Breast Reconstruction Procedure Videos Narrated by Dr. Levine

Illustrations, Presentations, and Q&As To Help You Make Your Decision

Browse our Breast Reconstruction Procedure Video Library, narrated by our Director and Lead Surgeon Dr. Joshua Levine, as he explains how each advanced procedure is performed alongside medical illustrations.

  • Part 1: Breast Reconstruction Procedure Videos, Narrated by Dr. Joshua L. Levine
  • Part 2: Presentations Delivered by Dr. Levine at Medical Professional Conferences

Animated Breast Reconstruction Video

The following video presents step-by-step procedure information, process, and options for patients to better understand their surgical treatment choices.

Procedure Videos

Each video displays hand-drawn illustrations of the specific procedure, narrated by Dr. Joshua Levine.

DIEP Flap Procedure Video

SIEA Flap Procedure Video

PAP Flap Procedure Video

SHaEP Flap Procedure Video

STACKED COMBINATION FOUR Flap Procedure Video

TUG Flap Procedure Video

Breast Reconstruction Panel: Live Q&A Panel hosted by FORCE

FORCE improves the lives of the millions of individuals and families facing hereditary breast, ovarian, pancreatic, prostate, colorectal and endometrial cancers.

JOINING FORCES 2022
Presented on October 12, 2022

Breast Reconstruction Panel: Live Q&A Panel by Joshua Levine, MD; Constance Chen, MD; C. Andrew Salzberg, MD; Alicia Billington, MD, PhD

JOINING FORCES 2022
Presented on October 12, 2022

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

Presentations Delivered by Dr. Levine,
Medical Professional Conferences & Meetings

Viewing Instructions:
Some of these presentations include before and after photos of actual patients of Dr. Levine, as well as photos taken during their procedures. For this reason, some of these videos are only viewable on YouTube.

Medical Professionals | Learn More

Breast Reconstruction:
Your Right, Your Choice

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.

Tripedicled Extended Abdominal Perforator Flap

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.

Understanding the MRA (MR Angiography)

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.

What is a Perforator Flap in Breast Reconstruction

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.

More Is Better:
Multiple and Delayed Flaps in Implant Failure 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.

Understanding the MRA (MR Angiography)

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.

Surgical Delay for Extending DIEP Flap Breast Reconstruction

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.

Delay Phenomenon for DIEP Flap Breast Reconstruction

What we know from many years of experiments and studies that have been done over decades, is that when cutting off part of a blood supply to a certain area, the blood vessels that remain, become larger and more robust, in order to continue to supply to that tissue. This is called the delay phenomenon.

The Lateral Thoracic Pedicled Perforator Flap Breast Reconstruction

Dr. Levine discusses how The Lateral Thoracic Pedicled Perforator Flap procedure is a powerful tool in natural tissue breast reconstruction. It can be used to 1. correct partial mastectomy defects caused by lumpectomy and radiation therapy, 2. correct autologous augmentation of the normal breast, and 3. most commonly as an adjunct to autologous breast reconstruction to correct asymmetry.

SHAEP flap Breast Reconstruction Procedure at WSRM 2019 Bologna, Italy

The SHaEP (stacked hemi abdominal extended perforator) flap is an excellent option for thin women who need more volume than there is in the center of their abdomen.

PAP flap Breast Reconstruction Procedure for ASRM 2019 Palm Desert

PAP stands for profounda artery perforator flap. It is the tissue taken from the back of the leg just below the buttock crease.

Mix & Match: A Staged Immediate Approach to Breast Reconstruction

In this presentation, Dr. Levine explains the timing protocol that we call mix and match in natural tissue breast reconstruction, also known as the staged-immediate approach to breast reconstruction.