Peter Butler | |
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Born | Peter Edward Michael Butler 1 September 1962 Ireland |
Occupation(s) | Surgeon, scientist |
Employer(s) | Royal Free London NHS Foundation Trust, London, United Kingdom |
Title | Professor of plastic and reconstructive surgery |
Website |
Peter Edward Michael Butler, FRCSI, FRCS, FRCS (Plast) (born 1 September 1962) is Professor of Plastic and Reconstructive Surgery at University College London.[ citation needed ] He is consultant plastic surgeon and head of the face transplantation team [1] at the Royal Free London NHS Foundation Trust in London, United Kingdom. He is Director of the Charles Wolfson Center for Reconstructive Surgery at the Royal Free Hospital, which was launched in November by The Right Honourable George Osborne, MP, Chancellor of the Exchequer at No 11 Downing Street in November 2013. [2]
Butler is a graduate of the Royal College of Surgeons in Ireland and Physicians of Ireland. He trained in Dublin, Massachusetts General Hospital, Harvard Medical School and London. He is a fellow of the Royal College of Surgeons in Ireland (FRCS) and the Royal College of Surgeons of England (FRCS). He began his main research interests at the Massachusetts General Hospital and Harvard Medical School. He began his work in 1993 with Andrew Lee and David Sachs in reconstructive transplantation, and with Charles Vacanti, Jay Vacanti and Robert Langer in tissue engineering.
Butler has an active clinical and laboratory based research program. [3] One of his main areas of research is facial transplantation. The work he has been involved in has received awards from the New England Society of Plastic and Reconstructive Surgeons, the American Society of Plastic and Reconstructive Surgeons, the Plastic Surgery Research Council, USA, the British Association of Plastic Surgeons and Society of Academic & Research Surgery. [4] [5]
Butler began the experimental work leading towards facial transplantation in 1993 at the Massachusetts General Hospital and Harvard Medical School. This work continues today. [3] On returning to the UK he set up one of the world's first clinical research programmes in facial transplantation in 2002. [6] Two other teams existed at that time, at Louisville, Kentucky, US, and at the Cleveland Clinic, Ohio, US. In 2004 a team led by Dr. Maria Siemionow at the Cleveland Clinic became the first institution to approve this surgery. [7] There was considerable resistance to facial transplantation taking place in the UK. [8]
In October 2006, after overcoming significant ethical hurdles Butler's team received permission from the North London Research Ethics Committee to go ahead with a series of four full face transplant operations to be carried out at the Royal Free Hospital. [9] Some news outlets speculated at the time that their team was likely to be the first to perform such a transplant. [10] [11] However, Butler stated in a 27 October press release that their team "will not be rushed" and "It may be some time before we are ready to carry out an operation." [9] The costs of the operation is funded by a charity, the Face Trust, set up by Butler in 2006. Patient selection for facial transplantation is ongoing. It has been reported by Butler that there has been significant difficulty in obtaining facial tissue donation in the UK but with more facial transplants performed worldwide that it may become more acceptable in the UK in the future. [12]
Butler began his research in tissue engineering in 1993 at the Massachusetts General Hospital and Harvard Medical School with Charles Vacanti, Jay Vacant and Robert Langer. He has pursued many technologies as an alternative to transplantation to replace facial tissue. This forms a significant part of his present research work. [3] This work has received awards from the Plastic Surgery Research Council, US, the British Association of Plastic Surgeons and Society of Academic & Research Surgery. [13] His other area of research interest is therapeutic stem cell in the treatment of fibrosis. He has the biggest worldwide treatment numbers for oro-facial fibrosis secondary to scleroderma and other rare diseases. This work has been awarded prizes by the Royal Society of Medicine and SRUK. Further innovation in the treatment of lichen sclerosus has been awarded prizes by the British Society for the Study of Vulval Diseases. [14] This work is carried out as part of the newly formed Charles Wolfson Centre of Reconstructive Surgery. [15]
Butler was married to Annabel Heseltine from 1998 to 2018. They divorced in 2018. They have four children, Mungo, Isabella, Rafferty and Monty.
Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery covers a wide range of specialties, including craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. This category of surgery focuses on restoring a body part or improving its function. In contrast, cosmetic surgery focuses solely on improving the physical appearance of the body. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.
Joseph Edward Murray was an American plastic surgeon who is known as the "father of transplantation" for major milestones in the field of transplantation, including performing the first successful human kidney transplant, defining brain death, the organization of the first international conference on human kidney transplants and founding of the National Kidney Registry, the forerunner of the current United Network Of Organ Sharing (UNOS). By 2013, more than one million patients are estimated to have benefitted from organ transplantation around the world.
A face transplant is a medical procedure to replace all or part of a person's face using tissue from a donor. Part of a field called "Vascularized Composite Tissue Allotransplantation" (VCA) it involves the transplantation of facial skin, the nasal structure, the nose, the lips, the muscles of facial movement used for expression, the nerves that provide sensation, and, potentially, the bones that support the face. The recipient of a face transplant will take life-long medications to suppress the immune system and fight off rejection.
Oral and maxillofacial surgery is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the mouth, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate surgery.
Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves which have allowed transfer of tissue from one part of the body to another and re-attachment of severed parts. Microsurgical techniques are utilized by several specialties today, such as general surgery, ophthalmology, orthopedic surgery, gynecological surgery, otolaryngology, neurosurgery, oral and maxillofacial surgery, endodontic microsurgery, plastic surgery, podiatric surgery and pediatric surgery.
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David Ralph Millard, Jr. was a plastic surgeon who developed several techniques used in cleft lip and palate surgeries. He also popularized the double eyelid surgery or "Asian blepharoplasty" to “deorientalize” patients’ faces while stationed in South Korea during the Korean War. He was chief of the Division of Plastic Surgery at University of Miami's Miller School of Medicine for 28 years, and maintained a private practice in Miami.
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Wei-Ping Andrew Lee is a Taiwanese-American hand surgeon and medical researcher. He is presently the Dean of the University of Texas Southwestern Medical School and Executive Vice President for Academic Affairs and Provost of UT Southwestern Medical Center. Lee focuses on translational research on immune modulation for vascularized composite allotransplantation (VCA) and the implementation of protocols to minimize immunosuppression in hand transplant and other VCA programs.
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