PRS Global Open Deep Cuts

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

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”: https://bit.ly/Co-surgeons   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

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”: https://bit.ly/GOXPeriorbitalSteroids_Hopper 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

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”: https://bit.ly/ReeceGOX_Spinoplastic  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

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”: https://bit.ly/KuzonMay23   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

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

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

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”: https://bit.ly/GOXDC_Chaiyasate   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