The Plastic Surgery Channel

Dr. Rohrich closes out 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Breast Reconstruction with his RJR Op Report, breaking down what really matters in implant-based reconstruction. It starts with healthy, well-vascularized mastectomy flaps, because great reconstruction begins with great tissue. From there, the plan has to be individualized: above or below the muscle, ADM or synthetic scaffold, the right implant for that specific patient and anatomy. But the final piece is the one he calls most important of all, the

Dr. Adams brought that exact question to our expert panel on this episode of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Breast Reconstruction. Dr. Nahabedian says yes, it's possible, and it may become more common as minimally invasive, robotic and endoscopic mastectomies grow, techniques where a small incision makes using ADM difficult in the first place. Early results are promising, with low rates of capsular contracture and malposition. Dr. Rohrich raised a follow-up: if the mastectomy flaps are well vasculariz

On this episode of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Breast Reconstruction, Dr. Adams and Dr. Rohrich asked our guest experts to look back, and the answer is nothing short of remarkable. Dr. Nahabedian has been doing this since 1992, and he'll tell you there is nothing he does today the way he first learned it. From implants placed completely under the muscle, to partial coverage, to ADMs, to helping pioneer the pre-pectoral movement over a decade ago, every shift moved toward better outcomes for the wome

On this episode of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Breast Reconstruction, Dr. Sigalove breaks down where the name for this wrap technique actually came from. Dr. Sigalove coined the technique back in 2015, a nod to medical school pathology days when everything got a food nickname. Think of the implant as the filling, and the mesh wrapped around it is the dough; hence, ravioli. The reaction itself came from a red light green light breakdown by Dr. Andrew Cohen (@andrewcohenmd), showing a breast revision

🧵 During Episode 10 of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Breast Reconstruction, Dr. Adams and Dr. Rohrich asked our expert panel a simple but important question: are they using P4HB exclusively now, or still alongside ADM? Dr. Sigalove walked through his own shift. He used to wrap expanders in a hybrid approach, ADM on the front, P4HB on the back, and published results showing it worked well. Once lightweight P4HB became available, he dropped the ADM entirely. Since then, he's had zero flipping and says i

👀 A viral claim from Terry Dubrow about implant complication rates made its way to our panel during 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Episode 10: Breast Reconstruction - Individualized Outcomes, Informed Choices, and they had thoughts. The claim: a 15 to 20% chance of complications with breast implants over time, plus a suggestion that switching to a specific implant is the fix. Dr. Maurice Nahabedian agreed with part of the claim: implant surface can influence how much scar tissue forms. But he added an

🔬 Implant technology doesn't stand still, and this episode of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 Episode 10 gets into what that progress actually looks like in practice. 🧼 In this scrub sink segment, Dr. Bill Adams asks the real question: have Gen 6 implants changed outcomes for reconstruction patients? Dr. Essie Yates breaks down why, pointing to more cohesive gel forms that hold upper pole fullness and cut down on secondary procedures. But Dr. Maurice Nahabedian flags the tradeoff, more projection can mean

In this episode of TBH, our expert panel dives into the conversation that carries the result through recovery too. It's Dr. Adams who poses the question to the group, and Dr. Rohrich doesn't hesitate to answer. Five years ago, he started weaving it into his patients' protocol, and the results have only made the case stronger since. Opioid use down more than half, less anxiety heading into surgery, less inflammation coming out of it, whether it shows up as a cream, drops, or gel tabs. It's becom

Reacting to a video from plastic surgeon Dr. Kelly Killeen, the TBH panel takes a closer look at why immediate reconstruction has traditionally carried more risk, and why that conversation is changing. Dr. Steven Sigalove points to advances in mastectomy techniques and tissue assessment, while Dr. Maurice Nahabedian highlights the psychological value immediate reconstruction can offer when appropriate. Ultimately, Dr. Rod Rohrich brings it back to the foundation: great reconstruction starts wit

❓ Our guest experts on 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Episode 10: Breast Reconstruction - Individualized Outcomes, Informed Choices answered. For Dr. Maurice Nahabedian, it comes down to expectations. Reconstruction isn't always a one-and-done surgery. Sometimes the path forward means more than one procedure over time, and knowing that going in changes everything about how a patient experiences the process. Dr. Steven Sigalove pushed the point further, comparing it to something patients don't always e

𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 - Episode 10: Breast Reconstruction - Individualized Outcomes, Informed Choices is live now on The Plastic Surgery Channel YouTube. 🧬 🎤 Hosted by Dr. William P. Adams Jr. and Dr. Rod Rohrich ⭐ Expert Guest Panelists: Dr. Maurice Nahabedian and Dr. Steven Sigalove 🧼 Scrub Sink: Dr. Essie Yates 👀 Stay tuned, clips from the episode begin rolling out soon. #TBHBreastImplants #TBHEpisode10 #AestheticBreastReconstruction #PlasticSurgeryChannel #BreastReconstruction

Breast reconstruction is one of the most personal journeys a woman can go through - and this episode is about helping patients feel informed, supported, and confident in their choices. 🧬 Let’s meet our two guest experts. ⭐ Dr. Maurice Nahabedian: Pioneer in advanced breast reconstruction with 4,000+ procedures to his credit. UC Irvine grad, Johns Hopkins-trained, professor and internationally recognized educator with 200+ scientific publications, ten edited textbooks, and 100+ visiting profess