Episodes

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...

Treat the patient, not the brand. Trust the science, not the marketing. And remember: the surgeon, not the trademark, is accountable for the outcome, the complications, and the long-term results. Thirteen clips. One episode. One conversation the plastic surgery world needed to have. Dr. Rod Rohrich, Dr. Bill Adams, Dr. Steven Teitelbaum, and Dr. Roy De Vita brought it. Thank you for following along. 🙏 In case you missed it, the full Episode 9 of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 is live now on The Plastic ...

The 𝙏𝘽𝙃 panel reacts and the conversation is more layered than you might expect. Dr. De Vita thinks the video raises valid points worth considering, especially when it comes to thinking about results not just at six months but over the medium and long term. Dr. Teitelbaum pushes back on three specific premises in the video, from claims about non-board-certified surgeons performing this technique, to implant size limitations, to the criticism of pricing. The question at the center of it all is ...

Everyone wants to be an expert online, yet so few actually are. 🧼 Scrub Sink guest Dr. Kristy Hamilton and Dr. Rod Rohrich make the case that board-certified plastic surgeons need to show up, be authentic, and respond when something is patently false. Dr. Bill Adams, Dr. Steven Teitelbaum, and Dr. Roy De Vita agree: the lines are blurred, and the surgeons who can speak with authority need to be louder. Watch the full episode and tell us what you think. 💭 🎯 The full Episode 9 of 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢...

Our expert 𝙏𝘽𝙃 panel reviews two videos making the case on both sides, including a real patient of Dr. Bill Adams with eight years of follow-up showing exactly what is possible with dual plane implants. The conversation that follows is one of the most honest this panel has had. Dr. Steven Teitelbaum, Dr. Roy De Vita, Dr. Bill Adams, and Dr. Rod Rohrich all agree there are real benefits to going above the muscle for active patients, and the vote reflects it. Four greens. 🟢🟢🟢🟢 Where do you land? ...

Our expert 𝙏𝘽𝙃 panel just voted on a video from @annastevemd on superior implant placement, lighter implants, and whether the results hold up over time and without clothes. Dr. Steven Teitelbaum has two reservations: does superior placement actually stay there, and does it look attractive on the lateral view? His vote? Yellow. 🟡 Dr. Roy De Vita points to the Pat Mallucci 45-55 ratio and says upper pole fullness can be beautiful in a bra, but not always without clothes. His vote? Red. 🔴 Dr. Bill...

🧼 Scrub Sink guest Dr. Kristy Hamilton, board-certified plastic surgeon in Houston, makes a point worth noting: board-certified plastic surgeons are the tiny minority of the voice on these topics online. The questions patients are bringing into consultations, including the surge in questions about Preservation Breast Augmentation, are a direct reflection of what they are seeing on social media. That is not just a marketing story. It is a signal worth paying attention to. It is exactly why Dr. B...

So how does our expert 𝙏𝘽𝙃 panel approach scar therapy? Dr. Steven Teitelbaum walks through his protocol, from silicone strips to silicone ointment depending on the patient. Dr. Rod Rohrich reminds us that scarring is not entirely in the surgeon's hands, genetics and ethnicity play a real role, which is why preventing and treating early matters. Dr. Bill Adams makes a point that stands out: what he appreciates about Skinuva is that they built the science first before selling the product. Backed...

Dr. Roy De Vita is direct: marketing is not a bad word until it starts implying that everything else is unsafe. Dr. Steven Teitelbaum sees it differently, acknowledging that real science exists but that the marketing has gone too far. Dr. Bill Adams points to something he witnessed firsthand at a breast meeting in Rome, the level of criticism and frustration from surgeons around the world over the claims being made was palpable. Dr. Teitelbaum is candid: what annoys him about a lot of the Prese...

Is it all about the kit? 🧰 The kit costs roughly the price of an implant, which means every time it is used it essentially doubles the revenue going back to the manufacturer. 💰 That fact is on the table, and our 𝙏𝘽𝙃 panel addresses it directly. Does it change the clinical argument? That depends on who you ask. This clip gets to the heart of one of the biggest debates in breast augmentation right now. Tried and true experience vs. new and evolving technique. Both sides have their case and Dr. S...

Our expert 𝙏𝘽𝙃: 𝘽𝙧𝙚𝙖𝙨𝙩 𝙄𝙢𝙥𝙡𝙖𝙣𝙩𝙨 panel is here to give it to you straight. 🧼 Scrub Sink guest Dr. Kristy Hamilton, board-certified plastic surgeon in Houston, kicks things off with the idea of speaking in absolutes. Any surgeon claiming one technique is all good or all bad for every patient is worth a second look. Dr. Steven Teitelbaum's red flags: surgeons who only post early results, and practices that rely heavily on out-of-town patients who have never heard the local scuttlebutt. Dr. Roy De ...

It is one of the most uncomfortable questions in the specialty right now, and the 𝙏𝘽𝙃 panel is addressing it head on. When competing bodies of science clash, the conversation gets complicated fast. Dr. Steven Teitelbaum, Dr. Bill Adams, Dr. Roy De Vita, and Dr. Rod Rohrich do not shy away from any of it. The data, the conflicts, and the clinical reality are all on the table. 🚨 This is one of the most honest conversations in plastic surgery right now. Whether you are a surgeon or a patient, we ...

Our expert 𝙏𝘽𝙃 panel is asking the hard questions about Preservation Breast Augmentation. Dr. Steven Teitelbaum, who was in the first training group for Preservé, made a commitment to himself not to market it until he had a full year of follow-up data. Dr. Bill Adams questions whether the recovery difference patients are experiencing is real or whether it is the result of something that has never happened before in plastic surgery: a breast implant company driving the narrative. Two perspectiv...