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
End of Life: Planning for a Peaceful Transition [not-audio_url] [/not-audio_url]

Duration: 40:57
How do you prepare for the end of life? It’s a daunting question, but one that’s incredibly important to consider. Losing a loved one is never easy, but having everything in order can help bring peace instead of added st…
Life After Menopause: Taking Control of Your Health & Hormones [not-audio_url] [/not-audio_url]

Duration: 47:00
Hello and happy Monday, amazing Over 50 & Flourishing listeners! Today, I’m joined by the brilliant Nicki Williams—renowned nutritionist, hormone expert, and author of Life After Menopause. Nicki and her team at Happy Ho…
Love Knows No Age: A Valentine’s Special with My Husband, Vic [not-audio_url] [/not-audio_url]

Duration: 56:43
Happy Valentine’s Week! 💕 This year, my special guest—and forever Valentine—is my wonderful husband, Vic. We’re sharing our love story, proving that finding love after 50 is not only possible but truly beautiful. Plus, w…
The Secret to Confidence: It’s Not What You Think [not-audio_url] [/not-audio_url]

Duration: 51:18
From the movies we watch to the perfectly curated images on social media, we’re constantly shown what confidence should look like. But true confidence goes deeper than appearances. In this episode, I’m exploring how fait…
Faded to Fabulous: Redefining Midlife with The Wellness Cottage [not-audio_url] [/not-audio_url]

Duration: 1:05:11
Meet Kim Lovely and Vicki Kirby, the visionary women behind Faded to Fabulous and founders of The Wellness Cottage. After seeing countless women struggle with traditional approaches to menopause and perimenopause, they s…
Rebuilding Your Life After Divorce: 8 Strategies for Success [not-audio_url] [/not-audio_url]

Duration: 59:03
Welcome back to Over 50 & Flourishing! In this episode, relationship expert Laurie Gerber joins us again to share her 8 powerful strategies for success in relationships. From navigating dating after divorce to rebuilding…
Ozempic and GLP-1 Medications: The Truth About Weight Loss and Beyond [not-audio_url] [/not-audio_url]

Duration: 54:27
She’s back! Please welcome Dr. Marjory Nigro, a board-certified dermatologist based in Houston, who’s here to have an open and honest conversation about Ozempic, GLP-1 medications, and their impact on weight loss and hea…
From Vision to Reality: My Words for 2025 and How to Choose Yours [not-audio_url] [/not-audio_url]

Duration: 49:10
Happy New Year! Let’s kick off 2025 with intention and purpose. In this episode, I’m sharing my belief system that will guide me this year and exploring how a simple word or phrase can shape your goals, mindset, and acti…
Dear Me: A Letter to the Women I Was at the Start of the Year [not-audio_url] [/not-audio_url]

Duration: 37:40
As we wrap up the year, I wanted to take a moment to reflect on everything 2024 has brought—both the challenges and the blessings. In this episode, I’ll be sharing something deeply personal: a letter I wrote to the woman…
Meet My Husband, Vic: A Special Holiday Episode [not-audio_url] [/not-audio_url]

Duration: 57:02
Merry Christmas and Happy Holidays to you and your loved ones! This season as we sing about peace on earth and joy to the world, I’m overjoyed to share a first ever moment, introducing my husband, Vic Mignogna on the pod…