Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance

Plastic Surgeon Reveals the Truth About Breast Reconstruction & Insurance

Author: Dear Media November 10, 2025 Duration: 1:07:08
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 reconstructionHow reconstruction has evolved from early muscle-flap techniques to modern options like implants and DIEP flapsThe emotional impact of mastectomy and why reconstruction is about more than appearanceThe critical importance of timing, radiation, and why women must speak to a plastic surgeon early in their diagnosisThe hidden inequality in breast cancer care, and his fight to make reconstruction information and access a legal right for all womenClarifying implant safety, longevity, and the truth behind breast implant illness and removal trends For more on Dr. Garfein, follow him on:Instagram: https://www.instagram.com/drevangarfein/?hl=en Website: https://evangarfeinmd.com/ LinkedIn: https://www.linkedin.com/in/evan-garfein-md-mba-800ba03/  This episode is brought to you by:Ritual: My listeners get early access to their Black Friday sale with 40% off your first month at Ritual.com/OVER50 Honeylove: Save 20% at honeylove.com/OVER50Clean Simple Eats: Visit https://glnk.io/73q00/dominique and use code FLOURISHING20 at checkout for 20% off your first orderRidge Wallet: Head to Ridge.com to get up to 47% off your order.Timeline Nutrition: Head to timeline.com/flourishing to get 20% off your order. Revolve: Shop at Revolve.com/FLOURISHING and use code FLOURISHING for 15% off your first order. #REVOLVEpartnerHollow Socks: Hollow Socks is having a Buy 3, Get 3 Free Sale. Head to Hollowsocks.com today for up to 50% off your order. Keep in Touch:Website: ⁠⁠⁠⁠⁠⁠⁠https://dominiquesachse.tv/⁠⁠⁠⁠⁠⁠⁠Book: ⁠⁠⁠⁠⁠⁠⁠https://dominiquesachse.tv/book/Insta: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/dominiquesachse/Facebook: ⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/DominiqueSachse/TikTok: ⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@dominiquesachse?lang=enYouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@dominiquesachsetv Have a question for Dominique? Submit it here for a chance to have it answered on the show! https://forms.gle/MpTeWN1oKN8t18pm6  Interested in being featured as a guest? Please email ⁠⁠⁠⁠⁠⁠⁠courtney@dominiquesachse.tv⁠⁠⁠⁠⁠⁠⁠  We want to make the podcast even better. Help us learn how we can: ⁠⁠⁠⁠⁠⁠⁠https://bit.ly/2EcYbu4⁠⁠⁠⁠⁠⁠⁠ 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. Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Navigating life after fifty can feel like uncharted territory, but it’s also a space brimming with potential for renewal and vibrant growth. That’s the heart of Over 50 & Flourishing with Dominique Sachse. Drawing from her own journey and a career built on curiosity-first in television news and later through creating a deeply personal YouTube community-Dominique facilitates honest conversations that move far beyond the typical narratives about aging. This podcast, from Dear Media, delves into the multifaceted reality of this life chapter, exploring topics from physical health and fitness to cultural shifts, continuous education, and profound self-improvement. Listeners will hear interviews and reflections that tackle the real questions women are asking about purpose, wellness, relationships, and identity. It’s a resource for anyone ready to redefine what it means to flourish, offering practical wisdom and genuine camaraderie. Each episode aims to provide both insight and inspiration, proving that the years after fifty are not an ending, but a compelling new beginning rich with opportunity for the woman who is wise, healthy, and wonderfully aware of her own strength. Tune in for a dialogue that honors experience while eagerly exploring what comes next.
Author: Language: English Episodes: 100

Over 50 & Flourishing with Dominique Sachse
Podcast Episodes
Feeling Tired? This Molecule Could Be Why After 30 [not-audio_url] [/not-audio_url]

Duration: 1:07:27
🎟️ Don’t miss your chance to experience the Behind the Curtain tour LIVE! Grab your tickets now before they’re gone! Get yours here: https://linktr.ee/over50flourishing In this episode of Over 50 & Flourishing, I sit dow…
Stop Faking It: How To Change Your Life in the Bedroom [not-audio_url] [/not-audio_url]

Duration: 58:00
🎟️ Don’t miss your chance to experience the Behind the Curtain tour LIVE! Grab your tickets now before they’re gone! Get yours here: https://linktr.ee/over50flourishing In this episode of Over 50 and Flourishing, I sit d…
I Changed My Hair… AGAIN! (+ Big News: I'M GOING ON TOUR) [not-audio_url] [/not-audio_url]

Duration: 1:08:42
🎟️ Don’t miss your chance to experience the Behind the Curtain tour LIVE! Grab your tickets now before they’re gone! Get yours here: https://linktr.ee/over50flourishing In this episode of Over 50 & Flourishing, I’m joine…
Why Women Feel Guilty for Choosing Themselves (And How to Stop) [not-audio_url] [/not-audio_url]

Duration: 1:17:27
In this episode of Over 50 and Flourishing, I sit down with Gabby Reece for a powerful conversation about identity, resilience, and what it really means to live strong. Gabby Reece is a former professional beach volleyba…
The Diet Culture We Grew Up In And How to Finally Let It Go [not-audio_url] [/not-audio_url]

Duration: 1:05:57
In this episode of Over 50 and Flourishing, I sit down with Erin Washington for a conversation about diet culture, perfectionism, and identity. Erin Washington is a former Division I soccer player whose identity was root…
The 4 Attachment Styles And Why Your Relationships Keep Repeating [not-audio_url] [/not-audio_url]

Duration: 59:10
In this episode of Over 50 and Flourishing, I sit down with attachment theory expert Thais Gibson for a powerful conversation about love, trauma, and the patterns that shape our relationships. Thais Gibson, PhD, is a rel…
She Got Fired at 61 Then Started an Unfiltered Social Media Career [not-audio_url] [/not-audio_url]

Duration: 56:07
What happens when you stop caring what people think after 60? In this candid, funny, and unexpectedly heartfelt conversation, I sit down with Lisa Arce (@kitchenkillalisa), the bold and unfiltered voice behind the viral…