PRS Global Open Deep Cuts
Talks at meetings or articles in journals and textbooks don't always tell the whole story of the field of plastic surgery. With the Deep Cuts podcasts, PRS Global Open delves into the details that are often hidden from view. In the "Giants of Plastic Surgery", Dr. Vimal Gokani and Dr. George Adigbli investigate what drives and motivates the most influential names in our field, while with "Leveling Up", Dr. Puru Nagarkar reveals the little technical details in a surgeon's repertoire that make all the difference.
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Dr. Galen Perdikis: Leveling Up the Pyramid of Surgical Skill
06/23/2025
Dr. Galen Perdikis: Leveling Up the Pyramid of Surgical Skill
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Galen Perdikis discusses the growth that Vanderbilt's plastic surgery department and residency program have experienced over the last decade, the importance of specialized service lines to achieve the best patient care as well as resident education, the benefits of advanced practice providers in creating institutional memory, how he has built cross-departmental teams at Vanderbilt, what he means by “team-based capitalism” and how this approach has created a strong sense of teamwork in his faculty. He also discusses the pyramid approach to developing surgical skill and the need for active learning to climb that pyramid, the highly structured and formal approach to resident evaluation that Vanderbilt has instituted, his controversial thoughts on competency based residency certification, how to give good feedback, his thoughts on the use of meshes in breast reconstruction, how he has improved his efficiency in DIEP flaps, why he likes exoscopes for microsurgery cases, why dog ears are the bane of his existence, and what exactly a Scouser is. Read a classic PRS Global Open article by Dr. Perdikis and his colleagues, “Acellular Dermal Matrix Performance Compared with Latissimus Dorsi Myocutaneous Flap in Expander-Based Breast Reconstruction”: Dr. Galen Perdikis is a Professor and the G Patrick Maxwell Endowed Chair of the department of Plastic Surgery at Vanderbilt University Medical Center, and was previously the Professor and Chair of the Division of Plastic Surgery at the Mayo College of Medicine in Jacksonville Florida. He completed medical school at the University of Witwatersrand in Johannesburg, South Africa. He trained in both South Africa and England, he completed a general surgery residency and research fellowship at Creighton University Medical Center in Omaha Nebraska. He finished his training with a plastic surgery fellowship at Vanderbilt, where he has now returned for the last 8 years as Chair. He is a member of the Board of Directors of the American Board of Plastic Surgery, President-Elect of the Southeastern Society of Plastic and Reconstructive Surgeons, a member of the editorial board for the Aesthetic Surgery Journal, and a previous member of the Board of Governors for ASPS PlastyPAC. He is a visiting professor for ASPS this year. 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
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Dr. James Chang: Leveling Up Graceful Career Growth
05/27/2025
Dr. James Chang: Leveling Up Graceful Career Growth
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. James Chang discusses his path into hand surgery, his approach to various common hand conditions, his version of awake hand surgery, how he helps his residents develop confidence and competence, the importance of building rapport with patients, the change in his career path over time, his involvement in global health, and the influences of his mentors. Read a classic PRS Global Open article by Dr. Chang and his colleagues, “Modeling the Lifetime Impact of Reconstructive Plastic Surgery Training: Implications for Building Capacity in Global Surgery”: Dr. James Chang is the Chief of the Division of Plastic and Reconstructive Surgery at Stanford University. He graduated from Yale medical school, and then completed a residency in plastic surgery at Stanford, followed by a hand fellowship at UCLA in Los Angeles. He is the past editor in chief of the yearbook of hand surgery, and an associate editor at multiple journals, including Hand, Microsurgery, the Journal of Hand Surgery, and the Annals of Plastic Surgery. He was the Royal College of Surgeons Foundation traveling fellow, and the 2006 Sterling Bunnell traveling fellow. He has been deeply involved at the American Society for Surgery of the hand, taking on the roles of research director, treasurer, and president. He has also been the vice chair of the Plastic surgery residency review committee, and the secretary and treasurer of the American Board of Plastic Surgery. He is also the CMO for Resurge International. 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. The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Christopher Attinger: Leveling Up Limb Salvage
04/14/2025
Dr. Christopher Attinger: Leveling Up Limb Salvage
In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Christopher Attinger discusses how to build a successful wound center, the benefits of including psychiatry in a wound care service, the importance of removing all indurated tissues during a debridement, why placing a skin graft on granulation tissue is actually a bad idea, the benefits of bypass surgery over angioplasty, how to know when Integra has good take, his go-to local flaps for the foot and ankle and why he doesn't like reverse sural flaps. He also discusses the nuances of performing a TMA and a BKA, why he never uses deep sutures in any wound closure, how TMR has been a game changer in his practice, the rating system for medial arterial calcinosis that predicts the risk of complications, and how he has structured the service to maximize resident education. Read a classic PRS Global Open article by Dr. Attinger and his colleagues, “The Effect of Positive Postdebridement Cultures on Local Muscle Flap Reconstruction of the Lower Extremity”: Dr. Christopher Attinger is a Professor in the Plastic and Reconstructive Surgery Department at Georgetown University Medical Center, and the Director of the Center for Wound Healing at MedStar Georgetown University Hospital. He served two tours of duty in Vietnam, as a lieutenant in the 82nd Airborne and the 101st Airborne divisions, and was honorably discharged with a Purple Heart and Bronze Star. He received his medical degree from Yale University, and then completed a residency in general surgery and fellowship in vascular surgery at Brigham and Women's Hospital in Boston, and a plastic surgery residency and hand surgery fellowship at New York University. After completing his training, he joined the faculty at Georgetown, and has been there ever since. In 2007, Dr. Attinger started an annual limb salvage conference to bring together all the members of the limb salvage community to exchange ideas and innovations. 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. The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Scott Hansen: Leveling Up Surgery in the Professional Athlete
03/17/2025
Dr. Scott Hansen: Leveling Up Surgery in the Professional Athlete
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“: 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
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Dr. David Song: Leveling Up Active Listening
02/17/2025
Dr. David Song: Leveling Up Active Listening
In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. David Song discusses several key topics. He highlights the unique role that plastic surgeons can play as leaders within surgery and the broader medical system. Dr. Song emphasizes that being an excellent clinician with "street cred" is essential for effective leadership. He also talks about how to create and guide change effectively, and the importance of active listening in both surgery and patient care. Additionally, Dr. Song shares insights on preoperative and anesthetic modifications that can improve patient recovery after microsurgery. He explains why he always uses two separate venous systems in a DIEP flap and provides technical details on arterial anastomosis. He also discusses the latissimus immediate fat transfer flap for non-microsurgical autologous breast reconstruction. Finally, Dr. Song reflects on how being right and cultivating durable relationships can sometimes be at odds with each other. Read a classic PRS Global Open article by Dr. Song and Dr. James Economides, “Latissimus Dorsi and Immediate Fat Transfer (LIFT) for Complete Autologous Breast Reconstruction:” Dr. David Song is the Chief Medical Officer and Vice President of Medical Affairs for MedStar Georgetown University Hospital, as well as a Professor and former Chairman of the Department of Plastic Surgery, and the former Chief of Surgery at Georgetown University School of Medicine. He completed residencies in general surgery and plastic surgery as well as a microsurgery fellowship at the University of Chicago, where he stayed on first as a faculty member, and then as the Chief of Plastic Surgery. He moved to Georgetown to become the Chair of Plastic Surgery in 2017, before recently moving into the role of Chief Medical Officer and VP of Medical Affairs. Among his many leadership roles in plastic surgery, he is a former President of the American Society of Plastic Surgeons, former Chair of the American Board of Plastic Surgery, and current chair of the ACGME Plastic Surgery Residency Review Committee. 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
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Dr. Mohammad Al-Qattan: “Hands of Legacy” – A “Giants in Plastic Surgery” Interview”
02/03/2025
Dr. Mohammad Al-Qattan: “Hands of Legacy” – A “Giants in Plastic Surgery” Interview”
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Mohammad Al-Qattan shares his remarkable journey in plastic and hand surgery. From his early training in Canada as a Saudi national to overcoming the personal challenge of a multiple myeloma diagnosis, Dr. Al-Qattan reflects on the pioneering mentors who shaped his dedication to the craft. He also discusses how he balanced the demands of a high-pressure career with his personal life. This conversation provides a unique insight into the resilience, determination, and commitment that have defined Dr. Al-Qattan’s distinguished career and his significant contributions to the field of hand surgery. Read a recent classic PRS Global Open article by Dr. Al-Qattan and colleagues, “Open Surgical Excision of Dorsal Wrist Ganglia: Puncturing the Dome Reduces Surgery Time“: Dr. Mohammad Al-Qattan is a distinguished plastic surgeon and one of the foremost experts in hand surgery. After completing his medical education at King Saud University, Dr. Al-Qattan went on to train in plastic surgery at the University of Manitoba in Winnipeg, Canada. During his residency, he received a special gift from his mentor, Professor Stranc, who instilled in him the principle of "Remember your roots." This message, along with the dedication to becoming a "fourth-generation plastic surgeon," has guided Dr. Al-Qattan throughout his esteemed career. His work has combined clinical practice with groundbreaking research, and he has published nearly 500 articles, primarily focused on hand surgery and basic science. As he reflects on his career, Dr. Al-Qattan's journey has been marked by challenges and triumphs, including overcoming a battle with multiple myeloma. Today, he is regarded as a pioneer in Saudi Arabia's plastic and hand surgery fields, having earned numerous accolades, including an Honorary Fellowship from the American College of Surgeons. His legacy as a teacher, clinician, and researcher continues to inspire future generations of surgeons, as he seeks to pass on his knowledge and passion for combining clinical excellence with scientific inquiry to the next generation of hand surgeons. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 3 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Michael Bentz: Leveling Up “Measure Twice, Cut Once”
01/20/2025
Dr. Michael Bentz: Leveling Up “Measure Twice, Cut Once”
In this Leveling Up episode of the PRS Global Open Deep Cuts, Dr. Michael Bentz discusses connecting with patients and building trust and rapport, the changes in pediatric plastic surgery over the last few decades, his approach to the syndactyly patient and the use of full thickness skin grafts, the nuances of placing upper and lower extremity splints in kids, teaching and giving feedback to residents, interviewing and selecting applicants for the residency program, what he considers to be a successful resident, and the lessons he learned from his mentors at PIttsburgh and Wisconsin. Read a classic PRS Global Open article by Dr. Bentz and colleagues, “What Influences a Plastic Surgery Resident to Pursue an Academic Career?”: Dr. Michael Bentz is a Professor of Surgery, Pediatrics, and Neurosurgery at the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin. He recently stepped down as the chief of the Division of Plastic after 24 years and continues to serve as the Vice Chair in the Department of Surgery. A native of Pennsylvania, Dr. Bentz completed medical school and a General Surgery residency at Temple University in Philadelphia, followed by a plastic surgery residency and a microvascular research fellowship at the University of Pittsburgh Medical Center. He stayed on at Pitt and became the residency program director, but left for Wisconsin in 1999 and has remained a fixture at the University of Wisconsin for the last 25 years, building a broad reconstructive practice including pediatric hand surgery; cleft lip and palate surgery; and general reconstruction of the chest, abdominal wall, extremity and head and neck in adults and children. Dr. Bentz has served as Chair of the American Board of Plastic Surgery, as an executive committee member for the Association of Academic Chairmen in Plastic Surgery, and has co-edited the two-volume book, Principles and Practice of Pediatric Plastic Surgery. He received the Honorary Citation Award from the American Society of Plastic Surgeons in 2018. 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
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Dr. A. Lee Dellon: “Threads of Healing: The Art and Science of Nerve Repair” – A “Giants in Plastic Surgery” Interview
01/06/2025
Dr. A. Lee Dellon: “Threads of Healing: The Art and Science of Nerve Repair” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, A. Lee Dellon discusses his journey through plastic surgery, from his early training at Johns Hopkins to his groundbreaking PhD research on nerve compression. Dr. Dellon discusses how his work in nerve regeneration, particularly in diabetic neuropathy, has shaped modern treatments for chronic pain. Dr. Dellon reflects on the mentors who inspired him, the challenges he’s overcome, and his thoughts on the future of nerve compression treatment. This conversation is a deep dive into a career driven by innovation, compassion, and a relentless pursuit of healing. Read a classic PRS Global Open article by Dr. Dellon and co-authors, “Treatment of Peripheral Neuropathy in Leprosy: The Case for Nerve Decompression”: Dr. A. Lee Dellon is a renowned plastic and reconstructive surgeon with an exceptional academic and clinical background. A graduate of Johns Hopkins University and its School of Medicine, Dr. Dellon completed extensive training, including a plastic surgery residency at Johns Hopkins Hospital and a hand surgery fellowship at the Raymond M. Curtis Hand Center. He is currently a Professor of Plastic Surgery and Neurosurgery at Johns Hopkins University and has received a PhD from the University of Utrecht for his groundbreaking research in nerve compression and diabetic neuropathy. Dr. Dellon is board-certified in plastic surgery and holds the Certificate of Added Qualifications in Hand Surgery. With a research focus on neural regeneration, Dr. Dellon has made significant contributions to the treatment of nerve-related conditions, such as peripheral neuropathy, facial pain, and pelvic pain from pudendal nerve problems. He has received 23 national research awards, authored over 450 peer-reviewed articles, and written seven books, including his latest, Pain Solutions. A founding member of the American Society for Peripheral Nerve and past president of the American Society of Reconstructive Microsurgery, Dr. Dellon also directs the Dellon Institutes for Peripheral Nerve Surgery in Baltimore and Henderson, Nevada. His work continues to advance the field of nerve surgery and improve the lives of patients suffering from chronic pain. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 3 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Kodi Azari: Leveling Up “Landing the Helicopter”
12/16/2024
Dr. Kodi Azari: Leveling Up “Landing the Helicopter”
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Azari discusses the nuances of bread and butter hand surgery procedures like carpal tunnel and Dupuytren's fasciectomies, his approach to providing trainees with gradually increasing levels of responsibility and autonomy, how he builds rapport with patients and personalizes his approach to each patient's needs and goals, why it’s sometimes important to go against your instincts when dealing with problematic patients, his interest in and lessons learned from hand transplantation, and why patients can be a bit like circling helicopters. Dr. Kodi Azari is a Professor of Orthopaedic Surgery and Plastic Surgery at UCLA Medical center in Los Angeles, California. He serves as the Chief of Reconstructive Transplantation as well as the Medical Co-Director of Operation Mend which is a UCLA program aimed at providing complex reconstructive surgery for wounded service members injured in Operations Enduring Freedom and Iraqi Freedom. Dr. Azari completed General Surgery and Plastic Surgery training at the University of Pittsburgh Medical Center, a Tissue Engineering Fellowship at Carnegie Mellon University, and a Hand and Microsurgery Fellowship at UCLA. He has been one of the lead surgeons on 7 hand transplantation operations including the first double hand transplantation and first arm transplantation performed in the United States. He is a founding member of the American Society for Reconstructive Transplantation, and has served as an Associate Editor for the “Annals of Plastic Surgery,” Guest Editor for “Current Concepts in Organ Transplantation,” and contributing editor for the “Yearbook of Hand and Upper Limb Surgery.” 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
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Mr. Marc Pacifico: “Scaling Success” – A “Giants in Plastic Surgery” Interview
12/02/2024
Mr. Marc Pacifico: “Scaling Success” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Marc Pacifico, a top plastic surgeon and previous president of BAAPS, discusses his journey through the highs and hurdles of establishing his own practice. Mr. Pacifico opens up about his formative training experiences in prestigious hospitals, the challenges he faced setting up Purity Bridge, and the lessons he learned from working across various countries. From practical advice for aspiring surgeons to candid reflections on mistakes made, Mr. Pacifico offers valuable guidance for anyone looking to build a successful career in aesthetic surgery. Mr. Marc Pacifico, a renowned plastic surgeon and previous president of the British Association of Aesthetic Plastic Surgeons (BAAPS), is celebrated for his expertise in breast and facial plastic surgery. Certified by the Royal College of Surgeons of England, he specializes in facial rejuvenation procedures, including deep plane facelifts, neck lifts, and eyelid surgery. His breast surgery practice includes augmentations, reductions, and lifts, often combined with body contouring in “mummy makeovers.” Known for his skill in revision breast surgery, Mr. Pacifico frequently receives referrals from colleagues to correct issues arising from previous surgeries. Committed to high standards, he prioritizes patient safety and offers honest assessments regarding surgical suitability. Mr Marc Pacifico graduated from St. Bartholomew’s Hospital Medical College and trained at prominent hospitals in London, culminating in specialist plastic surgery training at Charing Cross and Mount Vernon hospitals, where he also completed a doctorate on melanoma outcomes. His advanced training includes an aesthetic fellowship at the Melbourne Institute of Plastic Surgery, and he is a recipient of the prestigious Ian McGregor gold medal in the FRCS (Plast.) exam. In 2013, Marc founded Purity Bridge, a private clinic in Tunbridge Wells, where he emphasizes natural, refined results and a thorough pre- and post-operative care approach for optimal recovery. As an accredited member of BAAPS, BAPRAS, ISAPS, and an editor for Aesthetic Surgery Journal, he remains actively involved in advancing the field of aesthetic surgery. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 3 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Amit Mulay: Leveling Up a Solo Microsurgery Practice in India
11/18/2024
Dr. Amit Mulay: Leveling Up a Solo Microsurgery Practice in India
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
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Dr. Arun Gosain: "Transformative Healing” – A “Giants in Plastic Surgery” Interview
11/04/2024
Dr. Arun Gosain: "Transformative Healing” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Arun Gosain discusses his path into plastic surgery and the pivotal influence of role models like his father. Growing up as a first-generation immigrant, he faced unique challenges that shaped his perspective and fueled his drive to succeed. He shares how feeling like an outsider motivated him to carve out a meaningful career, ultimately leading him to significant leadership roles in his field. In this episode, Dr. Gosain shares his experiences, the lessons he’s learned, and the insights he gained along the way. Read a recent classic PRS Global Open article by Dr. Gosain and co-authors, “Timing of Pediatric Breast Reduction and Insurance Coverage: Single-institution Retrospective Study”: Dr. Gosain graduated Magna Cum Laude with a biology degree from Princeton University and earned his medical degree from UCLA. He completed his surgery internships and residencies at UC San Francisco and the University of Medicine and Dentistry in Newark, followed by a plastic surgery residency at the Medical College of Wisconsin. He also pursued fellowships in hand and microsurgery and craniofacial surgery at NYU’s Institute of Reconstructive Plastic Surgery. Dr. Gosain has held prominent leadership roles at Rainbow Babies and Children's Hospital in Cleveland before joining Lurie Children’s Hospital and Northwestern's Feinberg School of Medicine in 2012. Recognized for his expertise in pediatric plastic surgery, Dr. Gosain specializes in craniofacial and vascular anomalies, as well as cleft lip and palate repair. He leads the Craniofacial Developmental Biology Laboratory at Lurie Children’s Research Center, which trains one plastic surgery resident annually. Dedicated to improving health outcomes for children globally, he actively provides surgical care for children with cleft conditions in underserved areas of India. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 3 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Jason Ko: Leveling Up Orthoplastics – Recorded Live at PSTM 2024
10/21/2024
Dr. Jason Ko: Leveling Up Orthoplastics – Recorded Live at PSTM 2024
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Recorded Live at PSTM 2024 in San Diego, CA, Dr. Jason Ko discussed the history of targeted muscle reinnervation, how his approach to TMR has changed over time, the ins and outs of dissecting and coapting nerves, the indications and technical nuances of thoracic outlet syndrome, why preparing for a case and studying anatomy helps students and trainees get the most out of every case, his own approach to preparing for big cases, why pinning in hand surgery can make even the best surgeons look bad, and his top picks from 90s hip hop. Read a recent classic PRS Global Open article by Dr. Ko and co-authors, “Management of Superficial and Deep Peroneal Nerve Neuromas with Targeted Muscle Reinnervation in Nonamputees: Operative Technique and Early Outcomes”: Dr. Jason Ko is a professor of plastic surgery with an additional appointment in the Department of Orthopedic Surgery at Northwestern University Feinberg School of Medicine. He Duke University School of Medicine and then completed his plastic surgery training at Northwestern University under the tutelage of Dr. Gregory Dumanian. Dr. Ko went on to complete a hand and microvascular surgery fellowship at the University of Washington in Seattle, after which he spent additional time at Chang Gung Memorial Hospital in Taiwan as well as the University of Tokyo. He joined the faculty at the University of Washington in 2012 and was then recruited back to Northwestern in 2016 where he is currently the Program Director of the plastic surgery residency program. He received his MBA from Northwestern's Kellogg School in 2019, and he has since become the Vice Chair of Clinical Operations for the Department of Surgery at Northwestern and is involved with numerous administrative roles within the hospital and health system. He has served as an Associate Editor for the Journal of Hand Surgery American, and he is currently the Research Director for the Journal of Orthoplastic Surgery. He is also the Co-Program Chair for the upcoming AAPS Annual Meeting—along with Dr. John Kim. Dr. Ko has a practice focused on brachial plexus and peripheral nerve surgery, vascularized bone, upper and lower extremity reconstruction, amputee care and TMR. 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
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Dr. Anthony Youn: "A Multi-Dimensional Career from Surgery to Screen"– A "Giants in Plastic Surgery" Interview”
10/07/2024
Dr. Anthony Youn: "A Multi-Dimensional Career from Surgery to Screen"– A "Giants in Plastic Surgery" Interview”
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Anthony Youn takes us on his inspiring journey from a lifelong passion for medicine to becoming a prominent figure in social media. Discover the personal stories that shaped his career path, along with his insights on using social media to elevate his practice. Dr. Youn offers valuable tips on anti-aging and discusses how he integrates digital platforms to educate and connect with a global audience. Tune in for a fascinating exploration of the intersection between modern medicine and social media innovation! Anthony Youn, MD, FACS is a board-certified plastic surgeon renowned for his expertise in both aesthetic and reconstructive surgery. After earning high honors at Kalamazoo College and completing his medical degree at Michigan State University College of Human Medicine, Dr. Youn trained in general and plastic surgery at the Grand Rapids MERC Plastic Surgery Residency Program. He further specialized through an aesthetic plastic surgery fellowship in Beverly Hills, California, before returning to Michigan to establish YOUN Plastic Surgery, the leading practice in metro Detroit. Dr. Youn is well-known for his holistic approach to plastic surgery and has shared his expertise on shows like The Rachael Ray Show, The Doctors, and Fox and Friends. He is the author of the best-selling memoir Playing God: The Evolution of a Modern Surgeon and The Age Fix: A Leading Plastic Surgeon Reveals How To Really Look Ten Years Younger, which inspired a national television special. As the host of The Holistic Plastic Surgery Show, Dr. Youn reaches a broad audience with his insights on health and beauty. His work has earned him recognition as one of the top plastic surgeons in the U.S. by publications like Newsweek and Harper’s Bazaar. He is also active on social media, particularly TikTok @doctoryoun) and Instagram (@tonyyounmd), where he continues to educate and engage with his followers. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Edward Buchanan: Leveling Up the Principles of Plastic Surgery
09/23/2024
Dr. Edward Buchanan: Leveling Up the Principles of Plastic Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Buchanan discusses Harold Gillies’ principles of plastic surgery, why following the principles is critical to being a good plastic surgeon and to innovation, how he balances the principles of having a plan and treating every patient individually, how to have the right attitude to dealing with adversity in medicine, whether it is in the OR, when dealing with incessant consults, or with other surgeons, his approach to MEDPOR ear reconstructions, how residents can maximize their education in difficult cases, why sometimes more is more, and his top 5 movies. Read a recent classic PRS Global Open article by Dr. Buchanan and co-authors, “Microsurgery Training in Plastic Surgery”: Dr. Edward P. Buchanan is a Professor of Surgery in the Division of Plastic and reconstructive surgery at the Baylor College of Medicine, and the Chief Surgical Officer at the Texas Children's Hospital in Austin, Texas. He completed a residency in Plastic Surgery at Stanford University medical Center, and a craniofacial fellowship at University of Washington in Seattle. He has a practice focused on cleft lip and palate care, cranial vault remodeling and pediatric oncologic head and neck reconstruction with microsurgery and craniofacial techniques. He is also an author and has written four children's books with his brother, Matthew Buchanan. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Carlos Roxo – “Humble Hands: The Journey of a Compassionate Surgeon” – A “Giants in Plastic Surgery” Interview”
09/09/2024
Dr. Carlos Roxo – “Humble Hands: The Journey of a Compassionate Surgeon” – A “Giants in Plastic Surgery” Interview”
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Carlos Roxo discusses how profound purpose sparked his journey into plastic surgery, and this journey led him to eventually have a family of surgeons today. He details his career and how he continues to practice excellence in retirement. A graduate of the Souza Marques School of Medicine, Dr. Roxo honed his surgical skills during his general surgery residency at the Federal Hospital of Bonsucesso. He later specialized in plastic surgery at the prestigious State University of Rio de Janeiro. Today, Dr. Roxo continues to shape the future of plastic surgery as a practicing surgeon at the Federal Hospital of Andaraí, where he also mentors the next generation of surgeons in the plastic surgery residency program. His commitment to advancing the field extends to his voluntary work at UERJ and his ongoing research as a Master’s candidate in Physiological Surgery at the State University of Rio de Janeiro. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. John Semple: Leveling Up as a Renaissance Man
08/27/2024
Dr. John Semple: Leveling Up as a Renaissance Man
In this Leveling Up Episode of the PRS Global Open Deep Cuts Podcast, Dr. John Semple discusses his unusual pathway into medicine, three dimensional thinking, prepectoral breast reconstruction, the use of allograft and synthetic meshes, fat grafting in radiated breasts, some tips to make fat harvest easier, how to be a good mentor and a good leader, and how he got involved in climate science. Read a recent classic PRS Global Open article by Dr. Semple and co-authors, “Patient Outcomes after Fat Grafting to the Radiated Chest Wall before Delayed Two-stage Alloplastic Breast Reconstruction”: Dr. John Semple is a Professor in the Department of Surgery at the University of Toronto, and the head of the division of plastic surgery at Women's College Hospital. He is also an adjunct faculty member at the wilderness Medicine Program at Mass General Hospital in Boston, and an adjunct professor at the Ontario College of Art and Design, where was a former chair of the Board of Governors. He trained in art at OCAD and became a fully trained medical illustrator, then went into medicine, training in plastic surgery at the University of Toronto and then completing a microsurgery fellowship at the Toronto General Hospital. He is a past president of the Canadian Society of Plastic Surgeons, and received the Lavina Lickley Lifetime achievement award form the department of surgery at the University of Toronto. He also has a keen interest in mountaineering - and has been to Everest North Col 4 times, and has published numerous papers on the effects of climate change in the Himalayas. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Mr. Loshan Kangesu: “Navigating Medicine as Both the Healer and the Healed” – A “Giants in Plastic Surgery” Interview
08/13/2024
Mr. Loshan Kangesu: “Navigating Medicine as Both the Healer and the Healed” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Mr. Loshan Kangesu discusses his seemingly serendipitous journey to becoming a plastic surgeon and how he was forced to delve into medicine as a patient instead of a surgeon. He details how being a patient adds a deeper understanding to approaching medicine, and what that means for him both as a surgeon, and as a human. Dr. Loshan Kangesu has served as a Consultant Plastic Surgeon in the NHS since 1998, with experience at Broomfield, Southend, and Great Ormond Street Hospitals, alongside a private practice in Essex and London. His expertise lies in cleft lip, palate, and other congenital anomalies. He has held leadership and training roles and continues to oversee the development of surgical trainees. Mr. Kangesu earned his medical degree from the University of London and completed his plastic surgery training in the UK. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Faustin Ntirenganya: Leveling Up Plastic Surgery in Rwanda
07/29/2024
Dr. Faustin Ntirenganya: Leveling Up Plastic Surgery in Rwanda
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Faustin Ntirenganya discusses his journey into medicine and surgery, why he chose to focus his efforts not just on being a clinician, but also on founding and growing a plastic surgery residency program, why avoiding complications is particularly important in his practice, the importance of physical exam and clinical diagnosis, how he balances teaching and taking care of as many patients as possible, how he individualizes the training of his residents, the new Pan African Plastic Surgery conference planned for the fall of 2024, and why his father is his biggest inspiration. Read a recent PRS Global Open paper by Dr. Ntirenganya and co-authors, “Building Sustainable Reconstructive Microsurgery in Countries with Limited Resources: The Rwandan Experience”: Dr. Faustin Ntirenganya is an associate professor of surgery, and the chair of the department of surgery and the division of plastic surgery at the College of medicine and Health Sciences in the University of Rwanda. He trained in General surgery at the National University of Rwanda, followed by Breast, Oncoplastic, and reconstructive surgery at the University of Paris XI, and finally he completed a fellowship in plastic surgery at the College of Surgeons of East Central and Southern Africa in Rwanda. He is one of the founders of the plastic surgery residency program at the University of Rwanda in Kigali. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Howard N. Langstein: “A Thinker and Tailor’s Journey through Plastic Surgery” – A “Giants in Plastic Surgery” Interview
07/15/2024
Dr. Howard N. Langstein: “A Thinker and Tailor’s Journey through Plastic Surgery” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Howard Langstein discusses his journey through plastic surgery: from his decision to attend medical school, through his residencies in General Surgery and Plastic Surgery, his tenure running a Plastic Surgery department, to his retirement and beyond. Read a recent classic PRS Global Open article by Dr. Langstein and co-authors, “The Value of a Co-surgeon in Microvascular Breast Reconstruction: A Systematic Review and Meta-analysis”: Dr. Howard N. Langstein is the Chief of Plastic and Reconstructive Surgery at the University of Rochester Medical Center, where he brings extensive expertise in microvascular reconstruction to the Rochester area. These microvascular procedures involve surgeries performed through microscopes on very small blood vessels, often used for reconstruction following cancer treatments. Prior to joining the University of Rochester, Dr. Langstein was an associate professor of Plastic Surgery and the director of the Plastic Surgery Graduate Medical Education Programs at the University of Texas M.D. Anderson Cancer Center in Houston. Besides his proficiency in microvascular reconstruction, he has a strong interest in breast, head, and neck surgeries, as well as cosmetic procedures. In the mid-1990s, Dr. Langstein held various surgical roles at Mercy Hospital and the University of Pittsburgh. He returned to Houston in 1998, where he eventually became an associate professor at M.D. Anderson and led one of the world's leading microsurgical training programs. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Richard Hopper: Leveling Up Complex Pediatric Craniofacial Surgery
07/01/2024
Dr. Richard Hopper: Leveling Up Complex Pediatric Craniofacial Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Richard Hopper discusses his approach to leadership, the evergreen mantras of Joe McCarthy and Joe Gruss, how he manages the operating room, why a metronome is a good analogy for an approach to efficiency, how he developed the innovative surgeries he is most known for (the Lefort 2 ZR and the C3DO), why he prefers to use sharp dissection instead of a Bovie in his dissections, and the importance of discipline and consistency in achieving good outcomes. Read a classic PRS Global Open abstract by Dr. Hopper and co-authors, “The Use of Periorbital Steroids to Reduce Postoperative Swelling in Fronto-orbital Advancement: An Analysis of Outcomes”: Dr. Richard Hopper is a Professor of Surgery in the Division of Plastic and reconstructive surgery at the Baylor College of Medicine, and the Medical Director of Plastic Surgery at the Texas Children’s Hospital in Austin, Texas. He completed a residency in Plastic Surgery at the University of Toronto, and then a craniofacial fellowship at New York University. After spending 23 years at the University of Washington in Seattle, he moved to Texas in Feb 2024 to take on the job of building the Plastic Surgery team at the Texas Children's Hospital in Austin. He is the former President of the American Society of Craniofacial Surgery and the International Society of Craniofacial surgery. He is known worldwide as an expert in complex craniofacial surgery including craniosynostosis, midface distraction, and cleft lip and palate care. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Edward Reece: Leveling Up Spinoplastic Surgery
06/03/2024
Dr. Edward Reece: Leveling Up Spinoplastic Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Edward Reece discussed the details of spinoplastic surgery - what exactly it is, why it’s needed, the indications for this type of surgery, the technical details of harvesting pedicled posterior iliac crest bone grafts for spinal fusion, how to avoid damaging retroperitoneal structures, other pedicle bone graft options like scapula, rib, and occipital skull, potential future advancements such as innervated vascularized free bone-muscle-bone flaps, drain management in these patients, the pitfalls to avoid, and what type of car you should consider. Dr. Reece is joined by Dr. Max Shout (PGY6) and Dr. Niki Van Spronsen (PGY4), Casey Martinez (a fourth year medical student), and Caroline Onstott, PA-C. Read a recent classic PRS Global Open article by Dr. Reece and co-authors, “Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery”: Dr. Edward Reece is the chair of the Division of Plastic Surgery at the Mayo Clinic in Scottsdale, Arizona. He trained in Plastic Surgery at the University of Texas Southwestern Medical Center, and in Hand and Microsurgery at the University of Texas San Antonio. While in private practice in Phoenix, he received an MBA from Arizona State University and then went on to serve as the division chief of adult plastic surgery at Baylor College of Medicine in Houston. He returned to Arizona to become chair of plastic surgery at the Mayo Clinic in Scottsdale in 2022. Dr. Reece has a broad, mostly reconstructive, practice in sarcoma reconstruction, breast reconstruction and hand surgery, and is a pioneer of spinoplastic reconstruction, where he works with spine surgeons to improve outcomes of spinal fusions. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Bill Kuzon: “Musings on a Serendipitous Surgical Journey” – A “Giants in Plastic Surgery” Interview
05/20/2024
Dr. Bill Kuzon: “Musings on a Serendipitous Surgical Journey” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. William M. Kuzon discusses his journey to medicine as well as plastic surgery. He explores the nuances of the application process for both, both as his experience as an applicant as well as his previous roles on selection committees, and future directions he hopes it takes. He also discusses his influences, the role of a plastic surgeon in a healthcare team and thoughts about doing research in medicine. A reflective surgeon, Dr. Bill Kuzon inspires with his advice in plastic surgery. Read a recent classic PRS Global Open article by Dr. Kuzon and co-authors, “Gender-Affirming Vaginoplasty: A Comparison of Algorithms, Surgical Techniques and Management Practices across 17 High-volume Centers in North America and Europe”: Dr. Bill Kuzon holds the esteemed position of Reed O. Dingman Professor of Surgery within the Section of Plastic Surgery at the University of Michigan. Notably, he served as the Section Head for Plastic Surgery from 2001 to 2012 and spearheaded the Integrated Plastic Surgery Residency Program at Michigan from 2001 to 2009. His research interests center around skeletal muscle and peripheral nerve physiology in the context of reconstructive surgery, a field in which he has authored over 100 peer-reviewed papers across a broad range of topics. Dr. Kuzon is a sought-after speaker, having delivered keynote lectures at numerous universities and scientific gatherings. Actively engaged in his professional community, Dr. Kuzon holds memberships in several national specialty societies, including the American Society of Plastic Surgeons (currently serving on the Board of Directors), the Plastic Surgery Educational Foundation (currently serving as the president-elect), The American Association of Plastic Surgeons (currently serving as vice-president), The Plastic Surgery Research Council (currently serving as Historian), the American Society for the Peripheral Nerve (having served as past president), the Michigan Association of Plastic Surgeons (having served as past president), and the American Society of Reconstructive Microsurgery. Additionally, he serves as a Director of the American Board of Plastic Surgery. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Ahmad Saad: Leveling Up “Is It Great, or Is It Amazing?”
05/06/2024
Dr. Ahmad Saad: Leveling Up “Is It Great, or Is It Amazing?”
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Ahmad Saad discusses his journey from Beirut to Barcelona, the development of particular approach to high definition liposculpture, his recommendations for surgeons starting surgeons HD, the differences between using VASER and power assisted liposuction, his criteria for indicating patients for hi def lipo, how he counsels his patients preoperatively to help choose the appropriate level of definition, perioperative technical details such as preoperative markings, tumescent, cannula types, postoperative garment wear and lymphatic massage, his use of energy based devices as part of high def lipo, how he has subtly modified his technique over the years, how he teaches his residents the ins and outs of liposuction, and the one thing he teaches his residents to make the final incision look as good as possible. Dr. Ahmed Saad is a board-certified plastic surgeon and medical director of the IMAGN institute in Barcelona, Spain. He studied medicine at the American University of Beirut in Lebanon, trained in general surgery at Yale University, and then completed a plastic surgery fellowship at University of California San Diego. After spending some time as an assistant professor at UCSD and at Faces Plus with Dr. Steve Cohen in San Diego, he moved to Barcelona where he founded the IMAGN institute. He is a pioneer of the high definition liposculpture technique and has written several manuscripts and book chapters about it. He trains residents from all over Europe at his practice in Barcelona. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Marzia Salgarello: “To Inspire and Be Inspired” – A “Giants in Plastic Surgery” Interview
04/22/2024
Dr. Marzia Salgarello: “To Inspire and Be Inspired” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Marzia Salgarello shares portions of exciting stories dotted throughout her journey to becoming a brilliant Plastic Surgeon. She talks about how family plays an important role in both her life and her career, how she balances between the two, and what kind of surgeon she strives to be. Read a recent classic PRS Global Open article by Dr. Salgarello and co-authors, “Breast Reconstruction Using the Lateral Thoracic, Thoracodorsal, and Intercostal Arteries Perforator Flaps”: https://bit.ly/GOXDC_Salgarello Marzia Salgarello is the Associate Professor of Plastic Surgery and Head of the Plastic Surgery Department of the Agostino Gemelli University Polyclinic Foundation. An academic powerhouse with more than 120 papers to her name, she specializes in microsurgery and aesthetics. She is known to be a mentor to those around her. At her clinic, she specializes in performs breast reconstruction with prosthesis in a single step, i.e. with the immediate use of a definitive prosthesis without having to resort to a second operation to change the prosthesis, or with the tissues of the abdomen. In this case it involves using one's own tissues without the use of prostheses such as an autotransplant. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Kongkrit Chaiyasate: Leveling Up Being Fearless
04/08/2024
Dr. Kongkrit Chaiyasate: Leveling Up Being Fearless
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Kongkrit Chaiyasate discusses his unique practice model of adult and pediatric craniofacial surgery combined with microsurgery, how to approach difficult cases with high complication rates, increasing efficiency in surgery when you don't have a lot of assistance in the OR, why efficiency increases surgeon longevity, how he has arranged his practice logistics to handle his incredible surgical volume, what differentiates a great surgeon from a good surgeon, his international charitable efforts, how he builds trust with his trainees in the operating room, and why calculated risks lead to greater success. Read a recent classic PRS Global Open article by Dr. Chaiyasate and co-authors, “Utilization of a Chimeric Medial Femoral Condyle Free Flap for Mandibular Osteoradionecrosis”: Dr. Kongkrit Chaiyasate is an Associate Professor in the Division of Plastic Surgery at the Oakland University William Beaumont School of Medicine in Royal Oak, Michigan. He graduated from medical school in Thailand, and then general surgery residency in Providence Hospital and Medical Center, and plastic surgery residency at Wayne State University in Detroit. He then completed two fellowships - craniofacial and pediatric plastic surgery at Washington University in St Louis, followed by microsurgery at the Ohio State University. He then joined the faculty at Beaumont Health where he has been pushing the boundaries of reconstructive surgery ever since. He instituted the integrated craniomaxillofacial and reconstructive microsurgery fellowship there in 2017, and serves as the Program Director. He has won multiple awards at the American Society for Reconstructive Microsurgery including two Best Case awards and three Best Save awards. His practice is broad and head to toe, focus on reconstructive microsurgery of the head and neck, breast, and extremity, as well as pediatric and adult craniofacial surgery. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Shai Rozen: “Persistence and Passion” – A “Giants in Plastic Surgery” Interview
03/25/2024
Dr. Shai Rozen: “Persistence and Passion” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Shai Rozen discusses how his life began in Israel but his career led him to America. Since he was young, he spent a portion of his life in America, and he details how the obstacles and persistence in overcoming them led him from graduating medical school in Tel Aviv to doing residency in Baltimore at John Hopkins. A cross-cultural surgeon who is uniquely driven, Dr. Shai Rozen embodies what is possible when passion meets perseverance on the path to success. Read a recent classic PRS Global Open article by Dr. Rozen and co-authors, “Cross Facial Nerve Grafting for Smile Restoration: Thoughts on Improving Graft Inset”: Shai M. Rozen, MD, is Professor and Vice Chair in the Department of Plastic Surgery at UT Southwestern Medical Center in Dallas, Texas. He specializes in facial paralysis (facial reanimation) surgery, facial cosmetic surgery, and microsurgery. A graduate of Tel Aviv University School of Medicine, Dr. Rozen later completed separate residencies in first general surgery and then plastic surgery at Johns Hopkins Hospital in Baltimore, Maryland. He then received advanced training in craniofacial surgery, followed by extensive training in peripheral nerve surgery through a fellowship at Johns Hopkins. At UT Southwestern, he has co-created with colleagues from neurotology and neurosurgery a specialty group treating patients with facial paralysis. Dr. Rozen specializes in aesthetic surgery of the face, concentrating on face lift surgery, rhinoplasty (nose surgery), and eyelid surgery. Dr. Rozen has published over 100 manuscripts and book chapters relating to plastic surgery and facial reanimation surgery. He has more than 150 scientific abstracts presented in national and international meetings. He has provided more than 300 invited talks on various aspects of plastic and reconstructive surgery and speaks both nationally and internationally in major scientific meetings, international courses, and at leading academic centers in the country and around the world. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. Ahmed Afifi: Leveling Up Continuous Improvement in Surgery
03/11/2024
Dr. Ahmed Afifi: Leveling Up Continuous Improvement in Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Ahmed Afifi discusses his experiences in his many fellowships, his approach to seeking continuous improvement in his practice of surgery and challenging dogma at all times, his approach to marking body contouring patients and how he verifies his marks in the OR before starting surgery, why he doesn't sit patients up in most breast surgeries, his use of tumescence and TXA, his technique for abdominoplasty plication and umbilicus inset, how he uses fat grafting to improve aesthetic results in brachioplasty, gynecomastia, abdominoplasty, breast augmentations and mastopexies, the wagon wheel closure for the areola in breast surgeries, why he switched from the endoscopic brow lift to the gliding brow lift, the use of the hemostatic net in facelifts, and how residents can learn when watching an expert operate. Dr. Ahmed Afifi is an Associate Professor in the Division of Plastic Surgery at the University of Wisconsin School of Medicine and Public Health. He graduated from medical school and did a surgery residency in Cairo, Egypt, and then completed three clinical fellowships in the US - craniofacial and pediatric plastic surgery at the University of Pittsburgh, Hand and Microsurgery at the University of New Mexico, and finally Aesthetic and Breast Reconstruction at the Cleveland Clinic. He has been in practice at the University of Wisconsin since 2011, with a clinical practice focusing on body contouring and facial aesthetic surgery, migraine surgery, as well as breast reconstruction. Read a classic PRS Global Open article by Dr. Afifi and co-authors- “Current Trends in Prepectoral Breast Reconstruction: A Survey of American Society of Plastic Surgeons Members”: Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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Dr. Justin Sacks: “Life to Lead” – A “Giants in Plastic Surgery” Interview
02/26/2024
Dr. Justin Sacks: “Life to Lead” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts podcast, Dr. Justin Sacks discusses the journey through his plastic surgery career. He discusses his time in theatres and laboratories that built him to the surgeon he is today, and his family that inspires and motivates him. Read a recent PRS Global Open article by Dr. Sacks and co-authors, “Investigating Weekend Effect in the Management of Upper and Lower Extremity Degloving Injuries”: https://bit.ly/GOXDC_Sacks Justin M. Sacks MD, MBA is the Shoenberg Professor and Chief, Division of Plastic and Reconstructive Surgery in the Department of Surgery at Washington University in St. Louis. He recently spent the last decade at Johns Hopkins School of Medicine where he was the Vice-Chair of Clinical Operations and Director of Oncological Reconstruction. A graduate from Cornell University, Dr. Sacks received his medical degree from the Mount Sinai School of Medicine in New York City, where he also completed his combined general surgery and plastic surgery residency. His research focuses on advancements in the field of vascularized composite allotransplantation, tissue engineering and vascular perfusion assessment. His clinical interests include the reconstruction of all forms of acquired, oncological and traumatic defects ranging from the head and neck to the breast, chest, abdomen, pelvis, and extremities. He is the co-founder of the Johns Hopkins Biotech Startup Lifesprout. In addition, his team has developed a pressure sensing device to help mitigate pressure sore development in the in-patient setting. Dr. Sacks maintains a robust clinical reconstructive practice while at the same time performing basic science, clinical outcomes and translational research. He has authored over 100 original publications in peer-reviewed journals and 20 textbook chapters on plastic surgery and reconstructive surgery. He serves on the editorial board of the Journal of Reconstructive Microsurgery. Currently, he is the immediate past-Chair of the Plastic Surgery Research Council. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
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Dr. James Higgins: Leveling Up Innovation in Hand Surgery
02/12/2024
Dr. James Higgins: Leveling Up Innovation in Hand Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. James Higgins discusses his involvement in the development of the medial femoral trochlear flap, how to develop and perfect a new surgical procedure, how he has gone about turning the MFT flap into an outpatient procedure, the difficulty of using computer-aided design in scaphoid reconstruction, the importance of rigorous assessment of outcomes to verify that new procedures are actually effective, why he likes end-to-side anastomoses, the use of doppler for flap perforator mapping, using angiography for chronic vaso-occlusive disease, how to adjust when a surgery isn't going well or a flap fails, and the importance of work-life balance. Dr. James Higgins is the Chief of Hand Surgery and the Hand Fellowship Program Director at the Curtis National Hand Center at MedStar Union Memorial Hospital, and the site director for the Walter Reed Hand Surgery Fellowship training program, in Baltimore, Maryland. He is a member of multiple national committees for the American Society for Surgery of the Hand, American Society for Reconstructive microsurgery, American Society of Plastic Surgeons and the American Board of Plastic Surgery. He was a recipient of ASRM's Godina Fellowship in 2010 and was the Sterling Bunnell Traveling Fellow for ASSH in 2013 - one of only three surgeons to have ever received both accolades. Read a classic PRS Global Open article by Dr. Higgins and co-author, Victor Wong- “Medial Femoral Condyle Flap:” Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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