Best Osteotomy rhinoplasty plastic surgeons: TOP 78 doctors

As a dedicated Plastic Reconstructive and Aesthetic Surgeon based in Istanbul, Turkey, I bring a strong foundation of experience and a profound commitment to enhancing both form and function to every patient I serve. My journey in the field has been marked by comprehensive training in Marmara University Plastic Surgery Department, one of Turkey's premier centers for breast and facial plastic surgery, where I've had the privilege of specializing in several transformative areas of surgical expertise.

Facial Rejuvenation Surgery: With a profound understanding of facial aesthetics, I am dedicated to helping patients achieve a youthful, refreshed appearance while also providing reconstructive solutions for those facing unique challenges.

Orthognathic Surgery: My extensive training in orthognathic surgery equips me with the skills to harmonize facial structures and restore optimal function, addressing issues related to jaw alignment and facial symmetry with precision and care.

Facial Plastic Reconstructive and Aesthetic Surgery: My specialization extends to a wide range of facial procedures, including:

Deep Plane Facelift Surgery: Delivering natural, long-lasting results with cutting edge surgical technique on facial rejuvenation.
Neck Reshaping Surgeries: Crafting elegant and youthful neck contours.
Endoscopic Facial Surgeries: Minimally invasive techniques for maximum impact.

Periorbital Rejuvenation and Blepharoplasties: Illuminating the windows to the soul.
Facial Bone Contouring: Sculpting facial aesthetics with precision.
Frontal Shaping for Facial Gender Reassignment: Empowering individuals on transformative journeys. Revisional Facial Surgeries: Perfecting previous procedures to achieve excellence.
Facial Paralysis Reconstruction with Tendon and Muscle Transfers: Restoring both function and aesthetics. Scar Revisions and Burn Scarifications: Erasing the marks of the past.
Cell Treatments: Harnessing the latest regenerative therapies.
Skin and Intraoral Tumor Ablation with Reconstructions: Uniting oncological care with aesthetic mastery. Jaw Enhancements and Genioplasties: Balancing and harmonizing facial profiles.
Double Jaw/Bimax Surgeries: Achieving facial symmetry and optimal function.
Rhinoplasties and Nose Reconstructions: Perfecting nasal aesthetics with artistry.

Breast Aesthetics and Reconstruction: Having trained at one of Turkey's leading centers for breast surgeries, I am well- versed in the art of breast aesthetics and reconstruction, ensuring that patients regain both their confidence and their sense of self.

At the core of my practice is a dedication to individualized care. I believe that every patient is unique, and their needs and aspirations deserve tailored attention. My mission is to provide compassionate, patient-centered care that goes beyond routine procedures, ensuring that each individual receives the personalized treatment they deserve.

As I continue to push the boundaries of plastic and aesthetic surgery, my focus remains on achieving excellence in both form and function, all while prioritizing the unique needs of every patient under my care.

Received Professional Certificates

7. SURRAHPASA PLASTIC SURGERY DAYS

• Current Diagnostic and Therapeutic Approaches in Skin Cancers

JUNE 3 JUNE 4 - 2022 JUNE 2022

BODY SHAPING AFTER EXTREME WEIGHT LOSS

JUNE 1 2 - 2018 JUNE 2018

32. NATIONAL TPRECD CONGRESS

Vertical Mammoplasty, Technical Details, Borders and

Problems

16 SEPTEMBER 16- 2010 SEPTEMBER 2010

Surgical Anatomy of the Hand and Intrinsic Flaps

SEPTEMBER 17, 2010 SEPTEMBER 17, 2010

Orthognathic Surgery-Maxillary Procedures

SEPTEMBER 18, 2010 SEPTEMBER 18, 2010

Orthognathic Surgery-Mandibular Interventions

SEPTEMBER 17-19-2010 SEPTEMBER 2010

OMU FACULTY OF MEDICINE AND SAMSUN CHAMBER OF MEDICINE

Academic Development Course 2

MARCH 16, 2013 MARCH 16-2013

Academic Development Course 6

MARCH 28 - MARCH 29 - 2015 MARCH 2015

• ASSOCIATION OF RECONSTRUCTIVE MICROSURGERY

16. Basic Microsurgery Course

MAY 7 - MAY 11 - 2013 MAY 2013

MESOCLINIC

Boutique Workshop

180 JANUARY 2014

Received Professional Certificates

• SAMSUN BREAST SYMPOSIUM

MAY 30 - MAY 31 - 2014 MAY 2014

• TPRECD

Meeting on Implant Selection in Aesthetic and Reconstructive Breast Surgery

SEPTEMBER 16, 2010 SEPTEMBER 16 - 2010

• TPRECD Non-Surgical Aesthetic Procedures Course

Filler and Neurotoxin Applications

DECEMBER 14 - DECEMBER 17, 2017

Mesotherapy, Dermaroller, Applications and Skin Care

DECEMBER 14 - DECEMBER 17, 2017

Aesthetics and Beauty on Face and Body with Laser, IPL, Radiofrequency and Ultrasound Based Devices

Purposeful Applications

DECEMBER 14 - DECEMBER 17, 2017

• ASSOCIATION OF AESTHETIC FACE AND NECK SURGERY

NATIONAL CONGRESS & ISTANBUL AESTHETICS

FEBRUARY 16 - 2018 FEBRUARY 18 - 2018

• AMERICAN HOSPITAL LIVE SURGERY COURSE

APRIL 27 - 28 - 2018 APRIL 2018

• PRESERVATION RHINOPLASTY COURSE ISTANBUL

NOVEMBER 29, 2018 - DECEMBER 1, 2018

• ISEF 2019

FEBRUARY 15 - 2019 FEBRUARY 17 - 2019

• 41st NATIONAL TPRECD CONGRESS

Right Transplantation Course

FEBRUARY 15 - 2019 FEBRUARY 17 - 2019

• THE LABORATORY THREAD&LIFT CERTIFICATE BRUSELS

BELGIUM

FEBRUARY 17, 2021

Emine Handan Simsek TURAN M.D. was born in 1989, Antalya / Turkey. She graduated from Antalya Anatolian High School in 2007. She studied at Akdeniz University School of Medicine between 2007-2013. In 2011 , she studied at RWTH Aachen University in Germany for one year with an exchange programme. She started her residency in Ear, Nose , Throat & Head and Neck Surgery at Antalya Research and Training Hospital in 2014. After two years she changed her residency department and started to Plastic , Reconstructive and Aesthetic Surgery department at the same hospital in 2016 . She worked as an observer in Lavender Clinic in Vietnam to gain more experience on eyelid surgery and nose surgery.

After completing her residency , she worked for 2 years in Antalya Research and Training Hospital for mandatory government work. She currently examines her patients in her own clinic located in the center of Antalya. Her surgical interests include; rhinoplasty, blepharoplasty, breast surgeries, abdominoplasty and facial reshaping surgeries.

Born in 1979 in Iskenderun, The Yunus Kaplan Private Clinic was founded ,a renowned otorhinolaryngologist (ear, nose, and throat specialist) who has specialized in facial aesthetics for more than 15 years in Istanbul ,After graduating from; Gaziantep University Faculty of Medicine in 2001,YunusKaplan left the Department of ENT at Gaziantep University Faculty of Medicine as an expert in 2009. Afterwards,he Worked in the following hospitals,respectively;

Job history ;

• Cizre State Hospital 2009–2011
• Private Batman World Hospital  2011-2013
• Private Istanbul Hospital 2013-2015
• Medipol Hospital 2015-2016
• Intermed Nisantasi Clinic  2018-2020
• Yunus Kaplan Private Clinic 2016-
• As of 2016,one of the doyens of the Rhinoplasty community.He worked with Rhinoplasty Master and Rhinoplasty School founder Op.Dr. Süreyya Şeneldir.(2016-2018)

He is a member of many associations, such as the Turkish Otorhinolaryngology and Head and Neck Society, the European Academy of Facial Plastic Surgery (EAFPS), and the Turkish Facial Plastic Surgery Association.

Treatments : Primary Rhinoplasty, Piezo Rhinoplasty, Ethnic Rhinoplasty, Revision Rhinoplasty, Tip plasty

ARTICLES PUBLISHED IN NATIONAL AND INTERNATIONAL JOURNALS :

https://pubmed.ncbi.nlm.nih.gov/23914647/

Surgeon Ekrem Keskin was born in 1986 in Istanbul. He completed his education at Istanbul University Cerrahpaşa Faculty of Medicine in 2010, and was awarded the title of Medical Doctor. During his residency training he was instructed in nose, facial and breast aesthetics under the supervision of James Zins, MD and Raffi Gurunluoglu, MD, at Cleveland Clinic Plastic and Reconstructive and Aesthetic Surgery Department, Cleveland, OHIO-USA in 2016. After 5 years of Plastic, Reconstructive and Aesthetic Surgery training, he completed his specialization and became a Plastic and Aesthetic Surgery Specialist.

-Chief Surgeon of Girin Plastic Surgery Clinic

-Graduated from Seoul National University College of Medicine

-Seoul National University Hospital Plastic Surgery Specialist

-Director of Girin Plastic Surgery Clinic

-Lifetime member of the Korean Society of Plastic Surgery

-Full member of the Korean Society of Aesthetic Plastic Surgery

-Full member of the Korean Society of Craniofacial Plastic Surgery

-Full member of Korean Society of Plastic Surgeons

Dr. Orhan Aydın
Specialist in Plastic, Reconstructive, and Aesthetic Surgery

Professional Summary

A highly accomplished Plastic, Reconstructive, and Aesthetic Surgeon with 16 years of clinical experience. Over 3,000 rhinoplasty procedures and more than 15,000 aesthetic surgeries have been performed, demonstrating exceptional expertise in facial rejuvenation, body contouring, breast surgeries, and advanced reconstructive techniques. Skilled in both surgical and non-surgical procedures, with a strong commitment to patient care, innovation, and precision in achieving outstanding results.

Education

• Doctor of Medicine (MD) – Celal Bayar University, School of Medicine
• Residency in Plastic, Reconstructive, and Aesthetic Surgery – Pamukkale University, School of Medicine

Professional Experience

Plastic, Reconstructive, and Aesthetic Surgeon

Pamukkale University Training and Research Hospital (2009 – 2014)

• Gained expertise in complex reconstructive surgeries, including hand and maxillofacial procedures.
• Actively involved in academic training programs for medical residents.

Sanlıurfa Mehmet Akif İnan Training and Research Hospital (2014 – 2016)

• Conducted a high volume of rhinoplasty and breast surgeries, establishing a reputation for meticulous attention to detail.

Ankara Dr. A. Yurtaslan Oncology Training and Research Hospital (2016 – 2018)

• Specialized in reconstructive surgeries for oncology patients, including breast reconstruction and skin cancer surgeries.

Private Clinic, Ankara (2018 – Present)

• Successfully performed thousands of aesthetic and reconstructive surgeries, focusing on patient satisfaction and innovative surgical techniques.
• Expanded practice to include non-surgical treatments such as fillers, Botox, and laser therapies.

Areas of Expertise

• Rhinoplasty (Nasal Surgery)
• Breast Surgeries: Augmentation, Reduction, Lifting
• Facial Rejuvenation: Facelift, Neck Lift, Eyelid Surgery
• Body Contouring: Liposuction, Tummy Tuck, BBL
• Reconstructive Surgeries: Hand Surgery, Breast Reconstruction, Skin Cancer Treatments
• Non-Surgical Procedures: Botox, Fillers, Laser Therapies
• Burn and Scar Management

Certifications & Courses

• Preservation Rhinoplasty Certification – Preservation Rhinoplasty Course, 2018
• Closed Atraumatic Rhinoplasty Certification – 2019
• International Health Tourism Certification – Ministry of Health, 2022

Publications

• "A Rare Case of Endochondral Pseudocyst of the Auricle" – Aesthetic Plastic Surgery Journal, 2016
• "Effects of Tamoxifen on Survival of Cutaneous and Myocutaneous Flaps" – European Review of Medical and Pharmacological Sciences, 2014
• "Intramuscular Myxoma: Clinical and Surgical Observations" – Published with Pamukkale University Research Team

Languages

• English: Fluent
• Turkish: Native

Contact Information

Dr. Orhan Aydın
Maidan Work Center, C/55, Ankara, Turkey
Website: www.drorhanaydin.com
Instagram: @drorhanaydin

Name and Surname: Ismail BARUT

Date of Birth: January 01, 1984

English German, English Foreign Language: German

Educational Status:

Degree Department/Program School/University Year

Elementary School Üçgüllük Elementary School 1990-1996

Elementary Secondary School Iskenderun Five July Secondary School 1996-1998

Secondary Education High School Iskenderun Foreign Language is Mainly

High School

1998-2002

Undergraduate Faculty of Medicine Ege University Faculty of Medicine / Izmir 12/09/2002-

29/06/2008

PhD General Surgery Istanbul University Cerrahpaşa Medicine

Faculty of Economics/Istanbul

19/01/2009-

20/03/2009

PhD in Plastic, Reconstructive and

Aesthetic Surgery

Gazi University Medicine

Faculty/Ankara

12/11/2009-

28/05/2016

Side Branch

Education

Hand Surgery Istanbul Hamidiye Etfal Education and

Research Hospital/Istanbul

18/06/2020-

13/09/2021

Special

Office

Plastic,Reconstructive and

Aesthetic Surgery

Nişantaşı/Şişli/Istanbul 01.06.2022-

Continue

it does

TASKS:

Title of the Task Place of the Task Year

General Practitioner Akkuş Kızılelma Medical Center /Ordu January 23, 09, 2008-

15/01/2009

Research Assistant Istanbul University Cerrahpaşa Faculty of Medicine General

Department of Surgery

19/01/2009-

20/03/2009

Research Assistant Gazi University Faculty of Medicine Plastic, Reconstructive and

Department of Aesthetic Surgery

12/11/2009-

28/05/2016

Specialist Physician Ministry of Health University Van Education and Research

The Hospital

13/06/2016-

30/09/2017

Specialist Physician Burdur State Hospital 01/08/2018-

29/03/2019

Specialist Physician Ministry of Health University Van Education and Research

The Hospital

11/04/2019-

15/06/2020

Department Assistant Istanbul Hamidiye Etfal Training and Research Hospital 18/06/2020-

13/09/2021

Private Practice Plastic,Reconstructive and Aesthetic Surgery 01.06.2022-

Continues

works:

A. Papers Presented at National Scientific Meetings and Published in the Proceedings Books

A1. Sezgin B., Şencan A., Private B., Gunpowder I., Shibar S., Sarybaeva A., Ozmen S.

Neoderm in full-fold scalp defect accompanied by cranial bone defects

usage: A kenservative approach in a complicated Adams-Oliver syndrome. 33. National Turkish

Plastic Reconstructive and Aesthetic Surgery Congress, Izmir, Turkey, September 14-18, 2011

A2. Sezgin B., Fındıkçıoğlu K.,Shibar Sh., Gunpowder I., Ayhan S., Latifoglu O .

Breast reduction in our clinic: A retrospective cross-sectional view. 33. National Turkish Plastics

Reconstructive and Aesthetic Surgery Congress, Izmir, Turkey, September 14-18, 2011

A3. South K., Bulam H., Hürkal D., Gunpowder I., Shibar S., Tuncer S.

Case Report: Purpura Fulminans. 34. National Turkish Plastic Reconstructive and Aesthetic Surgery

Kurultai,Rixos Sungate Hotel, Antalya,Turkey

B. Articles Published in International Refereed Journals:

B1. Technical Aspects and Difficulties in the Management of Head and Neck Cutaneous

Malignancies in Xeroderma Pigmentosum.Sibar S, Findikcioglu K, Erdal AI, Barut I, Ozmen S.Arch

Plastic Surgery . 2016 Jul;43(4):344-51. doi: 10.5999/aps.2016.43.4.344. Epub 2016 Jul 20.

B2. A new option for the reconstruction of orbital floor defects with heterologous cortical

bone.Ozel B, Findikcioglu K, Sezgin B, Guney K, Barut I, Ozmen S.J Craniomaxillofacial Surgery. 2015

Oct;43(8):1583-8. doi: 10.1016/j.jcms.2015.06.029. Epub 2015 Jul 4

B3. A recipient vessel modification in vaginal reconstruction with free jejunal flap.Ozmen S,

Sencan A, Sezgin B, Barut I, Yuksel O.Microsurgery. 2013 Sep;33(6):503-4. doi:

10.1002/micr.22121. Epub 2013 Jul 9.

C. National Courses and Congresses Attended by:

C1. V. Rhinoplasty Course Ankara / Turkey, May 10-12, 2012

C2. TRECD 34. October November 31st-November 4th, 2012 National Congress Antalya / Turkey

C3. XII. Experimental Animal Practice and Ethics Course Ankara / Turkey10-20 December 2012

C4. Prof. Dr. Ridvan EGE Basic Hand Surgery Course 8 Ankara / Turkey 27-28 September 2013

C5. 18. Basic Microsurgery Course Istanbul / Turkey November 19-23, 2013

C6. Turkish Plastic Reconstructive and Aesthetic Surgery Association 36. National Congress Istanbul / Turkey 29

October November 1, 2014

C7. Turkish Plastic Reconstructive and Aesthetic Surgery Association 37. National Congress Ankara / Turkey 4-7

November 2015

C8. Turkish Plastic Reconstructive and Aesthetic Surgery Association 37. National Congress of Post-Bariatric

Surgical Course Ankara / Turkey 4-7

November 2015

C9.Basic training of communication skills in medicine. February 24-25, 2016.Gazi university/Ankara

C10. Turkish Plastic Reconstructive and Aesthetic Surgery Association Aesthetic Breast Surgery Course.12-14

July 2019.Van/Turkey

D. International Courses and Congresses Attended by Dec

D1. EPSRC 5th European Plastic Surgery Research Council Hamburg / Germany 22-25August 2013

E. CERTIFICATE OF APPRECIATION

E1. Performed at Gazi University Faculty of Medicine Hospital on March 17, 2012

I was in the third ‘ Face Transplant Operation’ of our country.

PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGERY

EDUCATION

Undergraduate                                                          .

Faculty of MedicineEge University Faculty of Medicine/Izmir

2002-2008

Ph.D.

General Surgery Istanbul University Cerrahpasa Medicine Faculty Istanbul 2008

PhD Plastic,

Reconstructive and Plastic surgery Gazi University Medicine Faculty/Ankara 2009-2016

Minor Brancheducation

Hand Surgery Istanbul Hamidiye Etfal Training and Research Hospital/Istanbul

07/2020- continue doing

WORK EXPERIENCE

General Practitioner Akku K1z1lelma HealthCenter/Ordu 2008-2009

Research Assistant Istanbul University Cerrahpa a Faculty of Medicine, Department of General Surgery 2009

Research Assistant Gazi University Facultyof Medicine Del)artment of Plastic, Reconstructive and Aesthetic Surgery 2009-2016

Specialist Physician Ministryof Health University Van Training and Research Hospital 2016-2017 A

Specialist Burdur State Hospital2018-2019

Specialist Physician Ministryof Health University Van Training and Research Hospital 2019-2020

Minor Assistant Istanbul Hamidiye Etfal Training and Research HOSP.ital 2020-

continues

with Dream international 

• Expertise and Experience: The best plastic surgeon in Turkey are highly skilled and experienced, with a wealth of knowledge and expertise in his field. he has trained extensively in the latest techniques and technologies, ensuring he can provide the most effective and safe treatments to his patients.
• Board-Certification: Many of the best plastic surgeons in Turkey are board-certified, meaning they have undergone rigorous training and testing to demonstrate their expertise in his field. This provides peace of mind for patients, knowing they are in the hands of a qualified and competent surgeon.
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-Chief Surgeon of Girin Plastic Surgery Clinic

-Graduated from Seoul National University College of Medicine

-Seoul National University Hospital Plastic Surgery Specialist

-Seoul National University Graduate School of Medicine Ph.D.

-Lifetime member of the Korean Society of Plastic Surgery

-Full member of the Korean Society of Aesthetic Plastic Surgery

-Full member of Korean Society of Plastic Surgeons

-Former Assistant Professor, Catholic Kwandong University International St. Mary's Hospital

-Former Clinical Lecturer of Plastic Surgery at Seoul National University Bundang Hospital

As a Plastic, Reconstructive and Aesthetic Surgeon, Associate Professor Dr Sevgi Kurt started her medical education at Istanbul University Medical Faculty in 2000. After graduation in 2006, she got a degree in the MEdical Specialization Examination and started her training in the Department of Plastic, Reconstructive and Aesthetic Surgery at Istanbul University Medical Faculty and was entitled to receive the title of Plastic, Reconstructive and Aesthetic Surgery Specialist in 2012.

During her education, she did microsurgery fellowship with Fu Chan Wei and Hung Chi Chen in Taiwan in 2012, and did breast reconstruction fellowship with Moustapha Hamdi in Belgium in 2014.

In 2014, she successfully passed the EBOPRAS (European Plastic Surgery Board Exam) written and oral exams and received the European Board certificate.

After completing her specialization training, she worked at Istanbul Training and Research Hospital and received the title of ‘Associate Professor’ in 2019.

She has scientific studies published in national and international journals and presented at both national and international meetings.

EDUCATION

1996 – 2000                        Junior High School and High School Education

                                               Kabataş Erkek High School, Istanbul 

2000 – 2006                        Medical Education (graduated with the degree of one of                                                  three highest ranked student)

                                               Kocaeli University Faculty of Medicine, Kocaeli 

2008 – 2013                        Plastic, Reconstructive and Aesthetic Surgery Education                                                Ankara Training and Research Hospital, Plastic,                                                              Reconstructive and Aesthetic Surgery Clinic, Ankara

THESIS of GRADUATION 

December 2013                 “Ex Vivo Biomechanical Evaluation of Flexor Tendon                                                       Repair Using Barbed Suture Material: A Comparative                                                     Study”

ACADEMIC APPOINTMENT

01/07/2005 – 31/07/2005   Internship

                                                   Humboldt University, Helios Klinikum Emil von                                                                Behring, Department of Plastic, Reconstructive and                                                        Aesthetic Surgery, Berlin 

01/08/2005 – 30/09/2005    Internship

                                                    Humboldt University, Waldkrankenhaus, Berlin                                                                 

09/ 2008 – 10/2013                 Plastic, Reconstructive and Aesthetic Surgery                                                                    Residency

                                                    Ankara Training and Research Hospital, Plastic,                                                               Reconstructive and Aesthetic Surgery Clinic, Ankara 

01/04/2013 – 26/04/2013     Guest Doctor

                                                    Lacomed Plastic, Reconstructive and Aesthetic                                                               Surgery Clinic, Berlin 

01/2014 – 10/ 2014                Consultant Surgeon

                                                   Sinop Ataturk State Hospital, Plastic, Reconstructive                                                    and Aesthetic Surgery Clinic, Sinop

03/01/2016 – 06/01/2016    Consultant Surgeon in ISAPS-LEAP Volunteer Mission                                                     for Syrian Refugees

                                                    Al Maqassed Charity Hospital, Amman (Jordan)

28/09/2016 – 08/10/2016     Consultant Surgeon in International Humanitarian Aid                                                      Program

                                                     Namangan Children’s Hospital, Plastic Surgery                                                                Clinic, Ferghana Valley 

2014 – 2019                              Consultant Specialist

                                                    Health Sciences University, Cemil Tascioglu Training                                                     and Research Hospital, Plastic, Reconstructive and                                                       Aesthetic Surgery Clinic, Istanbul 

09/ 2019                                     Title of Associate Professor in Plastic,                                                                                Reconstructive and Aesthetic Surgery

                                                     Chair of the Higher Education Board, Ankara

2020 – 2022                               Head of Department of Plastic, Reconstructive and                                                          Aesthetic Surgery

                                                    Health Sciences University, Cemil Tascioglu Training                                                     and Research Hospital, Plastic, Reconstructive and                                                       Aesthetic Surgery Clinic, Istanbul 

2023- Attending                       

MEMBERSHIPS 

2013                                           Turkish Society of Plastic, Reconstructive and                                                                   Aesthetic Surgeons (TPRECD)

2013                                           Reconstructive Microsurgery Association (RMCD)

2014                                           Association of Emergency Hand Surgery and                                                                     Microsurgery (ACELEMDER)

HONOR AND/OR AWARDS

12/11/2015 – 14/11/2015     Second Prize,

                                                  Turkish Society of Surgery, VIII. Surgical Research                                                         Congress, IV. Contest of Invention, Konya

                                                  Project name: “Therapeutic apparatus for ingrown                                                           toenail”

14/04/2016 – 16/04/2016  Second Prize

                                                 AAEF Surgical Forum in Breast Symposium,                                                                      Barcelona (Spain) 

                                                 Presentation name: “V.A.C.™ Therapy To Manage                                                            Extensive, Large, Potentially Lethal Degloving Injuries”

SCIENTIFIC ACHIVEMENTS

• - Published more than 40 articles in international and national peer-reviewed journals
• - Presented more than 61 presentations in international and national scientific meetings
• - Wrote more than 2 book chapters nationally and internationally.

Plastic Surgery: We offer plastic surgery services with our experienced surgeons using up-to-date techniques. We aim to achieve natural and aesthetic results by producing solutions specific to each individual's needs.

Hair, Beard and Eyebrow Transplantation: We offer special solutions to those struggling with hair loss, sparse beard or eyebrow problems. Our expert team aims to achieve natural results that suit the person's facial features.

Filling Applications: We safely perform filling applications used for facial rejuvenation and contouring with our expert aesthetic surgeons. With our approach that prioritizes naturalness, we help our customers achieve the look they want.

At the moment:

• Graduate of Plastic and Reconstructive Surgery, General Hospital "Dr. Rubén Leñero"

Formative teaching background:

• Specialty: General Surgery, UNAM. Regional High Specialty Hospital of Ixtapaluca
• Professional ID: 8495674 and 12261362
• Bachelor's Degree: Medical Surgeon and Midwife, Autonomous University of Guadalajara.
• Undergraduate Internship: Ángeles del Pedregal Hospital
• Social Service: New Miguel Hidalgo, Jurisdiction VII Autlán, Jalisco.

Professional experience:

• First Place in the category: Nutrition in the VII Health Week with the presentation of the poster: “Your health depends on you” 2008
• Head of Undergraduate Internship : Ángeles del Pedregal Hospital 2011-2012.
• Honorable Mention: Appreciation for social service. Jurisdiction VII Autlán, Jalisco

Patents and Utility Models:

1. Inventor 2020: DEVICE AND METHOD FOR MONITORING THE TEMPERATURE OF FREE FLAPS AND THEIR ADJACENT SKIN. MX/u/2019/000611 .
2. Inventor 2019: DEVICE FOR PLACING, USING AND CONTROLLING SURGICAL MAGNIFIERS THROUGH VOICE COMMAND MX/u/2018/000786

Continuing Education Bachelor's Degree:

• 2008: 3rd Pan-American Symposium on Neurovirology AIDS, Cancer and Neurodegeneration & Magisterial Biomedical Lectures for the 21st Century.
• 2010: Postgraduate Course I HERNIOPLASTY OF THE NEW MILLENNIUM during the XXXIV International Congress of General Surgery 2010.
• 2010: XVI Modular Medical Update Course 30 hrs.
• 2010: First International Congress on Autism and Fragile X Syndrome 16 hrs.
• 2012: Induction course to Social Service and Opportunities Program 32 hrs.
• 2012: Poster presentation “IVU's and their i resistance pattern of E. Coli and E. Coli ESBL to Quinolones, TMP/SMz and Nitrofurantoin”.
• 2013: Training Course on Health Component Opportunities; 8 hrs.
• 2013: Training Course: Vectors and Zoonoses; 8 hrs.
• 2013: XXCII Training Course for the national exam for candidates for Medical Residencies, ENARM UANL 2013, 230 hrs.

Specialties:

• Specialty in general surgery. General Hospital of Mexico “Dr. Eduardo Liceaga” 2014-2017 Regional High Specialty Hospital of Ixtapaluca 2017-2018.
• Specialty in Plastic and Reconstructive Surgery General Hospital “Rubén Leñero” 2019-

Diplomas, Masters and Doctorates:

• Diploma in Theoretical Introduction to Clinical Research - 120 hours. From October 3 to November 30, 2018. UNAM.

Continuing Education Specialty:

American Society Of Plastic Surgeons ® Courses :

• 2015: CME Article: Craniofacial Syndromes and Surgery, 1.0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015: CME Article: Tendon Transfers Part I: Principle of transfer and transfers for Radial Nerve Palsy”, 1.0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015: CME Article: Tendon Transfers Part II: Principles of Transfer and Transfers for Radial Nerve Palsy” 1.0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015 : CME Article: The Best of Tendon and Nerve Transfers in the Upper Extremity” .0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015: PS2013: Non-Microtia Ear Deformities- Understanding the Common Anatomic Deformities” 2.25 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015: CME Article: Perforator Flaps: History, Controversies, Physiology, anatomy and Use in Reconstruction” 1.0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015: CME Article: Free Tissue Transfers and Replantation” 1.0 AMA PRA Category 1 Credit(s)TM American Society Of Plastic Surgeons ®
• 2015 : CME Article: Evidence-Based Medicine- Rhinoplasty (MOC-PS®)” 1.0 AMA PRA Category 1 Credit(s)TM. American Society Of Plastic Surgeons ®
• 2015: ASSH PIP Repair & Reconstruction Webinar 1.0 AMA PRA Category 1 Credit(s)TM American Society for Surgery of the Hand®
• 2015: ASSH PIP Repair & Reconstruction Webinar 1.0 AMA PRA Category 1 Credit(s)TM American Society for Surgery of the Hand®
• 2016: 5th International Course on Minimally Invasive Oncologic Surgery. National Cancer Institute.

Free papers at Congresses:

• 2015: Open-label papers: ID 56 Massive upper gastrointestinal bleeding secondary to GIST (Leiomyosarcoma of the jejunum): Case report and review of the literature. Revista de Gastroenterología de México 2015;80 (Suppl 2): pg 40-41.
• 2015: Poster:   Acute abdomen secondary to omental torsion, review of the literature and report of a case. XXXIX International Congress of Surgery, to be held from October 31 to November 5, 2015 in Monterrey, NL
• 2016: Poster: Case report: Celiac trunk thrombosis, gastric perforation and splenic abscess. 40th International Congress of General Surgery 2016.
• 2016: Free Oral Work: “Post-surgical hematoma in thyroidectomy with or without post-intervention drainage: comparative analysis, General Hospital of Mexico “Dr. Eduardo Liceaga”, 1995-2015”. 40th International Congress of General Surgery 2016.
• 2017: Free Oral Work: “Basic Principles of Plastic Surgery”. Santa Mara Chapalita Hospital SA Guadalajara Jalisco.
• 2017: Poster: “Planning of bilateral mandibular distraction in a patient with Arthrogryposis and Mandibular Hypoplasia using 3D printing”. XXXIV Conference of the Dr. Manuel Gea González General Hospital. October 2017.
• 2018: Speaker: “Applications of 3D printing in Plastic and Reconstructive Surgery”. ASO-FOM Annual Symposium, Friday, January 26 and 27, 2018.
• 2018: Speaker: “Firearm Wounds, Prevalence of Therapeutic Laparotomies and the Utility of Diagnostic Laparoscopies in Stable Patients in HRAEI”. XLII International Congress of General Surgery held from October 7 to 12, 2018, Guadalajara, Jalisco.
• 2018: Speaker Academic Session: “3D Printing Applications in Surgery” National Homeopathic Hospital, November 28, 2018, duration 1 hour.
• 2019: Speaker, Refresher Course in Plastic Reconstructive and Hand Surgery, Rubén Leñero Hospital. August 16, 2019, duration 30 minutes.

Scientific Writing Courses:

• 2016: Elsevier Publishing Campus; Certificate of Completion; Tell your research story with AudioSlides . www.publishingcampus.com .
• 2016: Elsevier Publishing Campus; Certificate of Completion; How to promote your article for maximum impact . www.publishingcampus.com .
• 2016: Elsevier Publishing Campus; Certificate of Completion; How to write a lay summary: Improving research impact . www.publishingcampus.com .
• 2016: Elsevier Publishing Campus; Certificate of Completion; How do Editors look at your paper? www.publishingcampus.com .
• 2016: Elsevier Publishing Campus; Certificate of Completion; Step-by-step guide to reviewing . www.publishingcampus.com .
• 2016: Elsevier Publishing Campus, Certificate of Completion; How to respond to reviewers' comments . www.publishingcampus.com .
• 2017: Elsevier Publishing Campus; Certificate of Completion; How to become a Reviewer and What do Editors Expect? . www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Why get involved in peer review? www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Successful Grant Writing . www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Structuring Your Article . www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Using Proper Manuscript Language . www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Preparing your manuscript . www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Authorship Responsibilities. www.publishingcampus.com
• 2017: Elsevier Publishing Campus; Certificate of Completion; Content ownership. www.publishingcampus.com
• 2017: Data Management for Clinical Research, Vamderbilt University.  
• 2017: Introduction to Systematic Review and MetaAnalysis, Johns Hopkins University.
• 2017: Introduction to Mathematical Thinking, Stanford University.
• 2018: Elsevier Publishing Campus; Certificate of Completion; Social Media for Researchers. www.publishingcampus.com

Member of Editorial Committees and Peer Reviews:

• Reviewer Member, Austin Journal of Surgery, Austin Publishing Group. Jersey City, New Jersey.
• Reviewer Member, Editorial Board of Infectious & Non-Infectious Diseases, Herald Scholarly Open Access Journal.
• Reviewer Member. Annex Publishers, Journal of Case Reports and Studies, Peer Reviewer; Wilkie's Syndrome in an Adolescent: A Rare Cause of Upper Intestinal Obstruction.
• Reviewer Member: Hindawi Caser Reports in Surgery. Fitzroy Saquare, London England.

Certification Courses:

• 2015: ABLS Provided 7 category 1 credits Toward the AMA Physician's Recognition Award. American Burn Association®
• 2015: ACLS and ABLS ® . AVB Course for Healthcare Professionals AVCA Advanced Cardiovascular Life Support Course.
• 2015: Advanced Trauma Life Support Course (ATLS ® ).
• 2016: 15th Course-workshop on Surgical Anatomy of the Hand. Human Anatomy of the Faculty of Medicine of the UNAM

Free Surgery Campaigns:

• 2018: Free Hand Surgery, Mexican Association of Hand Surgery AC May 26, 2018.

Microsurgery Courses:

• 2015: Course in Microvascular Surgical Techniques. Mayo Microvascular Training Center 40 hour. Mayo Clinic College of Medicine Rochester Minnesota .
• 2015: Basic Microsurgery Workshop at the Karl Storz Surgical Research and Training Center of the ABC Medical Center. Total of 25 hours.

Published research: h -index = 4 calculated with Google Scholar.

1. 2012: Original Article: Urinary tract infections. I resistance pattern of E. Coli and E. Coli ESBL to quinolones, trimethoprim-sulfomethoxazole and nitrofuroanthonia. Med Int Mex 28(05):434-439. With 25 citations.
2. Cornejo-Dávila, V., Palmeros-Rodríguez, MA, de Meneses, IUT, Mayorga-Gómez, E., Garza-Sáinz, G., Osornio-Sánchez, V., … & Morales-Montor, JG (2015). Management of complicated urinary tract infections in a referral center in Mexico. International urology and nephrology, 47(2), 229-233.
3. Nava, CA, & Alarcón, NC Phylogenetic group relationship with extended-spectrum β-lactamase production in uropathogenic E. coli isolates. Tlamati Sabiduria Volume 7 Special Issue 1. September 2016.
4. Briones Garduño, JC, Viruez Soto, JA, Vallejo Narváez, CM, Vargas Arias, RE, Ortiz Bolaños, R., & Díaz de León Ponce, MA (2015). Microbiological isolations: experience in critical obstetrics. Journal of the Mexican Association of Critical Medicine and Intensive Care , 29 (4), 209-213.
5. Gutierrez, LTC, Caycedo, MIT, Orduz, LMC, Lopez, DP, & Quiroga, CFPP (2016). Phenotypic characterization of GRAM-negative bacilli with extended-spectrum beta-lactamases and carbapenemases. Journal of Health Research of the University of Boyacá , 2 (2).
6. Antibiotic sensitivity profile of bacteria in urinary tract infections. Acta Médica Costarricense ISSN 0001-6012, 58(4).
7. Antibiotic sensitivity profile of bacteria in urinary tract infections. Acta Médica Costarricense , 58 (4), 146-154.
8. da Silva, RO, Dantas, CG, Alves, MF, & Pinheiro, MS (2014). Resistance profile of enterobacteria in urine cultures of outpatients in the city of Aracaju/SE. Profile of resistant enterobacteria from urine cultures outpatients in the city of Aracaju/SE. Scientia Plena, 10(11).
9. Velandia, DPL, Caycedo, MIT, Orduz, LMC, & Quiroga, CFP (2017). Determination of genes encoding extended spectrum beta-lactamase resistance in Gram-negative bacilli isolated from urine cultures. Journal of Health Research of the University of Boyacá , 3 (2).
10. Zavala-Cerna MG, Macriz-Romero N, Santoscoy-Gutierrez JF, Naydich L, et all. High Microbiological Spectrum Resistance Rates in Urine Isolates from Jalisco, Mexico. A Retrospective Study and Literature Review. Int Arch of Med, Vol 8 No.148 Doi 10.3823/1747. 2015.
11. Prats-Blanco et al. Incidence of urinary tract infections by coliform bacteria in the municipality of Yara, 2015. Multimed Revista Médica Granma 2016; 20(6): 69-77.
12. Ortega Ortega MS. Determination of Extended Spectrum Beta-lactamases in Echerirchia coli and Klebsiella pneumoniae through molecular testing in urine cultures from outpatients with urinary tract infections. USFQ Digital Repository. http://192.188.53.14/handle/23000/6508 .
13. Galindo-Méndez Mario. Molecular characterization and antimicrobial susceptibility pattern of extended-spectrum β-lactamase-producing Escherichia coli in community-acquired urinary tract infection. Rev. chil. infectol. [Internet]. 2018 [cited 2018 Jul 29] ; 35( 1 ): 29-35. Available at: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0716-10182018000100029&lng=es. http://dx.doi.org/10.4067/s0716-10182018000100029 .
14. González-Mesa, Leonora et al. Genetic relationship of clinical isolates of Escherichia coli producing Extended Spectrum Beta Lactamases (ESBL) in a hospital in Havana, Cuba. CENIC Journal. Biological Sciences, vol. 48, no. 3, September-December, 2017, pp. 107-112
15. 2014: Lack of knowledge of the name of the medication as a relative risk factor for noncompliance with treatment in patients with systemic arterial hypertension in rural populations. Med Int Mex 2014; 30: 240-246.

•   Galván Flores GM, et al. Adaptation and validation into Spanish of the SMP-T2D questionnaire to assess self-management of arterial hypertension plus type 2 diabetes: PAG-DT2+HTA. Hypertension Vascular Risk. 2017. http://dx.doi.org/10.1016/j.hipert.2017.06.003
• Yakovleva Maria Viktorovna. PSYCHOLOGICAL FACTORS OF TREATMENT IN PATIENTS WITH ISCHEMIC HEART DISEASE, MODIFIED CORONARY SHUNTING. 2016. https://disser.spbu.ru/files/disser2/disser/P0RTvbByBX.pdf .

1. 2016: Clinical case report: Neonatal dysmorphic syndromes and Ogilvie syndrome. Cirugía y Cirujanos 2017; 85 (2). doi:10.1016/j.circir.2015.11.004 .

• Guerra Macias I. Acute colonic pseudo-obstruction or Ogilvie syndrome in an elderly woman. MEDISAN [online journal]. 2018 [cited 2018 Apr 7];22(2):[aprox. 0 p.]. Available at: http://medisan.sld.cu/index.php/san/article/view/1949

1. 2017: English version: Dysmorphic neonatal syndrome and Ogilvie syndrome. Received 3 February 2015; accepted 24 September 2015 Available online 6 March 2017. Cir Cir. 2017;85:148---153.
2. 2016: Case report: Deep neck abscess and mediastinitis with exposed carotid sheath treated with vacuum assisted closure. International Journal of Surgery Open, Volume 5, 20 – 22.

• Mir A, Guys N, Arianpour K, et al. Negative Pressure Wound Therapy in the Head and Neck: An Evidence-Based Approach. Laryngoscope. 2018:1-13. doi:10.1002/lary.27262.

1. 2017: Marco Aurelio Rendón Medina, The “Achilles Heel” of the International Nonproprietary Names (INN) Programme. In Hypertensive Patients of Mexico's Rural Population, Public Health Research, Vol. 7 No. 1, 2017, pp. 1-2. Doi:10.5923/j.phr.20170701.01.
2. 2017: Technical Description: Polypropylene Meshes In Wounds Inoculated With E. Coli; Pilot Study In New Zealand White Rabbit. Inter Jour de Dev Review. Vol. 07, Issue,05, pp.12684-12686, May, 2017. http://www.journalijdr.com/sites/default/files/issue-pdf/8505.pdf .
3. 2017: Laparoscopic treatment in Type IV Giant Paraesopagic Hernia and Intestinal Occlusion a case report. International Journal of Surgery Case Reports 2017. In press.
4. 2017: Medina MAR (2017) Capsule Granulation Tissue Harvested From Abdominal Region Used as Dural Graft. Neurosurg. Vol. 1 No. 3:21.
5. 2017: Exploring Furnas-McGregor Paradox. Describing Normal Distribution in Central Limb Stereometric Gain in 60 Degrees Z-Plasty. European Journal Of Plastic Surgery. EJPS-D-17-00146R1.
6. 2018 : Rendón-Medina MA, Andrade-Delgado L, Telich-Tarriba JE, Fuente-del-Campo A, Altamirano-Arcos CA. Dimensional Error in Rapid Prototyping with Open Source Software and Low-cost 3D-printer. Plast Reconstr Surg - Glob Open. 2018:1. doi:10.1097/GOX.0000000000001646.
7. 2020 : MA Rendón-Medina, MA Rendón-Pimentel, J Palacios-Juárez The accuracy of an automatic free flap temperature monitor: a proof-of-concept study European Journal of Plastic Surgery 43 (2), 185-188
8. 2020: Applications of 3D printing in reconstructive plastic surgery JE Telich-Tarriba, LE Ramírez-Sosa, D Palafox, E Ortega-Hernández, ... Journal of the Faculty of Medicine 68 (4)
9. 2020 : Repair of complex abdominal wall defect with flap: a good surgical alternative J Palacios-Juárez, J Morales-Maza, MA Rendón-Medina, ... Cir Cir 88 (2), 206-210
10. 2020: Reconstruction of Head and Neck Mucormycosis: A Literature Review and Own Experience in Immediate Reconstruction JJ Palacios, EV Hanson, MAM Rendon, RSL Infante Journal of Reconstructive Microsurgery Open 4 (02), e65-e72
11. 2020: Pylephlebitis as a complication of late diagnosis of cholangitis: a case report and review of the literature D Ángeles-Gaspar, JE Telich-Tarriba, L Leyva-Sotelo, ... Cirujano General 41 (2), 115-119
12. 2019: Application of low-cost fused deposition modeling additive manufacturing rapid anatomic models in patients with rhino-cerebral mucormycosis treated with maxillectomy MA Rendón-Medina, E Hanson-Viana, J Palacios-Juarez, ... European Journal of Plastic Surgery 42 (3), 299-304
13. 2021: Hanson-Viana E, Rojas-Ortiz J, Rendón-Medina MA, Pacheco-López RC, Ríos-Lara López LR, Palacios-Juárez J. Influence of BMI, Age, and Gender on the Thickness of Most Common Thinned Flaps. Plast Reconstr Surg Glob Open. 2021 Mar 30;9(3):e3409. doi: 10.1097/GOX.0000000000003409. PMID: 33968546; PMCID: PMC8099397.
14. 2021: Rendón-Medina, Marco Aurelio MD; Hanson-Viana, Erik MD; Montoya-García, Silvia Claudia MD; Vázquez-Morales, Hecly Lya MD; Pacheco-López, Ricardo César MD. Time Reduction by Prebending Osteosynthesis Plates Using 3D-Printed Anatomical Models, In Patients Treated With Open Reduction and Internal Fixation. Journal of Craniofacial Surgery 32(4):p 1491-1493, June 2021. | DOI: 10.1097/SCS.0000000000007451
15. 2020: Rendón-Medina, MA, Rendón-Pimentel, MA & Palacios-Juárez, J. The accuracy of an automatic free flap temperature monitor: a proof-of-concept study. Eur J Plast Surg 43, 185–188 (2020). https://doi.org/10.1007/s00238-019-01583-1
16. 2022: Marco Aurelio Rendón-Medina, Erik Hanson-Viana, Maria de los Angeles Mendoza-Velez, Rubén Hernandez-Ordoñez, Hecly Lya Vazquez-Morales, Ricardo C. Pacheco-López. Comparison of Nasal Analysis by Photographs (2D) against Low-cost Surface Laser Imaging (3D) and against Computed Axial Tomography Imaging. CC BY-NC-ND 4.0 · Indian J Plast Surg

DOI: 10.1055/s-0042-1759724

1. Total Auricular Reconstruction with Radial Forearm Prelaminated Flap Assisted by 3D Surface Imaging and 3D Printing. Plastic and Reconstructive Surgery - Global Open 10(10):p e4580, October 2022. | DOI: 10.1097/GOX.0000000000004580
2. HANSON-VIANA, Erik et al. The medial sural perforator artery free flap: a systematic review of published cases and experience in three Latin American centers. Cir. pl. iberolatinoam. [online]. 2022, vol.48, n.2 [cited 2023-01-02], pp.181-192. Available at: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922022000200009&lng=es&nrm=iso>. Epub 19-Sep-2022. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-78922022000200009 .
3. Velez M de los AM, Medina MAR, Lopez RP, Morales HLV, Ordoñez RH. Stack Splinting Versus Kirschner Wire Treatment in Acute Closed Mallet Finger Doyle I. Plastic Surgery. 2022;30(2):117-121. doi:10.1177/22925503211003838.
4. María de los Angeles Mendoza Vélez*, Marco Aurelio Rendon Medina, Erik Hanson Viana, Jorge Arturo Rojas Ortiz, Ricardo Pacheco Lopez. Osteoid osteoma in a metacarpal bone: literature review and case report. International Journal of Research in Medical Sciences Vélez MDLAM et al. Int J Res Med Sci. 2022 Mar;10(3):740-744 www.msjonline.org . DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20220529 .
5. Paracetamol vs. Na(v) 1.8 selective blocker in the Duran-Houser protocol and flexor tendon repair. Plastic Surgery 2022; 32 (3): 117-121
6. Comparison of wire versus Nylon in Bonny‑Mallet Finger treated with pull‑out surgery

MA Rendón-Medina, E Hanson-Viana… - Surgery and Surgeons, 2022

1. Epidemiology of mammal bite injuries: 5 year review of a level II regional referral hospital in Mexico city MAM Vélez, HS Méndez, EH Viana, MAR Medina… - International Journal of Research in Medical Sciences, 2021.
2. Evaluation of Predictive Values of an Automatic Device Measuring Oximetry in Free Flaps

MA Rendón-Medina, A Galeana-Pavón… - Plastic and Reconstructive Surgery Global Open, 2021

1. Refinements of the submental island flap donor site: a literature review and comparison among surgical specialties E Hanson-Viana, MA Rendón-Medina… - European Journal of Plastic Surgery, 2021
2. Initial histological evaluation of a novel dura mater graft based on capsule granulation harvested from subcutaneous tissue: Experimental model* MA Rendón-Medina, A Galeana-Pavón… - Journal of Craniofacial Surgery, 2022.
3. Use of Nanofat type fatty autograft for intra-articular regeneration in the hand with osteoarthritis.* SM Hirosi, PL Ricardo, VMH Lya, RMM Aurelio, HV Erik… - Trauma Magazine in Latin America; Jan-Jun, 2021.
4. Repair of complex abdominal wall defect with flap: a good surgical alternative

J Palacios-Juárez, J Morales-Maza… - Surgery and surgeons, 2020

Languages:

1. High English
2. Intermediate Italian

French I

Intermediate