DiscoverOver 50 & Flourishing with Dominique SachsePlastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance
Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance

Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance

Update: 2025-11-10
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This week, Dominique is joined by Dr. Evan Garfein, Chief of Plastic Surgery at Montefiore Medical Center and Professor of Surgery at the Albert Einstein College of Medicine. Together, they dive into one of the most important and often overlooked conversations in women’s health: breast cancer, mastectomy, identity, and the power of choice in reconstruction.

Dr. Garfein has dedicated his career to helping women restore both their bodies and confidence after breast cancer. With more than 60 peer-reviewed publications, three biomedical patents, and nearly a decade named in New York Magazine’s Best Doctors, he is not only a surgeon but an advocate. He helped author a New York State law requiring doctors to inform women of their right to reconstruction, a crucial step toward bridging healthcare inequality.

In this episode, Dominique and Dr. Garfein discuss:

  • What inspired him to leave cardiac surgery and dedicate his life to breast reconstruction
  • How reconstruction has evolved from early muscle-flap techniques to modern options like implants and DIEP flaps
  • The emotional impact of mastectomy and why reconstruction is about more than appearance
  • The critical importance of timing, radiation, and why women must speak to a plastic surgeon early in their diagnosis
  • The hidden inequality in breast cancer care, and his fight to make reconstruction information and access a legal right for all women
  • Clarifying implant safety, longevity, and the truth behind breast implant illness and removal trends


For more on Dr. Garfein, follow him on:


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Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.


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Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance

Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance