Podcasts about microsurgery

We are going to discuss the topic of scars and cover several topics related to scars on this edition of the DiepCJourney podcast. It is understood, anyone who has surgery will have scars of some kind. There is a mechanism to how scars heal. In plastic surgery, if you think of the Greek word, plastikós (πλᾰστῐκός it means to shape or mold. Scars are a significant consideration in plastic surgery then. I invited an expert in the field to share his expertise on the topic. My guest is Dr. Andrew Gassman joined PRMA in San Antonio, Texas in 2021. Dr. Gassman completed his plastic and reconstructive surgery residency at UCLA David Geffen School of Medicine in Los Angeles, California, and a general surgery residency, as Chief of Surgical Resident Education, at Loyola University Medical Center in Maywood Illinois. Following his residency, Dr. Gassman completed his fellowship in breast and reconstructive microsurgery, with a specialty in facial reanimation at UTSW Department of Plastic and Reconstructive Surgery in Dallas, Texas. Dr. Gassman and his team practice the co-surgeon model in breast reconstruction, meaning each patient undergoing autologous breast reconstruction will have two board-certified microsurgeons in the OR at the time of their reconstruction. They are part of the IFAR (Institute for Advanced Reconstruction) network collaborating with other microsurgeons in the IFAR network to improve patient safety, care, and outcomes. Dr. Gassman discusses the importance of scars and the considerations for plastic surgeons regarding scars for their patients. He tells us, “These are marks that a patient is going to carry with them for their lives.” He tells us about techniques used at his practice and considerations like: ·       Scar placement ·       Scar healing ·       Different types of scars and skin types ·       Scar management after surgery ·       Scar revisions at phase 2 ·       Emotional impact of scars We reference a DiepCJourney podcast in our discussion you can listen to here: Ep. 60: Credibility in the Noise _ Social Media, Breast Reconstruction, and Your Experience. Connect with Dr. Gassman on the following platforms: Instagram: https://www.instagram.com/gassman_ps/ Instagram: PRMA https://www.instagram.com/prmaplasticsurgery/ Facebook: https://www.facebook.com/dr.andrewgassman YouTube: https://www.youtube.com/@PRMAPlasticSurgery

Do most people who have nipple reconstruction have breast reconstruction? Not necessarily. Do you think about nipple reconstruction if you've had breast cancer and are in a consultation for breast reconstruction? We are going to answer these questions and others on this episode of the DiepCJourney Podcast. My guest is Dr. Courtney Carpenter of PRMA in San Antonio, Texas. Dr. Carpenter is passionate about utilizing her extensive expertise and experience to help transform lives through reconstructive plastic surgery. I want to point out that PRMA uses the co-surgeon model in breast reconstruction, meaning there are two board-certified microsurgeons with the patient in the OR at the time of autologous breast reconstruction surgery. PRMA is part of the IFAR (Institute for Advanced Reconstruction) network of surgeons. We discuss these topics: ·       At what phase of the reconstructive process does nipple reconstruction happen? ·       Methods of nipple reconstruction. ·       Recovery and dressings used after surgery. ·       3-D Medical tattooing of the NAC (nipple areola complex) for those who do not have nipple reconstruction. This is what Dr. Carpenter tells us as she summarizes her thoughts at the end of the podcast. “Nipple recon is something people don't think about. They hear their diagnosis. They are thinking about breasts. They are not necessarily thinking about the nipples or the thought that their nipples might be removed isn't something that even crosses their mind, even though it might be on my mind or their breast surgeon's mind. I think that people should be encouraged to ask more questions. Especially if they are a candidate for preserving their nipples or not preserving their nipples. Questions are always great! I love questions, it means you're thinking about it! You're trying to get as much data as you want or as you need in order to make your decision.” I am grateful for her time and expertise to help prepare our listeners for their consulation for breast reconstruction surgery and to know what questions to ask about nipple reconstruction.  Connect with Dr. Carpenter on the following platforms: Instagram: https://www.instagram.com/prmaplasticsurgery/ Facebook: https://www.facebook.com/PRMAplasticsurgery YouTube: https://www.youtube.com/@PRMAPlasticSurgery

Patients from all over the world visit Dr. Adam Rubinstein in Miami for everything from facelifts and minimally invasive neck procedures to complex breast revisions and body contouring after weight loss. His reputation for compassionate care and exceptional results sets him apart.If you've seen My Killer Body on Lifetime with K. Michelle, you might already know Dr. Rubinstein as a go-to expert in aesthetic corrective surgery. Over the years, he's earned a reputation for telling the truth and taking on the toughest cases.Practicing in Miami for 23 years, he's been a strong advocate for patient safety—using his Instagram to call out bad actors in the industry and dedicating an entire account to answering real patient questions.Dr. Rubinstein is an innovator. He's lectured worldwide on minimally invasive neck techniques, achieving neck lift-like results without the need for major surgery.He also created the LiveWell program, which goes beyond GLP-1s, offering one-on-one coaching with a professional nutritionist and trainer to design diet and exercise plans tailored to your body and lifestyle.To learn more about Miami plastic surgeon Dr. Adam RubinsteinFollow Dr. Rubinstein on Instagram @drRubinsteinFollow Dr. Rubinstein's Q&A Instagram @plasticsurgerytruthsWatch My Killer Body with K. MichelleABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple.  We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast?  Book a free 30 minute recording session at meetthedoctorpodcast.com.

This interview is another resource provided by DiepCFoundation.org specifically providing access to care for those affected by breast cancer. The slide presentation and interview are available on the Foundation educational channel for our listeners and followers who would like to access it at DiepCFoundation YouTube channel. We are discussing a topic that is often discussed in my community so I reached out to my guest to share her expertise on the repair of diastasis and recognizing what a hernia or bulge might look like after autologous breast reconstruction, specifically DIEP flaps. My guest is Dr. Kelsey McClure who practices with a team of other microsurgeons at Southwest Breast and Aesthetics in Phoenix, AZ. She is a board-certified plastic surgeon and holds certification with The American Board of Plastic Surgery. She is an active member of: The American Society for Reconstructive Microsurgery (ASRM) The American Society of Plastic Surgery (ASPS) Mountain West Society of Plastic Surgeons (MWSPS) AND the Arizona Society of Plastic Surgeons She has authored several research publications. Dr. McClure believes that shared decision- making is necessary to tailor a comprehensive aesthetic and reconstructive plan. We reference a PRS Global Open paper published by Dr. Arvind Gowda who has been a guest on a previous episode of the DiepCJourney podcast. The paper can be accessed through this open-source Journal here: Approach to DIEP Flap Pedicle Dissection via a Midline Fascial Incision Connect with Dr. Kelsey and her team across these platforms: Instagram: https://www.instagram.com/southwestbreast/ Facebook: https://www.facebook.com/SWBreast          

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Scott Hansen talks about his new role as Chair of Plastic Surgery at UCSF, his experience as a program director, and his leadership approach to resident training. He also shares insights on performing awake hand surgeries, his role as a team hand surgeon for the San Francisco Giants, and the unique considerations when treating hand injuries in professional athletes. Dr. Hansen explores the surprising differences between college women's basketball and Major League Baseball, how his practice of hand surgery has evolved, the field of spinoplastic surgery, and why he finds treating hidradenitis rewarding. He also reflects on the lessons he's learned from Drs. Steve Mathes, Neil Ford Jones, and Prosper Benhaim. Read a recent PRS Global Open article by Dr. Hansen and his colleagues, “A Pilot Randomized Clinical Trial of Early Ambulation after Groin Reconstruction with Sartorius Muscle Flaps“: https://bit.ly/WalkingAfterGroinRecon  Dr. Scott Hansen is a Professor, Chief of the Division of Plastic Surgery, and the Program Director for the Plastic Surgery Residency at the University of California San Francisco. He also serves as the Chief of Hand and Microvascular surgery and the Director of the Microsurgery fellowship. He graduated from Eastern Virginia Medical School, and then completed a Plastic Surgery residency and a post-doctoral research fellowship at UCSF followed by a Hand and Microvascular surgery fellowship at UCLA. He joined UCSF as full-time faculty, and recently became the Chief of the Division of plastic surgery there. He is the Hand and Microsurgery section editor for the Annals of Plastic Surgery. He is the team hand surgeon for the San Francisco Giants. He has remained involved in basic science research, with a focus in wound healing, hemangiomas, and limb development. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

KTLA & KFI tech reporter Rich DeMuro joins the show for ‘Tech Tuesday.' Today, Rich talks about Bluetooth chip vulnerability, microsurgery robot at Cedars Sinai, Google's new store in Snata Monica, and AI-powered drive-thru at Weinerschnitzel.

CEO Presentation: Carl Zeiss Meditec AG Q1 2024/25 Financial PerformanceIn this comprehensive presentation, the CEO of Carl Zeiss Meditec AG delves into the company's performance during the first quarter of the 2024/25 fiscal year, highlighting a modest increase in revenue. The discussion begins with an overview of the financial results, where the CEO reports a slight revenue growth compared to the same period in the previous year. This growth is attributed to steady demand across key product lines and strategic market expansions.The CEO emphasizes the performance of the Ophthalmic Devices segment, which experienced a notable uptick in sales. This success is largely due to the strong market acceptance of their innovative surgical and diagnostic products. The company's commitment to advancing ophthalmic technology has reinforced its position as a leader in this sector.Despite challenges, the Microsurgery segment demonstrated resilience. The CEO acknowledges a slight revenue decline, attributing it to temporary market fluctuations. However, he anticipates a rebound in the upcoming quarters. The company's efforts to strengthen this segment through targeted marketing strategies and introducing new products designed to meet evolving customer needs are a testament to its resilience and commitment to growth.The presentation also covers the company's regional performance. The Asia-Pacific region emerged as a significant contributor to revenue growth, driven by increased demand in countries such as China and India. The company maintained stable performance in the Americas and EMEA regions, with ongoing initiatives to capture additional market share.Innovation remains a cornerstone of Carl Zeiss Meditec's strategy. The CEO discusses recent investments in research and development, focusing on cutting-edge technologies that enhance diagnostic accuracy and surgical outcomes. These innovations are expected to drive future growth and provide a competitive edge in the medical technology landscape.Underlining its commitment to sustainability and corporate responsibility, the company is actively reducing its environmental footprint through energy-efficient manufacturing processes and sustainable product designs. Initiatives promoting diversity and inclusion within the workforce are also underway, fostering a culture that values varied perspectives and experiences. These efforts are a source of pride for the company and its stakeholders.Looking ahead, the CEO outlines the strategic priorities for the remainder of the fiscal year. Key focus areas include expanding the global sales network, accelerating digital transformation efforts, and exploring strategic partnerships to enhance the product portfolio. Despite potential macroeconomic headwinds, the company remains cautiously optimistic about achieving its financial targets.In conclusion, the CEO reiterates Carl Zeiss Meditec's unwavering dedication to delivering value to its stakeholders—shareholders, customers, and patients. By leveraging innovation, operational excellence, and a customer-centric approach, the company aims to successfully navigate the dynamic healthcare environment, always keeping the best interests of its stakeholders at heart▶️ Other videos:Elevator Pitch: https://seat11a.com/investor-relations-elevator-pitch/Company Presentation: https://seat11a.com/investor-relations-company-presentation/Deep Dive Presentation: https://seat11a.com/investor-relations-deep-dive/Financial Results Presentation: https://seat11a.com/investor-relations-financial-results/ESG Presentation: https://seat11a.com/investor-relations-esg/T&CThis publication is for informational purposes only and does not constitute investment advice. Using this website, you agree to our terms and conditions outlined on www.seat11a.com/legal and www.seat11a.com/imprint.

Listeners of the DiepCJourney podcast are familiar with the DIEP flap breast reconstruction procedure where the abdominal skin, tissue, and underlying blood vessels are used to replace the breast tissue lost due to mastectomy after being affected by breast cancer. On this episode we are going to discuss the “stacked flap” in breast reconstruction. I'm speaking with Dr. Tim Matatov of Southwest Breast and Aesthetics in Phoenix, AZ. He is a board-certified plastic surgeon who is specifically trained in microsurgery. It is the specialty of microsurgery that is required to perform a stacked flap procedure. Dr. Matatov and his team perform these and why I reached out to him for this interview. Dr. Matatov tells us the original definition of a stacked flap is that you put one flap on top of the other and place those two flaps into a surgical site, in this instance, the breast area to recreate a breast after mastectomy. It has evolved to a flap from the abdomen, a bipedicle flap with two blood vessels that are connected to the entire abdomen and taken as one piece. He points out that at his practice it is used for skin resurfacing in the radiated patient where a lot of the damaged tissue would have to be removed. This type of flap provides enough skin to repair the area damaged and needing repair from radiation. Another purpose for a stacked flap is in the setting of a single mastectomy; when a patient chooses to remove only one breast and keep the other and there is not enough tissue from a single flap from the back, thigh, or abdomen. In this instance, the stacked flap provides the volume needed to achieve symmetry with the existing breast.  Dr. Matatov goes on to tell us where on the body theses blood and tissue sources are from as well as what the recovery looks like for patients. Connect with Dr. Matatov and his practice on these platforms: Instagram: https://www.instagram.com/southwestbreast/ Facebook: https://www.facebook.com/SWBreast

Introduction to Carl Zeiss Meditec AG by Sebastian Frericks, Head of Investor Relations Sebastian Frericks, Head of Investor Relations, delivered an engaging and insightful presentation on Carl Zeiss Meditec AG, a globally recognised leader in Ophthalmology and Microsurgery. This presentation comprehensively overviewed the company's market position, key strategies, and future growth drivers. The company achieved €2,089 million in revenue in the 2023/24 fiscal year, with a historically solid EBIT margin of 12%. Carl Zeiss Meditec is a market leader with a 40% share in Refractive Surgery and a growing market share in Surgery Anterior (Cataract). Listed on MDAX and TecDAX, Carl Zeiss Meditec is 59% owned by Carl Zeiss AG, a private optics and technology powerhouse. Key Business Segments Ophthalmology - Revenue Contribution: Comprises 77% of total revenue and focuses on diagnosis, treatment, and surgical solutions. - Key Subsegments: - Chronic Disease Management - Refractive Surgery - Cataract Treatment - Retinal Treatment - Market Leadership: Includes a 40% share in Refractive Surgery and a growing share in Anterior Surgery (Cataract). Microsurgery - Revenue Contribution: Contributes 23% of revenue, focusing on high-tech surgical visualisation for Neurosurgery, ENT, Plastic Surgery, and Dentistry. - Market Leadership: ZEISS dominates the microsurgical market with a 60% global share. Geographic Reach and Structural Tailwinds Regional Insights: - The Asia-Pacific region is a key growth driver, accounting for 26% of revenue, with China as the largest single market. - Other significant regions include the US, Germany, and Southeast Asia. Structural Growth Drivers: - Ageing populations lead to increased cataract surgeries. - Rising myopia prevalence, particularly in Asia, where up to 90% of young people have myopia. - Growing demand for digitalised workflows and premium surgical solutions. Innovation and Strategic Investments R&D Investment: Carl Zeiss Meditec commits 16.7% of revenue to R&D. Key Innovations: - VISUMAX®️ 800: A cutting-edge refractive laser surgery system. - KINEVO®️ 900 S: Neurosurgery platform designed for efficiency and better surgical outcomes. - Digital Solutions: Investments focus on connectivity and integrated workflows to enhance clinical outcomes and customer loyalty. Key Growth Drivers - Expansion in emerging markets, including India and Southeast Asia. - Increasing demand for premium intraocular lenses (IOLs) for cataract surgeries, forecasted to grow in unit and revenue share. - Advancements in refractive laser surgery driven by rising global myopia rates. Future Outlook FY 2024/25 Goals: - Moderate revenue growth supported by product launches, including VISUMAX®️ 800 approvals in key markets like the US and China. Macroeconomic Challenges: - Includes constrained consumer spending and investment climates. Profitability Targets: - Long-term EBITA margin target of 16-20%. Conclusion Sebastian Frericks closed the presentation by emphasising Carl Zeiss Meditec's unique market position, strong brand, and commitment to innovation as key factors driving sustainable growth and customer loyalty. This strong brand is a testament to the company's reputation for quality and reliability. ▶️ Other videos: Elevator Pitch: https://seat11a.com/investor-relations-elevator-pitch/ Company Presentation: https://seat11a.com/investor-relations-company-presentation/ Deep Dive Presentation: https://seat11a.com/investor-relations-deep-dive/ Financial Results Presentation: https://seat11a.com/investor-relations-financial-results/ ESG Presentation: https://seat11a.com/investor-relations-esg/ T&C This publication is for informational purposes only and does not constitute investment advice. Using this website, you agree to our terms and conditions outlined on www.seat11a.com/legal and www.seat11a.com/imprint.

Carl Zeiss Meditec AG Deep Dive: Q&A Financial and Strategic Outlook: Insights from Sebastian Frericks, Head of Investor Relations at Carl Zeiss Meditec AG US Equipment Sales and Market Dynamics Why Were US Equipment Sales, Especially in Microsurgery, Weak in Q3? Market Context: Weakness in microsurgery sales was driven by the late product cycle of older equipment and the launch of the new KINEVO 900 S neurosurgical platform in October 2024. Transition periods between product generations are typically slower. Financing Challenges: Private equity-backed clinics in the US, a significant customer segment, delayed investments due to high interest rates and expectations of an economic turnaround. Recovery Outlook: With the launch of KINEVO 900 S and early stabilization in order entries at the start of FY25, ZEISS anticipates returning to growth in the US market by 2025. Cost-Cutting Plans and Margin Impact Can You Summarize Your Cost-Cutting Plans and Their Impact on Margin Goals? Background: R&D expenses peaked at 17% of sales in FY22 due to investments in digitalization, AI, and cloud-based infrastructure. These investments have built a robust ecosystem of integrated solutions. Optimization Strategy: Adjusted R&D prioritization by focusing on high-impact products. Implemented more responsive planning tools to align R&D investments with market conditions. Reduced or slowed down investments in areas with longer monetization timelines or less immediate commercial potential. Impact on Margins: These adjustments aim to improve productivity and preserve innovation while maintaining ZEISS's leadership as the most R&D-intensive company in the ophthalmology industry. Bridging 2024 Guidance to 2025 Profitability How Do You Bridge 2024 Guidance to the Profitability Step-Up Expected in 2025E? Drivers of Recovery: -Full-year contribution from the DORC acquisition. -Recovery in the Chinese market from inventory destocking. -Continued cost efficiencies in R&D and sales operations. -Stabilized equipment sales and new product launches, including the KINEVO 900 S and QUATERA 700. Macro Conditions: While macroeconomic uncertainty persists, ZEISS expects a gradual improvement in consumer sentiment and demand across key markets. Profitability Targets: The company targets an EBIT margin recovery of 16-20%, depending on macroeconomic developments. R&D Strategy Under Cost Reduction Plan What Is Your R&D Strategy Under the Cost-Reduction Plan, and Where Will Savings Occur? Digital Investments: With foundational investments in cloud infrastructure complete, future spending will focus on developing applications and monetizable use cases. Integration of DORC: Streamlined development plans across cataract and retinal product lines, leveraging synergies from the DORC acquisition. Portfolio Focus: Narrowed the portfolio of premium IOLs to concentrate on high-potential products with the best commercial return. Conclusion With a clear focus on profitability, innovation, and market recovery, Carl Zeiss Meditec AG is well-positioned for long-term growth. The company's strategic initiatives, including the launch of advanced products like the KINEVO 900 S and optimized R&D investments, highlight its resilience and ability to adapt to evolving market dynamics. ▶️ Other videos: Elevator Pitch: https://seat11a.com/investor-relations-elevator-pitch/ Company Presentation: https://seat11a.com/investor-relations-company-presentation/ Deep Dive Presentation: https://seat11a.com/investor-relations-deep-dive/ Financial Results Presentation: https://seat11a.com/investor-relations-financial-results/ ESG Presentation: https://seat11a.com/investor-relations-esg/ =============================== T&C This publication is for informational purposes only and does not constitute investment advice. Using this website, you agree to our terms and conditions outlined on www.seat11a.com/legal and www.seat11a.com/imprint.

Ten years ago, on December 1, 2014, I was in the trusted hands of a skilled microsurgeon who took tissue from my tummy area along with the skin and blood vessels, and rebuilt what cancer had taken away from me. I lost my breasts to a double mastectomy. For those of us who have been affected by breast cancer, a mastectomy is an amputation. The skilled microsurgeon is my guest on this episode of the DiepCJourney podcast. Dr. Minas Chrysopoulo, president of PRMA in San Antonio, Texas, reconstructed my breasts using the training, skill, and compassion that makes him who he is as a breast reconstruction surgeon and is one of the finest human beings I know. This podcast is a celebration of our work together over the past ten years and the work we will continue to do for the breast cancer community. This podcast is about mentorship, past, present, and future. Join us as we take a walk down memory lane to hear about his own journey becoming who he is today and those who inspired him to chose microsurgery. If you have been in plastic surgery for any time, many of the names he mentions as his own mentors will be familiar to you.  This interview is quiet, thoughtful, and a couple of times catches me off guard emotionally with a mentor and friend. Thank you for listening with us. Connect with Dr. Chrysopoulo on Social Media: Facebook: https://www.facebook.com/DrChrysopoulo/ Instagram and Threads: https://www.instagram.com/mchrysopoulo/ Twitter/X: https://x.com/drchrysopoulo LinkedIn: https://www.linkedin.com/in/drchrysopoulo/

In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Mulay discusses his path into plastic surgery,  the differences between general surgeons and plastic surgeons in India, the differences between the healthcare system n Chang Gung and in India, how he has arranged the logistics of his solo microsurgery practice to have consistent results, the importance of a good surgical assistant, how cost pressures affect his surgical technique, his choice of workhorse flaps, what he learned about dissecting an ALT flap from Dr. Geoffrey Hallock, why he has changed his approach to dissecting the free fibula flap multiple times over the course of his career, why he freehands all his osteotomies and flap design and does not use virtual surgical planning, why surgical speed is overrated, the benefits of loupe microsurgery, the importance of taking breaks, and why “it looks OK” is never OK to say. Dr. Amit Mulay is a reconstructive microsurgeon from the city of Pune in India. He completed his initial medical education in Government Medical College in Kolhapur, followed by general surgery training at KEM Hospital in Pune. After a couple of years as a junior consultant in oncologic surgery in Pune, he trained in plastic surgery at Maulana Azad Medical College in New Delhi. He then spent 3 months as a visiting observer at Chang Gung Memorial Hospital in Taiwan, learning the nuances of perforator flaps. He has been running a very busy solo microsurgery practice serving Pune and its outlying suburbs for the last 8 years, covering multiple community hospitals and performing 2-3 free flap reconstructions per week. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas.  #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

October 2024 Journal Club Podcast Title: Extended Long-Term Outcome After Conservative Decompressive Microsurgery and Routine Adjuvant Fractionated Stereotactic Radiotherapy for Symptomatic Cavernous Sinus Meningiomas To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/10000/extended_long_term_outcome_after_conservative.14.aspx Authors: Joachim Krauss and Manolis Polemikos Guest faculty: Jacques Morcos Moderator: Jeffrey Traylor Committee Co-chair: Rafael Vega

Are you aware of the value of the two-surgeon model in reconstructive microsurgery? Have you heard about the benefits to patients of ERAS (Enhanced Recovery after Surgery) protocol? I spoke with two board-certified plastic reconstructive surgeons who practice at Tucson Plastic Surgery to answer these questions and others on this episode of the DiepCJourney podcast. My guests are Dr. Siliva Kurtovic and Dr. Raman Mahabir. They met at the Duke Flap Course, a well-known yearly gathering of microsurgical specialists from around the world who present the latest techniques in flap surgeries. Their combined training in breast reconstruction microsurgery and aesthetic plastic surgery offers their patients affected by breast cancer skilled and compassionate care. We shared personal stories, our combined interested in the shared decision-making model in breast reconstruction, and how surgeons and patient advocates can work together to educate patients on all options and aspects of the breast reconstruction decision making process. Dr. Kurtovic gives us her personal approach to caring for patients before and after surgery in a holistic manner to enhance emotional and physical recovery from DIEP flap surgery. This dynamic team in Tucson, Arizona, who started as surgical colleagues at Duke University, share their personal story from the start to their present-day life. Not only are they changing the lives of breast cancer patients in their region, but you will hear about the beautiful family life they have created in this desert landscape I called home at the time of my second diagnosis. Although they were not in Tucson at the time of my second diagnosis, I am happy for those patients who are there now for this access to care with Dr Kurtovic and Dr. Mahabir. Be sure to watch our interview on the DiepCFoundation Educational Channel Connect with Dr. Mahabir and Dr. Kurtovic: Facebook: https://www.facebook.com/TucsonPlasticSurgery Instagram: https://www.instagram.com/tucsonplasticsurgery/ LinkedIn: Dr. Kurtovic: https://www.linkedin.com/in/silvia-kurtovic-md-b0491532/ Dr. Mahabir: https://www.linkedin.com/in/rcmahabir/  

When you think about breast reconstruction do you only think about breast implants? If so, it is because many people are still choosing this option for reconstructing their breast after mastectomy. However, there are options. Using your own tissue is an option and the tissue, along with a blood source, can come from various parts of the body. Fat grafting to shape and form the breast is also an option many ask about but not all know about. This is our topic on this episode of the DiepCJourney podcast. My guest, Dr. Eric Wimmers, is a board-certified plastic and reconstructive surgeon practicing in Hopewell, New Jersey at the Plastic Surgery Center. He is part of the Institute for Advanced Reconstruction (IFAR) network of surgeons across the U.S. Dr. Wimmers has unique training in microsurgery and immunology. Although he operates on the entire body, his special interests are breast reconstruction, abdominal wall reconstruction, and peripheral nerve repair. His pathway to his current practice as a microsurgeon developed over time. Dr. Wimmers shares his personal journey with us from beginning as an emergency room physician to a surgeon. Once he had exposure to the scope of plastic surgery, restoring form and function to the human body affected by trauma and disease he never looked back. Dr. Wimmers shares the value of his surgical practice being part of the IFAR network. He points out that they are grouping up with other like-minded microsurgeons across the U.S. to tackle problems and issues patients face when they have been told there is no hope or fix. Combined resources and talent within the IFAR network are providing greater access to care for patients. We continue our discussion with an explanation of the types of breast reconstruction available. Dr. Wimmers utilizes the tummy tissue most often to perform DIEP flap breast reconstruction. However, he points out not all patients have the excess tissue in their own body in the right places to do autologous reconstruction, meaning using the patients own tissue. He does get inquiries about fat grafting only. Patients are interested in it for a variety of reasons. It might be that they have already had a tummy tuck. It may be that their fat distribution is in other places other than the abdomen. Most of his patients requesting fat grafting only tend to be on the smaller side and prefer a smaller size breast. He explains the fat grafting only procedure in detail in our interview. Dr. Wimmers tells us fat grafting only is a series of procedures done over time. Fat grafting is a very technique driven procedure. Be sure to watch our interview on the DiepCFoundation Educational Channel Connect with Dr. Eric Wimmers: Facebook: https://www.facebook.com/DrEricWimmers/ Connect with The Institute for Advanced Reconstruction: Facebook: https://www.facebook.com/AdvancedReconstruction Instagram: https://www.instagram.com/advancedreconstruction/ X/Twitter: https://x.com/AdvancedReconNJ

Join us as we discuss advances in head and neck reconstruction, perforator flaps, and lymphedema surgery with the current Godina Fellow, Dr. Ed Chang.

In this episode of the DiepCJourney podcast I am joined by another podcaster. What I am most excited about is that he is one of our international guests this year. We have known each other for some time. Not trying to age either one of us but I have enjoyed knowing him, having robust conversations, and learning so much about the world of plastic surgery and microsurgery from him. We will talk about these topics in the podcast in a cross-continental discussion with my guest Mr. Vimal Gokani. Notice I said, “Mister.” That is because he is a well-respected microsurgeon in the UK and rather than Dr. as we refer to physicians in the U.S. they are bestowed the honor and title “Mr..” Mr. Gokani is a consultant plastic reconstructive surgeon at Imperial College Healthcare NHS Trust with expertise in: ·       Lymphoedema surgery ·       Skin cancer surgery ·       reconstructive surgery following breast cancer and other types of cancer. ·       body contouring following weight loss. ·       abdominal wall reconstruction and… ·       aesthetic surgery of the breast, body, and face. We are going to find out in this interview how he became interested in plastic surgery, and we will discuss some of my preferred topics to talk about: ·       Diep Flap ·       Lymphedema treatment service and surgery ·       Neurotized breast… restoring sensation to the breast. ·       And robotics surgery… where are we and what does the future look like in robotics. Please be sure to go to Spotify and check out his podcast: PRS GLOBAL OPEP DEEP CUTS where he interviews notable colleagues in his field. Mr. Gokani Social Media Links: LinkedIn: https://www.linkedin.com/in/vimal-gokani-251b3336/ Instagram: https://www.instagram.com/vimal.gokani/  

Access to medical care for those affected by breast cancer is crucial, and often life transformative. This personal story will give emphasis to the voice of an advocate, a woman of strength, and determined to find the best care available for her during her personal journey from diagnosis to recovery from reconstructive surgery. My guest on this episode of the DiepCJourney podcast is Dana Brown, a 54-year-old wife, mother, and educator. She has been married to her best friend and soulmate for 35 years. She was intent on finding a well-qualified microsurgeon to perform her DIEP flap breast reconstruction after enduring multiple surgeries, chemotherapy, and radiation. It turned out to be a formidable task but one she tackled head on. After researching other practices around the country, she was able to find one in her state. She found Dr. Kasia Kania to perform her breast reconstruction. Dana's voice waivers when she tells us the words Dr. Kania spoke to her at their initial consult, "I can fix that."  Together, they wrote appeals to state insurance to obtain the best possible care for Donna.  She is now in recovery from her successful DIEP flap with Dr. Kania. The lesson to be learned is one of perseverance and stopping at nothing until one finds the best surgeon to perform what is for many a life-changing surgery after loss of breasts due to breast cancer. Dana's story is not unique. There are many who must fight to gain access to care. It can be emotionally and physically exhausting but with Dana's determination and the combined efforts and support of her family and surgeon, she made it happen. The listener will draw many lessons and tips from my guest. It was a touching interview and I value the honest account of Dana's experience helping others. Dana's social media account: Instagram: https://www.instagram.com/drdanajo/ Dr. Kasia Kania's social media accounts and information: Instagram: https://www.instagram.com/drkasiakania/ Instagram: https://www.instagram.com/taylorplasticsurgery/ LinkedIn: Kasia Kania, MD, MPH Facebook: Taylor Plastic Surgery   

This is a special episode of the DiepCJourney podcast. It is one of the most touching interviews I have done to date. Originally recorded during the pandemic as a video, I searched through my audio archives hoping I might find it to repurpose the interview. Thankfully, you can now listen to the interview as a podcast. I added a special tribute at the beginning of the podcast to honor my own Father and share the intrinsic value and meaning of the necklace I wear. Next, I honor the mentor, Dr. Minas Chrysopoulo, who changed the trajectory of my work in 2016 encouraging me to open DiepCFoundation. The interview is a tribute to his own dad, the inspiration and story of why he chose microsurgery as his profession. Dr. C weaves in the history of microsurgery, riveted by the stories of soldiers during WWI and WWII that he watched on the “telly” with his dad during his childhood. You must listen to his account of Howard Gillies, the pioneering surgeon who treated facial injuries and pioneered the use of skin flaps in plastic surgery. The pauses in his voice, the reflection in his words, parallel the ethos of my dad. These conversations in life are important to reflect upon and what brought us to choose our purpose in life. Mentors are leaders. They guide us, teach us, and counsel us. This quote from Steven Spielberg summarizes it beautifully. Thank you for being that mentor in my life Dr. C, and I feel it reflects the feeling we both have for our dads and one I am certain your children feel about you. "The delicate balance of mentoring someone is not creating them in your own image but giving them the opportunity to create themselves." ~ Steven Spielberg More on the history of microsurgery: Flap Monitoring in Breast Reconstruction and the History of the Guinea Pig Club in Plastic Surgery Dr. Chrysopoulo social media accounts: Instagram: https://www.istagram.com/mchrysopoulo Facebook: https://www.facebook.com/DrChrysopoulo LinkedIn: Minas Chrysopoulo, MD, FACS Twitter: @drchrysopoulo Dr. C's FREE breast cancer health app: Breast Advocate®

Imagine a world where a specialist surgeon on one continent could be virtually transported into any operating room of another surgeon specialist, anywhere in the world, to collaborate with one another visually and practically. That is now a reality with the Proximie system, an augmented reality telehealth platform and innovation in education and global surgery. Dr. Nadine Hachach-Haram if the Founder of Proximie. She shares the story of her childhood and the events that made a lasting imprint on her memory growing up in Lebanon. She learned a lot about community, people coming together and sharing and supporting each other. Seeing the resulting injuries of war and the effects it had on friends who experienced injuries led her to understand the importance and role of doctors. Her family had a profound influence on her trajectory into medicine, innovation and narrowing the gap in access to care. This became of great interest to Nadine as her own career in plastic surgery progressed. We discuss the collection of knowledge in the library database of the Proximie system and the ongoing value it has in surgical education and learning. I mention to Nadine the honor I had speaking to Dr. Joe Dusseldorp and Dr. Minas Chrysopoulo about their Proximie experience during a DIEP flap procedure. It was seamless connectivity for these two surgeons and delightful to share their experience using Proximie across continents. At the heart of this it is patients for access and quality of care. Nadine has accomplished this by reimagining the future of healthcare through the Proximie system. Our thoughts conclude the podcast sharing the importance of leaving a legacy of your work and what inspired me to invite Nadine to be interviewed on the DiepCJourney podcast. I am grateful! Learn more about Nadine's work and the topics I reference in the podcast: Nadine's Ted Talk: Digitization in Healthcare Delivery LinkedIn: Dr. Nadine Hachach-Haram FRCS (Plast), BEM Instagram: drnadz_j Instagram: Proximie Democratization in Microsurgery: The Proximie System with Dr. Joe Dusseldorp and Minas Chrysopoulo, MD, FACS  

Microsurgery – sounds cool, but what is it?Basically it's surgery at a microscopic level, using a microscope to assist. But how did that come about? When would you use it? Well, we've got expert Dr. Meredith Collins with us in this episode to explain what microsurgery is all about, and how it can help with reconstruction of the body in general, as well as in her sub-specialty breast reconstruction. Also! Listen in to hear how microsurgery saved the day for a patient with a frustrating problem. Here we go...

I have been fortunate to have discussions with surgeons in the U.S. on lymphedema. This is a topic I feel should be discussed with international surgeons as well. As part of my work with DiepCFoundation I am fortunate to meet surgeons from around the world at various plastic and microsurgical conferences. I will be talking to one of these microsurgeons on the DiepCJourney podcast. We need to know all we can about lymphedema, lymphedema surgery, how microsurgeons across the world are treating breast cancer patients for this condition, and so, this is our topic of discussion from a guest in London, in the United Kingdom. Ms. Maleeha Mughal is a Consultant Plastic & Reconstructive Surgeon at Guy's & St. Thomas Hospital. She specializes in Breast cancer reconstruction, Head and Neck cancer reconstruction and lymphedema surgery.  Ms. Mughal shares a personal story and why she made the decision to choose plastic reconstructive surgery as her profession. She describes the type of lymphedema she treats, the type related to cancer. We discuss the causes, treatment, and surgical options for a condition that is not curable but treatable. One of the most important points in our discussion is early treatment and what symptoms to watch for. The sooner lymphedema is treated, the better the management of the conditions related to lymphedema. Lymphedema can affect a person's quality of life and ability to perform daily tasks and work. Links to Important Resources and Ms. Mughal's LinkedIn Account. British Lymphology Society Breast Cancer Now: A Research and Support Charity in the UK Ms. Maleeha Mughal: LinkedIn      

The two-surgeon model in microvascular breast reconstruction and concerns about insurance coverage is a topic we are tackling on the DiepCJourney podcast. I have NOT come to understand the complexities of insurance but have gained a great deal of empathy for those in the breast cancer community who deal with these complexities, and that includes patients and surgeons. I was certain I needed to invite a guest I was completely comfortable discussing this topic with. We go back a bit. I have built trust in his principles over time and his focused passion on patient education. You have heard him on the podcast before, but he has gained a great deal of respect in the global community of microvascular breast reconstruction. I honor our listeners by introducing a friend, a patient-advocate champion, and someone I know will help me feel more comfortable tackling the subject matter and discussion of the podcast. Dr. Minas Chrysopoulo is the current president of PRMA in San Antonio Texas. He knows a thing of two about microvascular breast reconstruction having performed over twelve thousand various breast reconstruction flap procedures with his team of colleagues at his practice. He is the Founder and Developer of the award-winning Breast Advocate app, a free breast cancer healthcare app providing the user with all your surgical options, a plethora of evidence-based resources, and a customizable and adaptable patient experience through the wizard, along with a community feature of like-minded users to share information with. I have chosen this topic not to appear to be controversial. It is a topic that can stir emotions, and I have seen it presented in what I can only describe as a dramatic way. That will not be the type of presentation on this podcast today. I am discussing this topic now because of a heightened sense of concern regarding insurance coverage using the two-surgeon model, sometimes referred to as co-surgeon model in DIEP flap and microvascular breast reconstruction. Studies on the Co-Surgeon Model: 1.     https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30191 2.    https://journals.lww.com/plasreconsurg/abstract/2022/02000/microvascular_breast_reconstruction_in_the_era_of.8.aspx  Links to other topics we discuss in the podcast: DiepCFoundation Video: The Value of a Consistent Breast Reconstruction Surgical Team S-code issue of 2023: The Patient Voice Has Been Heard! ERAS Protocol: ERAS Protocol in Breast Reconstruction Dr. Chrysopoulo Social Media Accounts: Instagram: https://www.instagram.com/mchrysopoulo Facebook: https://www.facebook.com/DrChrysopoulo LinkedIn: Minas Chrysopoulo, MD FACS Twitter: @drchrysopoulo  

Have ever been you curious about the networking, conversations, and education that happens among colleagues at medical conferences? Or are there topics you see online but are not aware of the stories behind the social media posts from these conferences? I invite a returning guest to give you a behind the scenes look at one such conference, the annual conference of The American Society of Reconstructive Microsurgery. We chose a few highlights and topics from the conference to share our experience so you can learn more about these rich learning events. Here to share the highpoints and a few of our favorite topics is one of the presenters at the conference himself, Dr. Minas Chrysopoulo. He is the current president of PRMA in San Antonio, Texas who works with a team of nine microsurgeons that perform primarily tissue-based breast reconstruction for those affected by breast cancer. He is a welcome returning guest to the DiepCJourney podcast. In addition to his microsurgical prowess, he is an entrepreneur. Dr. Chrysopoulo founded Toliman Health and is the creator of Toliman's flagship award winning app, Breast Advocate app, the first shared decision-making app for breast cancer surgery and breast reconstruction. He begins by highlighting the diversity of global skill represented at the conference sharing the moving moment when the “Best Case/Best Save” presentations were made. This is the most attended session at the meeting. It is a packed room. This year's winner was an especially inspiring case of a young Ukrainian woman whose lower face was reconstructed due to a horrific shrapnel injury and repaired by Dr. Adam Maciejewski of Poland. We touch on the keynote address from CEO and Founder of the Proximie Surgical Learning Platform System, Nadine Hachach-Haram. Dr. C points out the mission of the Proximie system is to expand surgical education and improve patient access to surgical expertise. We revisit other topics like breast sensation, shared decision-making, and patient advocacy. Links to these topics can be found below. Dr. C congratulates the ASRM team for putting together another impressive conference from global leaders in microsurgery. We are happy to share our experience. Learn more about resources mentioned and topics related to the Podcast: JAMA article on AI and chat box responses Shared Decision-Making blog with Dr. Chrysopoulo DiepCJourney podcasts on Breast Sensation Connect with those mentioned in the Podcast: Dr. Minas Chrysopoulo on LinkedIn Dr. Nadine Hachach-Haram (Plast) BEM on LinkedIn American Society of Reconstructive Microsurgery: Instagram  

This episode of the DiepCJourney podcast is well-timed to publish on March 1, 2024, the first day of lymphedema awareness month. We hope you will share this in your community for breast cancer patients affected by lymphedema to provide them with the resources needed to treat this condition and let them know there are specialists in surgical treatment options as well. My guest is one such specialist. Dr. Charles Anton Fries is Chief of Plastic Surgery and faculty surgeon at UT Health San Antonio and works as a microsurgeon with the team at PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio. It is important for listeners to understand the function and importance of the lymphatic system. Dr. Fries begins by explaining this and what can happen during breast surgery of any kind. He describes how the pumping mechanism that is the lymphatic system is compromised with patients who present with lymphedema. Anything that damages or interrupts the lymph circulation can cause lymphedema as in axillary dissection and breast cancer surgery. Radiation adversely affects the muscle of the lymphatic system and can also cause lymphedema. Dr. Fries tells us some of the symptoms at the beginning are heaviness and swelling from the accumulation of fluid. This is the time to start intervening with treatments to prevent progression. Lymphedema is incurable and progressive. He shares with us that compression, massage, and pumps are affective in managing the progression of lymphedema and the burden of fluid that can accumulate. He points out the importance of patients taking a holistic approach to the management of lymphedema including maintaining a healthy weight. One such study shows there is a real correlation between obesity and severity of lymphedema. We continue our discussion with surgical options both in the office and in the surgical theater. Dr. Fries and I touch on issues with insurance coverage, and he proudly shares that one of his own patients was an advocate working for insurance coverage for the treatment of lymphedema.   Links we discussed in the podcast: PRMA lymphedema measurement chart: https://prma-enhance.com/wp-content/uploads/2021/03/Lymphedema-Chart.pdf YouTube video of the Podcast with Dr. Fries: https://youtu.be/PlY5lb14ovY?si=Jyr7v-p2RhYuDpSD Dr. Fries Social Media Accounts: Instagram: https://www.instagram.com/antonfriesplasticsurgery/ Facebook: https://www.facebook.com/AntonFriesMD LinkedIn: https://www.linkedin.com/in/anton-fries-md-phd-a4167318/ Twitter (X): https://twitter.com/AntonFries

Dr. Dennis Schimpf's ability to exceed expectations attracts people from all over South Carolina. Through asking patients the right questions, he envisions the exact outcome they have in mind and creates with the best plan to safely make it happen.Passionate about both patient education and witnessing how his work changes the way patients carry themselves, Dr. Schimpf has written two books about what to expect as a plastic surgery patient and the role confidence plays in overall beauty.To learn more about Dr. Dennis SchimpfFollow Dr. Schimpf on InstagramCheck out Dr. Schimpf's books, Finding Beauty: Become a Better You Through Plastic Surgery and Finding the New You: Think, See, and Feel Beautiful ABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

When you look in the mirror, what do you see?Join us as we dive into the topic of self-love and understanding the value of inner beauty that is within each one of us.Dr. Tamy M. Faierman, our guest for this episode, is a board-certified plastic and reconstructive surgeon and founder of the cutting edge Holistic Spa and Wellness Center.She obtained a magna cum laude honor in her undergraduate education at SUNY Albany. She also completed her training in General Surgery and Residency in Plastic and Reconstructive Surgery at the prestigious Montefiore Medical Center of the Albert Einstein College of Medicine in New York, followed by a fellowship in Microsurgery. In recent years, Dr. Tamy put down her scalpel and shifted her focus to embrace a transformational work full time by creating TheMindFul Space, a virtual space where she supports her clients to dive into a self-discovery process. Her clients get to experience changing their lives by freeing themselves from their mind's stories and self imposed limitations, in addition to learning mindfulness tools and cultivating present moment awareness.Writing poetry and painting are her lifelong passion. She is also fluent in Spanish, French and Hebrew.Website: https://www.tmfspace.com/Instagram: @drtamyfaiermanEmail: tmfspace@gmail.com ***Co-host Graciela Laurent, is a published, award-winning and professionally certified portrait photographer specializing in Boudoir and Personal Branding. She creates portraits of who you are and not just what you look like so that you can become who you've always been.Website: http://www.gracielalaurent.com/Co-host Julietta Wenzel, the Magical PT is the owner and founder of Body and Soul PT, as well as Soul Candy: intuitive, hand-made and one-of-a-kind jewelry and artwork. She supports people in finding the magic within themselves, creating balance in their body and soul.Websites: https://bodyandsoul-pt.com & https://soulcandy.love/***Voices of The Goddess with Julietta & Graciela is a podcast where we Empower, Inspire, and Uplift women to be the goddesses they truly are.Join us each week as we sit down for a heart to heart chat, sharing stories and insights with listeners across the globe. Laughter and tears alike abound as we access ancient wisdom in modern times through unique and exciting storytelling - supporting you on your life's journey. If you want to feel more Empowered, Inspired & Uplifted you can find us here:https://www.votgpodcast.com/ https://www.instagram.com/voicesofthegoddess/ https://www.facebook.com/votgpodcast/ https://www.facebook.com/groups/thecircleofgoddesses https://www.youtube.com/VoicesoftheGoddess Shine bright and have a magical day!Julietta & Graciela

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Ketan Patel, MD, discuss the following articles from the November 2023 issue: “The Free Superficially Based Low-Abdominal Mini Flap for Oncoplastic Breast Reconstruction” by Salibian, Swerdlow, Kondra, and Patel. Read the article for FREE: https://bit.ly/FreeSLAMFlap Special guest Ketan Patel, MD. Dr. Patel completed his Plastic and Reconstructive Surgery residency at Georgetown University followed by a Microsurgery fellowship at Chang Gung Memorial Hospital in Taiwan. He was the Director of the Center for Advance Lymphedema Treatment and Surgery at the University of Southern California. Most recently he is a full Professor of Surgery and Regional Director of Plastic Surgery for Cedars-Sinai Health Systems in Los Angeles.  READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCNov23Collection

With a warm, approachable personality, Dr. Amir Ghaznavi takes the time to listen closely to his patients and educate them about the options he can realistically and confidently deliver. After nearly a decade of caring for breast reconstruction patients, Dr. Ghaznavi opened his private practice to be able to offer the full range of cosmetic and reconstructive breast and body procedures.With unique expertise in microsurgery, Dr. Ghaznavi helps patients with a wide range of concerns, from small facial deformities to sagging breasts achieve their goals.To learn more about Dr. Amir GhaznaviFollow Dr. Ghaznavi on InstagramABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Ketan Patel, MD, discuss the following articles from the November 2023 issue: “A 4-Year Institutional Experience of Immediate Lymphatic Reconstruction” by Granoff, Fleishman, Shillue, et al. Read the article for FREE: https://bit.ly/4yrLymphaticRecon Special guest Ketan Patel, MD. Dr. Patel completed his Plastic and Reconstructive Surgery residency at Georgetown University followed by a Microsurgery fellowship at Chang Gung Memorial Hospital in Taiwan. He was the Director of the Center for Advance Lymphedema Treatment and Surgery at the University of Southern California. Most recently he is a full Professor of Surgery and Regional Director of Plastic Surgery for Cedars-Sinai Health Systems in Los Angeles.  READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCNov23Collection

In this enlightening podcast episode, we sit down with Dr. Bilal Mahmood, a distinguished hand surgeon, to explore the intricate and vital field of hand surgery. With his wealth of experience in diagnosing and treating hand-related conditions, Dr. Mahmood provides invaluable insights into the importance of hand health, the range of conditions he addresses, and the latest advancements in hand surgery.Throughout the interview, Dr. Mahmood unravels the complexity of the human hand, discussing its remarkable anatomy and functionality. He sheds light on common hand-related issues, such as carpal tunnel syndrome, arthritis, hand injuries, and congenital deformities, explaining their causes, symptoms, and potential consequences on patients' quality of life.Whether you're someone experiencing hand pain or discomfort, a healthcare professional seeking to expand your knowledge, or simply fascinated by the intricacies of the human hand, this podcast episode with Dr. Bilal Mahmood is a must-listen. His expertise, dedication to hand health, and commitment to improving the lives of patients with hand-related conditions will leave you better informed and inspired to prioritize your hand well-being.https://www.prima-care.com/md/bilal-mahmood-md

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Ketan Patel, MD, discuss the following articles from the November 2023 issue: “Secondary Surgery after Lower Extremity Free Flap Reconstruction” Wong, Christensen, Meulendijks, et al. Read the article for FREE: https://bit.ly/2ndSurgery Special guest Ketan Patel, MD. Dr. Patel completed his Plastic and Reconstructive Surgery residency at Georgetown University followed by a Microsurgery fellowship at Chang Gung Memorial Hospital in Taiwan. He was the Director of the Center for Advance Lymphedema Treatment and Surgery at the University of Southern California. Most recently he is a full Professor of Surgery and Regional Director of Plastic Surgery for Cedars-Sinai Health Systems in Los Angeles.  READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCNov23Collection

Dr. James Craigie from The Center for Natural Breast Reconstruction in Charleston, South Carolina, discusses the use of clips, mesh, and sutures used in breast reconstruction surgery on this episode of the DiepCJourney podcast. Many patients ask about these tools and devices. The information Dr. Craigies provides helps the listener understand their use and function in procedures like DIEP flap breast reconstruction. This podcast cast is a remake of the DiepCFoundation video. We want to present platforms to watch and listen for patients as they reserach options for surgery after mastectomy. Our aim is to provide this information so the listener can takes notes, pause, rewind and replay the episode to prepare questions in order to have a shared decision-making conversation at their surgical consult for breast reconstruction for those affected by breast cancer and facing mastectomy. You can reach out to their office on the account of their COO (chief operating officer): Gail Lanter on LinkedIn 

With unique expertise in wound healing and tissue engineering, Dr. Elizabeth Kiwanuka is highly experienced in the treatment and healing of scars after surgery or trauma. She loves applying her rich knowledge of wound healing to help her plastic surgery patients heal as aesthetically as possible. Dedicated to helping patients feel as good as they look after the procedures she delivers, Dr. Elizabeth Kiwanuka's philosophy is holistic plastic surgery. She meets with her patients long before surgery to craft nutrition plans, fitness programs, and muscle toning treatments to prepare for surgery and promote healthier recovery. Her relationship with each patient continues long after surgery as she focuses on aftercare as much as the surgery itself, prioritizing function, longevity, and healing as much as the aesthetic result.As a female-focused practice, Dr. Kiwanuka ensures visits with her are a time of relaxation, self-care, and mindfulness rather than a doctor's visit. To learn more about Dr. Elizabeth KiwanukaFollow Dr. Kiwanuka on InstagramABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

Achieving symmetry and understanding fat grafting in breast reconstruction are topics patients frequently ask about. I reached out to an expert in the field. My guest on this episode of the DiepCJourney podcast is Dr. Tim Matatov of Southwest Breast and Aesthetics in Phoenix, Arizona. Dr. Matatov is a board-certified microsurgeon who performs procedures such as implant breast reconstruction, several autologous reconstruction procedures, autologous meaning using the patient's own tissue to reconstruct the breast, nipple reconstruction, and a variety of other breast reconstruction procedures.   He works with a team of two other surgeons, Dr. Joseph Zakhary and Dr. Matthew J. Mino. We discuss mastopexy, or breast lift, in the setting of breast reconstruction. Achieving symmetry in the contralateral breast for a unilateral DIEP flap is important to the patient. It serves a functional purpose as well when wearing wardrobe items like a bra. He points out the psychological benefits to the patient since this becomes a quality of life and self-image concern for women. Dr. Matatov outlines the various names and details of mastopexy procedures and why one might be chosen over the other for optimal patient outcomes. Dr. Matatov shares how important it is to have an open discussion with patients about managing reasonable expectations. Dr. Matatov continues the discussion with fat grafting. He points out that a lot of the techniques and percentages, and how it all works is for a majority of cases, theoretical. He states there is not any hard proof that one technique or device works better than the other. There are studies that are peer-reviewed but not randomized and controlled to a degree which backs up his statement on fat grafting methods. However, Dr. Matatov feels it is a very effective part of the breast reconstruction process. He points out again that managing patients' expectations is very important in this step of breast reconstruction. It often takes more than one fat grafting procedure. Techniques, patient outcomes, value of patient support groups, are discussed further in the podcast. Social Media accounts to find out more about Dr. Matatov and his practice: Instagram Account Facebook Account  

Treating laryngeal cancer early and precisely can preserve patients' ability to speak and swallow. Bharat Panuganti, M.D., discusses the innovations in transoral laser microsurgery (TLM) that have made it an alternative to radiotherapy for treating early-staged laryngeal cancer. He discusses his use of the potassium titanyl phosphate (KTP) laser in this procedure, which targets hemoglobin in the cancerous tissue and limits damage to non-cancerous tissue. Learn more about the current importance of surgeon experience in performing TLM successfully, as well as the research Dr. Panuganti is conducting to possibly use robotics to close that experience gap.

Democratization is a noun. The meaning of democratization as it pertains to microsurgery is the action of making training and education available through technology, in this case, microsurgery in breast reconstruction. The chosen field of microsurgery requires hours of training and practice. Observing colleagues perform this sophisticated and complex surgery increases their own skill set with the primary goal being improving patient outcomes in breast reconstruction. I invited back to the DiepCJourney podcast two internationally known microsurgeons. Dr. Joe Dusseldorp practices in Sydney, Australia and is a fellow of the Royal Australasian College of surgeons. He has a keen interest in microsurgery and did his training overseas to achieve this status. He is also trained to do robotic assisted surgery. Dr. Minas Chrysopoulo is the current president of PRMA in San Antonio, Texas, and founder of the Breast Advocate®, a free shared decision-making app for breast cancer surgery and breast reconstruction. He holds a board certification in plastic surgery. As he states, board certification matters in your relevant field. Dr. C underwent further training in microsurgery that included burns and hand which led him to microsurgical breast reconstruction. It is the core of his practice with his team member surgeons at PRMA. Dr. Joe invited Dr. C to join him live in the operating theater using the Proximie technology system to observe a robotic assisted DIEP flap breast reconstruction. When you hear the term “mate” from a London born microsurgeon, Dr. C, referring to Dr. Joe in Sydney, you know they have become colleagues in surgery as well as friends who have a passion for providing the best outcomes for breast cancer patients in breast reconstructive surgery. I invite you enjoy the conversation and explanation of how these two cross-continental surgeons seamlessly joined each other via the Proximie technology system in the operating theater discussing, learning, and sharing their combined skill in a robotic assisted DIEP flap breast reconstruction. Dr. Joe and Dr. C both say this is the way forward, democratization in surgery, allowing more surgeons to train in real time, avoiding the need to travel and take them away from their patients and time in clinic and the OR. Resources discussed in the Podcast. Proximie Healthcare Platform Dr. Joe's DiepCFoundation educational video on Robotic Assisted DIEP flap Dr. C's DiepCFoundation educational video on Reducing Abdominal Complications: DIEP Flap   Connect with Dr. Joe Dr. Joe on Instagram Dr. Joe on Twitter Dr. Joe on LinkedIn Connect with Dr. Chrysopoulo Dr. C. on Instagram Dr. C. on Twitter Dr. C. on LinkedIn

As part of our community health partnership with Valley Health, our conversation this month focused on plastic & reconstructive microsurgery. Dr. Neal Topham with Valley Health Plastic & Reconstructive Surgery joined me for the conversation. Dr. Topham explained the term microsurgery and talked about the various reconstructive surgery options that can aid in recovery (both mentally and physically) for cancer patients, bariatric patients, and others. We discussed his professional journey - what drew him to his specialty and why he chose to relocate his practice to Valley Health. He explained how flap surgery works and gave reasons why it can be beneficial. We talked about the types of surgery that insurance will cover and those it typically does not.   

Have you heard of Breast Implant Illness? If you have implants, could they be making you sick? Tune in to hear us interview Dr. Robert Whitfield, a board certified plastic surgeon and expert in breast implant illness who now performs more explants than implants!    Breast Implant Illness (BII), according to Dr. Whitfield, is driven by an inflammatory response to the breast implant itself, or to bacteria (biofilms) that may grow on the breast implant surface or within the scar capsule. This inflammation can create a wide range of symptoms that patients experience after getting breast implants. In this episode, we dig into symptoms to look out for including chronic fatigue, brain fog, anxiety, joint pain and more. We discuss who is most susceptible to breast implant illness, how to determine if BII is driving your symptoms, when to consider explant and how you can support your body for best surgical outcomes.    Dr. Whitfield's Bio:  Dr. Whitfield is an experienced, Board Certified Plastic Surgeon. He completed six years of surgical training at Indiana University Medical Center. He remained at the Indiana University Medical Center to complete his Plastic Surgery Residency and gained additional training in Microsurgery and Aesthetic Surgery. He is a Fellow of the American College of Surgeons, and the American Medical Association.   Dr. Whitfield focuses on providing clients with nutritional guidance, nutraceutical advice, personal genetic predisposition screening, non-invasive radio frequency, minimally invasive radio frequency  and surgical options for treatments all over the body.  He has completed over 5000 breast procedures since 2004 including over 1100 breast implant removals with and without holistic transformations with fat transfer.  He has the largest series of explant specimens with PCR testing.  While serving as the President Elect of the Research Foundation he gave testimony at the FDA hearings in 2019 regarding Breast Implant Illness.    Also in this episode:  Wellness in Wimberley Women's Wellness Webinar 4/12 FREE Sign Up Here Our Protocol for Breast Implant IllnessCellular Antiox Detox Packs Rebuild Spectrum Probiotic BroccoDetox Pre and Post Surgery Protocol Beat the Bloat Cleanse About Dr. Robert Whitfield Symptoms of Breast Implant Illness The Autoimmune Breast Implant Connection Does the Type of Implant Matter? What does Breast Implant Illness Occur? How to Identify Breast Implant Illness Explant Surgery Considerations Where to find Dr. Whitfield Dr. Rob's YouTube Dr. Rob's Instagram Dr. Rob's Solutions for Plastic Surgery and Cosmetic Treatments Dr. Robert Whitfield (@drrobertwhitfield) | TikTok   Sponsors for this episode:  This episode is sponsored by Wild Foods, a company that puts quality, sustainability, and health first in all of their products. They have everything from coffee to turmeric to medicinal mushrooms, and every single product is painstakingly sourced from small farms around the globe. They take their mission seriously to fix the broken food system, and believe real food is medicine. They've partnered with us to give you guys an exclusive discount, so use the code ALIMILLERRD for 12% off your order at WildFoods.co! 

We're not skimping on any deets in today's episode! Welcome Dr. Ketan Patel, a plastic and reconstructive surgeon who specializes in lymphatic microsurgery; providing us with a truly lymph-centric lens through which to view our bodies with. Topics covered: plastic surgery vs cosmetic plastic surgery radiation damage on the lymphatic system lymphatic damage through cosmetic surgery, regular surgery, and liposuction what is lymphocele lymphedema causes genetic reasons for lymphatic disfunction 3 types of lymphedema surgeries for patients With this episode, we hope to have provided an insight into the options available for any, and all, who are considering what's best for their health from both a proactive, and post-diagnostic, approach. If you know of anyone who needs to hear this, please make sure to send along! LINKS Dr. Ketan Patel HERE Flow with Lisa HERE Order The Book of Lymph HERE Join The Lymphatic MasterClass HERE

We are speaking about the art and practice of microsurgery as it relates to breast reconstruction surgery in this episode of the DiepCJourney podcast. Microsurgery is a specialty of plastic surgery requiring training beyond plastic surgery residency. Microsurgery involves moving tissue and blood vessels from one part of the body to another to repair or replace tissue that has been affected by disease or trauma. Carefully dissecting blood vessels from a donor site, microsurgeons then place the tissue from the donor site to the new site and tie blood vessels together at the new site under high powered microscopes. One form of breast reconstruction is the DIEP flap. The donor site is the tummy tissue. This abdominal tissue is disconnected, and the new recipient site is the breast area that has been affected by breast cancer. My guest is a microsurgeon who frequently and successfully performs this type of breast reconstruction surgery. Dr. Sumeet Teotia is a Professor of Plastic Surgery and Director of the Breast Reconstruction Program at UT Southwestern Medical Center. He has a keen interest in classical drawing. The parallel between classical art, drawing and breast reconstruction is our topic of conversation today. You can view some of his drawings on his Instagram account at drsumeetteotia

In this episode of BackTable Urology, Dr. Ranjith Ramasamy interviews Dr. Marc Goldstein about the history of microsurgery in the field of male fertility and the lessons he has learned as a renowned urological microsurgeon. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/eXilEv --- SHOW NOTES First, Dr. Goldstein gives an overview of the history of medicine. It was developed by ENT doctors and used by ophthalmologists and gynecologists before Sherman Silber and Earl Owen, performed the first urologic microsurgery procedures in the 1970s. Then, Dr. Goldstein recounts his journey to performing microsurgery. Inspired by a paper he read about transplanting testicles in twins, he was able to shadow Dr. Silber in Saint Louis. Because there were no fellowships in male fertility microsurgery at the time, he practiced microsurgery by transplanting testicles in rats to practice microsurgery. He reflects on mentors who helped him develop more microsurgery skills and went on to establish his own fellowship program in 1984 at Cornell. Additionally, he briefly explains some microsurgical techniques he was able to develop in his career. Finally, he speaks about achievements and challenges of microsurgery as well as his general advice for young and soon-to-be urologists. He emphasizes the importance of doctors unionizing and engaging in wellness activities.

Since having DIEP flap, a plastic reconstructive surgery technique performed to rebuild breasts after a mastectomy, I have been fascinated with the field of plastic surgery and topics related specifically to breast reconstruction. I interview Rob Pupelis, CEO, of Spectros for the first episode of season three of the DiepCJourney podcast. Rob shares the story of his visit to the Queen Victory hospital (QVH) in England. He was able to visit Queen Victoria while attending the London Breast Meeting in late 2022. While at the conference, Rob demonstrated the T-Stat tissue oximetry system developed by Spectros. T-Stat is used to monitor flaps in breast reconstruction and in our conversation, we discuss the efficacy of the T-Stat system and why it improves the surgeon's success rate of flap procedures like the DIEP flap. We begin our conversation with the history of the Queen Victory Hospital treating burn victims during WWII. A surgeon from New Zealand, Archibald McIndoe, came to the Queen Victory hospital via a chance meeting with his cousin, Sir Harold Gillies, often considered the father of plastic surgery. Seeing the severe burn injuries sustained by pilots in WWII, McIndoe saw what his cousin, Sir Harold Gillies did using tube pedicles to rebuild the faces of WWI soldiers and expanded on this technique by treating the soldiers at Queen Victoria. He took healthy, unburnt tissue from other sites on the soldiers to reconstruct burnt tissue. He nurtured this community, and these airmen were considered “guinea pigs” as part of his pioneering work in reconstructive burn surgery. These young airmen treated by Archibald McIndoe became known as the Guinea Pig club. He took them under his care not only during their physical healing but also treating the psychological impact of having disfigurement from these burns. There were over 600 of these airmen. Rob shared some of the photos hanging in the halls of QVH taken during his visit listing the members of The Guinea Pig Club, Archibald McIndoe, and the operating theater. We go on to discuss modern day techniques used in microsurgery and how Rob became the CEO of Spectros. Flap monitoring is an important question many patients ask about. The T-Stat monitoring system is at the bedside of the patient after DIEP flap breast reconstruction to ensure that the blood flowing into the breast and out of the breast is monitored. The physician performing the DIEP flap has 24-hour access to real time data provided by the monitoring system via a small sensor placed on the flap to monitor it while the patient is in hospital after surgery. We went on to discuss how T-Stat can be used regardless of the coloration of skin. I hope this educational podcast discussion will encourage patients to ask about the type of tissue monitoring system their surgeon uses to monitor flaps during their initial consult for breast reconstruction. Many thanks to Rob for educating us about the benefits of the T-Stat system by Spectros.  

In this episode we discuss Peyronies disease, a condition faced by about 10% of men.  Peyronies disease can cause pain, erectile dysfunction and, for some men, a complete inability to have sex.  But what exactly is Peyronies disease and what causes the condition?  How do you know if you have it? Does Peyronies disease always require treatment?  What are the treatment options and how well do they work? To answer these questions and many more, we turned to a true expert.  Dr. Darshan Patel is an assistant professor of Urology at the University of California San Diego School of Medicine. He completed his medical training at the Drexel University College of Medicine in Philadelphia, Pennsylvania and then completed a residency in urologic surgery, a clinical research fellowship in Reconstructive Urology, and a fellowship in Men's Health, Andrology, and Microsurgery at the University of Utah. Dr. Patel has authored over 100 publications and textbook chapters. His research has appeared in journals such as Fertility and Sterility, Journal of Assisted Reproduction and Genetics, Urology, Journal of Urology, World Journal of Urology, and the British Journal of Urology.#peyronies #peyroniesdisease #erectiledysfunction #sex

Do you have breast implants? If so, are they making you sick?Over the last ten years, more and more women have been struggling with breast implant issues. Dr. Rob Whitfield is a Board-Certified Plastic Surgeon specializing in breast implant illness. He joins me today to talk about how he helps women recover from breast implant illness.Dr. Rob spent most of his early career taking care of cancer patients. In this episode, he gets into how he transitioned to working with breast implant illness. He also discusses what he looks for when testing for it and explains how he does holistic transformations using women's own fat to volumize their breasts.Stay tuned to hear about Dr. Rob's holistic approach to breast implant illness.Show highlights:How Dr. Rob got involved with breast implant illness.Why are more and more women looking to have their breast implants removed?Why he got confused with the results of his initial breast implant removals.Why Dr. Rob stopped using clear-based labs and switched to PCR testing.The benefits of PCR testing.What Dr. Rob looks for when testing for breast implant illness.How he transitioned from working with cancer patients to doing cosmetics and dealing with breast implant problems.How Dr. Rob does holistic breast transformations.Symptoms that could indicate that a woman has breast implant illness.Why does Dr. Rob, as a plastic surgeon, do food sensitivity testing?Dr. Rob's Bio:Dr. Whitfield is an experienced, Board Certified Plastic Surgeon. He completed six years of surgical training at Indiana University Medical Center. He remained at the Indiana University Medical Center to complete his Plastic Surgery Residency. After completing his Plastic Surgery Residency, he chose to gain additional training in Microsurgery and Aesthetic Surgery by completing a one-year Fellowship in Las Vegas, Nevada, under Dr. William Zamboni.He is an Active Member American Society for Reconstructive Microsurgery, the American Society for Aesthetic Plastic Surgery, a Fellow of the American College of Surgeons, and the American Medical Association.Dr. Whitfield focuses on providing clients with nutritional guidance, nutraceutical advice, personal genetic predisposition screening, non-invasive, minimally invasive, and surgical options for treatments all over the body. He has completed over 4000 breast procedures since 2004, including over 500 implant removals. He has the largest series of explant specimens with PCR testing. While serving as the President-Elect of the Research Foundation, he gave testimony at the FDA hearings in 2019 regarding BII.Mentioned in this episode:Nourish Collagen PeptidesNourish Collagen Peptides - It is often recommended to take collagen for the maintenance of healthy skin, hair, and nails. Additionally, it contributes to the strength of tendons and joints. There is a huge demand for collagen in both the health and beauty and fitness sectors. + These collagen peptides are derived from grass-fed, pasture-raised bovines. There are two types of hydrolyzed collagen in this product to give you the maximum benefit. https://www.drlisao.com/products/collagen-peptidesNourish Balance Thrive SupplementsNourish Liver We talk about toxicity a lot on the pod, from our food and our environment to the air we breathe and the water we drink. As you've heard me say, if we're not getting rid of toxins, they're going to store in certain areas of our body—like our fat. As I've told my patients for years, if you're struggling with weight loss, it could be an over burdened body by toxins. Think of it this way—your body won't release fat because it's protecting...

One of the potentially painful side effects of cancer treatment is lymphedema. Lymphedema is tissue swelling caused by the buildup of fluid that's usually drained through the body's lymphatic system. Because lymph nodes are an important part of the lymphatic system, lymphedema can be caused by cancer treatments that remove or damage the lymph nodes."During cancer treatment, sometimes lymph nodes need to be removed, and the lymphatic system that travels around and through these lymph nodes, gets damaged as well," explains Dr. Antonio Forte, a Mayo Clinic plastic surgeon. "It's impossible to remove the lymph nodes without damaging the system."Lymphedema most commonly affects the arms or legs, but can also occur in the chest wall, abdomen, neck and genitals. Severe cases of lymphedema can affect the ability to move the affected limb, increase the risks of skin infections and sepsis, and can lead to skin changes and breakdown. An estimated 20% to 40% of patients undergoing an axillary lymph node dissection — removal of lymph nodes from the armpit, which is a common part of surgery for breast cancer — will develop lymphedema.Nonsurgical treatment options include compression bandages or garments, massage, and careful skin care. If compression treatment isn't successful, a microsurgery technique, known as lymphovenous bypass, may be an option.Microsurgery refers to the fact that the surgery is done using powerful microscopes that are magnified 20 to 25 times. Using special dye injected under the skin to identify the lymphatic pathways, surgeons then use small incisions to reroute the lymphatic system by connecting tiny lymphatic vessels to tiny veins, creating a detour around the damaged lymph nodes. The new connection restores the body's ability to drain lymphatic fluids. Dr. Forte specializes in lymphovenous bypass surgery and has seen great benefits for patients. He points out that it's a minimally invasive procedure that can be done in an outpatient setting. The incisions are small, scarring is minimal, and patients can see significant reduction of their swelling."A very good study that was published almost a decade ago looked at patients that had lymphovenous bypass, and on average, 42% of the swelling improved over one year," says Dr. Forte. "Now there are patients that will have much more improvement than that. And some other patients will have very little improvement. But, on average, patients that have lymphovenous bypass surgery improve by 42%."On this Mayo Clinic Q&A podcast, Dr. Forte explains the lymphovenous bypass procedure, who is a candidate for the surgery, and the risks and benefits of this lymphedema treatment.Related Articles: "A regenerative detour for lymphedema." "Video: Lymphovenous Bypass Surgery for Lymphedema."

In this episode we discuss varicoceles, a condition found in 15% of men that can cause both pain and infertility.  In fact, varicoceles are found in 35% of men with infertility.  But what exactly is a varicocele and what causes the condition?  How do you know if you have a varicocele? Do all varicoceles need treatment?  How are they treated and what are the outcomes?  To answer these questions and many more, we turned to a true expert.  Dr. Mary Samplaski is an associate professor of Urology and Director of Male Infertility, Andrology and Microsurgery at the University of Southern California. She earned her medical degree at the George Washington University and went on to complete her residency training in Urology at the Cleveland Clinic. She then did a 2-year fellowship at the University of Toronto. Dr. Samplaski is routinely invited to speak as an expert at both domestic and international conferences. She has received numerous awards and accolades for her academic accomplishments, including the prestigious Bruce Hubbard Stewart Award for Humanistic Medicine. She is a reviewer for over 10 major urologic journals.  And now, without further ado, I bring you our conversation with Dr. Mary Samplaski about varicoceles.#varicocele #infertility #varicoceletreatment

I have had a lot of requests to talk about Breast Implant Illness (BII), so here we go! My guest today is Dr. Robert Whitfield, a conventionally trained surgeon who has spent decades as a plastic surgeon working with patients with breast cancer, who has developed a unique approach to recovery and healing people with these conditions, as well as using alternative methods for breast reconstruction without implants.  BII is a condition where people who have had breast implants go on to develop conditions, such as chronic fatigue, brain fog, joint pain, hormone imbalance, and premature menopause, all driven by inflammation continuing to react to the implant that is in your body.You will hear more about:How BII impacts the body at a systemic levelHow other ailments can mimic this condition (and how we go about sorting that out!)Is explant surgery (implant removal) the right choice?How Dr. Whitfield's Holistic Accelerated Recovery Program makes a difference in a patient's recovery outcomeWhat you can do if you still want implantsAnd more!More about Dr. Whitfield:Dr. Whitfield is an experienced, Board Certified Plastic Surgeon. He completed six years of surgical training at Indiana University Medical Center. He remained at the Indiana University Medical Center to complete his Plastic Surgery Residency. At the completion of his Plastic Surgery Residency he chose to gain additional training in Microsurgery and Aesthetic Surgery by completing a one year fellowship.Dr. Whitfield focuses on providing clients with nutritional guidance, nutraceutical advice, personal genetic predisposition screening, non-invasive, minimally invasive and surgical options for treatments all over the body. He has completed over 4000 breast procedures since 2004 including over 500 implant removals. He has the largest series of explant specimens with PCR testing. While serving as the President Elect of the Research Foundation he gave testimony at the FDA hearings in 2019 regarding BII. Dr. Whitfield's philosophy is that the best plastic surgery results are the ones you don't see. He also strongly believes that patients have a right to know about ALL their non-surgical options before considering surgery. His goal is to work with you to bring about your self vision in a way that appears natural, flawless and 100% you.Connect with Dr. Whitfield:Dr. Whitfield's Website: https://www.drrobertwhitfield.com/Dr. Whitfield's Instagram: https://www.instagram.com/drrobertwhitfield/Dr. Whitfield's Store: https://drrobssolutions.myshopify.com/Connect with Dr. Tabatha:Dr. Tabatha's Website: https://www.drtabatha.com/Dr. Tabatha's Facebook: https://www.facebook.com/DrTabathaDr. Tabatha's IG: https://www.instagram.com/thegutsygynecologist/Dr. Tabatha's YouTube: https://www.youtube.com/channel/UCWea1x1abLERehb5yn_nfowThe Functional Gynecologist's Guide to Balancing your Hormones: https://lcvjtpc8.pages.infusionsoft.net/LOOK AND FEEL AMAZING! Buy EnergyLift here!

Dr. Robert Whitfield is a plastic surgeon specializing in breast explant surgery. He joins me today to talk about why one might need to explant and if so, how to prepare for the best outcome. He also discusses the testing he has performed on explants and his findings. Symptoms that could indicate breast implant illness Fatigue or brain fog Cognitive decline Hair loss Anxiety and/or depression Joint or muscle pain Menstrual cycle problems Recurrent BV (Bacterial Vaginosis) Guest Bio: Dr. Robert Whitfield is an experienced, Board Certified Plastic Surgeon. He completed six years of surgical training at Indiana University Medical Center. He remained at the Indiana University Medical Center to complete his Plastic Surgery Residency and at the completion, he chose to gain additional training in Microsurgery and Aesthetic Surgery by completing a one-year Fellowship in Las Vegas, Nevada under Dr. William Zamboni.  He is an Active Member American Society for Reconstructive Microsurgery, American Society for Aesthetic Plastic Surgery, Fellow of the American College of Surgeons, and the American Medical Association.  Dr. Whitfield focuses on providing clients with nutritional guidance, nutraceutical advice, personal genetic predisposition screening, and non-invasive, minimally invasive, and surgical options for treatments all over the body.  He has completed over 4000 breast procedures since 2004 including over 500 implant removals.  He has the largest series of explant specimens with PCR testing. While serving as the President-Elect of the Research Foundation he gave testimony at the FDA hearings in 2019 regarding BII. Dr. Whitfield's Philosophy Statement Choosing to have surgery is a major life choice. Dr. Whitfield has personally been involved in helping make decisions about surgery since 1992 when his sister was diagnosed with breast cancer. Each patient has to know the risks and benefits so they can make an informed decision. With the proper plan and meticulous attention to detail, each patient has the best opportunity for a successful outcome in his hands. Patient safety is incredibly important to him and at the forefront of each surgical decision. After spending so many years training and practicing he only tries to provide the safest and most appropriate surgical care.  In This Episode: A problem associated with textured implants. (12:30) Why fat transfer is a better option than an implant for reconstruction after a mastectomy. (15:00) Breast implant illness causes a lot of inflammation. (16:10) How to know if you need to have your breast implants removed. (17:47) The necessary tests to ascertain whether someone has breast implant illness. (19:20) What breast implant illness is. (20:03) Why patients may suffer from breast implant illness. (20:14) What an en-bloc capsulectomy is, and why it's crucial to have it done by a surgeon who specializes in explants. (25:39) How a patient can know if they have had silicon toxicity. (37:37) Whether or not silicone can leach into patients' bodies over time and cause silicone toxicity. (40:02) The difference between silicone and saline implants. (41:16) What a functional medicine approach to pre-op planning for an explant includes. (44:20) How patients can be helped through the change after having their implants removed. (49:41)   Dr. Robert Whitfield's quotes: “I am very critical of both my patients' diets and their hormone status.” “The DNA company has a special program using AI to look for what's called indels. Unlike SNPs, which are spelling errors, this looks for an entire paragraph of the missing code.” “Everybody's probably familiar with an easter egg that has the candy in it. So, you don't want to crack the shell of the easter egg when you're taking out the implant because maybe the candy in the middle is bad for you. Or it's leaking silicone gel.” “I'm a micromanager of everything that goes in the body before and after surgery because that's the way I get the best recoveries.” Links and resources: Breast Implant Illness Expert website  Documentary: Explant (On Paramount Plus) Book: The Naked Truth About Breast Implants by Susan Kolb Follow Dr. Robert Whitfield on Instagram, Facebook, Tiktok, Holistic and Scientific Plastic Surgery Podcast    Follow Your Longevity Blueprint on Instagram | Facebook | Twitter | YouTube | LinkedIn Get your copy of the Your Longevity Blueprint book and claim your bonuses here Find Dr. Stephanie Gray and Your Longevity Blueprint online   Follow Dr. Stephanie Gray on Facebook | Instagram | Youtube | Twitter | LinkedIn Integrative Health and Hormone Clinic Podcast Production by Team Podcast Related episodes: Episode 17: Breast Implant Illness with Sarah Phillipe   

Dr. Steven Andrews is a is an Orthopaedic Upper Limb Surgeon. His practice encompasses surgery of the Shoulder, Elbow, Wrist and Hand including Microsurgery. Dr. Andrews has also been a long time Racesafe medical team member and has operated on maybe 60% of all Gypsy Tales guests (maybe a slight exaggeration) and is the reason a lot of riders have been able to keep competing at the highest level after severe injuries.SPONSORS:CTO INDUSTRIES: https://ctoindustries.com.au/MANSCAPED: http://www.manscaped.comGet 20% Off + Free Shipping, with the code GYPSYGANGNORDVPN: Go to http://www.nordvpn.com/gypsygang or use code gypsygang to get over 70% off your NordVPN Plan + a bonus gift" // This offer is for a "limited time only" and there's a "30 Day Money Back Guarantee" if NordVPN isn't for you.ANTIGRAVITY BATTERIES: http://www.antigravitybatteries.comBOOST MOBILE: https://boost.com.au/pages/win CLICK TO ENTER TO WIN A BOOST PRIZE PACKTRAINAIDE: https://www.trainade.com/ Promo Code: GYPSY15KRUSHOZ: http://www.krushoz.comDriTimes: http://www.dritimes.comRIVAL INK: http://www.rivalinkdesignco.com - CODE: GYPSYGANG 15%MXSTORE: http://www.mxstore.com.auFIST HANDWEAR: http://www.fisthandwear.com - CODE: GYPSYGANG 15%DIXXON: http://www.dixxonquality.com.au - CODE: GYPSYGANG 15%KNOBBY UNDERWEAR: http://www.knobby.com.auWear Gypsy Tales Merch ► https://gypsy-tales.shop/TICK TOCK NUTRITION: https://www.ticktocknutrition.com.au Code: GYPSYGANG for $20 off...SUBSCRIBE TO THE PODCAST ►https://www.youtube.com/channel/UCsBGR5UR7UCyLvNbHSxisFQADD GYPSY TALES ON INSTAGRAM ►https://www.instagram.com/gypsytalespodcast/?hl=enLISTEN ON:ITUNES:https://podcasts.apple.com/au/podcast/chapter-136-ft-luke-kidgell/id1335551721?i=1000508051454SPOTIFY: https://open.spotify.com/episode/3WaBKQaxua1BBiy3TDVdLm?si=GgZ3KFlcRk6e60AgSpELXAADD ME ON:INSTAGRAM: https://www.instagram.com/jasemacalpine/?hl=enTWITTER: https://twitter.com/jasemacalpine?lang=enSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.