic Mastectomy and Immediate Reconstruction” by Bitoiu, Grigor, Hardy, et al.   “Early Complications in Prepectoral Breast Reconstructions with and without Acellular Dermal Matrix: A Preliminary Analysis of Outcomes” by Plotsker, Graziano, Rubenstein, et al.   “Comparing Trends in Medicare Reimbursement and Inflation within Plastic Surgery Subspecialties” Stoffel, Shim, Pacella, et al.   Special guest Dr. Scott Hollenbeck completed his medical degree at The Ohio State University followed by general surgery residency at Cornell and plastic surgery training at Duke University. He started his career at Duke University, where he led the Duke Flap Course and was Vice Chief of Research and Director of Breast Reconstruction, and this past year was appointed the Raymond F. Morgan Professor & Chair of the Department of Plastic Surgery at the University of Virginia. His clinical interests focus on microsurgical reconstruction and breast reconstruction. He holds many leadership positions nationally and this year is serving as the President-Elect of ASPS   READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCApril24Collection   #PRSJournalClub

Join us for an insightful discussion with Dr. Freya Schnabel, Director of Breast Surgery at NYU Medical Center, as she shares her background and current priorities. Dr. Schnabel provides valuable insights into the future evolution of her organization over the next 2-3 years and discusses impactful changes made by her team that have yielded great results.

Join us for an insightful discussion with Dr. Freya Schnabel, Director of Breast Surgery at NYU Medical Center, as she shares her background and current priorities. Dr. Schnabel provides valuable insights into the future evolution of her organization over the next 2-3 years and discusses impactful changes made by her team that have yielded great results.

Breast surgery, particularly explant procedures, often involves more than just the physical removal of implants. It's a transformative journey that can profoundly affect an individual's sense of self, relationships, and overall well-being. Considering the far-reaching effects they may have, taking a holistic approach becomes crucial. We're joined by Dr. Amanda Savage-Brown, an advocate for comprehensive and holistic care and the author of "Busting Free”, as we delve deep into the emotional and psychological aspects of breast surgery recovery. Throughout this episode, we'll explore more about the importance of taking a holistic approach and how individuals can cultivate a positive mindset, build a support network, and engage in self-care rituals that promote healing from within. Holistic Approach to Breast Surgery Recovery Dr. Amanda Savage-Brown is an advocate for a comprehensive and holistic approach to breast surgery recovery that extends beyond physical healing to encompass psychological and emotional well-being. Her approach aligns seamlessly with our primary goal, which is to redefine the traditional notion of post-surgery recovery. This approach acknowledges the complex interplay between our physical selves and emotional experiences, recognizing that surgery alone cannot address deeply ingrained beliefs and feelings about self-image and worth. It's also crucial to prioritize psychological and social support as they are integral components of the holistic breast surgery recovery process. By acknowledging and addressing these emotional aspects, patients can fully seize the opportunity for personal growth and transformation that accompanies the surgical process. In her collaboration with our program, Dr. Brown brings invaluable expertise in psychology and emotional wellness, enriching the recovery journey for patients. By integrating psychological services into the program, patients receive comprehensive support that addresses both the physical and emotional dimensions of their recovery. This collaborative approach underscores the program's commitment to providing holistic care that fosters not only physical healing but also emotional resilience and well-being in the long term. Mental Flexibility and Inner Work for Explant Patients Neglecting the mental, emotional, and social aspects of breast surgery recovery can hinder comprehensive healing and growth. Dr. Savage-Brown recognizes that breast surgery recovery involves more than just physical healing—it's also about navigating complex emotions like worries about self-image or fear of rejection. She stresses the importance of facing these feelings head-on, providing guidance to help individuals navigate them authentically. By encouraging self-awareness and aligning actions with personal values, she offers a way to grow and find fulfillment beyond just coping with challenges. Central to Dr. Savage-Brown's framework is the concept of psychological flexibility, a dynamic process rooted in Acceptance and Commitment Therapy. This approach enables individuals to respond to challenging thoughts and emotions with adaptability and resilience, rather than succumbing to rigid patterns of avoidance or suppression. By cultivating inner flexibility, individuals can navigate the complexities of the recovery journey with grace and authenticity, ultimately emerging stronger and more empowered. She empowers individuals to embrace their inner strength and resilience, fostering a sense of agency and purpose in their recovery journey. Her expertise in our program enriches our commitment to holistic care as she provides patients with the right tools and support needed to thrive emotionally and psychologically. Together, we aspire to redefine the paradigm of breast surgery recovery, promoting not only physical healing but also profound emotional and psychological well-being. Mindset and Self-Care for Chronic Illness Patients Our dedication to our clients and their swift recovery highlights the crucial nature of our involvement, especially in ensuring the efficacy of treatment for explant patients. The holistic approach includes various treatments like testing, detoxification, massage, oxygen therapy, and supplements. Maintaining a positive mindset is equally important. While it's natural to experience moments of frustration, sadness, or fear, cultivating a hopeful outlook can significantly impact overall well-being. This involves focusing on the present moment, practicing gratitude for small victories, and reframing challenges as opportunities for growth. Practicing self-care rituals can also contribute to a positive mindset and overall wellness. Engaging in activities that promote relaxation, such as meditation, yoga, or spending time in nature, can help alleviate stress and improve mood. Additionally, prioritizing healthy habits such as regular exercise, balanced nutrition, and adequate sleep can support physical health and mental resilience. Optimizing Implant Care Through a Multidisciplinary Approach Willingness is a powerful concept, one that's often overlooked in our busy lives. As recommended by Dan Sullivan, the WinStreak app encourages users to reflect on the positive aspects of their day and set intentions for the next. It's a small shift in mindset, but it can make a big difference in how we perceive our experiences. I'm sure many of us struggle to savor moments of success or express gratitude for the people and things that matter most. We're constantly moving from one task to the next, rarely pausing to acknowledge our wins or show appreciation to ourselves and others. But taking the time to celebrate our achievements and express gratitude can profoundly impact our overall well-being. By incorporating practices like gratitude journaling and mindfulness into our daily routines, we can cultivate a more positive mindset and sustain our resilience in the face of adversity. And by acknowledging the interconnectedness of our physical, emotional, and psychological well-being, we can work toward optimizing healing and achieving excellence in our care. Links and Resources Dr. Robert Whitfield's Website (https://drrobssolutions.com/) Follow Dr. Rob on Instagram https://www.instagram.com/drrobertwhitfield/ For more information on Virtual and In Person Consultations, we always answer our messenger personally: https://www.drrobertwhitfield.com/contact/ About Dr. Rob Dr. Robert Whitfield (https://www.drrobertwhitfield.com/dr-whitfield-2/) In 2012, Dr. Whitfield came to Austin and became renowned for his breast surgery expertise. He set up his own practice in 2017. Here, he offers the men and women of Austin a full range of cosmetic procedures, both surgical and non-surgical, addressing the full array of breast, body and face. Born and bred in Las Vegas, Austin plastic surgeon Dr. Whitfield received his medical degree from the University of Las Vegas School of Medicine. This was followed by six years of surgical training, as well as his plastic surgery residency at Indiana University Medical Center. He returned to Nevada for a one year microsurgery fellowship before settling down to practice and teach at the Medical College of Wisconsin for seven years. Board-certified by the American Board of Plastic Surgery, Dr. Whitfield's approach to medicine has really been shaped by both his upbringing and his education. As a child of the “wild west,” he was born with an adventurous spirit. One of the reasons that he was drawn to plastic surgery is the constant innovation. In the field of plastic surgery, with innovative techniques and technologies developed each year, there are simply issues for which a solution has yet to be invented. Dr. Whitfield tempers his intrepid attitude with Midwestern pragmatism. It makes for a pretty winning combination.

In this special episode of the Milk Minute, Heather and Maureen chat with Dr. Katrina Mitchell, a board-certified surgeon, breast oncologist, IBCLC, and PMH-C with over 20 years of expertise. They dive into the topic of breast surgeries, including augmentation, discussing their impact on breastfeeding and the balance between aesthetics and maternal well-being. Join them for a quick but insightful "Milk Minute" as they navigate the intersection of breast health, surgeries, and the beautiful journey of breastfeeding.Work With Us!Book a Lactation Consult with Heather! Click HERE for the deets.Book a Lactation Consult with Maureen! Click HERE to get started.THANK YOU TO THIS EPISODE'S SPONSORSHighland Birth - Book a Lactation Consult today! Booking a virtual consult with Maureen is now easier than ever. Click HERE to get started!Click HERE to order your Evivo! Use code MILKMINUTE for 15% off your purchase!Click HERE to get HappiTummi and enter code MILKMINUTE10 for 10% off your order!Click HERE to save 25% off and free shipping on all Liquid IV products with the code MILK_MINUTEListener question: Does donor milk need to fit the baby's age?Mentioned in this episode:KatrinaMitchell.orgSurgeon Sex and Patients' Long-Term Postoperative Outcomes‌Physiciansguidetobreastfeeding.org to find more info from KatrinaNurture Revolution, recommended book‌*Medi honey and hydrogel for wound care - Katrina's recommendationNipple Care and Complications While Breastfeeding - Physician Guide to BreastfeedingEp. 179: Breast Augmentation and Breastfeeding: Heather's personal story Prefer to read the transcript? Click Here Support the showCheck out Milk Minute Podcast's website here!Become a VIP Click here to get exclusive access and more!Send us an e-mail! MilkMinutePodcast@gmail.comFacebook | Instagram | TikTok

Imagine a world where the latest breast augmentation techniques provide not just a cosmetic enhancement but a long-term solution to common post-surgery challenges. That's precisely what we're unpacking today, with a special focus on the innovative 'internal bra' method. Forget the frustration of implants that don't stay put; these ingenious supports, sutured directly to the ribs, promise a permanent fix for maintaining that perfect placement. Join Briana Christine and Dr. Rouzbeh Kordestani  as we examine how these biological hammocks are revolutionizing the way we think about cosmetic surgery, offering not only stability but also improving the skin's appearance over time.This episode also peels back the curtain on how a more gender-balanced surgeon landscape is drastically improving the reconstructive surgery experience, making it more attuned to the needs of women everywhere. It's not just about the surgery—it's about the transformative journey and the compassionate evolution of patient treatment. Follow Our Hosts!Briana ChristineTik TokInstagramTeresa CollinsTik TokInstagramYouTubeWebsiteDr. Rouzbeh KordestaniTikTokInstagramWebsite

I feel twice fortunate to be speaking to my guest on this episode of the DiepCJourney podcast on two topics, her specialty of performing DIEP Flap breast reconstruction and her role as conference scientific chair for the London Breast Meeting. It was a phenomenal experience for me to meet her in person at the London Breast Meeting where I learned a great deal from the game-changers in breast surgery, oncology, and breast reconstruction. This gives me the ability to bring more in-depth information to the listeners and breast cancer community we serve at DiepCFoundation. I am speaking with Marlene See, a consultant in plastic and reconstructive plastic surgery at Guys and St. Thomas Hospital, part of the NHS Foundation Trust in London. Marlene's specialists interests are breasts and microsurgical breast reconstruction. She trained in London at East Grinstead before embarking on her plastic surgery training. She completed her training in microsurgery at Guys and St. Thomas Hospital. Marlene is a published author on the topic of breast reconstruction, facial analysis, and lower limb reconstruction. Marlene shares with us the history of when DIEP flaps were introduced in microsurgery. She outlines the reason it is often called the “gold standard” in breast reconstruction, and what area of the body microsurgeons use to reconstruct the breast for those affected by breast cancer. Who is a candidate for DIEP flap and what concerns do patients have about recovery for this surgery? She shares with us the importance of using ERAS protocol to enhance recovery. We then switch topics and discuss the origins of the London Breast Meeting. Marlene and I glimpse into the celebration of the tenth anniversary of the conference and what the focus will be. It all began ten years ago with an invitation from colleague and friend Jian Farhadi while she was completing her microsurgical fellowship. Jian wanted to begin a conference on breast cancer treatment, breast surgery, breast reconstruction, and aesthetic breast surgery. It has evolved into one of the premier breast meetings to attend and be part throughout the world. With that, I invite you to listen to the podcast as Marlene shares the goals and theme of the London Breast Meeting 2024. You can find Marlene See and her colleague Jian Farhadi on Social Media accounts here: Marlene See: Instagram: seemarlene LinkedIn: Marlene See Jian Farhadi: Instagram: plasticsurgeryfroup_by_farhadi LinkedIn: Jian Farhadi        

This episode features a series of self-assessment questions and answers on breast surgery.Short answer questions, multiple choice questions, extended matching questions and digital flashcards can be found at https://members.zerotofinals.com/.The audio in the episode was expertly edited by Harry Watchman.

In this episode of Plastic Surgery Untold, join Dr. Arreondo, Dr. Franco, Dr. Chang, and Dr. Weinfeld as they discuss prophylactic internal bras. Discover the intricacies of this innovative technique, involving the addition of mesh to breast surgeries for internal support. Learn how the internal bra aids in supporting implants and breast tissue, facilitating weight redistribution and promoting the body's natural collagen production. The doctors share insights on how the mesh prompts the body to add a controlled layer of collagen, ensuring long-term surgical results. Tune in to understand the significance of this method, especially in the context of the weight loss revolution, where Ozempic breast is prevalent. Don't miss out on unraveling the secrets behind maintaining surgical excellence over time

In today's episode, we'll hear from two women who both required surgery to treat their breast cancer but made different decisions about what happened after that surgery. Christy Burbidge had a mastectomy on her left side and decided not to have her breast reconstructed. Suzanne Fonseca opted for reconstruction after her breast surgery but experienced one complication after another, and multiple surgeries later, decided to have her implants removed for good. There's no right (or wrong) decision when it comes to selecting the treatment that is right for you. And no choice is without risks or wondering after the fact if you made the right decision.

Here's a sobering statistic: Approximately 1 out of every 8 women will get diagnosed with breast cancer in her life. In other words, nearly every family will have some experience with breast cancer — whether it's their mother, their aunt, or their friend. We also know how critical early diagnosis is and that advancements in diagnosing and treating breast cancer continue almost daily. Dr. Elisa Port shares her journey to becoming Chief of Breast Surgery at Mount Sinai, why it's never too late to go into the healthcare field, and the most important steps women can take to prevent and treat breast cancer in this important episode for all women.  Join the HerMoney community! For the latest episode drops and financial news-you-can-use, subscribe to our newsletter at Hermoney.com/subscribe! Learn more about your ad choices. Visit megaphone.fm/adchoices

Rick Greene, MD, and Tari King, MD, FSSO, discuss findings generated from central path review of a large series of patients treated with neoadjuvant chemotherapy and surgery regarding the pattern of residual tumor in the breast and its related prognostic significance. Dr. King is the senior author of, “Impact of the Histologic Pattern of Residual Tumor After Neoadjuvant Chemotherapy on Recurrence and Survival in Stage I–III Breast Cancer.” Dr. Tari A. King is the Anne E. Dyson Professor of Surgery at Harvard Medical School, the chief of the Division of Breast Surgery and the vice chair of multidisciplinary oncology in the Department of Surgery at Brigham and Women's Hospital, and the chief of breast surgery at Dana-Farber Brigham Cancer Center, Boston, Massachusetts.

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Nuala speaks to a woman who discovered by chance that her fiancé was secretly filming her naked in the home they shared. Victoria, not her real name, reported him to the police and he later pleaded guilty and was convicted on voyeurism charges. Last month she also won £97,000 in compensation, some of which she is aiming to put towards trying to remove the images he made of her without her consent from the internet. According to data gathered from a global network of health scientists, five-year-olds in the UK are on average up to seven centimetres shorter than their peers in other wealthy nations. To discuss the contributing factors Nuala is joined by Anna Taylor, Executive Director of nutrition charity, The Food Foundation and also by Henry Dimbleby the former government food adviser who's also written a book "Ravenous" about our consumption of ultra processed food. In India, the majority of breast cancer cases are diagnosed in the later stages and between 2019 and 2021 less than 1% of women had undergone screening. But a team of blind and partially sighted women are trying to change this by training to become Medical Tactile Examiners where they use their hands to help detect the cancer at its earliest stage. Nuala is joined by Shalini Khanna, Director of The National Association of the Blind India Centre for Blind Women and Leena Chagla, President of the Association of Breast Surgery to discuss. Professor Irene Tracey is only the second ever female Vice-Chancellor of the University of Oxford. In the last few weeks she has had to deal with several angry protests in Oxford over the appearance of Kathleen Stock at the Oxford Union. She allowed the talk to go ahead, saying, ‘we have to defend free speech'. Professor Tracey joins Nuala to talk about the battle over free speech, as well as what it's like being a woman in the world of academia. Presented by Nuala McGovern Producer: Louise Corley Editor: Karen Dalziel

De novo metastatic breast cancer represents 6% of all new breast cancer diagnoses. This figure has not changed at all over the past 20 years; however, systemic therapy options have evolved dramatically during this time and have significantly increased life expectancy for these patients. While surgical management of the primary tumor in the setting of metastatic disease has typically been reserved for palliative indications, surgeons are now being asked to consider resecting the primary tumor to potentially increase overall survival. In this episode, we will use a case study to examine the data that should inform our conversations and decisions when we encounter patients with metastatic breast cancer who are interested in having their primary tumor resected. Links: Khan, S.A., S. Schuetz, and O. Hosseini (2022). Primary-Site Local Therapy for Patients with De Novo Metastatic Breast Cancer: An Educational Review. Ann Surg Oncol; 29: 5811-5820. https://link.springer.com/article/10.1245/s10434-022-11900-x Khan, S.A. et al (2022). Early Local Therapy for the Primary Site in De Novo Stage IV Breast Cancer: Results of a Randomized Clinical Trial (E2108). J Clin Oncol; 40(9): 978-987. https://ascopubs.org/doi/10.1200/JCO.21.02006?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Badwe, R. et al (2015). Locoregional treatment versus no treatment of the primary tumor in metastatic breast cancer: an open-label randomized controlled trial. Lancet Oncol; 16: 1380-1388. https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(15)00135-7/fulltext Fitzal, F. et al (2019). Impact of Breast Surgery in Primary Metastasized Breast Cancer: Outcomes of the Prospective Randomized Phase III ABCSG-28 POSYTIVE Trial. Ann Surg; 269(6): 1163-1169. https://journals.lww.com/annalsofsurgery/Abstract/2019/06000/Impact_of_Breast_Surgery_in_Primary_Metastasized.24.aspx Soran, A. et al (2018). Randomized Trial Comparing Resection of Primary Tumor with No Surgery in Stage IV Breast Cancer at Presentation: Protocol MF07-01. Ann Surg Oncol; 25: 3141-3149. https://link.springer.com/article/10.1245/s10434-018-6494-6 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other breast surgery episodes here: https://behindtheknife.org/podcast-category/breast/

De novo metastatic breast cancer represents 6% of all new breast cancer diagnoses. This figure has not changed at all over the past 20 years; however, systemic therapy options have evolved dramatically during this time and have significantly increased life expectancy for these patients. While surgical management of the primary tumor in the setting of metastatic disease has typically been reserved for palliative indications, surgeons are now being asked to consider resecting the primary tumor to potentially increase overall survival. In this episode, we will use a case study to examine the data that should inform our conversations and decisions when we encounter patients with metastatic breast cancer who are interested in having their primary tumor resected. Links: §  Khan, S.A., S. Schuetz, and O. Hosseini (2022). Primary-Site Local Therapy for Patients with De Novo Metastatic Breast Cancer: An Educational Review. Ann Surg Oncol; 29: 5811-5820. https://link.springer.com/article/10.1245/s10434-022-11900-x §  Khan, S.A. et al (2022). Early Local Therapy for the Primary Site in De Novo Stage IV Breast Cancer: Results of a Randomized Clinical Trial (E2108). J Clin Oncol; 40(9): 978-987. https://ascopubs.org/doi/10.1200/JCO.21.02006?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed §  Badwe, R. et al (2015). Locoregional treatment versus no treatment of the primary tumor in metastatic breast cancer: an open-label randomized controlled trial. Lancet Oncol; 16: 1380-1388. https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(15)00135-7/fulltext §  Fitzal, F. et al (2019). Impact of Breast Surgery in Primary Metastasized Breast Cancer: Outcomes of the Prospective Randomized Phase III ABCSG-28 POSYTIVE Trial. Ann Surg; 269(6): 1163-1169. https://journals.lww.com/annalsofsurgery/Abstract/2019/06000/Impact_of_Breast_Surgery_in_Primary_Metastasized.24.aspx §  Soran, A. et al (2018). Randomized Trial Comparing Resection of Primary Tumor with No Surgery in Stage IV Breast Cancer at Presentation: Protocol MF07-01. Ann Surg Oncol; 25: 3141-3149. https://link.springer.com/article/10.1245/s10434-018-6494-6 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our other clinical challenges episodes here: https://behindtheknife.org/podcast-series/clinical-challenges/