PRS Global Open Deep Cuts

In this “Leveling Up” episode of the Award-Winning PRS Global Open Deep Cuts Podcast, Dr. Simeon Wall, Jr. and Dr. Holly Casey Wall discussed the differences in their teaching and surgical styles,  how their wildly different approaches to the same problems can get achieve the same aesthetic endpoints, the techniques of switching hand dominance and eye dominance, the underappreciated aspects of SAFE lipo, the critical importance of a wide area of treatment when doing liposuction, why using a liposuction cannula requires close focus and attention to detail and a fine control of stroke angles and steering, why everything we thought we knew about infiltration is wrong, switching away from the dual plane augmentation, the importance of adequate preoperative counseling when doing a total submuscular augmentation mastopexy, and insights into device development. Drs. Simeon and Holly Wall are plastic surgeons in Shreveport, Louisiana. Simeon attended medical school in Texas, and Holly in Utah, but they both arrived simultaneously at Stanford University to start their General Surgery and Plastic Surgery residency training. After completing their training, they returned to Simeon's home in Shreveport to join his father, Dr. Simeon Wall, Sr. at the Wall Center for Plastic Surgery, and they've never left! The Walls are a power couple in aesthetic breast and body plastic surgery. The SAFE Lipo and Expansion Vibration Lipofilling techniques were innovated at the Wall Center. The Walls have lectured extensively across the world, have been investigators for several breast implant clinical trials, and advised Allergan and Mentor in breast aesthetics.  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

**This interview was conducted and recorded in November 2021** In this “Giants in Plastic Surgery” episode of the PRS Global Open Deep Cuts Podcast, Simon Wood FRCS discusses his distinctly broad scope of practice, influence on reducing subconscious bias in national plastic surgery recruitment, and why diversifying recruitment is key for safeguarding a prosperous future for our specialty. Read a classic PRS Global Open article by Mr. Wood and co-authors: “A Unifying Algorithm in Microvascular Reconstruction of Oral Cavity Defects Using the Trilaminar Concept”: https://bit.ly/GOXDeepCutsWood Mr. Simon Wood is a Consultant at Imperial College NHS Trust in London. He was appointed in 2000 to Charing Cross Hospital and now also supports all other hospitals in the Trust. Mr. Wood specialises in cancer reconstruction, particularly for Head & Neck, Breast and Skin cancer and more recently has developed an interest in managing complex abdominal wall hernias.  He trained in Plastic surgery at units in Cambridge, Norwich, Oxford and London. Since taking up his consultant post at Charing Cross Hospital he has developed the reconstructive surgery work there. The unit is recognised for the quality and high success rates for microsurgical free tissue transfer procedures for both breast and head & neck cancer reconstruction. He is a core member of these MDTS as well as the skin cancer MDT at Charing Cross.  Mr. Wood has served on the Specialist Advisory Committee (SAC) in Plastic Surgery and as the lead for National recruitment in Plastic Surgery and Liaison Representative for Scotland. He was appointed Chair, representing Plastic Surgery on the Joint Committee of Surgical Training (JCST) of the Combined Royal Colleges of Surgeons. He has also served as representative on the Breast Training Interface Groups (TIGs) and supervises trainees appointed to the Imperial post. As Chair of the SAC he was a board member of the Plastic Surgery committee for Joint Committee for Intercollegiate Examinations (JCIE) and in was appointed as representative and also as Treasurer of the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS). 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

This special “Leveling Up” episode of the Award-Winning PRS Global Open Deep Cuts Podcast was recorded live at PSTM22 (Plastic Surgery The Meeting 2022) in Boston, Massachusetts. In this episode, Dr. Kyle Eberlin discusses many topics with our host, Dr. Puru Nagarkar: the three most important things Dr. Eberlin expects residents to do in his operating room, what he does to effectively plan and execute complex surgeries, how he has improved his surgical efficiency over time, his approach to time management and juggling the priorities of clinical work, research, and family, how Chess and Squash have made him a better surgeon, how the Interdisciplinary clinic for amputee care at Mass General came about, and why decision-making is probably the hardest part of being a surgeon. Read a recent PRS Global Open article by Dr. Eberlin and co-authors--“Interdisciplinary Care for Amputees Network: A Novel Approach to the Management of Amputee Patient Populations” : https://bit.ly/GOXDeepCutsEberlin   Dr. Kyle Eberlin is an Associate Professor of Surgery at the Massachusetts General Hospital, as well as the Program Director of the Harvard Plastic Surgery Residency Program and the Associate Program Director of the MGH Hand Surgery Fellowship. He was the 2018 Plastic Surgery Visiting Professor for the American Society for Surgery of the Hand, and the 2020 Traveling Fellow for the American Society for Peripheral Nerve. He is on the Board of Directors for the American Society of Plastic Surgeons (ASPS) and the Association for Hand Surgery, serves as the Hand/Peripheral Nerve Section Editor of “Plastic and Reconstructive Surgery,” and serves as the Peripheral Nerve Section Editor of “PRS Global Open.” 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 #PSTM22

In this convivial “Giants in Plastic Surgery” episode of the PRS Global Open Deep Cuts Podcast, Amy Moore MD discuss her rapid rise to becoming the Chair of the department of plastic and reconstructive surgery at The Ohio State University College of Medicine. Recounting the valuable inspiration of Dr. Susan Mackinnon and mentorship she received in academic plastic surgery, Dr. Moore explores both the decisions she made and their inherent trade-offs. Chronicling her experiences of being a mother, surgeon, researcher and leader, Dr. Moore offers insights of value to budding surgeons, and—like Dr. Mackinnon was for her—an example for aspiring women to visualise a career in surgery and research. Read a classic PRS Global Open article by Dr. Moore and co-authors—“Assessing the Prevalence of Microaggressions in Plastic Surgery Training: A National Survey”: https://bit.ly/GOXDeepCutsMoore    Dr. Moore received her medical degree at the Virginia Commonwealth University School of Medicine and completed her general surgery residency, peripheral nerve research fellowship and plastic and reconstructive surgery fellowship at Washington University School of Medicine. She then completed a hand fellowship at Mayo Clinic. As a committed surgeon-scientist, Dr. Moore has developed a parallel translational science research program with more than $1 million in funding from the Department of Defense (DoD). She has extensively published her clinical and translational research findings with more than 100 peer-reviewed journal articles and chapters. A passionate educator and a tireless advocate for her mentees, Dr. Moore has lectured at conferences around the world. In 2017, Dr. Moore was designated as the American Society for Surgery of the Hand’s Plastic Surgery Visiting Professor. She was recently named the 2019-20 Plastic Surgery Foundation Visiting Professor, an honour bestowed on select individuals nationally each year. Her dedication to her field is manifested in her service and leadership roles on national and international associations and boards. She serves on the scientific advisory board for the International Symposium of Neural Regeneration and has participated on multiple study sections for the DoD. She also has leadership roles on the Board of the American Association of Hand Surgery and the American Society for Peripheral Nerve. 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 Award-Winning PRS Global Open Deep Cuts Podcast, Dr. Bauback Safa discusses the following: the feedback loop between simple and complex cases; how even the most difficult surgery is based on the common building blocks; the similarity between jazz and hand surgery; how the ability to see and apply tension separates the average surgeon from the great surgeon; the importance of taking the time at the beginning of a surgery to set up the field for success; key technical pearls on toe to thumb surgery, placing a tourniquet, microsurgical suturing, and doing an end to side anastomosis; his approach to flexor tendon repairs including the DOLLS stitch for spaghetti wrists; how to choose a sub-specialty if you are a student or a resident still trying to decide on a path; and his approach to the phalloplasty patient - how to set up an effective system of care, indications and preoperative counseling, the technical difficulties to avoid, and the refinements he has made over the years based on the pitfalls he has encountered along the way. Read a recent PRS Global Open case report by Dr. Safa and co-authors Drs. Lin, Chen, and Cheng— "Immediate Lymphovenous Bypass Treated Donor Site Lymphedema during Phalloplasty for Gender Dysphoria”: https://bit.ly/DeepCutsSafa Dr. Bauback Safa is a plastic surgeon at the Buncke Clinic in San Francisco, California and is also a clinical assistant professor at Stanford University and at the University of California San Francisco. Dr. Safa is the Medical Director of the San Francisco Transgender Institute, a multi-disciplinary center providing comprehensive care to transgender and non-binary patients. He and his team have performed more than 700 Phalloplasty surgeries since 2012. 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, Foad Nahai MD, FACS reflects on his illustrious career, which began at medical school in the UK before settling in the United States in search of opportunities more likely to embrace his foreign background. In this absorbing episode, Dr. Nahai glowingly recounts his experiences at Emory University amid a nourishing community of ambitious colleagues and inspirational mentors who helped his career flourish. With nostalgic candor, he recognises the sacrifices he and his family made to enable him to become a talented surgeon for his patients. Read a classic PRS Global Open abstract by Dr. Nahai and co-authors— “Hand, Craniofacial, Aesthetic, and Microsurgery Fellowship Selection Criteria: A National Program Director Survey” : https://bit.ly/GOXDeepCutsNahai Foad Nahai is a former Maurice J. Jurkiewicz chair in Plastic Surgery and Professor of Surgery at the Emory University in Atlanta, Georgia. He is the Editor-in-Chief of Aesthetic Surgery Journal and the past president of several organisations including the American Association for the Accreditation of Ambulatory Surgical Facilities, the American Society for Aesthetic Plastic Surgery and the International Society of Plastic Surgery. Professor Nahai has published over 250 peer reviewed articles, edited or co-edited 12 textbooks, covering all aspects of reconstructive and aesthetic plastic surgery in his writing. Dr. Nahai has taught his innovative techniques to plastic surgery residents, who ultimately have been placed throughout the country in private practice and academic programs. Spanning the globe, at both in-person and video conferences, Dr. Nahai shares his expertise and techniques to advance the field of Plastic Surgery at large. Foad Nahai, MD is often referred to by his medical peers as a man of great modesty, and at the same time, is considered to be one of the most respected plastic surgeons not only in the United States but internationally. Having served as both President of the American Society for Aesthetic Plastic Surgery and President of the International Society of Aesthetic Plastic Surgery, has given him an ideal stage to influence the specialty worldwide. In addition to numerous professional honours and awards, Dr. Nahai has been listed in “Best Doctors in America,” “Best Doctors in Atlanta,” and in W Magazine as one of the top plastic surgeons in the world. He has been invited to lecture and demonstrate plastic surgical procedures all over the world. 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 Award-Winning PRS Global Open Deep Cuts Podcast, Dr. Prosper Benhaim discusses how the movie "The Matrix" and the band Pink Floyd apply to surgery, how to become more efficient at any operation, how he melds orthopedic surgery, general surgery, and plastic surgery styles into his approach, his unique technique for treating Dupuytren's with collagenase, the effectiveness of marcaine for postop pain control, the scratch collapse test, and several technical pearls of distal radius plating, the dorsal wrist approach, zone 2 flexor tendon repairs, trigger fingers, flexor tenosynovitis, and carpal tunnel releases.  Dr. Prosper Benhaim is an Associate Professor and the Chief of Hand Surgery at UCLA in Los Angeles, California. He has written and lectured extensively on the treatment of Dupuytren's contractures of the hands. 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. Read a recent PRS Global Open article on the topic of Dupuytren’s: “Treatment Options for Dupuytren’s Disease: Tips and Tricks” by Denkler, Park, and Alser: https://bit.ly/GOXDeepCutsDupuytrens #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this “Giants in Plastic Surgery” episode of the PRS Global Open Deep Cuts Podcast, Susan E. Mackinnon MD offers a scientific and spiritual reflection on her paradigm-shifting career as an academic plastic surgeon. Touching on her heritage of strong women, her immediate family and her mentors, Dr. Mackinnon identifies her elements of support and her inspiration to support future generations of academic surgeons. Read a classic PRS Global Open article by Dr. Mackinnon and co-authors Drs. Domeshek, Novak, Patterson et al.— "Nerve Transfers—A Paradigm Shift in the Reconstructive Ladder:” https://bit.ly/DeepCutsMackinnon Dr. Susan E. Mackinnon earned her medical degree from Queens University in Kingston, Ontario, Canada, in 1975 and completed a plastic surgery residency at the University of Toronto in 1980. She went on to complete fellowships in neurosurgical research at the University of Toronto and Hand Surgery at the Raymond Curtis Hand Center in Baltimore before returning to the University of Toronto taking a staff position at Sunnybrook Health Science Centre for almost a decade. Very quickly, she established an international reputation as an expert in brachial plexus and peripheral nerve surgery in addition to building an extensive portfolio in basic science research investigating the pathophysiology of peripheral nerve injury, regeneration and allotransplantation. She performed the world’s first nerve allotransplantation in 1988 and is considered a leading expert in the field of peripheral nerve surgery. She was awarded the Gold Medal Award in Surgery by the Royal College of Physicians and Surgeons on Canada in 1988. She briefly transferred her practice to the Toronto General Hospital before being recruited to St. Louis in 1992 where she is currently the Chief, Division of Plastic and Reconstructive Surgery at Washington University School of Medicine and Shoenberg Professor of Plastic and Reconstructive Surgery. In addition to her work in nerve transplantation, Mackinnon has developed a number of nerve transfer techniques in which healthy nerves are rerouted into areas left paralyzed by damaged ones. Her areas of clinical interest in peripheral nerve surgery include hand, upper extremity and lower extremity injury; carpal tunnel syndrome; tarsal tunnel syndrome; thoracic outlet syndrome; brachial plexus injury; cumulative trauma disorder; nerve compression; facial palsy; and hand and upper extremity disorders and injuries. Susan Mackinnon has been a phenomenal contributor to the fabric of Plastic and Reconstructive Surgery with leadership positions as President of the American Association of Plastic Surgeons, the Plastic Surgery Research Council and the American Association of Hand Surgery. In 2013, she was awarded the Jacobson Innovation Award by the American College of Surgeons. This award honours living surgeons who have developed original and significant surgical techniques. Dr. MacKinnon received the prestigious awards because of her leadership in the innovative use of nerve transfers. Susan joins a list of remarkable individuals including Harry Buncke, Paul Tessier and John Burke who have changed the landscape of surgical practice. Finally, Susan has been a remarkable mentor and source of inspiration to hundreds of plastic surgery trainees. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. This episode was produced & edited by Dr. George Adigbli, an academic specialty registrar in plastic surgery in Oxford, England. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery

In this “Leveling Up” Episode of the Award-Winning PRS Global Open Deep Cuts Podcast, Dr. Paul Pin discusses the importance of having a detailed surgical plan while minimizing thinking during the actual execution of a surgery, the necessity of being open to learning new techniques at any stage in one's career, the role of honesty in surgery, the benefits of spending time having friendly conversations with patients, the blue button vs the yellow button on the Bovie, his approach to training residents, how he is an outlier in his abdominoplasty technique, and why overreliance on numbers and measurements can be dangerous. Dr. Pin is the Chief of Plastic Surgery at Baylor University Medical Center in Dallas, Texas and is a Clinical Instructor of Plastic Surgery at UT Southwestern Medical School, as well as Clinical Assistant Professor of Surgery at Texas A&M Medical School. He has been in practice for over 30 years, and has been instrumental in the training of many plastic surgeons at UTSW over the years. 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. Read a recent PRS Global Open article on the topic of abdominoplasty: “Mesh Repair of Rectus Diastasis for Abdominoplasty is Safer than Suture Plication” by Sood, Janes, Shah et al: https://bit.ly/DeepCuts_Pin #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this “Leveling Up” Episode of the Award-Wining PRS Global Open Deep Cuts Podcast, Dr. Elizabeth Hall-Findlay gives a deep dive into the superomedial pedicle vertical breast reduction, how and why she developed the technique, the use of liposuction, how to manage the inframammary fold, how to transition to the technique if you are not already experienced with it, the modification to the approach in an augmentation mastopexy, and her approach to quilting sutures and TAP blocks in abdominoplasty. Dr. Elizabeth Hall-Findlay is one of the most well-known names in the world of aesthetic breast surgery. She has written and lectured extensively on the breast reduction technique named after her. She is board certified in both Canada and the United States and practices in Banff, Alberta, Canada. 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. Read a recent PRS Global Open article on the topic of Breast Reduction: “Superior Pedicle Breast Reduction with Prefiguration of Final Shape: A 10-year Retrospective Study” by Klinger, Klinger, Maione et al: https://bit.ly/DeepCuts_LU_HallFindlay #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp