PRS Global Open Deep Cuts

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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": https://bit.ly/GOXDC_ShaiRozen

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.

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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": https://bit.ly/GOXDC_Afifi

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.

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