Dr. Syed Yawar Mehdi
MBBS, FRCS
Consultant Plastic & Reconstructive Surgeon
CURRICULUM VITAE
PERSONAL DETAILS
Date of Birth 1962
Sex Male
Address United Kingdom:
Nationality Irish / Pakistani
MEDICAL REGISTRATION
Full General Medical
Council,
Permanent Pakistan Medical & Dental
Council Reg# 13870
19/7/87
Permanent Irish Medical Council Reg# 14258
02/2/96
PROFESSIONAL BODIES MEMBERSHIP
Life Member of
Pakistan Association of Plastic Surgeon since 2007
QUALIFICATIONS /
EDUCATION
FRCS Royal College of
Surgeons in Ireland.
February 1995
MBBS Dow Medical College,
Karachi, Pakistan
April 1987
HSC St. Patrick’s
College,
SSC
Primary
EMPLOYMENT HISTORY/ PROFESSIONAL EXPERIENCE
Associate Specialist Plastic Surgery 09/09/2013 to date
St.George’s
Hospital, Tooting, London
SW17 0QT, United
Kingdom.
Job Description: St.George’s University Hospital is one of the UK’s largest teaching hospital with more than 1000 beds and has a well established Plastic & Reconstructive unit. Being appointed as a Senior doctor in this speciality I work independently as well as with the Lead Clinician Prof. B.Powell who is well know for his work on Melanoma!
I do independent
clinics in St.John’s & St.George’s
Hospital, London and in Royal Surrey County Hospital, Guilford beside doing
combined melanoma & PRD clinics.
My operative
commitments include three sessions Tuesday list with Prof. Powell or
independently involving mainly melanoma surgeries eg. SNBs, various lymph nodes
dissections including neck dissection & reconstructive surgeries for skin
cancers. I have half day Friday independent list of my own involving aesthetic
procedures eg. Breast implants, reduction, mastopexy, abdominoplasty etc. I
also perform these aesthetic / uplift procedures on my Saturdays Ad hoc full day lists in St. Georges Hospital.
I do minor operative sessions every
Wednesday at the off sites hospitals in Surrey.
Beside these
regular commitments I also do independent
Adhoc clinics & minor op lists on Saturdays in Royal Surrey County hospital
and Internal consultant Locum in St. Georges Hospital when a skin sub
speciality consultant is away.
Senior SpR Plastic Surgery 01/07/2013 to 06/09/2013
University
Hospital of North Durham, North Road, Durham DH1 5TW
Locum Associate Specialist Plastic Surgery 20/05/2013 to 21/06/2013
Royal Victoria
Infirmary , Infirmary Square,Infirmary Road, Leicester, LE1 5WW
Locum SpR Plastic Surgery 23/09/2012 to 09/10/2012
Derriford
Hospital, Plymouth,Devon, Plymouth, PL6 8DH.
Visiting Consultant Plastic
Surgeon
`Laser|City Cosmetic
& Hair Transplant Clinic
1/06/2012 to date.
(
Surgeon’s own Private Clinic in Pakistan)
Clifton, Block-5, Karachi
Job Description:
In
above clinics I do consultation for all types of Plastic Surgery cases
especially Aesthetic like facial plastic surgeries eg. chin implant. endotine
face lift, rhinoplasty, otoplasty etc, breast surgeries. reduction, implants,
mastopexy etc., various types of abdominoplasties eg. Apronectomy, mini &
full abdominoplasty, up-lift surgeries
post bariatric procedures &
liposuction / liposculturing etc. I perform surgeries on these cases in the
reputable local hospitals.
2
RECENT PLASTIC SURGERY EXPERIENCE (Pakistan )
Consultant Plastic & Hand
Surgeon
15/06/2012 to 30/08/2013
Ziauddin
University Hospital, Clifton,
Karachi,
75000 Pakistan.
Job
Descritption: Ziauddin University Hospital
is a prestigious institution which is
unique in that it has multiple (5), well equipped campuses providing
quality care to patients in almost all regions of Karachi. I joined the Clifton
campus of this Institution as a Consultant Plastic & Hand Surgeon after
leaving Aga Khan University Hospital to develope my private practise.
I am was
on take for Plastic & Hand Surgery
Trauma cases beside entertaining
referral from other faculty for Plastic Surgery opinion.
I did
three clinics every week in Clifton Campus and regularly operate on elective
& trauma cases.
Consultant Plastic & Hand
Surgeon
Assistant Professor Surgery
& BBS 01/07/2007 to 31/05/2012.
Aga
Khan University Hospital, Stadium Road,
Karachi
74800, Pakistan.
Job
Description:Aga Khan University Hospital,
Karachi is the first hospital in Pakistan to be awarded Joint Commission
International Accreditation for practicing internationally recognised quality
standards in health care. It is 563 bedded state of art well equipped hospital.
I
joined this institution as a full time Consultant Plastic and Hand Surgeon with
academic title of Assistant Professor in Surgery and Basic Biological Sciences.
Iam was the only Full time Consultant Plastic Surgeon &
Headed the Plastic Surgery section. I had four half day outpatient clinics , a
full day theatre session and an half day session of day cases per week.
PREVIOUS PLASTIC
SURGERY EXPERIENCE ( United Kingdom )
Senior Staff Grade 18/11/02
to 31/10/04
Royal Victoria Infirmary
Hospital
Newcastle Upon Tyne, NE1 4LP.
Job
Description:Royal
Victoria Infirmary hospital has a well established Plastic Surgery department
with separate Burns unit beside a well equipped Laser unit.
There were 7 consultants, 2
Associate specialists, 7 registrars and 7 SHOs.
I as associate specialist had my
own independent OPDS and both elective
and Trauma lists. I did 2 adult
and 1 paediatric elective operative lists, 1 LADC list, 1 Laser list and 1 or 2
trauma lists involving hand trauma & burns. In case of elective lists the
cases ranged from aesthetic procedure like abdominoplasty, breast reductions/
augmentations/mastopexy, otoplasty, syndactyly/polydactyly to insertion of
tissue expander, liposuction, breast reconstruction, trapezectomies etc.
I was promoted to the position of
Associate Specialist by a panel of Newcastle upon Tyne Hospitals NHS trust
after a year or so of working at Senior staff grade doctor level, on
recommendation of consultants colleagues & in view of ability to work at
independent level with confidence.
3
Laser Care / Skin Cosmetic
Clinics, UK
Grey Street, Newcastle upon
Tyne,
James Cook Hospital,
Middlesbrough.
The Laser care Skin Clinics are
an extensive network of reputable private cosmetic procedures providers. In
these clinics beside doing consultation for surgical cases I did carry out
minor procedures like Botox injections for facial wrinkles & hyperhidrosis,
facial fillers/ peels & moles excision beside carrying out the laser work.
Aesthetic
procedures, which require general anaesthetics, were operated on by me in Royal Victoria Infirmary
in the private wing of the hospital.
Registrar in Plastic
Surgery 03/09/2001 to
16/11/02
Derriford Hospital, Plymouth,
Devon, Plymouth PL6 8 DH.
Consultants Incharge
Mr.R. J. Morris & Mr. J. McDiarmid.
Job
Description:
Plymouth Plastic Surgery unit based at the Derriford Hospital has clinical
responsibility for 1.2 million people in Cornwall, Isles of Scilly, Plymouth
and Torbay. It is an expanding, busy unit,
providing training in all aspects of Plastic surgery, which was staffed by 4
consultants, 4 registrars, 1 clinical assistant and 4 SHO’s.
There were daily elective
operative sessions, day surgery and a separate trauma list. The on- call rota
for Registrars was one in five and routine duties involve assisting consultants
in elective lists, beside having separate Registrar elective and trauma lists.
Senior Clinical
Fellow in Plastic Surgery 02/09/2000 to 02/08/01
Northern General Hospital,
Herries Road, ( 1 year
)
Sheffield S5 7AU, UK.
Mr. R. E. Page & Mr. Gavin Miller.
Job
Description:
Northern General Hospital is 1,000 beded teaching hospital, linked to both
Sheffield Childern’s hospital and the Royal Hallamshire hospital. The Plastic
surgery dept. has 28 inpatient beds, 6 day care beds and 10 beds in the burn
unit, beside having 11 beds in the Sheffield Childern’s hospital.
4
PREVIOUS PLASTIC SURGERY
APPOINTMENTS ( Ireland )
Registrar Plastic Surgery
01/07/1999 to 30/08/2000
St. Vincent Hospital, Elm
park,
( 14 months )
Dublin-4, Ireland.
Registrar Plastic Surgery
01/07/1998 to 30/06/1999
Our Lady’s Hospital For Sick
Children (
12 months )
Crumlin, Dublin-8.
Registrar Plastic Surgery
01/01/1997 to 30/06/1998
St. James’s Hospital, James’s
street,
(18 months )
Dublin-8, Ireland.
Our Lady’s Hospital For Sick
Children,
( 6 months )
Crumlin, Dublin-8, Ireland.
SHO Plastic Surgery
01/07/1995to 30/06/1996
Cork University Hospital,
Wilton,
( 12 months )
Cork, Ireland.
SHO Plastic Surgery
01/01/1995 to 30/06/1995
Our Lady’s Hospital For Sick
Children,
( 6 months )
Crumlin, Ireland.
Jobs Description:
St.Vincent University Hospital
houses the National liver transplant unit beside having a well organised
Plastic & Reconstructive unit. The unit is staffed by two consultants, two
registrars, a SHO and an intern. There are three elective theatre lists each
week in above hospital, beside separate lists in St.Vincent private hospital,
Blackrock Clinic & Mount Carmel Hospital.
Our Lady’s Hospital for Sick Children
houses the National paediatric unit for
plastic surgery and burns. Four consultants supervise the unit, which is
staffed by a Registrar and a SHO. There were four elective theatre lists each
week beside burn and trauma lists.
St. James’s Hospital houses the
National adult unit for plastic surgery & burns, besides having a
well-equipped laser unit. Four consultants, three registrars, three SHOs &
two interns staff the unit. There are seven elective theatre lists each week
beside separate burns and trauma lists.
Cork University Hospital is the
Regional plastic surgery & burns referral centre for the south of Ireland,
which is staffed by two consultants, four registrars, two SHOs & an intern.
There were seven elective operation lists each week and a separate full time
plastic trauma theatre working five days a week.
5
OTHER APPOINTMENTS
Registrar/SHO Gen.Surgery
01/07/1993 to 31/12/1994
Wexford General Hospital,
( 18 months )
Wexford, Ireland.
Registrar/SHO A/E &
Gen.Surgery
18/03/1993 to 30/06/1993
South Infirmary Hospital,
( 3 months )
Cork, Ireland.
Sn. Med. Demonstrator
Anatomy 01/10/1992 to
30/05/1993
University College Cork,
( 8 months )
Cork, Ireland.
Casualty Officer
01/07/1991 to 30/06/1992
Mayo General Hospital,
( 12 months )
Castlebar, Ireland.
SHO Gen. Surgery
01/07/1990 to 30/06/1991
Mayo General Hospital,
( 12 months )
Castlebar, Ireland.
General Practitioner
08/02/1989 to 01/01/1990
Jilani General Hospital,
( 11 months )
Karachi, Pakistan.
SHO Urology
16/08/1988 to15/02/1989
Civil Hospital Karachi,
( 6 months )
Karachi, Pakistan.
Intern Medicine
01/11/1987to 30/04/1988
Civil Hospital Karachi, (
6 months )
Karachi, Pakistan.
Intern Surgery
01/04/1987 to 31/10/1987
Civil Hospital Karachi, (
6 months )
Karachi, Pakistan.
6
PUBLICATIONS
The Role of Silicone
net “Mepetil”Dressing in Paediatric Fingertip injuries:
published in the
Journal of Hand Surgery ( Br ) December 1999;24(6): 727-30, Authors; DA
Donovan, SY Mehdi, PA Eadie.
The Surgical
Management of Rheumatoid Hand: published in Morden Medicine of
The Range of
Excursion of Flexor tendons in Zone V: A Comparison of Active Vs Passive
Flexion mobilisation Regimes; published in British Journal of Plastic
Surgery, February 1997; 50,
517-522, Authors; J Panchal, SY Mehdi, JO’Donoghue, STO’Sullivan,
MO’Shaughnessy, TPFO’Connor.
The Repair of Central Slip Of Extensor Tendon &
Open Mallet using Mitek Mini Bone Anchor:
A retrospective Study: published as abstract (p16) in the booklet of 8th
Congress of The International Federation of Societies For Surgery Of The Hand,
June 10-14, 2001, Istanbul, Turkey, Authors: SY Mehdi, PA Eadie.
Pre-operative Design of Aesthetic Breast Mound
Reconstruction using Free Abdominal Flaps; published as abstract in the booklet of BAPS winter meeting, 2002,
Royal College of Surgeons, London, U.K, Authors: SY Mehdi, R. Morris.
The Role of Wolfe Grafts in The treatment of
Post-Burn contractures in Children: A Retrospective Study; published as abstract
in the booklet of British Burns
Association 32nd Annual Conference 1999.
The Repair of Central slip of Extensor Tendon & the
Open Mallet using Mitek Mini Bone Anchor: A retrospective study; published in the
European Journal of Plastic Surgery, Feb. 2011, Volume 34, Issue 1, pp 13 – 17,
Authors: Syed Y Mehdi, Quratulain Masood, D. Lawlor, P.A.Eadie.
7
PRESENTATIONS
PRESENTATIONS ( EU )
Mitek Mini Bone
Anchors; A Retrospective study: presented at the World Congress of Imamia Medics
International,
The Repair of Central slip of
Extensor tendon & Open Mallet using Mitek Mini Bone Anchors; A
retrospective Study: presented at the Annual Meeting of Irish Association of
Hand Surgeons,
The Role of Wolfe
grafts in the treatment of post-burn contractures in children; a retrospective
study: presented at the British Burns Association 32nd Annual Conference,
Silicone net
“Mepitel”a relatively less painful Dressing for Peadiatric fingertip
injuries; a
prospective study : presented at the International Sir Peter Freyer surgical
symposium,
The Role of Wolfe
grafts in Post-burn contractures: poster presentation at the Sir Peter Freyer
surgical symposium,
Recurrent
Sacrococcygeal Pressure sore in a Spina bifida patient due to retroposition
of Coccyx; a case report: poster presentation at Sir Peter Freyer
surgical symposium, Galway, Ireland, September 1998.
The Role of Silicone
net “Mepitel” Dressing in Paediatric Fingertip injuries: co-presented at BAPS
summer meeting 1998.
A New vascularized
Calvarial bone flap based on occipital vessels for the reconstruction of the
Facial skeleton: co-presenter at BAPS summer meeting 1997.
Active Flexion
mobilisation is better than Passive mobilisation for Flexor tendon excursion in
Zone V: co-presenter at the BAPS summer meeting 1996.
Comparison of Active
Vs Passive Flexion mobilisation regimes for Flexor tendons in Zone V: co-presented at the
Royal Academy of Medicine of
8
CONTINIOUS PROFESSIONAL
DEVELOPMENT (Last 5-7 years)
Aesthetic; Focus on Facelift: 18th January 2017, held at Royal Society of Medicine, London,
UK. (CPD:5 credits)
BAPRAS Summer Scientific
Meeting: 29th June to 1st July
2016, held at Marriott Hotel, Bristol, UK. (17 CME points)
Post Massive Weight loss body
contouring: 9th May2016, held at the Royal
Society
of Medicine, London, UK. (CPD:6 credits)
BAPRAS Winter Scientific
Meeting: 27th November 2015, held at Vox
Conference Centre, Birmingham, UK. (6.5 CME points)
Dermoscopy Course by Primary
Care Dermatology Society: 4th June 2015, held at Hilton
hotel in Leicester, UK. (5 hours of Education)
Advanced Clinical
Communication, A postgraduate course: 13th & 14th November 2014, held at Holiday Inn
hotel, Sutton, London, UK.
St. Mary’s
Facial Plastic Surgery Course: 10th & 11th
December 2011, held in St. Mary’s Hospital, London, UK. (15 CPD points)
ISAPS
Instructional Course on Aesthetic Surgery: 1st & 2nd
October 2011, held in Prague, Czech Republic, followed by Cadaveric dissection
plus hand on teaching of using Endotine device for mid-face lift held on 3rd
October 2011.
9
CONFERENCES / MEETINGS ATTENDED
SYMPOSIUMS & MEETINGS ( EU
& USA)
British Association of Plastic & Aesthetic Surgery
( BAPRAS ) meeting : 25th
to 27th November 2015, held at Birmingham, UK.
International Meeting on Hypospadias Surgery: 28th & 29th May 2009, held at University
Hospital, Coventry, UK.
Joint meeting of BMLA and
Lasercare clinics: 10 & 11 November 2005, held in
Recognise & Reward
Conference for Associate specialists by BMA: 25TH November 2005,
Academic Conference on
Craniofacial Surgery: 28th March 2003, held at
Ninth Annual International Plastic & Aesthetic Surgery Symposium: 1st
December 2001, held in
British Society for
Surgery of the Hand, Spring meeting 2001 held in The University of Sheffield,
UK.
Giants in Aesthetic
Plastic Surgery & Aesthetic Surgery of the Aging Face Symposium: 17th to 20th November
1999, held in The Plaza Hotel,
British Association
of Plastic Surgeons: Summer meeting 1999, held in Belfast,
Irish Association of
Hand Surgeons Annual meeting 1999 held in Dublin, Ireland.
Charter Day Irish Higher
Surgical Training group Annual meeting 1999, held at Royal College of Surgeons
in
10
COURSES
ATTENDED
COURSES & WORKSHOPS (in UK & USA)
St. Mary’s Facial
Plastic Surgery Course: 10th & 11th December 2011,
held in St. Mary’s Hospital, London, UK.
ISAPS
Instructional Course on Aesthetic Surgery: 1st & 2nd
October 2011, held in Prague, Czech Republic, followed by Cadaveric dissection
plus hand on teaching of using Endotine device for mid-face lift held on 3rd
October 2011.
Clinical
Management Course for Staff & Associate Specialist Doctors: 15th to 17th February
2006, 3 days course held at Keele University, Staffordshire, U.K.
BETC Award in Skin Laser
Technology: 17th to 21st February 2003, 5 days intensive
course, enabling independent practise of Laser / IPL technology for therapeutic
& cosmetic purposes, The Laser Centre, Loughborough
European Society of Hair
Restoration Surgery: 6th to 9th June 2002, a 3 days 5th
Annual Congress & Live Surgery workshop, held in
The Art of
Rhinoplasty: 12th to 15th November 1999, a 4 days hands on course including cadaver
dissections/sculpturing, held in San Francisco, California, USA (32 credit
hours).
AO Hand Mini Fragment
Course: 19th to 21st October 1999, a 3 days hands on
course, held in
Cleft & Palate /
Facial Asymmetry: 20th to 21st September 1999, a 2 days Advanced Plastic
surgery course, held at
Medical Laser Safety
Course: 21st March 1998, a day course held at St. James’s Hospital,
Workshop on Vascular
& Microvascular anastomosis using clips: August1997, a one day hands on
course held at St. James’s Hospital,
Northwick Park
Microsurgical workshop: 14th to 18th October 1996, a 5 days hands on course
held at Northwick Park Institute for Medical Research, Middlesex, UK.
11
COURSES (in Pakistan)
Recent Trends in Management of
Cleft Lip & Palate: 22nd to 24th
May 2007, held at Dow University of Health Sciences, Karachi, Pakistan.
Course in Health Professions
Education, 9th to 13th July 2007, Introductory
Short held at Aga Khan University Hospital, Karachi, Pakistan.
Training of Trainer for Emergency
Plan: 30th October 2007, held at Aga Khan
University Hospital, Karachi, Pakistan.
Management of Cleft lip &
Palate: 23rd to 25th February
2009, held Services Hospital, Lahore, Pakistan.
First International Symposium on
Pinna Reconstruction: 21st & 22nd
April 2009, held at Services Hospital, Lahore, Pakistan.
CLINICAL AUDIT
Auditing is an essential part of
raising standard of patient care and training. I put great emphasis on audit
being a clinician and a surgeon. I have completed following audits to review
clinical practice in the various units I worked.
A study on
Cerebrovascular accidents; in Civil Hospital Karachi, Pakistan,
(November 1987 to April 1998).
Audit of Trauma
Cases; in Mayo General Hospital, Castlebar, Ireland (July 1991 to June 1992).
Audit of Free Flaps; in Cork University
Hospital, Cork, Ireland, (March 1994 to April 1996).
Audit of Brachial
Plexus Injuries: Northern
General Hospital, Sheffield (July 1997 to December 2000).
Audit of Otoplasty
cases done using a New Technique; in Royal Victoria Infirmary, Newcastle upon Tyne,
(January to December 2003).
12
TEACHING & TRAINING EXPERIENCE
In
my present position as Associate Specialist in St. George’s University
Hospital, London, Iam involved in hands on teaching of Specialist Registrars
plus Medical students of St. Georges University.
I have been actively involved in teaching
medical students, junior colleagues and student nurses while working as Senior
Medical demonstrator and subsequently in all my clinical jobs especially as
Assistant Professor General Surgery in Aga Khan University Hospital Karachi,
Pakistan.
Being
Assistant Professor Surgery I was actively involved in teaching medical
students and surgical residents. Moreover I conducted Journals reviews and
weekly surgical grand round & speciality grand round assessing medical
students & residents presentations.
Previously
as Medical Demonstrator in Anatomy & lastly as Assistant Professor in Basic
Biological Sciences I taught regional anatomy to medical students, took
tutorials for medical student/ residents.
I was
regularly involved in preparing MCQs both for undergraduates &
postgraduates besides invigilating during exams.
Heading the Section of Plastic Surgery I ensured this speciality is
appropriately managed in Aga Khan University Hospital. I regularly attended the
Surgery Faculty meetings and was member of various committees eg. Standard of
Care committee for the Operating theatre and AKUH Journal of Surgery “Cutting
Edge” (A Founding member of Editorial committee).
Previously working in the capacity of
Senior Registrar I was involved in smooth running of the unit liaising with my
consultants colleagues & with input from my junior colleagues, besides
co-operating with nursing staff, colleagues from other speciality and
administration. As an Associate Specialist I was called upon to delegate duties
appropriate to experience of my junior colleagues and myself undertaking tasks,
which require judgement and decision-making.
I have been rota co-ordinator and
arranging operative lists and outpatients, while working as Administrative
Registrar. As Associate Specialist I attended the Plastic Surgery unit business
meeting regularly along with consultant colleagues.
I have done the recommended Management
course from Keele University, U.K.
13
PROCEDURES PERFORMED
General Techniques:-
Wound
management: including EUA,
toilet/ irrigation, debridement of extensive complex wounds, necrotizing
fasciitis, high pressure injection injury, abscess drainage, Vacuum dressing, haematoma/seroma
evacuation and various techniques of wound closure including primary /delayed
closure, tissue expansion, using skin graft & various types of flaps.
Scar
management: including
simple or serial excision with direct closure or z-plasty /w-plasty, scar
revision using dermo-fat graft or filler and scar excision with graft or flap
reconstruction.
Graft harvest: including split thickness/ full thickness
skin graft, nail bed graft, buccal mucosal/ foreskin graft, cartilage/ bone
graft, tendon/ nerve/ vein graft and composite graft harvesting.
Pressure Sores
management: Debridement of
Ischial, Sacral, Trochanteric & other pressure sores with application of
Vac dressing and reconstruction using skin graft or various flaps including Gluteal Flaps (rotation
fasciocutaneous & V-Y myocutaneous),
Tensor fascia lata flap.
Vascular
malformations: including excision
of excess boggy skin after involution of strawberry haemangioma, single stage
of smaller lesions and serial excision or debulking of facial haemangiomas.
Laser use: Co2 Laser for cutaneous lesion including
melanoma mets, warts ablation, PDL for port wine stain & NdYag for spider nevi
and Laser resurfacing.
Skin & Oncology:-
Specific Skin
Conditions Management:
Hidradenitis
suppurativa: Limited excision of
affected area with primary/ delayed closure, Radical excision of hair bearing
area of axilla, groin/ thigh and reconstruction with Split skin graft or local/
regional flap including Posterior Arm Flap.
Hyperhidrosis
Reduction: of palms & axillae using Botulinum toxin injection.
Pilonidal Sinus of
natal cleft management: including Incision of abscess, exploration and laying
open of sinus tracts with healing by secondary intention or Reconstruction with
skin graft, local or regional flap.
Rhinophyma
Reduction: by formal shaving/ paring with CO2 laser.
Skin & Soft
tissues Tumours Management:
Biopsy: using
various techniques including FNA, Incision / excision or Trucut biopsy.
Benign lesions: Curette,
shave & excision with direct closure or reconstruction using skin graft or
various flaps.
Malignant lesions
including BCC, SCC, MM, Fibroxanthoma, Pheochromocytoma, fibrosarcoma/ DFSP,
angiosarcoma, desmoid tumour etc. Wide local excision or compartectomy with direct
closure or Reconstruction using skin graft, local / regional, distant
flaps. Free flaps.
Amputation: Digital
amputation at different levels, Ray /Forefoot amputation, Above & below
Knee amputation.
14
Lymph node
surgery: Open & Sentinel biopsy
Neck, Axilla /supratrochlear, Groin/ pelvis and Lymphadenectomy including
axillary & groin. First assistant in Ilioinguinal/ popliteal & Neck Dissections.
Adjuvant Therapy:
Electrochemotheraphy for in transit/ metastatic melanoma deposits &
hypertrophic scars and Co2 Laser ablation for in transit metastatic deposits.
Burns Management:-
Acute burn
management:
Acute Burn Release: Escharotomy for full thickness burn: including
Fasciotomy of upper/lower limbs & release of trunk.
Vascular Access: including venous cut down & interosseous access
placement.
Acute Burn Resuscitation: Resuscitation of major burns in Adult/ child (10% to
>50%)
Burn debridement & dressing: including Tangential or formal excision of
burnt skin/ tissue (< 5% to >50%) involving trunk, limbs & special
areas eg. hands, face.
Post debridement resurfacing: with SSG /FTSG / Flaps (local, regional
& distant), Cadaver skin & skin substitute including integra.
Late burn
surgery:
Post burn contractures release: using different techniques including simple
transverse, z-plasty, w-plasty, VtoY
& fish mouth to formal excision.
Post release defect resurfacing: with SSG, FTSG, skin substitute eg. Integra
& SSG and Flaps (local, regional & distant).
Trunk & Urogenital:-
Chest
(excluding breast):
Congenital: eg. Poland syndrome deformity correction using
expander /implant &/or Latissimus Dorsi flap and in cases of Spina bifida
soft tissue cover using skin graft, local advancement / rotation flaps.
Sternal dehiscence / defect (post resection) closure: including using Vac application, unilateral
/bilateral pectoralis major flap with or without division of its insertion.
Chest wall defect reconstruction: using regional flaps eg. Scapular /
para-scapular or pedicled flaps eg. Pectoralis major & Latissimus Dorsi.
Abdominal wall:
Defect (post
resection) Reconstruction /Hernia (Umbilical) repair: using Vac dressing / SSG, local /regional
flaps eg. Rectus Abdominus musculo-cutaneous flap, Groin flap & application
of prosthetic material eg. mesh.
Pelvis/
Perineum:
Congenital;
circumcision (for recurrent balanitis, trauma & religious), Horton’s test /
ventral penile chordae release, hypospadias repair (single /two staged
reconstruction).
Reconstruction;
Perineal / buttock, Penis/ Scrotum defects using skin graft, local / regional
flaps.
Breast:-
Mastectomy: performed subcutaneous bilateral
mastectomies for gender reassignment and minor excisions including lumpectomy.
15
Reconstruction: performed/
taught delayed unilateral /bilateral breasts reconstruction using sub-pectoral
breast expander/ prosthesis, Latissimus Dorsi musculo-cutaneous flaps with
breast expander /implants plus nipple reconstruction and assisted in
reconstruction using TRAM (pedicle/free), Free DIEP/ SIEA flaps.
Reduction: performed/ taught unilateral &
bilateral breast reduction using different techniques including Central mound/
amputation with free nipple grafts, Supero-medial pedicle, Inferior pedicle, Wise
pattern and vertical scar plus revision surgery.
Mastopexy: performed unilateral & bilateral
breasts uplift using different techniques including Circum-areolar, Wise
pattern & Vertical scar /Millard techniques with or without Liposuction / breast implans (sub-glandular or
sub-muscular).
Augmentation: performed unilateral & bilateral
breasts augmentation using different techniques namely subglandular or
submuscular and various types of implants/ prosthesis or expanders plus removal
/replacement of expander/ prosthesis with or without capsulorrhaphy,
capsulotomy or capsulectomy.
Gynaecomastia: performed unilateral or bilateral
gynaecomastia excision via peri-aerolar incision and gynaecomastia reduction with
liposuction or combination of both above techniques.
Nipple/areolar
complex: performed; simple excision of accessory
nipple, correction of inverted nipple, nipple/ areolar reduction, neo nipple
reconstruction with local Fish tail or Trifoliate flap and neo-areola
reconstruction with FTSG.
Miscellaneous: performed procedures including removal of
tissue expander port, re-adjustment of reconstructed breast, re-construction
of Inframammary fold, division of
thoraco-dorsal nerve post reconstruction with Latissimus dorsi flap.
Lower Limb:-
Reconstruction:
Soft tissue: performed various procedures to cover defects
ranging from simple Skin graft to various flaps including local flap eg.
Rhomboid, transposition, rotation, island/keystone flaps etc. and regional
flaps eg. Groin, Tensor fascia lata, gracilis, Gastrocnemius, sural artery etc.
Assisted in Free flaps eg. Fibular, Latissimus dorsi flap.
Tendons, nerves & vessels: performed exploration and repair of various
nerves, tendons & vessels plus harvesting of sural nerve, plantaris tendon,
and saphenous vein.
Bone: performed MUA & fracture fixation of small bones of foot egg.
K-wiring /plating of metacarpals & phalanges plus harvesting of iliac bone
graft.
Amputation: performed following namely above knee /below
knee, fore-foot, trans-metatarsal /ray amputations and amputations with fillet
flap.
Upper Limb:-
Tumour
extirpation/ Dupuytyrens:
Tumour; excision of dorsal wrist ganglion, flexor sheath ganglion/ myxoid cyst/
giant cell tumour, Synovectomy.
Dupuytyrens disease: performed procedures including simple fasciotomy / selective fasciectomy / dermofasciectomy (single
or multiple digits /palm) and been involved in collagenase injection followed
by manipulation.
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Decompression: steroid injection / surgical release of tennis elbow
+/- ulnar nerve transposition, De Quervain’s
tenosynovitis, carpal tunnel syndrome / guyon’s canal & trigger finger
plus septic joint /tendon washout and
tenolysis.
Reconstruction
:
Tendons: including primary repair of extensor / flexor tendons in all zones
(multiple / single), delayed repair /lengthening (single stage with palmaris
longus graft or two staged using silicone rod / tendon graft). Tendons cross
hitching/ transfer eg. EI to PL & FDS to FDS plus using Mitek mini anchor
for open mallet & central slip injuries.
Ligaments: including simple repair to reconstruction (eg.using palmaris
longus/Mitek) of ligaments / volar plate of digits (eg UCL of finger / Thumb)
to ligaments of wrist.
Bones &
Joints: performed
procedures ranging from EUA/MUA to ORIF of various types of fractures
(eg.transverse, oblique/ spiral, communicated) of hand bones ( carpal,
metacarpals, phalanges) using various techniques including splintage, external
fixators (dynamic/static), K-wires, cerclage wires, plating (static, dynamic,
condylar) and removal of these hardware. Also used above techniques for small
joints, performed various osteotomies (eg.rotation, wedge/ angulation) and
arthrodesis with or without bone graft. Beside have assisted in procedures
ranging from arthroplasty (eg.using FCR tendon, silicone/ metal), small joints
replacement to various operations for Rheumatoid hand deformities eg.
Boutonniere, swan neck & ulnar drift
etc.
Revascularization /Re-implantation: performed revascularization of single digit
and repair of arteries at elbow & wrist level plus re-implantation of
finger at proximal / middle phalangeal level. Also been involved in
pollicisation.
Amputation: performed following including digital
amputation at different levels /ray amputation and amputation with fillet flap.
Congenital: performed excision of accessory digits in
cases of Polydactyly, excision of
extra thumb in case of Duplicate Thumb and
various procedures (FTSG / local flaps eg.zig-zag, dorsal rectangular etc) for
different types of Syndactyly (ie.simple,compound
/complex and incomplete / complete).Also been involved in surgery for radial
club hand.
Soft tissue
cover: performed using
SSG/FTSG, Local flaps (eg. Atasoy, Kutler, Venkatswami advancement, Hatchet,
bilobed in radial club hand etc.),
Regional flaps. Cross finger dermal /reverse dermal, Thenar, Neurovascular
digital island, Foucher/1st MCA, Reverse Radial forearm, reverse
Ulnar artery etc.) And Distant flaps. Groin, chest).
Auricular:
Reconstruction: performed
using FTSG flaps egg. bilateral helical
advancement, trap door, post auricular
tube pedicel, lobular repair /reconstruction for split ear lobe & after radical excision of keloids and have been
involved in ossteointegrated implant procedure and re-implantation of near
total avulsed ear.
Congenital: performed
simple excision of accessory skin tags/auricle, correction partial cryptocia,
correction of prominent ears using various techniques (eg. cartilage incision/
scoring with concho-helical/ mastoid & mustarde sutures). Assisted in all
stages of complete reconstruction of neo ear using rib graft.
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Cleft Surgery:
Cleft lip: performed primary incomplete / complete Lip
repair (Unilateral /Bilateral) using Millard
technique.
Cleft palate: performed primary cleft repair of hard /
soft palate using Von-Langenbeck
technique with or
without Vomer flaps and assisted in Wardill-Kilner & Furlow’s techniques.
Cleft
Rhinoplasty: performed /
assisted in closed nasal tip plasty using Tajima sutures / open rhinoplasty
with columellar lengthening.
Other
procedures: performed /
assisted in Alveolar iliac bone havesting /grafting, palatal fistula repair
using Tongue flap, Orticochea pharyngoplasty and minor / major revesion of lip
/ palate.
Craniofacial
Surgery:
Bony trauma: performed MUA of nasal bone fracture, Gilles
elevation of zygomatic fractures, Plating of infraorbital fracture and assisted
in intermaxillary fixation / mandibular plating.
Soft tissue: performed excision of facial dermoids
(external approach), debulking of facial haemangiomas and lipofilling for
facial contour augmentation.
Miscellaneous: performed procedures for facial palsy like
gold weight insertion upper eyelid, tensor fascia lata static sling, canthpexy
/ tarsorrhaphy and application of frost stitch plus, like Ptosis correction
using fascia lata. Assisted in mandibular external distraction for hypoplasia.
Head & Neck:
Scalp: have performed burring of calvarium, minor/
major resection of scalp and reconstruction of defects with SSG/FTSG, Local
flaps (eg. transposition, rotation, hatchet/ skew, rhomboid,
Ear: have performed wedge excision, partial/
total pinnectomy and reconstruction with SSG/FTSG or Flaps eg. Helical
advancement, trap door & staged post-auricular tube pedicle flap.
Eye: performed wedge excision of upper/ lower
eyelid up to 1/4th with direct closure, SSG/FTSG for superficial
defects and flap reconstruction for full thickness defects of lower eyelid more
than 1/3rd of width eg.
Mustarde / Mc Gregor & flap from other eyelid etc.
Lip: performed V/W wedge excision upto 1/3rd
with direct closure and flap reconstruction for more than 1/3rd
defect eg. Abbe, Abbe-Estlander, Karapandzic
and for
superficial defects / lip shave SSG/FTSG or mucosal advancement flap.
Nose: performed superficial, deep & full
thickness excisions (partial rhinnectomy) and reconstruction using FTSG,
composite graft (chondro-cutaneous), local/regional Flaps eg. bilobed,
nasolabial, cresentric advancement, forehead / glabellar etc.
Neck &
Salivary: Performed
Sentinel / open Lymph node biopsies, partial parotidectomy for adenoma, excisions
and reconstruction with FTSG/SSG, local / regional flap including Pectoralis
major & Latissimus dorsi musculo-cutaneous flaps etc. Have assisted in
various types of Neck dissections, superficial / total parotidectomy and
reconstruction with free flap including RFF, Jejunal free flap, fibular etc.
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Facial
reanimation: Performed
Gold weight insertion, Fascial lata sling.
Aesthetic
Face & Neck:
Face/ Neck lifting: Performed Bicoronal / hairline brow lift,
Midface lift with Endotine , Submental liposuction/ lipectomy and full face/neck
lift with SMAS plication.
Eyelids: Performed lower Blepharoplasty via subciliary
incision with or without fat pads resection, upper blepharoplasty with or
without fat pads resection, lateral tarsorrhaphy, and canthopexy / canthoplasty
and epcanthal fold correction.
Nose: Performed Rhinoplasty (open/closed) with or
without osteotomies, open Tip plasty with or without cartilage graft, silicone
nasal implant.
Hair
Transplant: performed FUT
including strip harvesting, recipient site preparation with grafts insertion.
Ears: performed Prominent ear correction with or
without cartilage scoring, mustarde / concho-mastoid sutures, Loop ear
correction, redo pinnaplasty and split ear lobe repair. Chin: performed
chin augmentation using silicone implant.
Facial
rejuvenation / countering:
using Botulinum toxin, chemical peel,
Laser peel / resurfacing and dermabrasion and facial contouring using fat or
dermal graft & various facial fillers.
Trunk:
Abdomen: Performed various types of
abdominoplasties (eg. Mini, full with umbilical transposition & recti
plication, Apronectomy in dermolipectomy fashion, Fleur de lys.
Umbilicoplasty
& adjunctive Liposuction/ Liposculpture.
Buttock: Performed open Buttock uplift and
Liposculpturing.
Genitalia: Performed Labia minora surgical reduction
& Penile lengthening with division of suspensory ligament).
Limbs:
Upper Limb: performed open upper arm reduction and
Liposculpturing.
Lower Limb: performed open Thigh reduction &
Liposuction.
Laser:
Tuneable Dye: used it for portwine stain.
NdYag: used for spider nevi, telangiectasia and
thread veins.
CO2: used for facial resurfacing.
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LEADERSHIP QUALITIES
I consider my self member of a team but when the situation demands, having appropriate experience, I have the capability and ability to lead the team. I was Heading the Plastic Surgery Section in Aga Khan University Hospital, Karachi, Pakistan.
I believe in quality work but realise the importance of time management both in my job and personal life.
CAREER PLANS
I intend to pursue my career in
Aesthetic / Plastic & Reconstructive Surgery, having worked in this speciality for more than 17yrs during which I have been
exposed to almost all aspects of patient care.
I have worked in this dynamic
speciality for 12 years in 4 reputable hospitals of Ireland and 4 hospitals of
United Kingdom, the last being Associate Specialist in Plastic Surgery having
independent clinics and operative lists.
I decided to move to Pakistan in 2007 after getting job
offer as Assistant Professor Plastic
Surgery in Aga Khan University Hospital, Karachi which gave me significant
experience in heading a Plastic Surgery
unit in one the most reputable hospital of Pakistan though I was not allowed
private practise being a full-time faculty.
After working for last 5 years in this
hospital I have decided to go into private practise on my own as a Consultant
Plastic & Hand Surgeon since June 2012. At the same time I have joined as a
part time faculty Ziauddin University Hospital, Karachi which is another very
modern Institute of Pakistan, with multiple campuses providing quality health
care for most of the regions of this huge metropolitan city.
I moved back to
United Kingdom in September 2013 after being offered the position of Associate
Specialist in Plastic & Reconstructive Surgery in the prestigious St.
George’s University Hospital, London.
I am very confident in dealing with
the routine Plastic surgery cases though my special fields of interest include
Hand Surgery, Burns & Aesthetic surgery.
I intend to be part of an organisation
/ hospital which excel in their services and patient care.
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Sports: I am a keen sportsman interested in playing
cricket as an off spin baller and play table tennis regularly.
Painting: I am an
artist and have been painting both in oil and water colour since childhood but presently
practising sculpturing.