PRS Global Open Deep Cuts

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

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

Dr. Arun Gosain is a pediatric plastic surgeon who specializes in craniofacial and vascular anomalies. He discusses his inspiring journey as a first-generation immigrant, influenced by his father's legacy and experiences in a new culture. Dr. Gosain shares how overcoming feelings of being an outsider fueled his drive to succeed academically and professionally. He emphasizes the crucial role of mentorship in surgery and advocates for innovative approaches to improve access to surgical care globally, particularly for underserved communities.

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”: https://bit.ly/DeepPeronealTMR   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

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

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”: https://bit.ly/MicroTrainingGOX   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

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

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”: https://bit.ly/SempleFatGrafting   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

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

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”: https://bit.ly/SHARERwanda     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