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Midwest Plastic Surgery Ohio

Midwest Breast and Aesthetic Surgery is committed to offering its patients a full range of advanced reconstructive and cosmetic procedures for restoring the structure and enhancing the appearance of the breast and body.

With locations in Columbus, Cincinnati and Springfield, OH, we seek to provide our state-of-the-art plastic surgery services to surrounding patients in Ohio, Kentucky, Indiana, Michigan, West Virginia and Pennsylvania and beyond. Contact us today to schedule an appointment or learn more.

  • American Society Reconstructive Microsurgery
  • Breast Cancer
  • American Society of Plastic Surgeon
  • Ohio Valley Society of Plastic Surgeons
  • ABMS Maintenance of Certification
  • The Columbus Society of Plastic Surgeons

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Midwest Breast Surgeons, Dr. Ergun and Dr. Tiwari

Midwest Plastic Surgeons Who Specialize

Our highly specialized surgeons only perform plastic surgery of the breast and body, making it possible for them to offer everything from minimally invasive procedures to the most advanced and technically demanding operations.

Breast Reconstruction - Our physicians have completed training at the world’s leading institutions specializing in advanced breast reconstruction techniques such as DIEP flap, SIEA flap, GAP flap, TUG flap, PAP flap, and autologous fat grafting. We are dedicated to natural tissue reconstruction and perform over 200 DIEP flaps each year. Whether you are facing a new breast cancer diagnosis or have a reconstruction that is unsatisfactory, our dual-surgeon approach is designed to optimize your surgical course and results.

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Reviews
Testimonials

Dr. Kocak and Dr. Tiwari are amazing surgeons.  They are caring, thorough, easy to get in contact with for questions and all around great doctors.  After many years of painful, deformed implant reconstruction I chose to have the DIEP flap reconstruction, Drs. Tiwari and Kocak did a great job...

Yelp

Dr. Kocak & Dr. Tiwari performed my DIEP reconstruction when I had my prophylactic double mastectomy due to having a BRCA1 mutation. Their excellent surgical skills are equally matched by their compassion, accessibility, and dedication to their patients. Their confidence and guidance led me ...

Yelp

Dr. Kocak is wonderful! I recently had a breast reconstruction surgery with Dr. Ergun Kocak and it was one of the best decisions I have ever made. I am so contented with the result. He was reassuring every step of the way and explained everything to me and made...

RealSelf

Dr. Kocak is an amazing doctor. He has the best bedside manner of any doctor I've ever been to. Dr. Kocak is truly an artist in what he does. I highly recommend him. His staff is very well-mannered and expert in what they do...

RealSelf

He is a great surgeon. He answered all my questions. He was very easy to talk to. The procedure went well and my recovery was short and less painful than I thought. The staff is great and made me feel very comfortable! I highly recommend Kocak, he’s ...

RealSelf

Highly recommend Dr. Kocak. The whole team from front office to Doctor are caring and very professional. They put me at ease on my first visit and were honest, incredibly knowledgeable and detailed with explaining the procedure...

RealSelf

Dr. Kocak is a wonderful and skilled Plastic Surgeon. He was warm and professional and his office staff was equally caring...

RealSelf

I had a great experience with Dr. Tiwari. He is amazing at what he does, he made me feel beautiful again. His staff was super friendly and welcoming. I am so pleased with the quality of care, the staff and the results...

RealSelf

Dr. Tiwari is an excellent board certified plastic surgeon...

RealSelf

He wants the best for his patients and make sure his patients are informed so that they can make the right decision for them. The staff, as well as Dr Tiwari, are very nice and always helpful...

RealSelf

He's very knowledgeable, honest, kind, and sincere. He made me feel comfortable...

RealSelf
3.3 Based on 11 Reviews
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Thank you so much. Everyone has been so kind. Maggie always has that warm and inviting smile! Dr. Kocak, made me feel confident on my choices. His bed side manner was comforting, reassuring and most of all compassionate! I was scared, lonely and m...
My RESULTS are WOW. My breasts look really natural and are the perfect size, They look and feel totally natural. I would highly recommend my doctors and suggest that people do not just take my word for it, shop around and compare so you can see fo...
My doctors were great. I was very nerves about my cosmetic surgery he made me feel very comfortable with him he called me (my husband) at home after hours and weekend he was wonderful very caring!!! Great Dr. caring, loving and personable doctor!!...
Dr. Twari is a wonderful caring doctor. His attention to detail and the patient health goes beyond your expectation. We need more doctors like him. - JH
I love Dr Tiwari. He has done an excellent job with my reconstruction. I followed him from OSU to his new practice, and after they get out all of the kinks, everything at his new office will be good there too. I'll be back for the "finishing touch...
Great surgeon, results better than I could have imagined! - AN
Dear Dr T: Thanks so much for all that you have done for me over this past year. I’m very happy with the outcome. I’m happy that I had you as my doctor.I would recommend your services to anyone. You and your staff especially Maggie...
Dr. Tiwari, Dr. Kocak & Maggie, I want to thank you from the very bottom of my heart for making one of the most difficult times in my life so much easier to deal with. I had a bilateral mastectomy with reconstruction, and even though the process i...
Even though I’m still dealing with these wound issues, I can not tell you enough how grateful I am to both of you for what you have given me. I agonized over whether I was making the right decision to do this surgery for months. I realized ...
My case was very different I think then most. I had breast cancer over 15 years ago and thought I would be smart and get everything done all at once, by removing my breast and performing the breast reconstruction all at the same time. This was a 1...
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Copyright 2014 Midwest Breast & Aesthetic Surgery. Dr. Ergun Kocak*, Dr. Pankaj Tiwari*, Dr. Bianca Chin. All Rights Reserved. | Disclaimer
*Doctors certified by ASPS & ABPS.
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Pankaj Tiwari, MD

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Bianca Chin, MD

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Ergun Kocak, MD

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Pankaj Tiwari, MD
[email protected]
Testimony
"Lizzie B. Byrd Act"
November 6, 2013

Good morning Chairwoman Jones, Vice Chair Burke, Ranking Member Cafaro and members of the Senate Medicaid, Health and Human Services Committee. Thank you for the opportunity to present Testimony on the “Lizzie B. Byrd Act.”

In May of 2011, House Bill 217 was introduced in the 129th General Assembly. This bill highlighted the fact that not all Ohio women were aware that they could obtain breast cancer reconstructive surgery at the same time they obtained a mastectomy, while having both procedures covered by insurance.

As a Reconstructive Plastic Surgeon, much of my clinical practice is focused on reconstruction after cancer. Many of my patients undergo reconstruction at the time of mastectomy for breast cancer. I would like to highlight two specific aspects of breast reconstruction based on my clinical experience. I will divide these considerations into “patient-centered” and “care management.”

“Patient-centered” – Breast reconstruction at the time of mastectomy (immediate reconstruction) allows patients to move beyond the stigmata of disease that often persist after completing mastectomy, chemotherapy and radiation treatment. It is well accepted in the medical literature that the physical deformities of treatment lead to impairment in patient quality of life. Breast reconstruction at the time of mastectomy has significantly demonstrated quality of life improvement for patients. This data results from studies using validated survey questionnaires submitted to patients who have undergone reconstruction and those who have not undergone reconstruction. Quality of life improvements include return to work and to activities of daily living as well as improvements in psychosocial outcomes such as the incidence of depression among breast cancer survivors.

“Care management” – Immediate reconstruction reduces the overall cost of care as compared to reconstruction performed at a later time point (delayed reconstruction). As part of the Women’s Health Care Act of 1998, reconstructive breast surgery after mastectomy falls under the purview of insurance coverage. Immediate reconstruction reduces the overall numbers of days spent in the hospital and the number of revisionary lifetime surgeries as compared to delayed reconstruction. Clinical evidence demonstrates that certain types of immediate reconstruction may reduce the incidence of chronic lymphedema and the attendant costs associated with lifelong management of this chronic condition. Finally, the “Lizzie B. Bird Act” presents a model for vertically integrated physician collaboration that should increasingly become the standard for Accountable Care Organizations (ACOs). Improved care coordination among the members of the healthcare team (medical oncology, surgical oncology, radiation therapy and reconstructive plastic surgery) limits the potential for errors in clinical judgment that lead to costly revisionary surgery.

In my clinical experience, information to the patient regarding her options for breast reconstruction at the time of mastectomy leads to improved care coordination and improved patient outcomes with a decreased incidence of lifetime surgery. I would be happy to provide references from the scientific literature should the committee request them.

Again, thank-you Chairwoman Jones and members of the Senate Medicaid, Health and Human Services Committee. I will be more than happy to answer any questions that you may have at this time.