Dr. Sean Simon, a Miami plastic surgeon, walks through his day performing four surgeries: an abdominoplasty with fat grafting, a breast implant revision for severe capsular contracture, a breast reconstruction, and laser liposuction. He shares his morning routine, introduces his surgical team, and explains each procedure in detail.
Chapters
Morning.
All right, 6:15. I just got up, showing you a day in my life. So got up, brush my teeth, get the scrubs on, and get dressed. I don't do much in the morning. Usually I take Luna out the back. For some reason she stayed in bed this morning. She must be real cozy and tired, so probably a good move. Anyway, getting dressed, heading off to work. All right, 6:45. Waste management making a lot of noise. Just got to the office, heading in right now. This is usually when I get day here. So I'm gonna go, uh, the team will be here— Priscilla, Danny, Roger. Um, front door, but we go this way, that's the elevators. Surgery center entrance, that's where you go when you're getting the first patient ready. Always get all my stuff ready, make my first— well, first and only cup of coffee. I only have one cup of coffee. I like this stuff. Superfood creamer just made out of coconut. And then make my morning breakfast, which is cacao, more like superfood. Try to stay healthy for you guys. And then my gut health supplements all goes in the shake. Anyway, I'm gonna make that stuff.
And then 6:53, I'm at my desk. Priscilla's getting my first patient ready. That means she's going over her nurse checklist, preoperative, uh, just information. And then she's placing an IV. So the first case is going to be an abdominoplasty with liposuction of the trunk. I'm doing some fat transfer, fat grafting to the buttocks for buttock shaping. A right total breast implant capsulectomy because there's a capsule contracture on the right side of her current breast implants. I'm going to remove the entire capsule. I'm doing a bilateral breast implant exchange. And then I'm going to place mesh on the right side to help support that new implant while the new capsule forms. That's it. See you soon.
All right. Here with my first patient and I just marked her. So we're going to get ready to go for surgery.
Good morning.
Good morning. How are you feeling today?
I feel very confident. Very happy.
Been a long time waiting.
Very long time, yes.
So, uh, it's gonna be fun. You're gonna have a nice little nap and then wake up, it's all be done.
Yes. Okay, thank you, thank you.
We're both excited. And, uh, all right, we'll see you later.
All right, finished first case. Uh, took about probably an hour longer than expected. She had very severe capsular traction on the right side. She had implants for about 18 years, but she developed a severe capsular contracture starting around 2 years ago. She had had some traumatic episode where she, like, blunt trauma to the right side of her chest. Um, actually saw her a couple years ago, diagnosed with the capsular contracture we talked about, um, doing the surgery, but other circumstances, personal issues got in the way, so it took a couple years to get to it. Appeared that there was a, uh, probably hemorrhage inside the capsule that occurred during that trauma, which led to, uh, stimulating the capsular contracture because, um, and also probably ruptured the implant because it was ruptured, that implant. A lot of fibrous, like, scar tissue, basically, like old, um, blood that had broken down and then became this fibrous tissue inside the capsule, just made for a real mess and took a long time to get the entire capsule out and all that tissue out. So, but all success, uh, and I got the job done, just took a little bit longer. That's fine. So, uh, on to the next case. I got that patient ready. Uh, the next case is going to be, um, a sort of a reconstruction. She's had multiple breast surgeries in the past, are kind of asymmetric, too large. So I'm going to redo her prior breast lift, um, place new smaller implants, uh, adjust internal pockets, place some mesh to support the lower portion of the breast, keep everything sort of more elevated and perky. And smaller, go down about a cup size. So more symmetric, smaller, perkier. More proportion to her body, kind of like a reconstruction of prior surgery. So that's the next case, and I've marked her, so the team is getting her ready. Gonna catch up on paperwork and my operative note, and then get going. Just finished up my operative notes, and I gotta go check. My team is getting the next patient ready. This is the breast sort of reconstruction case that I mentioned before. Let's go check it out. Are you still working hard? Finished the breast reconstruction case, and now off to do a SmartLipo laser-assisted lipo under local anesthetic. Let's go! ¡Oh!
