Breast and Microsurgery Fellowship

The UT Southwestern Medical Center Breast and Microsurgery Fellowship provides the fellow with experience in both micro- and non-micro-based breast reconstruction via an academic and large private practice setting. The fellow will rotate at all hospitals affiliated with UT Southwestern Medical Center, including St. Paul University Hospital, Zale Lipshy University Hospital, Parkland Memorial Hospital, and Children’s Medical Center.

The fellow will have the opportunity to perform a pre-operative evaluation, operate, and offer post-operative follow-up on all micro- and non-micro breast reconstruction patients seen by the Fellowship Director at UT Southwestern University Hospitals. This exposure and continuity of care throughout the entire year will provide a seamless experience throughout the entire reconstructive process for the micro breast fellow.

The fellow will be exposed to 1-1.5 days of clinic weekly in a private practice setting. The Fellowship Program will cover all aspects of micro breast reconstruction (DIEP, SIEA, MS-TRAM, TUG, SGAP/IGAP) and non-micro breast reconstruction (LD, muscle-sparing LD, extended LD, TE/Implant, immediate implant/allograft, fat grafting, etc.). The fellow will also be exposed to a wide variety of breast reconstruction techniques and have the opportunity to evaluate, treat, and manage complex secondary breast reconstructions and corrections and aesthetic breast surgery.

The fellow rotates during the year at Baylor Hospital Dallas where he/she will have exposure to both micro- and non-micro breast reconstruction in a private practice non-academic center. This setting will provide a unique educational experience on all aspects of breast reconstruction from a private practice perspective. More than 350 breast reconstructions are performed each year at Baylor and this will provide the fellow an ample exposure to all techniques during the year.

The five core faculty affiliated with the fellowship at Baylor Hospital will provide a heterogeneous learning experience. A general reconstruction half-day clinic will be available weekly for the fellow at Baylor Hospital. The fellow will also be exposed to a large variety of head and neck reconstructive microsurgery cases at Baylor (75 micro cases a year) and will gain particular experience with the free fibular, radial forearm, and anterolateral thigh flaps. Trauma microsurgical reconstruction experience will be available at Parkland Memorial Hospital, which is a Level I trauma center affiliated with UT Southwestern.

The fellow rotates with UT Southwestern University Hospitals, Baylor Hospital, and private practice faculty in order to gain experience in cosmetic breast surgery at UTSW Medical Center, Baylor Hospital Dallas, and in private practice. Surgeries will include: breast augmentation, breast mastopexy, revision surgeries, etc.

The fellow completes a two-week elective in breast surgical oncology rotation with the UT Southwestern Center for Breast Care, in order to be more familiar with the latest techniques in oncologic breast surgery, evaluation, and staging.

Educational Experience

Educational experiences will include:

  • Attendance at the Stephen Mathes Reconstructive Symposium and Techniques in Flap Dissection with Cadaver Workshop
  • Attendance at the ASRM meeting
  • UTSW Department of Plastic Surgery visiting professors
  • Weekly Thursday didactic teaching sessions from 3–6 p.m.; resident and fellow teaching, case presentations, grand rounds 56 p.m.
  • Weekly multidisciplinary breast oncology meeting Tuesday 7:158:30 a.m.
  • Fellow will pre-operatively evaluate all breast reconstruction cases for the week performed at Parkland Memorial Hospital. This is performed in the context of a Monday weekly pre-operative conference for all cases performed at Parkland.
  • Attendance at all other UTSW Plastic Surgery-related conferences, i.e., Abdominal Wall Reconstruction Symposium, Rhinoplasty/Cosmetic Surgery Symposium, Body Contouring Course, etc.

Research Experience

Exposure and access to the UT Southwestern Department of Plastic Surgery Anatomical Studies laboratory and basic science laboratories. The microsurgery fellow will also have their own cadaver reserved during the year via the UTSW Willed Body Program for independent research and dissection in order to maximize teaching and knowledge of flap anatomy. A large number of basic science and clinic studies are ongoing and the fellow will be involved in their own independent research, leading toward presentation at a national meeting and publication.