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Dr. Mulholland
founder of spamedica and one of canada's best cosmetic surgeons
Plastic Surgeon in Toronto, ON

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Who is Dr. Mulholland?

Dr. Mulholland is a leading plastic surgeon in Toronto and a truly internationally-recognized specialist in cosmetic surgery of the face and body.  For 20 years, Dr. Mulholland has continued to have one of the most successful and recognized aesthetic plastic surgery practices in Canada. This Toronto Plastic Surgeon is known for his surgical skill, excellent outcomes, aesthetic artistry and innovative cosmetic surgery procedures for the face and body. The quality of Dr. Mulholland’s plastic surgery work has been open for display, not only in his before and after photos, but on the live TV shows he has been a guest expert on for almost two decades. He is confident in the quality of his outcomes and he has always been ready to share his live surgical techniques and results with the interested viewers of CityLine, Breakfast Television, ET Canada, ETalk, Global, City, CBC and CTV news.

Dr. Mulholland, a world renowned plastic surgeon in Toronto

Figure 1.  Patients seeking a high quality, reputable and skilled  plastic surgeon in Toronto have made Dr. Mulholland’s practice one of the most successful cosmetic surgery practices in North America. Dr. Mulholland’s skill, innovation and artistry in face liftbrow lift and neck liftcosmetic eyelid procedures as well as high tech liposuction, such as BodyTiteSmartLipo and VaserLipo, as well as Vectra 3D optimized Breast Augment and breast implant surgery and tummy tucks have made his Cosmetic Plastic Surgery practice a favorite for patients from all across Canada.

Dr. Mulholland is a board-certified plastic surgeon and a Fellow of the Royal College of Physicians and Surgeons of Canada.  During the period of time Dr. Mulholland had an aesthetic practice in Los Angeles, California, as well as Toronto, he was also certified by the American Board of Plastic Surgery (1999-2009). Dr. Mulholland is one of the few plastic surgeons in North America and the only plastic surgeon in Toronto that has truly dual-certified specialty training in advanced Otolaryngology, Ear Nose Throat Surgery – Head and Neck Cancer, as well as being board certified in plastic surgery, facial plastic Surgery, micro-vascular surgery, auto-tissue transplantation and adult craniofacial Trauma.  Dr. Mulholland completed fellowship training in advanced management of head and neck oncology, tumors and cancers (see Figure 2 and Figure 3), as well as micro-vascular transplantation and reconstruction of head and neck defects and in adult craniofacial trauma and facial fracture repair.

Dr. Mulholland's certifications

Figure 2.  Dr. Mulholland is a well-known plastic surgeon in Toronto that graduated from Lake Superior State University on a Division 1 NCAA hockey scholarship.  Not only did Dr. Mulholland lead his Lake Superior State Lakers all 4 years in Scoring, he was the captain and team’s MVP, he excelled in school, carrying a GPA of 3.97 with a Major in Biology and minor in Chemistry.  After playing professional hockey, Dr. Mulholland returned to school, gaining acceptance in the the University of Toronto Medical School. Dr Mulholland graduated a medical doctor in 1988 and was at the top of his class, being awarded the prestigious Horner Medal.

Dr. Mulholland's certification

Figure 3.  Dr. Mulholland completed his core general surgery and plastic surgery training at the University of Toronto, becoming a plastic surgeon in Toronto, certified by the Royal College of Physicians and Surgeons of Canada in 1994.

Dr. Stephen Mulholland's certification

Figure 4.  Dr. Mulholland then completed a fellowship in Advanced Training in Head and Neck Oncologic surgery in the Department of ENT – Otolaryngology and Head and Neck Surgery at the Toronto General Hospital under the acclaimed Head and Neck Surgeon, Dr. Patrick Gullane.

Dr. Stephen Mulholland's Certification

Figure 5.  Dr. Mulholland also specialized in Adult craniofacial trauma, craniofacial reconstruction and Microvascular transplantation.

Dr. Mulholland as a surgical innovator

Prior to becoming a leading plastic surgeon in Toronto, Dr. Mulholland was a consultant in the 1990s at the Hamilton Regional Cancer Centre and was a staff consultant in the division of Head and Neck Oncologic Surgery and cross-appointed in the division of Plastic Surgery at St. Joseph Hospital in Hamilton. Dr. Mulholland treated complex cancers of the face, scalp, lids, orbits, lips, tongues and throats. He not only removed them but he reconstructed them as well. Dr. Mulholland was well known for his microvascular auto-tansplatations and reconstructions, taking tissue from one area of the body and auto-transplanting the tissue by re-connecting the vessels and nerves to the defect (see end of the bio for more). Dr. Mulholland pioneered the use of transplanting sensate tissue into oral cavity defects following the removing of tongue and jaw bone tissue, to provide a more functional reconstruction. (Figure 6)

Even as a cancer, trauma and reconstructive surgeon, Dr. Mulholland was very innovative as he invented and taught new reconstructions for large cancer defects of the jawline, neck, tongue and throat. Dr. Mulholland developed an auto-transplant procedure where a leg bone (called the tibia) and skin from the back of the foot is transplanted by re-connecting all the small arteries, veins and nerves using a microscope to large cancer defects of the throat, jawline and neck. He called this procedure the OsteoCutaneous Skin Flap (see figure 7 ). Dr. Mulholland spoke and lectured extensively at this time on reconstructions of defects of the nose, eyelid, scalp, face, lip, and neck. To view a full list of reconstructive lectures, papers and book chapters please refer to Dr. Mulholland’s Curriculum Vitae.  (Dr. Mulholland spoke and lectured extensively at this time on reconstructions of defects of the nose, eyelid, scalp, face, lip, and neck. To view a full list of reconstructive lectures, papers and book chapters please refer to Dr. Mulholland’s Curriculum Vitae.)

Dr. Mulholland's published work

Figure 6.  & Figure 7A. Dr. Mulholland published his seminal work on reconstruction of cancer jaw bone and mouth lining defects with auto-transplanted tissue that had the sensory nerve from the transplanted skin tissue micro- reconnected to the local sensory nerve to the tongue and mouth tissue. This gave back some oral sensation to these oral cancer patients and improved the quality of their life. B. Dr. Mulholland co-reported a large series of these with one of his former mentors, Dr. Brian Boyd, who is now a senior consultant in plastic surgery at UCLA. Mulholland pioneered the use of auto-transplanting skin and bone that had sensation when reconstructing large cancer defects of the mouth, tongue an jawline and had this work published as 2 papers in the prestigious Journal for Plastic, Reconstruction and Aesthetic Surgery

Most people seeking a plastic surgeon in Toronto, if they choose to dig deep enough, find Dr. Mulholland’s background prior to a purely cosmetic plastic surgery practice very reassuring. They realize they are having their facelift surgery from a gifted surgeon with a reputation for natural artistry who had years of experience and an international reputation for excellence operating on the most complex defects imaginable of the face, scalp and neck.  Cosmetic tummy, liposuction and breast augmentation patients can take additional comfort in knowing that, not only does Dr. Mulholland have a reputation as an exceptionally skilled plastic surgeon in Toronto for body contouring, liposuction and breast augmentation surgeons, but he had years of experience deploying tissues from the tummy, chest wall breast, thighs and legs, crafted them and was able to delicately transplant these tissues to other body locations for reconstructing large cancer and trauma defects.

Dr. Mulholland's published work

Figure 8.  Dr. Mulholland’s Osteocutaneous shin flap invention published in the prestigious Journal of Plastic and Reconstructive Surgery.  Dr. Mulholland has always been a Surgeon with a truly national and international reputation for skill, quality and excellence.

 

Dr. Mulholland as a Head and Neck Cancer and Reconstructive Surgeon

Following his advanced fellowship training, Dr. Mulholland was appointed a consultant at the Hamilton Regional Cancer Centre. He treated patients with advanced cancers of the face, scalp, tongue, throat and neck.  In addition to removing cancers, Dr. Mulholland also pioneered the reconstruction of many complicated head and neck cancer and trauma defects.

Before becoming a plastic surgeon in Toronto and during his years as a head-neck cancer ablative and reconstructive surgeon, Dr. Mulholland pioneered the development of several new ways of reconstructing the jaw, tongue and throat. He specifically developed, pioneered and taught the reconstruction of major mandibular, jawline, neck and throat defects using auto-transplantation of a portion of the tibia bone and back of the foot – dorsalis pedis – a procedure he entitled the osteocutaneous shin flap. In addition, Dr. Mulholland also pioneered the use of sensate or transplantation of skin flaps aided by the use of microvascular, microneural techniques that had sensory capability for more functional use of the tongue and throat after cancer resection.  In 1997, Dr. Mulholland left his head and neck oncologic cancer practice to open up SpaMedica, a novel concept that combined a government-certified private plastic surgery overnight centre with an outpatient medical spa. SpaMedica was to focus on the emerging areas of non-invasive cosmetic plastic surgery, including soft tissue injectables, lasers and energy-assisted devices for non-invasive aesthetic enhancement. This concept was one of the first of its kind in the world.

 

Dr. Mulholland’s Medical School, Residency and Fellowship specialty training

Most patients seeking a plastic surgeon in Toronto want to know their physician is extremely well-trained, highly skilled, careful, has gifted aesthetic judgment and a long track record of happy patients. That is what you get with Dr. Mulholland.  From being the Horner Silver Medalist in his University of Toronto Medical Class to excelling in the University of Toronto Core General Surgery and then Plastic Surgery residency program, Dr. Mulholland has always been trained by the best and viewed as one of the best.

Dr. Mulholland is the only plastic surgeon in Toronto and world-wide to be accepted by Dr. Patrick Gullane, a world recognized Ear Nose Throat – Head and Neck Oncologic Surgeon, to be his advanced head and neck Fellow for one year after Dr. Mulholland finished his plastic surgery residency. Not only did Dr. Mulholland pick up the skills and training of a basic plastic surgeon in aesthetic surgery of the body and face, but Dr. Mulholland was trained in advanced removal of head and neck tumors and reconstruction. This experience added a level of comfort in his intimate knowledge of facial anatomy during brow lift, eyelid surgery, face lifts and neck lifts.  Dr. Mulholland also spent a year treating advanced facial and nasal fractures which he carried on in his years in Hamilton, giving him a very high level of skill and knowledge at performing cosmetic rhinoplasty and nose jobs. Dr. Mulholland is known for this procedure and has excelled at it over the last 20 years.

What is Dr. Mulholland’s certification in?

Dr. Mulholland is a plastic surgeon in Toronto certified by the Canadian Society of Plastic Surgeons by the Royal College of Physicians, Surgeons of Canada and by the Canadian Association of Aesthetic Plastic Surgeons.  Dr. Mulholland also has dual certification in Ear, Nose, Throat – Head and Neck Surgical Oncology by the American joint Societies of Head and Neck Oncologic Surgeons and was board certified by the American Board of Plastic Surgeons (1999-2009).

Dr. Mulholland is a licensed physician in the province of Ontario and a member of the College of Physicians and Surgeons of Ontario.  In addition to being a leading plastic surgeon in Toronto, he is also a licensed physician in the province of British Columbia and the British Columbia College of Physicians and Surgeons and in the state of California by the California State Medical Board (see figures 2-5 above).

Dr. Mulholland’s Curriculum Vitae

Dr. Mulholland's CV

Dr. Mulholland has continued to operate one of the most successful and recognized aesthetic plastic surgery practices in Canada for over 20 years. He is known for his surgical skill, excellent outcomes, aesthetic artistry and innovative cosmetic surgery procedures for the face and body. Dr. Mulholland has lead over 600 workshops worldwide, teaching thousands of physicians advanced aesthetic plastic surgery techniques. Look through his Curriculum Vitae to see his professional history and experience in-depth.

What is Dr. Mulholland’s SpaMedica practice?

As a top-tier plastic surgeon in Toronto, Dr. Mulholland has devoted his entire practice to the art, science, innovation and excellence in aesthetic plastic surgery including surgical and non-surgical solutions.  At SpaMedica he has created a unique plastic surgery and non-surgical facility where patients can experience non-invasive cosmetic enhancements of the face and body such as lasers and energy devices, Botox Injectable and soft tissue fillers, microdermabrasion, medical skin care and medical dermatology. Other treatments include more traditional, advanced and specialized cosmetic plastic surgery of the face and body.

 

SpaMedica Cosmetic Dermatology

As a leading plastic surgeon in Toronto, Dr. Mulholland has always offered Toronto cosmetic dermatology patients some of Toronto’s best cosmetic dermatologists. Dermatologists offer advanced laser removal of unwanted birthmarks, pigmented brown spot lesions, age spots, tattoos, advanced photo aging and wrinkle treatments. They also provide laser treatment of unwanted toe fungus, benign moles and cosmetic dermatologic concerns and problems.  The marriage of cosmetic plastic surgery and cosmetic dermatology, as well as medical spa services, has afforded SpaMedica’s patients some of the best cosmetic enhancement opportunities available.

Cosmetic Plastic Surgery

Dr. Mulholland has owned and operated a government-certified, overnight, 24-hour stay plastic surgery centre for the past 18 years. Dr. Mulholland firmly believes by owning and managing your own approved facility, rather than renting time in someone else’s centre, you, as the plastic surgeon owner, can better oversee, control, orchestrate and manage the quality, safety and entire patient experience.  Dr. Mulholland’s aesthetic artistry and skill has made a sought-after cosmetic and plastic surgeon in Toronto for aesthetic brow lift, face lift, neck lift, advanced body contouring surgery including energy-assisted, non-excisional liposuction techniques, such as SmartLipo™, BodyTite™ and VASER® lipo, advanced minimal-incision tummy tuck surgery and three-dimensional, cohesive gel breast augmentation.  At SpaMedica, Dr. Mulholland has cultivated a reputation as a leading plastic surgeon in Toronto, creating one of Canada’s most respected private plastic surgery facilities with a truly international 18 year reputation for safety, quality of care and excellent outcomes.

Reception and overnight stay room at SpaMedica Plastic Surgery Centre

Figure 13.  A. The Reception at the SpaMedica Plastic Surgery Centre.  B. One of Private over night rooms at the government certified SpaMedica Plastic Surgery Centre

Dr. Mulholland as a Plastic Surgery Innovator and Educator

Dr. Mulholland’s profession and plastic surgical journey has been one of never being satisfied with average techniques. He continues to innovate and pioneer as an aesthetic plastic surgeon in Toronto.  Dr. Mulholland’s list of achievements as a pioneer in aesthetic plastic surgery is impressive.  With over 1,000 international workshops in teaching advanced techniques to plastic surgeons and cosmetic physicians from around the world, Dr. Mulholland has innovated and pioneered the following aesthetic procedures:

  • The intense pulsed light photo facial and photo-rejuvenation
  • The Pan G non-surgical electrical myofascial facelift
  • The thread lift suture suspension of the face and jowl
  • The use of fractional radiofrequency needles for fractional RF resurfacing and reduction and elimination of facial wrinkles, acne scars and texture, called the Fractora
  • The scarless transplantation of hair using follicle unit transplantation techniques, NeoGraft® and ARTAS® for male and female hair restoration
  • The use of a non-ablative radiofrequency energy for temperature-controlled skin tightening and non-surgical face and body skin lifting, called the Forma and Fractora Firm
  • The use of laser-assisted lipolysis for energy-assisted liposuction, called SmartLipo
  • The use of radiofrequency energy for simultaneous skin contraction and aspiration of fat during liposuction called BodyTite
  • The use of high-frequency focused ultrasound for the non-invasive destruction of fat called UltraShape®
  • The use of electroporation and electricity for the non-invasive destruction of the fat cells called BodyFX
  • The use of scanned, high-speed diode energy for the permanent reduction of hair called Diolaze hair removal
  • The use of ultrasonic energy and cavitation to remove the outer layer of the epidermis and stratum corneum called the SonoPeel
  • The use of blunt microcannulas for the safe and effective restoration of volume using Juvéderm® Voluma™, Restylane® and Perlane®, called VolumaLift™
  • Soft tissue injectable rhinoplasty, called the 5 Minute Nose job
  • The use of subdermal (under the skin) radiofrequency energy to provide lifting and tightening called FaceTite
  • The use of combined energy sources to improve the quality of the skin
  • Endoscopic Mid facelifts, Endoscopic transbleph brow lifts
  • 3D Vectra assisted Breast Augmentation and Endoscopic Transaxillary breast augmentation.

These are but a few of the innovations that Dr. Mulholland has developed, published on, pioneered and taught.  Many of these techniques are available online and have been covered by international peer-reviewed science articles. They have also been shown on local and national television shows, as well as magazine and newspaper articles.

In addition to being a leading plastic surgeon in Toronto, Dr. Mulholland has lectured and taught well over 1,000 workshops throughout the United States, Western and Eastern Europe and Australia to plastic surgeons, cosmetic dermatologists and advanced aesthetic physicians on the art and practice of body contouring or facial rejuvenation.  As an innovator, pioneer and aesthetic scientist, Dr. Mulholland is frequently sought out to speak at national and international meetings, sharing his expertise and techniques.

Dr. Mulholland’s unique ability to innovate and pioneer procedures that are more effective and/or have less down time with better efficacy, as well as to be able to communicate effectively as a speaker and a teacher have made him one of the world’s most-recognized aesthetic plastic surgeons.  His success at translating these techniques into very happy aesthetic plastic surgery patients has made him one of the most popular and sought-after cosmetic plastic surgeons in Canada.

Dr. Mulholland as a teacher

Aside from being a leading plastic surgeon in Toronto, Dr. Mulholland has personally taught and lectured to thousands of physicians worldwide on advanced aesthetic plastic surgery techniques, including SmartLipo™, BodyTite™, UltraShape® non-invasive body contouring, NeoGraft® and ARTAS® follicular unit extraction hair transplantation, as well as minimally-invasive facelift techniques using subdermal energy-assisted systems such as FaceTite™, SmartLipo™ and fractional ablative techniques, as well as many other topics (see more in Dr. Mulholland’s CV).  Dr. Mulholland has personally certified many physicians in the use of BodyTite™, SmartLipo™ and Cellulaze™ for the management of unwanted body fat with advanced liposuction techniques, as well as taught company workshops for VASER® lipo and fat transplantation to the breast, buttocks and face, as well as SmartLipo™ laser lipolysis and advanced liposuction and BodyTite™ radiofrequency advanced energy-assisted liposuction techniques for body contouring.  Dr. Mulholland has also taught the use of three-dimensional imaging technology for the selection and operation for 3-D cohesive gel breast augmentation and has lectured physicians and taught colleagues from around the world on his advanced facelift, necklift, mid-facelift and lower lid techniques, using endoscopic, telescopic, minimal-incision techniques, suture suspension techniques, as well as open lifting techniques with simultaneous reduction of T zone wrinkles and pores using fractional, radiofrequency and other ablative CO2 technologies.

It is both comforting and reassuring to Canadian and Toronto plastic surgery patients who select Dr. Mulholland that not only is he truly a world leader and teacher of other plastic surgeons, but is able to translate some of his surgical scientific innovations into more effective procedures with better outcomes and less down time in cosmetic plastic surgery of the face and body.

Dr. Mulholland and the Media

Cosmetic plastic surgery has evolved over the past 15 years to become very culturally relevant in a society where one’s appearance has become valued commodity in addition to one’s compassion, personality and intelligence. Dr. Mulholland’s innovation and pioneering techniques in both minimally and invasive aesthetic plastic surgery and his ability to pioneer and communicate these concepts have made him a very popular source for information on the plastic surgery industry for Canadian and American media outlets.  As a plastic surgeon in Toronto, Dr. Mulholland has appeared on over 300 television shows enthusiastically communicating some of these ongoing and new techniques in aesthetic plastic surgery.

To view some of these varied and interesting TV shows, magazine and newspaper stories, simply spend some time browsing through our media pages.

Dr. Mulholland, as a plastic surgeon in Toronto has appeared innumerable times in Canada’s newspapers, including the Globe and Mail, Toronto Star, Toronto Sun, National Post and Post papers, as well as numerous other city and regional newspapers and magazines. He has also been named one of Canada’s top plastic surgeons by Fashion Magazine, Toronto Life, Flair, Canadian Living, Zoomer and Maclean’s.  Dr. Mulholland was featured prominently as one of Canada’s most-pioneering plastic surgeons and physicians over the past 15 years in a major TORO Magazine feature (See page 88). Dr.  Mulholland has authored chapters in two consumer books on plastic surgery, one in the Later Dater and the other in The Cougar, both authored by noted Toronto Journalist Valarie Gibson.

Dr. Mulholland authored chapters in published books

Figure 14.  Dr. Mulholland authored the chapters on cosmetic plastic surgery in The Cougar and more recently in the Later Dater.

Dr. Mulholland continues to be the Cityline guest expert on cosmetic plastic surgery and aesthetic medicine, as well as appearing frequently on Breakfast Television and nightly news shows, bringing to Canadian viewers the latest in aesthetic plastic surgery and non-invasive techniques.

Dr. Mulholland a Gemini Award Winner

Long before Nip Tuck, Extreme Makeover, The Swan, Dr. Phil or Dr. Oz, Dr. Mulholland won a Gemini TV award in 2001 for his role as the Plastic Surgeon and Doctor in the ground breaking live cosmetic plastic surgery series (early reality show) Skin Deep. Skin Deep features in-depth stories of real women undergoing real transformative changes through Plastic Surgery. Dr. Mulholland was the plastic surgeon in the first year of the series and is the only plastic surgeon or surgeon to have ever won a Gemini award.

Dr. Mulholland's Gemini Award

Figure 15.  Dr. Mulholland won a Gemini Award playing himself on the award winning live plastic surgery televsision series, Skin Deep.

 

 

How do I schedule a consultation with Dr. Mulholland or the SpaMedica medspa?

To schedule a consultation with Dr. Mulholland or his medspa team, simply call the contact number on this 877-211-7505 or e-mail a consult request form and a SpaMedica representative will respond promptly.  Call now to schedule a consultation and start your SpaMedica journey of self enhancement.

Dr. Mulholland as a pioneer and innovator

Even as a cancer, trauma and reconstructive surgeon, Dr. Mulholland was very innovative as he invented and taught new reconstructions for large cancer defects of the jawline, neck, tongue and throat. Dr. Mulholland actually invented an auto-transplant procedure where a leg bone (called the tibia) and skin from the back of the foot is transplanted by re-connecting all the small arteries, veins and nerves using a microscope to large cancer defects of the throat, jawline and neck. He called this procedure the OsteoCutaneous Skin Flap (figure 3). In Dr. Mulholland’s invention, a free flap of the vascularized Osteocutaneous Skin flap is transplanted from the leg bone with skin of the back of the foot to large defects of the jawline, neck, tongue and throat.

During the years when Dr. Mulholland was a head-neck oncologic cancer surgeon and facial trauma surgeon, he became an expert at navigating and mastering the complex anatomy of the face and neck. This experience has made him one of the most respected brow lift, cosmetic lid surgery, face lift, neck lift and aesthetic restoration plastic surgeons in Canada.  During those years, he also developed and innovated advanced reconstructive techniques, using tissue from the chest wall, abdomen and extremities, using microvascular auto-transplantation techniques to reconstruct complex defects of the scalp, face, head and neck.  Dr. Mulholland’s advanced training in microvascular reconstruction, using tissue harvested from all over the body, as well as head-neck oncologic defects has served him very well following his transition to aesthetic plastic surgery and in his ability to continue to innovate and pioneer new, better, high-tech ways to deliver body contouring surgery, liposuction, tummy tucks and breast augmentation.  Patients can feel confident that with Dr. Mulholland they have a surgeon who has truly been fully trained and recognized as a world class functional and reconstructive surgeon of the face and body prior to embarking upon a successful 20-year practice in aesthetic plastic surgery.

During his years in reconstructive plastic surgery, Dr. Mulholland pioneered the Osteocutaneous Shin Flap for the treatment and management of advanced defects of the tongue, jaw and throat, using tissue transplanted from the lower leg. He also pioneered sensory sensate reconstruction of tongue defects, using tissue from the fibula leg bone and skin (Figures 6-8), as well as using tissue auto-transplanted from the abdomen for reconstruction of advanced cranial defects of the skull base. Dr. Mulholland’s pioneering work on auto-transplanted tissue reconstructions of the tongue that reconnected sensory nerves gave thousands of devastating mouth cancer patients reconstructions with auto-transplanted tissue connected by micro-vascular surgery that now had sensation of light touch and pressure, preserving oral “awareness”. Dr. Mulholland spoke and lectured extensively at this time on reconstructions of defects of the nose, eyelid, scalp, face, lip, and neck. To view a full list of reconstructive lectures, papers and book chapters please refer to Dr. Mulholland’s Curiculum Vitae.

Dr. Mulholland’s very own Invented Tissue Transplant (do not read on if you are easily squeamish)

Even as a cancer, trauma and reconstructive surgeon, Dr. Mulholland was very innovative as he invented and taught new reconstructions for large cancer defects of the jawline, neck, tongue and throat. Dr. Mulholland actually invented an auto-transplant procedure called the Shin Flap where part of a  leg bone (the tibia) and skin from the back of the foot is transplanted by re-connecting all the small arteries, veins and nerves using a microscope to large cancer defects of the throat, jawline and neck. He called this procedure the OsteoCutaneous Skin Flap. In Dr. Mulholland’s invention, a free flap of the vascularized Osteocutaneous Skin flap is transplanted from the leg bone with skin of the back of the foot to large defects of the jawline, neck, tongue and throat.

In Dr. Mulholland’s invention, a free flap of the vascularized Osteocutaneous skin flap is transplanted from the leg bone with skin of the back of the foot to large defects of the jawline, neck, tongue and throat. First, Dr. Mulholland’s shin flap plans out the leg prior to elevation. The shin flap consists of a piece of the leg bone, the skin from the bottom of the foot, the nerves and vessels. It is then ready for detachment and micro-vascular transplantation.

Shinflap4

The stabilization of the transplant

Dr. Mulholland divides his shin flap that is now ready to transplant into the face of a patient who had half their jaw and tongue removed to remove a cancer. The large plate fixes the transplanted leg bone in place and the vessels, nerves and skin are reconnected using a microscope.

Patient

C. Pre-operative  jawline contour prior to removing the jaw D. Post resection and cancer reconstruction

Prior to becoming a plastic surgeon in Toronto, Dr. Mulholland specialized in Head and Neck Cancer, facial fracture, trauma and reconstructive surgery. One of Dr. Mulholland many unique surgical inventions was his Osteocutaneous shin flap, an auto-transplant of part of the tibia leg bone and skin from the back of the foot. These are then removed using micro-vascular anastomosis skills. This tissue is fashioned into the jawbone using tiny plates and screws and then auto-transplanted to the defect left from the removal of half of the jaw bone, tongue, neck skin and lining of the throat. Figure B shows the new jaw bone made of the tibial leg bone attached to the jaw and the skin from the foot about to be anastomosed and transplanted to reconstruct the tongue and floor of the mouths. Figure C shows that half of the jaw bone was removed and the plate in the x-ray stabilizes the tibial leg bone that Dr. Mulholland transplanted from the leg to the mouth. Figures E and F show the jawline and neck contour of Dr. Mulholland’s cancer patient before (E) and after half the jaw bone, tongue, throat and neck skin were removed. The photos also display Dr. Mulholland excellent restoration of the jawline, neck and facial contours.

To schedule a consultation with Dr. Mulholland or his medspa team, simply call the contact number on this 877-211-7505 or e-mail a consult request form and a SpaMedica representative will respond promptly.  Call now to schedule a consultation and start your SpaMedica journey of self enhancement. 

SCHEDULE A BEAUTY CONSULTATION

SpaMedica® YORKVILLE
Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-712-8367