Plastic Surgery Breast Fellowship

Message from the Program Director

Thank you for your interest in the Breast Aesthetic and Reconstructive Fellowship of the Division of Plastic and Reconstructive Surgery at Washington University in St. Louis. We are proud to offer a comprehensive fellowship program that covers all facets of breast plastic surgery including aesthetic, reconstructive and cosmetic. Training is predominantly provided by Drs. Terence Myckatyn, Marissa Tenenbaum and Keith Brandt, with significant contributions from Drs. Ida Fox, Thomas Tung and Alison Snyder.

The aesthetic breast surgery experience is provided predominantly through our aesthetic satellite office, "West County Plastic Surgeons” (, and includes primary aesthetic surgery as well as complex revision aesthetic surgery and aesthetic breast surgery after massive weight loss. Our group provides exclusive breast reconstructive surgery services to approximately 700 new patients per year with breast cancer diagnoses at the Siteman Cancer Center as well as drawing upon a substantial referral base throughout the Midwest. Reconstruction includes all manner of microvascular perforator flaps and oncoplastic reconstructions as well as tissue expanders and immediate implants. The fellow can expect to perform more than 100 microvascular breast free flaps as part of their experience.

The Siteman Cancer Center was designated as a top-10 cancer center by U.S. News and World Report in 2012 and has a National Comprehensive Cancer Network (NCCN) designation. Barnes-Jewish Hospital and Barnes-Jewish West County Hospital are the main teaching hospitals for the fellowship program. U.S. News and World Report consistently has included Barnes-Jewish on its Honor Roll among the nation's top hospitals. Congenital breast deformities for age-appropriate patients are addressed at St. Louis Children’s Hospital, which is located on the Washington University Medical Center campus.

The Fellowship Program is associated with Washington University School of Medicine in St. Louis. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, consistently ranked as one of the top medical schools in the nation by U.S. News & World Report. Approximately 1,200 Washington University faculty members practice at either Barnes-Jewish Hospital or St. Louis Children’s Hospital. The most recent editions of America's Top Doctors and The Best Doctors in America selected more than 90 and over 370 Washington University faculty members, respectively, as leading doctors, including six of the faculty members involved with this fellowship.

Terence M. Myckatyn, MD, FACS, FRCSC
Program Director