Center for Breast Reconstruction

Dr. Joshua L. Levine, MD, FACS

Articles2024-07-29T15:37:09+00:00

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Articles and Presentations about Natural Tissue Breast Reconstruction

Explore a comprehensive collection of articles and presentations delving into the realm of natural tissue breast reconstruction, offering insights, expertise, and the latest advancements in the field.

Presentations & Transcriptions

Watch Dr. Joshua Levine’s Presentations & Lectures

Breast Reconstruction Q&A Panel with Joshua Levine, MD; Constance Chen, MD; and Andrew Salzberg, MD

November 3rd, 2021|Video Presentation|

This is a 45-minute discussion of all things related to breast reconstruction between world-renowned microsurgeons Joshua Levine, MD; Constance Chen, MD; and Andrew Salzberg, MD.

Breast Reconstruction Overview: Your Right, Your Choice

November 3rd, 2021|A - Featured Left Column, Video Presentation|

This is a talk, delivered by Dr. Joshua L. Levine, that has traditionally been given by Kathy Steligo. It goes through the book she wrote called The Breast Reconstruction Guidebook, a very comprehensive and an excellent explanation of all of breast reconstruction options. We’ll be talking today about what is a mastectomy; what are the options after mastectomy; very briefly touch on no reconstruction, which is called going flat. Then, we’ll talk about the different options related to breast reconstruction, how to choose a plastic surgeon, and how to make some of these difficult decisions.

Mix & Match: A Staged Immediate Approach to Breast Reconstruction | Presentation By Dr. Joshua L. Levine

April 29th, 2021|Video Presentation|

This is restricted due to surgical images. Mix & Match: A Staged Immediate Approach to Breast Reconstruction Transcription of above presentation: Hello, this is Dr. Joshua Levine. I'm a reconstructive microsurgeon in New York City and I do exclusively perforator flap breast reconstruction. In this presentation, I'll be talking about the timing of breast reconstruction. In this particular presentation, I'll be emphasizing the timing protocol that we call mix and match or staged immediate approach to breast reconstruction. Other terms that have been associated with this timing schedule include delayed immediate and [...]

PAP flap Breast Reconstruction Procedure | ASRM 2019 Palm Desert Presentation By Dr. Joshua L. Levine

April 28th, 2021|Video Presentation|

This is restricted by YouTube due to surgical images. Click "Watch on YouTube" in order view presentation. Dr. Joshua L. Levine Explains PAP flap Breast Reconstruction Procedure for ASRM 2019 Palm Desert Transcription of above presentation: This is a presentation that I recently gave at the American Society of Reconstructive Microsurgery meeting. The intention of the presentation was to compare the PAP flap or the profunda artery perforator flap to another reconstructive option using the thigh as a donor site called the TUG flap, which is a muscle-sacrificing procedure, whereas the PAP [...]

Multiple and Delayed Flaps in Breast Reconstruction | Presentation by Dr. Joshua L. Levine

February 24th, 2021|Implant Failure Reconstruction, Surgical Delay Phenomenon, Video Presentation|

Dr. Levine discusses multiple and delayed flaps in breast reconstruction. For a plastic surgeon in order to reconstruct a cosmetically appropriate shaped & sized breast, the more volume of tissue that we have to deal with the better outcome we can provide and the more beautiful and aesthetic breast we can reconstruct.

Surgical Delay for Extending the DIEP | Presentation by Dr. Joshua L. Levine

February 23rd, 2021|DIEP Flap, Surgical Delay Phenomenon, Video Presentation|

Dr. Levine explains in this 2018 Presentation the Surgical Delay for Extending the DIEP. The surgical delay phenomenon is a well-known phenomenon in the surgical world. It's an instrument by which we are able to improve the blood supply to any donor tissue, and in this case, in perforator flap breast reconstruction.

What is a Perforator Flap? | FORCE 2018 Presentation by Dr. Joshua L. Levine

February 23rd, 2021|BRCA / Hereditary Risk, Video Presentation|

The title of this talk is “What is a Perforator Flap?”. Dr. Levine gave this talk in 2018 in San Diego at a conference called the FORCE Conference. FORCE is an organization which is designed to assist patients who have found out that they have increased risk of developing breast or ovarian cancer because of a genetic mutation.

Tripedicled Extended Abdominal Perforator Flap | Presentation by Dr. Joshua L. Levine

February 23rd, 2021|Advancements in Autologus Breast Reconstruction, Multiple Flaps, Video Presentation|

This is a paper that was accepted for presentation at our annual meeting in 2018. It is entitled the “Tripedicled Extended Abdominal Perforator Flap, a reliable option for low-body-weight patients requiring large autologous bilateral breast reconstruction.” It’s a very advanced topic in breast reconstruction, but I’m making it available because I think that in explaining the concept it elucidates some very, very important basic concepts about autologous breast reconstruction.

MRA Imaging in Breast Reconstruction | Presentation by Dr. Joshua L. Levine

February 23rd, 2021|Video Presentation|

In this presentation Dr. Levine discusses the MRA Imaging in Breast Reconstruction, or MR angiography. This is a study that we get through radiology on all of our patients who are going to undergo perforator flap breast reconstruction, namely, a DIEP, which is a deep inferior epigastric artery perforator flap.

Breast Reconstruction Overview and Perforator Flaps | Presentation by Dr. Joshua L. Levine

February 23rd, 2021|Video Presentation|

This is a talk that Dr. Joshua L. Levine gave in 2015 at a FORCE meeting in order to educate patients who were dealing with the risk of having breast cancer. FORCE stands for Facing Our Risk of Cancer Empowered, and it’s an organization that is geared towards providing information for patients who have genetic mutations which predispose them to a high risk of breast or ovarian cancer. The purpose of this talk is to provide an overview and basic understanding of what breast reconstruction is all about, and some of the advanced and gold-standard options possible that allow all women to be candidates.

Informative Articles & Q&A’s

Articles Covering Specific Topics Breast Reconstruction

Autologous Breast Augmentation After Lumpectomy and Radiation Therapy

Dr. Levine’s approach to Breast Augmentation After Lumpectomy is a great fit for those who’ve had Radiation Therapy. It’s a safer choice because using your own tissue for the augmentation avoids the problems that implants might have in irradiated areas.

Breast Volume Restoration After Weight Loss: Lift, Augmentation, and Natural Tissue Solutions

Discover solutions for breast volume loss after weight loss with Dr. Joshua Levine’s expertise in natural tissue augmentation. This article details his methods for effective breast lift and augmentation. Read the full article or listen to the narration for practical insights and benefits.

Living Tissue Breast Augmentation: Introducing the Microsurgical TDAP Procedure

Explore the Living Tissue Breast Augmentation Procedure using the Microsurgical TDAP technique by Dr. Joshua Levine, a leading microsurgeon. Learn how this method offers natural, permanent results without the need for implants. Read the article or listen to the narration by Dr Levine.

Breast Augmentation Options: Implants vs. Breakthroughs in Natural Tissue Techniques

Discover the latest in breast augmentation options with insights from Dr. Joshua L. Levine, a leading surgeon pioneering new techniques and developments beyond traditional implants. Explore how autologous methods offer advanced, personalized solutions for breast enhancement

Breast Reconstruction Scars: Healing Expectations and Effective Treatments

In this article with accompanying audio narration, Dr. Joshua L. Levine, a pioneering microsurgeon specializing in autologous breast reconstruction, provides insights into the expectations and care practices for mastectomy and breast reconstruction scars. Discover practical advice on managing scars and optimizing recovery for enhanced post-surgical outcomes.

Innovative Approaches to Complex Breast Reconstruction Cases: Esoteric and Combination Flaps

Patients seeking breast reconstruction should consider autologous methods, using their own tissue for natural reconstruction; while challenges like thinness or prior surgeries exist, sophisticated microsurgical options ensure viable alternatives for successful outcomes.

Understanding and Treating Post-Surgical Dermatitis After Breast Reconstruction

Understand why many women encounter barriers in accessing breast reconstruction options tailored for thin patients and high-risk cases like diabetes, as surgeons' limited experience poses challenges. Listen to Dr. Levine's audio narration or read the article for insights.

Overcoming Challenges in Autologous Breast Reconstruction: Options for Thin Patients and High-Risk Cases

Understand why many women encounter barriers in accessing breast reconstruction options tailored for thin patients and high-risk cases like diabetes, as surgeons' limited experience poses challenges. Listen to Dr. Levine's audio narration or read the article for insights.

Breast Reconstruction After Radiation and Non-Skin-Sparing Mastectomy

Breast surgery, particularly after mastectomy, can be a vital step in the journey towards physical and emotional healing for many women. However, complications such as tissue necrosis can arise, impacting both the aesthetic outcome and overall well-being of the patient. In breast reconstruction, addressing necrosis and necrosis removal is paramount for successful outcomes.

Treating Necrosis Through Corrective Breast Reconstruction and Necrosis Removal

Breast surgery, particularly after mastectomy, can be a vital step in the journey towards physical and emotional healing for many women. However, complications such as tissue necrosis can arise, impacting both the aesthetic outcome and overall well-being of the patient. In breast reconstruction, addressing necrosis and necrosis removal is paramount for successful outcomes.

Exploring Fat Transfer Technique for Implant Replacement in Breast Reconstruction

Understanding the differences between the fat transfer technique and perforator flap breast reconstruction is crucial for patients exploring their breast reconstruction options. While the fat transfer technique is ideal for minor enhancements using liposuctioned fat, perforator flap methods like DIEP offer a comprehensive, permanent solution using transplanted tissue.

Addressing Concerns and Pain After Breast Reconstruction Surgery

Breast reconstruction surgery is a significant step in the journey towards regaining confidence and feeling whole after mastectomy. However, sometimes the results may not meet expectations, leading to dissatisfaction and discomfort. It's crucial to address any pain after breast reconstruction promptly to explore corrective options so you can feel whole again.

Exploring Prophylactic Mastectomy with DIEP Flap Reconstruction

For women considering prophylactic mastectomy with reconstruction, the decision often involves careful consideration of various factors, including the type of reconstruction. One increasingly popular option is DIEP flap reconstruction. DIEP (Deep Inferior Epigastric Perforator) flap reconstruction is a type of autologous breast reconstruction that uses the patient's tissue from the lower abdomen to create a new breast mound. Unlike traditional implants, DIEP flap reconstruction offers several advantages, including a more natural look and feel, long-lasting results, and potential improvements in abdominal contour.

Exploring Options After a Positive BRCA Mutation Test: Navigating Towards Natural Tissue Breast Reconstruction

Receiving a positive BRCA mutation test result can be a life-altering moment for any woman. It's a juncture where decisions regarding proactive measures, such as prophylactic mastectomy, often come into focus. But what comes next after this critical discovery? It's essential to look into your available options, including natural tissue breast reconstruction, to make informed choices about your health and well-being.

Q&A: What is Better Diep Flap or Implants?

In this article Dr. Levine answers a patient's question, "What is better, diep flap or Implants?" After mastectomy, breasts can be reconstructed with either implants or the patient’s own body tissue. Reconstruction with the patient’s own body tissue is called autologous breast reconstruction, and the most sophisticated procedure for autologous breast reconstruction is the perforator flap.

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