Plastic Surgery - Principles and Practice

Plastic Surgery - Principles and Practice

1st Edition - April 22, 2021

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  • Editors: Rostam Farhadieh, Neil Bulstrode, Babak J. Mehrara, Sabrina Cugno
  • Hardcover ISBN: 9780323653817
  • eBook ISBN: 9780323653824

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With detailed, expert guidance on each essential topic, Plastic Surgery: Principles and Practice offers single-volume convenience without sacrificing complete coverage of this multi-faceted field. Written by global leading authorities, it provides concise, easy-to-follow instruction with the clinical details and supportive data needed to achieve optimal patient outcomes.

Table of Contents

  • Instructions for online access
  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • Foreword
  • Preface
  • List of Contributors
  • Part I. Basic Science and Principles
  • 1. Skin Structure and Function, Wound Healing and Scarring
  • Skin Structure and Function
  • Type 1 – Classical Cutaneous Wound Healing
  • Type 2 – Neoclassical Cutaneous Wound Healing
  • 2. Basic Skin Flaps and Blood Supply
  • Introduction
  • Evolution of Flap Surgery
  • Physiology and Anatomy of Skin Blood Supply
  • Indications for Skin Flaps
  • Design and Application of Flaps
  • 3. Biomaterials and Structural Fat Grafting
  • General Principles
  • Autologous Grafts
  • Allografts and Xenografts
  • Alloplastic Materials
  • Conclusion
  • 4. Local Anesthetics
  • Introduction
  • Physiochemical Properties of Local Anesthetics
  • Pharmacokinetics of Local Anesthetics
  • Local Anesthetics in Clinical Practice
  • Topical Local Anesthetics
  • Local Anesthetic Systemic Toxicity (LAST)
  • Methemaglobinemia
  • Sedation
  • Regional Techniques of Relevance to Plastic Surgery
  • 5. Lasers
  • General Principles
  • Laser Therapy in Cutaneous Treatment
  • Laser Treatment by Lesion Type
  • Conclusion
  • 6. Tissue Expansion
  • Background
  • Viscoelastic Properties of Skin
  • Tissue Changes during Expansion Techniques
  • Evolution of Tissue Expansion Devices
  • Surgical Technique: Basic Incision and Design Plan
  • External Volume Expansion with BRAVA
  • Advantages and Disadvantages of Tissue Expansion
  • Complications
  • Future of Tissue Expansion
  • Ten Golden Rules of Expanders
  • 7. Tissue Engineering
  • Introduction
  • Experimental Tissue Engineering
  • Tissue Engineering in Plastic Surgery
  • Targeted Tissue Engineering Strategies
  • Bioreactors
  • Tissue Engineering in Practice: Tissue Engineered Breast Reconstruction
  • Regulation of Regenerative Medicine Therapies
  • Conclusion
  • Part II. Integument
  • 8. Melanoma
  • Epidemiology
  • Risk Factors
  • Clinical Diagnosis
  • Biopsy
  • Histology
  • Staging
  • Wide Excision
  • Sentinel Lymph Node Biopsy
  • Lymphadenectomy
  • Adjuvant Therapy
  • Locoregional Treatment
  • Distant Metastases
  • Noncutaneous Melanomas
  • 9. Nonmelanoma Skin Cancer
  • Introduction
  • Basal Cell Carcinoma
  • Squamous Cell Carcinoma
  • 10. Atypical Skin Lesions
  • Introduction
  • Benign Lesions
  • Unusual Malignancies of Skin
  • Conclusion
  • 11. Vascularized Composite Allotransplantation
  • Historical Background
  • Nomenclature
  • Basic Transplantation Immunology
  • Experimental Models of VCA Transplantation
  • Clinical Applications of VCA Transplantation
  • VCA Outcomes
  • Future VCA Perspectives
  • 12. Radiation Therapy and Soft Tissue Response
  • Radiation Principles
  • Mode of Action in Malignancies
  • Modes of Delivery
  • Treatment Parameters
  • Radiation Effects
  • 13. Burns: Acute Care and Reconstruction
  • Introduction
  • Burn Assessment
  • Pathophysiology of Burn
  • Types of Burns
  • Inhalation Injury
  • Fluid Resuscitation
  • Systemic Effects
  • Timing of Reconstruction
  • Acute Techniques to Limit Subsequent Reconstruction
  • Intermediate and Late Reconstruction
  • Surgical Techniques for Reconstruction
  • Nonsurgical Techniques
  • Anatomical Considerations
  • Part III. Pediatric Plastic Surgery and Congenital Disorders
  • 14. Congenital Melanocytic Nevi
  • Incidence of Phenotypic Classification
  • Histological and Clinical Appearances of CMN
  • Neurological Associations of CMN
  • Other Associated Features of CMN
  • Melanoma and CMN
  • Genetics of CMN and Implications for Treatment of Melanoma
  • Surgical Management of CMN
  • Conclusion
  • 15. Vascular Anomalies
  • Introduction
  • Vascular Tumors
  • Vascular Malformations
  • 16. Cleft Lip
  • Embryology
  • Clinical Anatomy
  • Preoperative Assessment
  • Presurgical Orthopedics
  • Unilateral Cleft Lip Repair
  • Bilateral Cleft Lip Repair
  • Primary Nasal Correction
  • Postoperative Care
  • Complications and Revision Surgery
  • Outcomes
  • Conclusion
  • 17. Cleft Palate and Velopharyngeal Dysfunction
  • Embryology
  • Anatomy
  • Submucous Cleft Palate
  • Associated Syndromes
  • Palatoplasty
  • Velopharyngeal Dysfunction
  • 18. Congenital Ear Anomalies
  • Ear Development
  • Prominent Ears
  • Other Auricular Anomalies
  • Microtia
  • Oculo-auriculo-vertebral Spectrum
  • Complications
  • 19. Rare Craniofacial Clefts
  • Etiology
  • Classification
  • Management
  • Skin
  • Eyelids
  • Nose
  • Cheek
  • Skeletal Reconstruction
  • Prevention
  • Conclusion
  • 20. Craniosynostosis
  • History
  • Skeletal Development
  • Craniosynostosis
  • Parameters of Care for Craniosynostosis
  • Treatment of Nonsyndromic Craniosynostosis
  • Treatment of Syndromic Craniosynostosis
  • Conclusion
  • 21. Orthognathic Surgery and Genioplasty
  • Orthognathic Surgery
  • Dentofacial Relationships and Terminology
  • Clinical Evaluation
  • Radiography and Cephalometrics
  • Orthodontics
  • Surgical Anatomy, Treatment Planning, and Operative Management
  • Case Examples
  • Special Considerations
  • Genioplasty
  • Surgical Anatomy
  • Indications for Genioplasty
  • Surgical Technique
  • Complications
  • 22. Facial Reanimation
  • Introduction
  • Anatomy of the Facial Nerve
  • Anatomy of Potential Donor Nerves for Facial Reanimation
  • Vascular Supply of the Face
  • Etiology of Facial Paralysis
  • Clinical Examination
  • Diagnostic Studies
  • Management
  • The Future
  • Part IV. Head and Neck Reconstruction
  • 23. Head and Neck Malignancies
  • Introduction
  • Evaluation of the Patient with Head and Neck Cancer
  • Staging
  • Neck Dissections
  • Postoperative Complications
  • Radiotherapy
  • 24. Oral Tongue and Mandibular Reconstruction
  • Introduction
  • Normal Anatomy and Function of Oral Tongue and Mandible
  • Etiology and Classification System
  • Reconstruction Principles
  • Surgical Options
  • Defect-Directed Reconstruction
  • Osseointegration
  • Postoperative Complications and Management Approach
  • Computer-Assisted Surgery and Jaw-in-a-Day
  • Conclusion
  • 25. Midface Reconstruction
  • Introduction
  • Reconstruction of the Palate and Alveolus
  • Reconstruction of the Orbital Walls
  • Orbitomaxillectomy (Maxillectomy with Orbital Exenteration)
  • Complications
  • Outcomes and Conclusions
  • 26. Pharyngeal Reconstruction
  • Introduction
  • Pathology
  • Anatomy
  • Indications for Surgery and Reconstruction
  • Classification of Pharyngeal Defects
  • Historical Perspectives
  • Assessment and Planning
  • Reconstruction
  • Complications
  • Voice
  • Management Strategies for Major Flap Complications
  • Future Directions and Tissue Engineering
  • 27. Reconstruction of the Skull Base
  • Introduction
  • Anatomy
  • Reconstructive Approach
  • Postoperative Care and Management of Complications Specific to Skull Base Reconstruction
  • 28. Cheek Reconstruction
  • Introduction
  • Anatomy
  • Management
  • Complications
  • Contour Defects
  • Conclusion
  • 29. Lip Reconstruction
  • Introduction
  • Anatomy
  • Etiology of Lip Defects
  • Reconstruction: General Principles
  • Algorithm for Reconstruction
  • Commissuroplasty
  • Conclusion
  • 30. Nasal Reconstruction
  • Introduction
  • Surgical Anatomy
  • Principles of Reconstruction
  • Small and Superficial Defects
  • Large and/or Deep Defects
  • Structural Support
  • Composite and Extended Defects
  • Use of an Algorithm for Flap Selection for Nasal Reconstruction
  • 31. Eyelid Reconstruction
  • Introduction
  • Periocular Physiology
  • Periocular Anatomy: Fundamentals of Eyelid Anatomy
  • General Principles of Reconstruction
  • Techniques
  • 32. Ear Reconstruction
  • Introduction
  • Initial Assessment Concerning a Posttraumatic Amputation
  • Reconstruction in Partial Amputations
  • Total and Subtotal Amputation
  • Complications
  • Algorithm
  • 33. Scalp and Calvarial Reconstruction
  • Introduction
  • Anatomy of the Scalp
  • Reconstructive Principles
  • Reconstruction Options
  • Conclusion
  • 34. Facial Trauma
  • Introduction
  • Frontal Bone and Naso-orbital Fractures
  • Naso-orbito-ethmoid Fractures
  • Zygomatico-maxillary Fractures
  • Complications
  • Orbital Fractures
  • Mandible Fractures
  • Fractures and Fracture Dislocations of the Condyle
  • Part V. Breast
  • 35. Breast Augmentation
  • Introduction
  • Implant Evolution
  • Indications
  • Assessment and Implant Selection
  • Operative Techniques
  • Complications and Treatment
  • Breast Implant-Associated Anaplastic Large Cell Lymphoma
  • Autologous Fat Grafting
  • 36. Breast Reconstruction
  • Introduction
  • Reconstructive Goals
  • Mastectomy Incisions
  • Autologous Tissue Breast Reconstruction
  • Abdominally-Based Flaps
  • Thigh-Based Flaps
  • Implant Breast Reconstruction
  • Latissimus Dorsi Flap
  • Conclusions
  • 37. Congenital Breast Anomalies
  • Embryology
  • Polythelia and Polymastia
  • Gynecomastia
  • Virginal Hypertrophy
  • Athelia and Amastia
  • Tuberous Breast
  • Poland Syndrome
  • Breast Hypoplasia
  • 38. Mastopexy and Breast Reduction
  • Introduction
  • Macromastia
  • Operative Technique for Superomedial Vertical Breast Reduction
  • Operative Technique for Vertical Mastopexy
  • Operative Technique for Vertical Augmentation-Mastopexy
  • Complications
  • Part VI. Trunk and Lower Limb
  • 39. Chest Wall Reconstruction
  • Overview of the Thoracic Cage
  • Congenital Defects
  • Pectus Deformities
  • Poland Syndrome
  • Sternal Cleft
  • Jeune Syndrome: Asphyxiating Thoracic Dystrophy
  • Acquired Defects
  • Sternal Wound Dehiscence
  • Neoplasms
  • Chest Wall Radiation
  • Chest Wall Trauma
  • Reconstruction of Chest Wall Defects
  • Congenital Chest Wall Defects in the Adult Patient
  • 40. Abdominal Wall Reconstruction
  • Anatomy
  • Etiology and Classification of Abdominal Wall Hernia Defects
  • Assessment of the Abdominal Wound
  • Goals of Reconstruction
  • Management of Abdominal Wounds
  • Management of Fascial Defects
  • Soft Tissue Reconstruction in Abdominal Wall Reconstruction
  • Management of the Postoperative Bulge
  • Conclusion
  • 41. Genitourinary and Perineal Reconstruction
  • Perineal Reconstruction
  • Introduction
  • Anatomy of the Blood Supply of the Perineum
  • Reconstruction of the Perineum
  • Reconstructing the Perineal Body
  • Regional Flaps
  • Discussion
  • Genital Reconstruction
  • Vaginal Reconstruction
  • Penile Reconstruction
  • Gender-Affirming Surgery
  • Conclusion
  • Hypospadias
  • Classification
  • Incidence and Etiology
  • Associated Anomalies
  • Management
  • Surgical Techniques
  • 42. Pressure Injuries
  • Introduction
  • Epidemiology
  • Pathophysiology
  • Prevention
  • Assessment of the Patient with a Pressure Sore
  • Initial Management
  • Reconstruction
  • Postoperative Care
  • Conclusion
  • 43. Lower Limb Reconstruction
  • Introduction
  • History
  • Initial Management
  • Injury Classification
  • Orthoplastic Approach
  • Compartment Syndrome
  • Vascular Injury
  • Antibiotics
  • Wound Debridement
  • Principles of Skeletal Fixation
  • Principles of Soft Tissue Reconstruction
  • Locoregional Flaps
  • Skeletal Reconstruction
  • Amputation
  • Key Points
  • 44. Lymphedema: Anatomy, Pathophysiology, Evaluation, and Treatment
  • Introduction
  • Anatomy of the Lymphatic System
  • Etiology of Lymphedema
  • Risk Factors for Lymphedema
  • Pathophysiology of Secondary Lymphedema
  • Lymphedema Diagnosis
  • Lymphedema Classification
  • Lymphedema Treatment
  • Conclusions
  • Part VII. Upper Limb
  • 45. Congenital Hand Differences
  • Embryology
  • Classification
  • Syndactyly
  • Clinodactyly
  • Camptodactyly
  • Duplication
  • Ulnar Polydactyly
  • Central Polydactyly
  • Macrodactyly
  • Thumb Hypoplasia
  • Radial Longitudinal Deficiency
  • Constriction Ring Syndrome
  • Arthrogryposis
  • Trigger Thumb
  • 46. Fingertip Injuries
  • Introduction
  • Assessment
  • Healing by Secondary Intention
  • Surgical Options for Cover
  • Options for Skin Cover
  • The Nail
  • Psychological Aspects of Hand Injuries
  • Conclusions
  • 47. Flexor Tendon Injuries
  • Introduction
  • Anatomical Features
  • Zones and Subzones of Flexor Tendons
  • Biomechanical Considerations
  • Clinical Diagnosis
  • Primary and Delayed Primary Repair
  • Outcomes
  • Tenolysis
  • Tendon Grafting, Pulley Reconstruction, and Staged Reconstruction
  • 48. Extensor Tendon Injuries
  • Extensor Tendon Injuries
  • Anatomy
  • Wrist and Hand
  • Fingers
  • Thumb
  • Presentation and Management by Zone
  • Injuries to Extensor Tendons of the Thumb
  • Summary
  • 49. Tendon Transfers
  • Introduction
  • Indications
  • Biomechanics
  • Principles
  • General Approach
  • Surgical Technique
  • Radial Nerve Palsy
  • Median Nerve Palsy
  • Ulnar Nerve Palsy
  • Combined Palsy
  • Tetraplegia
  • Recent Advances
  • Postoperative Care
  • Conclusion
  • 50. Digital Replantation and Thumb Reconstruction
  • Introduction
  • Indications for Replantation
  • Functional Loss Assessment
  • Contraindications
  • Technique and Principles
  • Multiple Digital Replantation
  • Ring Avulsion Injury
  • Postoperative Care
  • Complications
  • Thumb Reconstruction
  • Metacarpal Hand
  • 51. Compartment Syndrome in the Extremities
  • Introduction
  • Anatomy
  • Pathophysiology
  • Treatment
  • Late Sequelae
  • 52. Nerve Injury, Repair, and Reconstruction
  • Introduction
  • Nerve Injury Classification
  • Evaluation of Nerve Injuries
  • Factors Affecting Nerve Recovery in Nerve Repair
  • Nerve Reconstruction
  • Postoperative Management and Long-Term Sequelae
  • Complex Regional Pain Syndrome
  • Summary
  • 53. Brachial Plexus Injuries and Reanimation
  • Clinical History and Assessment
  • Etiology
  • Investigations
  • Patterns of Injury
  • Management Principles and Operative Approach
  • Postoperative Care
  • Complications
  • Outcomes
  • Summary
  • 54. Nerve Compression
  • Pathophysiology
  • Investigations
  • Median Nerve Compression
  • Ulnar Nerve Compression
  • Radial Nerve Compression
  • 55. Dupuytren Disease
  • Introduction
  • Surgical Anatomy of the Palmar Fascia and Changes Found in DD
  • Etiology
  • Pathophysiology and Histology
  • Clinical Assessment and Differential Diagnosis
  • Grading Systems
  • Management Principles, Operative and Nonoperative Options, and their Outcome
  • Long-Term Outcome
  • Rehabilitation
  • Conclusions/Personal View
  • 56. Fractures and Dislocations in the Hand
  • Introduction
  • Pediatric Fractures of the Digits
  • Adult Fractures
  • Management of Other Soft Tissue Injuries
  • Management Principles and Operative Options and Tips
  • Complications
  • Outcomes
  • Final Comments
  • 57. Osteoarthritis and Prosthetic Joints in the Hand
  • Introduction
  • Osteoarthritis of the Small Joints of the Hand
  • Osteoarthritis of the Thumb
  • 58. Wrist Pathology
  • Physical Examination of the Wrist
  • Kienböck’s Disease
  • De Quervain’s Tenosynovitis
  • Scaphoid Fractures
  • Scapholunate Dissociation
  • Perilunate and Lunate Dislocations and Fracture Dislocations
  • Lunotriquetral (LT) Dissociation
  • Scapholunate Advanced Collapse (SLAC) and Scaphoid Nonunion Advanced Collapse (SNAC)
  • 59. Rheumatoid Arthritis of the Hand and Wrist
  • Definition
  • Diagnostic Criteria
  • Pathophysiology
  • Management Principles and Operative Options
  • 60. Lesions of the Hand
  • Introduction
  • History, Examination, and Diagnosis
  • Soft Tissue
  • Cartilage
  • Bone
  • Conclusion
  • Part VIII. Esthetic Surgery
  • 61. Nonoperative Facial Rejuvenation
  • Introduction
  • Botulinum Toxin
  • Soft Tissue Fillers
  • Submental Fullness
  • Cutaneous Remodeling
  • Conclusion
  • 62. Facial Aging and Anatomy of the Facial Nerve
  • Introduction
  • Five-Layered Anatomy, Facial Soft Tissue Spaces, and Retaining Ligaments of the Face
  • Aging Changes of the Face
  • Regional Changes Observed with the Aging Face
  • Summary
  • 63. Forehead Lift
  • Introduction
  • Patient Options in Forehead Rejuvenation
  • Identifying the Patient in Need of a Forehead Lift
  • Eyebrow Esthetics and Planning Eyebrow Elevation
  • Foreheadplasty Techniques
  • Postoperative Care
  • Case Example (Fig. 63.50)∗
  • 64. Upper Eyelid Rejuvenation
  • Introduction
  • Periorbital Aging
  • Anatomy
  • Patient Evaluation
  • Surgical Techniques
  • Postoperative Care
  • Complications
  • Conclusion
  • 65. Lower Eyelid and Midcheek Rejuvenation
  • Introduction
  • Surgical Anatomy and Dissection Planes
  • Patient Selection
  • Nonsurgical Techniques
  • Surgical Correction of Midcheek Aging
  • Discussion
  • Summary
  • 66. Facelift
  • Introduction
  • The Aging Face
  • Subcutaneous Facelift
  • SMAS Manipulation Techniques
  • Complications
  • Senior Author’s Limited Dissection Composite Facelift Technique
  • 67. Neck Lift
  • Introduction
  • Strategies for Neck Lift
  • Surgical Planning in Neck Lift
  • Assessing the Anatomical Basis of Neck Problems
  • Preoperative Preparations and Care
  • Surgical Technique
  • Postoperative Care
  • Case Examples
  • 68. Rhinoplasty
  • Introduction
  • Anatomy
  • Patient Assessment
  • Rhinoplasty Dynamics
  • Operative Approach
  • Postoperative Care
  • Complications
  • Secondary and Tertiary Rhinoplasty
  • 69. Blepharoptosis
  • Definition
  • Anatomy
  • Etiological Factors
  • Preoperative Assessment
  • Treatment Principles
  • Complications
  • 70. Liposuction and Liposculpture
  • Introduction
  • Harvest Site
  • Donor Site Preparation
  • Harvest Technique
  • Processing Technique
  • Injection Technique
  • Recipient Site
  • Complications and Emerging Safety Concerns
  • Conclusion
  • 71. Abdominoplasty and Body Contouring
  • Anatomy
  • Esthetic Assessment
  • Patient Assessment
  • Operative Principles and Approach
  • Body Contouring after Massive Weight Loss
  • Summary
  • Part IX. Professional Examinations
  • 72. Board and Fellowships Exams
  • Introduction
  • FRACS(Plast)/EBOPRAS Exams
  • FRACS(Plast): The IMG (International Medical Graduate) Perspective
  • FRCS(Plast) Exams
  • FRCSC Exams
  • Plastic Surgery Fellowships in the United States
  • Index

Product details

  • No. of pages: 1216
  • Language: English
  • Copyright: © Elsevier 2021
  • Published: April 22, 2021
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323653817
  • eBook ISBN: 9780323653824

About the Editors

Rostam Farhadieh

Mr Ross Farhadieh is the Head of Department of Plastic Reconstructive & Hand surgery of The Canberra and Calvary Hospitals, in Canberra Australia. He completed his medical degree with honours (BSc) in Surgery. He was awarded the prestigious Surgeon Scientist Scholarship (2005) Royal Australasian College of surgeons and completed a three year Medical Doctorate (MD) research degree in molecular biology of head and neck cancers. He completed his plastic surgery training in Melbourne with microsurgical training under Professor Wayne Morrison in 2011 FRACS(Plast). He completed multiple subspecialty fellowships in London, in paediatric surgery at Great Ormond St, Aesthetic surgery at the Wellington and Microsurgery at the Royal Free and completing the FRCS(Plast) in 2012 and European Board of Plastic Reconstructive and Aesthetic Surgery fellowships in 2013 EBOPRASF. He is the director of Panthea Clinics in Sydney and Canberra. His practice encompasses complex trauma and oncological microsurgical reconstruction and aesthetic surgery of the face, breast and body.

Affiliations and Expertise

Consultant Plastic and Reconstructive Surgeon Head of Department of Plastic Reconstructive and Hand Surgery, The Canberra and Calvary Hospitals, Canberra, ACT, Australia, Director, Panthea Clinics Senior Clinical Lecturer Sydney University Medical School Sydney,

Neil Bulstrode

Mr Neil Bulstrode is a Consultant Plastic Surgeon at Great Ormond Street Hospital where he is the Lead Clinician for the Department of Plastic and Reconstructive Surgery. He was educated at Sherborne School, UK, before commencing his medical studies at Charing Cross and Westminster Medical School, London. He completed his medical degree with honours degree (BSc) in Physiology. He completed his in Plastic Surgery training in some of London’s World premier units. He completed a post graduate Doctorate Medicine MD research at the RAFT Institute of Plastic Surgery at Mount Vernon Hospital. He spent organised a year exchange with the plastic surgery training program in Sydney, Australia 2003-4 and obtained his fellowship in Plastic Surgery - FRCS (Plast) - from the Royal College of Surgeons in 2005, entering into the GMC Specialist Register for Plastic Surgery in 2006. Neil has both an NHS reconstructive and an adult aesthetic/cosmetic practice. This involves the reconstruction of congenitally deformed children, ear reconstruction, craniofacial surgery, the treatment of giant congenital naevii and vascular anomalies. His cosmetic practice includes all aspects of cosmetic facial, breast and body contouring surgery.

Affiliations and Expertise

Consultant Plastic Surgeon and Lead Clinician for the Department of Plastic Surgery at Great Ormond Street Hospital London. Honorary Associate Professor, UCL Great Ormond Street Institute of Child Health London, United Kingdom.

Babak J. Mehrara

Dr Babak Mehrara is the Chief of the Plastic and Reconstructive Surgery Service in the Department of Surgery at Memorial Sloan Kettering Cancer Center. Dr Mehrara obtained his medical degree from Columbia University College of Physicians and Surgeons and completed his residency in Plastic Surgery at New York University. He then completed a fellowship in microsurgery with William W. Shaw at UCLA Medical Center. Dr. Mehrara's clinical expertise includes microsurgical and alloplastic breast reconstruction, complex head and neck reconstruction, and lymphedema. Dr. Mehrara is also the director of the Lymphedema Research Center at Memorial Sloan Kettering and has a deep interest in developing novel treatments for this disease.

Affiliations and Expertise

Plastic and Reconstructive Surgeon, Chief, Plastic and Reconstructive Surgical Service, Peter G. Cordeiro Endowed Chair in Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York

Sabrina Cugno

Dr Sabrina Cugno is a consultant plastic surgeon at the Montreal Children’s Hospital, the Shriners Hospital and CHU Sainte-Justine in Montreal. She completed her undergraduate degree at McGill University (Montreal, Canada) followed by a Masters’ degree at Oxford University (Oxford, United Kingdom). She completed her medical studies at McMaster University (Hamilton, Canada) and training in plastic and reconstructive surgery at Université de Montréal (Montreal, Canada). She completed a specialty training in pediatric plastic and reconstructive surgery at the world renowned Great Ormond Street Hospital for Children (London, United Kingdom). She is a fellow of both the Royal College of Surgeons of Canada and American College of Surgeons. Sabrina’s practice is dedicated to the care of children with either congenital and traumatic injuries, with a focus on cleft lip and palate/velopharyngeal insufficiency, ear reconstruction, treatment of giant congenital nevi and vascular anomalies.

Affiliations and Expertise

Pediatric Plastic and Reconstructive Surgeon, Montreal Children’s Hospital and Shriners Hospital, Assistant Professor, McGill University, Montreal Children’s Hospital, McGill University Health Center, Montreal, QC, Canada

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