PRS Global Open Deep Cuts

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:” https://bit.ly/GOXDC_Higgins   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. Stefania Tuinder discusses what inspires her, motivates her, and gives her strength amidst adversity. She discusses her move from Italy to the Netherlands, a rich cross-cultural perspective and the gendered experience from both, and how to leverage strengths from differences. A lively surgeon who has a lifelong dedication to her work, Dr. Tuinder delivers useful perspective. Read a recent PRS Global Open abstract by Dr. Tuinder and co-authors, “Internal and International Comparison of Breast-Q REACT, a Real-Time Engagement and Communication Tool, for Autologous Breast Reconstruction”: https://bit.ly/GOXDC_Tuinder  Dr. Stefania Tuinder has been working in the Netherlands since 2005. She has conducted extensive anatomical research into new techniques for breast reconstruction, which has led to the revolutionary discovery of the SC-GAP and the LTP, which will probably be increasingly used as a technique for breast reconstruction in the coming years. She completed the first four years of her medical training in Varese, Italy, and the remaining two years in the Netherlands. She subsequently worked as a physician assistant at the Maastricht UMC+ and the Viecuri MC and since 2007 she has been working as a plastic surgeon at the Maastricht UMC+. She specializes in performing breast reconstructions, in particular breast reconstructions using the patient's own tissue. Another focus in her work is surgery on people with facial paralysis (congenital or as a result of a tumor or operation). 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. Al Aly discusses many aspects of aesthetic surgery, such as conflicting zones of skin pull, honesty in assessing surgical results, his approach to surgical markings, the difference between the lower body lift and the belt lipectomy, his approach to brachioplasty including placement of the scar, patient positioning, and use of liposuction, his technique for handling postoperative seromas, what he asks residents to focus on when learning a surgical technique, and the importance of making the performance of surgery look beautiful. Dr. Al Aly is a Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas TX. He completed residencies in ENT as well as Plastic Surgery and a fellowship in facial plastic surgery. He worked at the university of Iowa for 13 years where he pioneered body contouring for massive weight loss patients, and literally wrote the definitive book on the techniques involved. Subsequently he was the vice chair of the division of plastic surgery at UC Irvine and then moved to Abu Dhabi where he was the section head of plastic surgery at the Cleveland Clinic hospital. He has been at UT Southwestern since 2020 as a full professor in the department of plastic surgery. He is the Editor-in-Chief of the Aesthetic Surgery Journal Open Forum and is past President of the Aesthetic Surgery Education and Research Foundation. In 2008 he received the Aesthetic Society's Lockwood Award, bestowed on surgeons who have made major contributions to the field of body contouring. 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, we peer into Dr. Hung-Chi Chen’s life – both in the minute details of what a typical week looks like for him, as well as the things that bring him joy outside of work – his family and how they have influenced his life and work. Having trained across the world in Taiwan, China, Australia, and the United States, as well as having done charity work in various other countries such as India, South America, and Southeast Asia, Dr. Chen reveals a unique cross-cultural perspective and how fellows and doctors in different cultures have different skills that they bring to the table. A lively surgeon who has a lifelong dedication to his work, Dr. Chen delivers useful perspective.  Read a recent classic PRS Global Open article by Dr. Chen and co-authors, “The “Crater” Arteriotomy: A Technique Aiding Precise Intimal Apposition in End-to-side Microvascular Anastomosis”: https://bit.ly/GOXDC_Chen  Dr. Hung-Chi Chen is presently the Superintendent of International Medical Service Center at the China Medical University Hospital. He specializes in complex microvascular reconstructive surgery as well as the microvascular transfer of intestine for various reconstructive – which he has written a book on. He is an academic, innovator, scientist, educator, leader, and master surgeon. He has over 600 papers to his name and has directed more than 150 fellows in almost 30 countries. He treats some of the most challenging cases from all over the globe and his career spans almost 40 years. He was named one of the most inspirational scientists of the world in 2021.  He is the past President of the Reconstructive Microsurgery Institute in Taiwan, and the Chief of Department of Plastic and Reconstructive Surgery in Chang Gung Memorial Hospital, in Taoyuan.   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. L. Scott Levin discusses how to manage the operating room and plan for a case, how the concept of orthoplastic reconstruction came about, his approach to teaching in the operating room, the importance of elegance in surgery, how to be successful in microsurgery, and finally, some words of wisdom from the many excellent surgeons he has worked with over the decades. Read a recent classic PRS Global Open article by Dr. Levin and co-authors, “The Value of an Orthoplastic Approach to Management of Lower Extremity Trauma: Systematic Review and Meta-analysis”: https://bit.ly/PRSGODC_Levin   L. Scott Levin, MD, FACS, FAOA is a Professor and Chair of the Department of Orthopedic Surgery, and a Professor in the Division of Plastic Surgery, and Vice President and Associate Dean for Resource Development at Penn Medicine in Philadelphia. Dr. Levin heads the Hand transplantation program and Vascularized Composite Allotransplantation Program at Penn and directed the teams that have performed 4 bilateral hand and arm transplants.  He was the Board of Regents Chair and served as the Orthopedic Regent of the American College of Surgeons, a past president of the American Society for Surgery of the Hand, the world society of reconstructive microsurgery, the American society for reconstructive microsurgery, and the American society of reconstructive transplantation. He was also a past member of the Board of Directors of the American Board of Plastic 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

In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Professor Isao Koshima shares the inspiring story of his journey into medicine and his rise to become an innovator in plastic surgery techniques. Driven by family illness, he pursued medical school and later conducted rigorous private training to develop his skills in microsurgery, facilitating early exposure to advanced procedures. He discusses developing breakthroughs like perforator flaps, super microsurgery, and now nanosurgery. Beyond his pioneering surgical work, Prof. Koshima reveals how he maintains balance with family life and interests like martial arts and samurai history. In this fascinating conversation, he provides insight into his desire to provide patients not just physical treatment but mental satisfaction. An accomplished surgeon who still makes time for what matters, Prof. Koshima delivers useful perspective.  Read a recent classic PRS Global Open article by Professor Koshima and co-authors, “Technical Tips for Anastomosis of 0.2-mm Diameter Vessels during Lymphatic Venous Anastomosis”: https://bit.ly/GOXDC_Koshima   Professor Isao Koshima is a world-renowned pioneer in reconstructive microsurgery and lymphatic surgery. Currently, he serves as President of the World Society for Reconstructive Microsurgery, Honorary President of the International Society of Lymphology, Executive Director of the Japanese Society of Lymphology, and Contributing Professor at Hiroshima University Hospital. Over his illustrious career, Prof. Koshima has made groundbreaking contributions to the fields of perforator flap surgery, supermicrosurgery, nerve flap transfers, and lymphatic microsurgery. He conceptualized the use of perforator flaps in reconstruction, revolutionizing plastic surgery. His innovations include pioneering the DIEP, ALT, and chimera flaps for complex head and neck reconstruction. Known for establishing supermicrovascular anastomosis techniques, he achieved the first sub-millimeter 0.3 mm anastomoses. Recently, he accomplished nanomicrosurgery with 30-micron needles and nanomicro video systems. With over 500 publications on supermicrosurgery and lymphedema, Prof. Koshima's research has earned international acclaim. He has received prestigious honors including the Harry J. Buncke Lectureship from the American Society for Reconstructive Microsurgery and the Maliniac Lectureship from the American Society of Plastic Surgeons. Dedicated to advancing reconstructive techniques globally, Prof. Koshima has shared his expertise through physician training programs worldwide. His pioneering work has restored form and function for countless patients. Prof. Koshima's innovations continue to push the boundaries of possibility in reconstructive microsurgery. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England.  Your producer & editor, Dr. George Adigbli, is an Academic Clinical Lecturer in plastic surgery in Oxford, England.  #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery

During a live session at PSTM 2023 (Plastic Surgery The Meeting) in Austin Texas, Dr. Paris Butler and Dr. Nicole Sommer discussed their PRS Global Open Mini-Series, "Targeting Inclusive Excellence in Plastic Surgery." Drs. Butler and Sommer discussed the four papers that make up this mini-series, shared inspiring stories of black plastic surgeons and women plastic surgeons who succeeded despite the barriers placed before them, discussed the systemic biases that lead to a lack of diversity, the importance of informal mentorship, how we might go about both increasing diversity in our specialty, and encouraging surgeons to give back to their communities. Following the formal discussion, Drs. Butler and Sommer answered some excellent audience questions about the resident selection process and more.  Read the free PRS Global Open Mini-Series from the ASPS Diversity and Inclusion Committee, “Targeting Inclusive Excellence in Plastic Surgery”: https://bit.ly/ASPSDiversityInclusion    Dr. Paris Butler is an Associate Professor in the Division of Plastic Surgery at the Yale University School of Medicine. He is also the inaugural Yale Department of Surgery Vice Chair of Diversity, Equity, and Inclusion (DEI) and the GME Assistant DEI Director at Yale School of Medicine.  He is a director of the American Board of Surgery. He is board certified by both the American Board of Surgery and the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons (FACS). Dr. Nicole Sommer is a Professor in the Division of plastic surgery at the Southern Illinois University in Springfield Illinois. She is the Director of the SIU Cosmetic Clinic and the Plastic Surgery Residency Program Director. She is also the chair of the ASPS Diversity and Inclusion Committee. 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. J. Peter Rubin unveils the journey through his celebrated career in plastic surgery and bioengineering, reflecting on his academic and professional paths through institutions like Grinnell College and Harvard Medical School. As the University of Pittsburgh Medical Center (UPMC) Endowed Professor and Chair of Plastic Surgery, Dr. Rubin doesn't just specialize; he innovates, turning the theoretical into the practical with his work in adipose-derived stem cells and their regenerative applications in patient-centered care. This episode provides not only a trip through his myriad professional milestones and recognition, such as the Presidential Early Career Award for Science and Engineering but also a glimpse into the passion and curiosity that drive his ground-breaking work and dedication to nurturing future leaders in plastic surgery. An episode not to be missed; listen in now! Read a recent classic PRS Global Open article by Dr. Rubin and co-authors, “Stem Cell Therapy Enriched Fat Grafting for the Reconstruction of Craniofacial Deficits” :  https://bit.ly/PRSGlobalOpenDC_Rubin   Dr. J. Peter Rubin, UPMC Endowed Professor and Chair of Plastic Surgery and Professor of Bioengineering at the University of Pittsburgh, combines clinical prowess and innovative research in plastic surgery and bioengineering. His educational path, from Grinnell College and Tufts University School of Medicine to esteemed institutions like Harvard Medical School, has paved the way for a career that fuses surgical excellence with ground-breaking research. Specializing in adult stem cells and reconstructive surgery, Dr. Rubin leads initiatives in adipose-derived stem cell applications, from tissue regeneration post-trauma and cancer therapy to disease-targeting stem cell therapies. His leadership at the UPMC Aesthetic Plastic Surgery Center, Adipose Stem Cell Center, and the Center for Innovation in Restorative Medicine reflects his dedication to practical applications of theoretical knowledge and his foresight in advancing restorative medicine. Internationally recognized, with accolades such as the Presidential Early Career Award for Science and Engineering, Dr. Rubin champions plastic surgery and stem cell research globally, while also sharing his innovative techniques in breast and body contouring surgery through publications and leadership in editorial projects. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England.  Your producer & editor, Dr. George Adigbli, is an Academic Specialty Registrar in plastic surgery in Oxford, England.  #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Amanda Gosman discusses how she developed an interest and expertise in gender-affirming surgery and her systematic effort to improve facial feminization; the changes she has made over the years in her technical approach to cleft lip, cleft palate, and craniosynostosis; the importance of seeking constant feedback in order to improve surgical outcomes and the power of negative feedback; how she has developed the residency program in San Diego and her approach to giving feedback to her residents; and finally, her favorite surgical instrument.  Read a recent classic PRS Global Open article by Dr. Gosman and co-authors, “How to Get Consistently Good Results in Cleft Lip Repair”: https://bit.ly/PRSGlobalOpenDC_Gosman  Amanda Gosman, MD is Professor and Chief of the Division of Plastic Surgery, where she also directs the Plastic Surgery Residency Program and the Craniofacial Fellowship Program. She is also the Chief of Plastic surgery at Rady Children's Hospital. She is the Co-Editor of PRS Global Open, and the current President of the California Plastic Surgery Society. She is the founder of Connect Med International a nonprofit providing free reconstructive surgeries and multidisciplinary care through technology and education worldwide.  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. Scott Levin, esteemed Chair of the Department of Orthopaedics at the University of Pennsylvania, shares both his pioneering journey into orthoplastic surgery and his impactful affiliations with global surgical societies. In this riveting discussion, he highlights his cherished ties to the British Society for Surgery of the Hand and the significance of such collaborations in his illustrious career. A true innovator and mentor, he offers invaluable insights and experiences from his journey. An episode not to be missed, listen in now! Read a recent PRS Global Open article by Dr. Levin and co-author Dominik Kaiser, “Fasciocutaneous Free Tissue Transfer in Limb Salvage: Prior Flap as a Split-thickness Skin Graft Donor Site”:  https://bit.ly/PRSGlobalOpenDC_Levin   Dr. L. Scott Levin holds the title of Paul B. Magnuson Professor of Bone and Joint Surgery at the University of Pennsylvania School of Medicine (Penn). He is also the Chair of the Department of Orthopaedic Surgery, Medical Director of the Penn Musculoskeletal and Rheumatology Service Line, and Director of the Hand Transplant Program at the Children's Hospital of Philadelphia (CHOP). At Duke University, Dr. Levin was instrumental in establishing the Human Fresh Tissue Laboratory and the Anatomic Gifts Program. He replicated this initiative at Penn, where the laboratory has become central to research and education. Certified in Orthopaedic Surgery, Plastic Surgery, and Hand Surgery, Dr. Levin's specialties include hand and upper extremity surgery and advanced microsurgical techniques. His groundbreaking work includes leading the world's first bilateral hand transplant in a child in 2015. A respected educator, Dr. Levin has earned various accolades and currently serves as the Editor-in-Chief of Orthoplastic Surgery. His global contributions are reflected in his leadership roles across numerous professional societies, further complemented by a myriad of fellowships and awards. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England.  Your producer & editor, Dr. George Adigbli, is an Academic Specialty Registrar in plastic surgery in Oxford, England.  #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery