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Dr Kirwan has just published his study in the March Issue of the prestigious peer reviewed Plastic and Reconstructive Surgery, Global Open (PRS GO). Kirwan, Laurence MD, FRCS*; Wazir, Umar MBBS, MD, FRCS; Mokbel, Kefah MB, BS, MS, FRCS. Simultaneous Salvage Auto-augmentation: Contemporary Strategy for Management of the Breast Explantation Patient. Plastic & Reconstructive Surgery-Global […]

‘There are no such thing as minor surgery only minor surgeons.’ Moles are frequently considered to be so unimportant that most surgeons don’t even feature them as a separate line item on their website. Mole surgery is often called ‘minor surgery.’ Dermatologists will often remove a mole as part of their standard consultation, performing the […]

Dr Kirwan’s paper on Aesthetic Units and Zones of Adherence and their Relevance to Surgical Planning in Head and Neck Surgery, was published in Plastic & Reconstructive Surgery-Global Open on August 14, 2023. Dr. Kirwan describes the aesthetic guidelines for Plastic Surgeons performing Aesthetic and Reconstructive Surgery in the Head and Neck region.

The ideal age for surgery is between 16 and 20. At this age the breasts are completely developed. Although large breasts cause back pain and bad posture the major problem is psychological, and this is one of the few situations in which a psychological problem can be alleviated and often cured by surgery. Ivo Pitanguy […]

“One may argue that Aesthetic Surgery is the pursuit of happiness, others argue that it is just about correcting mistakes of nature. A simpler view is that people have always wanted to be more beautiful; the mechanisms have just become more sophisticated. The discoveries of Anesthesia, Asepsis and Antibiotics have made Aesthetic Surgery a safe option in […]

Simultaneous Salvage Auto-Augmentation (SSAA)™. Management of the Breast Explantation Patient. Dr. Kirwan is giving a course on his trademarked technique of Simultaneous Salvage Auto-Augmentation (SSAA)™ at the 2023 Annual Aesthetic Society Meeting on Sunday April 23, in Miami, Florida. Dr. Kirwan published his technique of Breast Auto-Augmentation (BAA)™ and Salvage Auto-Augmentation (SAA) in the Canadian Journal of Plastic Surgery in […]

The Dynamic Troika Breasts shape is the end-result of a delicate balance of forces between a dynamic troika of structural supports. The troika are Cooper’ ligaments (see below), the firm youthful breast tissue between them and the enveloping skin ‘brassiere’. Breasts are suspended from the chest wall, by ‘guy’ ropes known as Cooper’s Ligaments. These […]

Breast implants are often durable and trouble free. I have many patients who have had their original implants for over twenty years. The rule of thumb is that if it is not broken, then don’t fix it. But there are caveats to that statement. The FDA guidance for silicone gel implants for asymptomatic patients is […]

All about the ‘Gap Years’ and the ‘Triangle of Youth’ A youthful face is characterized by the ‘Triangle of Youth’. This looks like an upside-down ‘A-Frame’. In contrast, the aging face forms jowls along the jawline and becomes square-shaped at the bottom so now it can be described as a ‘right side-up’ triangle or sometimes […]

Benefits: When you should consider it: From six months after your last pregnancy or after discontinuing breast feeding. What is a Mommy Makeover? Mommy Makeover is the common name for a combined tummy-tuck and breast enlargement. Following childbirth and breast feeding, there may be changes to the shape of the tummy and the breasts that do […]