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
Dear Dominique Episode 2: Knowing When Enough Is Enough 💌 [not-audio_url] [/not-audio_url]

Duration: 43:50
My heart goes out to everyone impacted by the catastrophic flooding in Texas. If you’re in a position to donate, please consider supporting the relief efforts: https://cftexashillcountry.fcsuite.com/erp/donate/create/fun…
From Shark Tank to Seven Figures: The Makeup Junkie Bag Story [not-audio_url] [/not-audio_url]

Duration: 43:26
In today’s episode, Dominique sits down with Meredith Jurica, founder of the wildly popular Makeup Junkie Bags, to talk about how a simple idea at her kitchen table turned into a made-in-Texas brand featured on Shark Tan…
What Every Woman Over 50 Should Know About Skincare and Makeup [not-audio_url] [/not-audio_url]

Duration: 1:06:34
Today, I’m thrilled to welcome Kat James, a beauty expert with over 30 years of experience and the first beauty creator over 50 to reach a million TikTok followers. Kat shares what every woman over 50 should know about s…
How to Support Adult Children Without Holding Them Back [not-audio_url] [/not-audio_url]

Duration: 58:38
Struggling to support your adult children while encouraging their independence? In this episode, I’m joined by Susie Pettit—certified life and relationship wellness coach and founder of the Love Your Life School—to explo…
Untangling Mom: Learning to Love Her and Finally Be Me [not-audio_url] [/not-audio_url]

Duration: 57:39
Relationship coach Laurie Gerber returns to help us unpack the emotional weight of the mother-daughter dynamic. Through her “Pedestal Ditch Perspective,” we’ll explore how we see our moms—either as flawless or flawed bey…
Mom to Mom: Conversations We Need at Every Age, From 20 to 80 [not-audio_url] [/not-audio_url]

Duration: 1:02:11
Happy Mother’s Day! In this special episode, we’re joined by a very special guest—Julie Young, Courtney’s mom—who you may remember from our Greece trip. Today, we’re having a raw and honest conversation, mom to mom. We’r…