Santosh Kale, MD, MBA

Dr. Santosh Kale is a board-certified plastic and reconstructive microsurgeon who brings extensive experience in complex reconstruction, breast surgery, and microsurgical procedures. With a background that spans medicine, business, academic surgery, and surgical education, he takes a comprehensive approach to helping patients achieve functional and aesthetic outcomes tailored to their individual needs.

dr kale and megan

Why Patients Choose Dr. Kale

  • Board-certified plastic and reconstructive microsurgeon with expertise in advanced microsurgical techniques.
  • Provides care to more than 200 patients each year.
  • Extensive experience in breast reconstruction, aesthetic surgery, and complex reconstruction.
  • Thoughtful surgical planning tailored to each patient’s anatomy and goals.
  • Former Director of Microsurgery at Virginia Commonwealth University, where he helped train future surgeons.
  • A comprehensive, patient-centered approach shaped by both clinical and academic leadership.

Clinical Expertise

Breast Reconstruction

Dr. Kale performs both implant-based and tissue-based breast reconstruction, using advanced techniques to help patients restore breast shape and proportion following mastectomy or other breast procedures.

Microsurgical & Complex Reconstruction

With specialized fellowship training in reconstructive surgery and microsurgery, he treats complex reconstructive needs involving the breast, extremities, trunk, and head and neck.

Aesthetic Breast & Body Contouring

Dr. Kale’s aesthetic practice includes breast surgery and body contouring procedures designed to enhance natural proportions and restore or refine body contours.

Lymphedema & Gender-Affirming Surgery

His reconstructive expertise also includes surgical treatment for lymphedema and gender-affirming procedures, with treatment plans tailored to each patient’s goals and anatomy.

Education & Training

Dr. Kale’s training reflects a broad and rigorous foundation in medicine, surgery, reconstructive surgery, and microsurgery. His education spans distinguished academic institutions and advanced fellowship training, preparing him to manage complex reconstructive needs with both technical precision and a comprehensive understanding of patient care.

Cornell University

Cornell University

Undergraduate degrees in Economics and Chemistry, Magna Cum Laude

University of Illinois

University of Illinois

M.D. and M.B.A., James Scholar

Washington University in St. Louis

Washington University in
St. Louis

Surgical Residency

The Ohio State University

Fellowship in Reconstructive Surgery and Microsurgery

Career, Leadership, & Research

Dr. Kale has built a career that combines patient care with academic medicine, surgical education, and research. Before joining Midwest Breast & Aesthetic Surgery, he was recruited to Virginia Commonwealth University, where he held several clinical and educational leadership roles.

Associate Professor and Director of Microsurgery

Virginia Commonwealth University

Associate Clerkship Director

Virginia Commonwealth University

Member, Breast Health Leadership Committee

Virginia Commonwealth University

Dr. Kale’s commitment to advancing the field also extends to research and professional education. He has authored peer-reviewed articles and book chapters and has presented his work at medical seminars and conferences. His expertise has also been featured in television interviews discussing topics including life after mastectomy, chest procedures, and reconstructive microsurgery.

Honors & Awards

Dr. Kale’s work in patient care, medical education, and reconstructive surgery has earned recognition from both academic institutions and professional organizations.

Clinical Excellence

  • Richmond Magazine Top Docs (2018, 2019)
  • Virginia Living Top Doctor (2018)
  • VCU Medical Center Shining Knight (2017)

Teaching & Academic Recognition

  • VCU Outstanding Teacher Award (2014–2015)
  • American Society for Surgery of the Hand Joseph H. Boyes Award (2010)
dr kale (2)

Professional Memberships & Certifications

Dr. Kale maintains professional affiliations that reflect his commitment to advancing plastic and reconstructive surgery and upholding high standards of patient care. He is board-certified by the American Board of Plastic Surgery (ABPS) and is a member of the American Society of Plastic Surgeons (ASPS).

Megan Millard, PA C

Megan Millard, PA-C

Megan Millard, PA-C, is a surgical physician assistant at Midwest Breast & Aesthetic Surgery who works alongside Dr. Kale in breast reconstruction and cosmetic plastic surgery. Her interest in plastic surgery began early in life and continued through her clinical training, eventually bringing her to the practice for a clinical rotation during PA school.

Megan earned her undergraduate degree from the University of South Carolina before completing her Master of Physician Assistant Studies at Ohio Dominican University. Her personal connection to breast cancer has also shaped her interest in breast health, and she has been involved in breast cancer education, research, and patient support efforts.

Outside of the office, Megan enjoys spending time with friends and family, staying active through Pilates and Lagree, trying new restaurants, and listening to 2010s hits.