Year: 2016

2016 Annual Newsletter

I am delighted to share with you the latest Newsletter from the University of Toronto Division of Plastic and Reconstructive Surgery – I hope you enjoy seeing what has happened in the division during the past 12 months!

Click on the image below to view the magazine.



Christopher R. Forrest, MD, MSc, FRCSC, FACS
Chair, Division of Plastic and Reconstructive Surgery
Chief, Division of Plastic and Reconstructive Surgery
Medical Director, HSC Centre for Craniofacial Care and Research
Department of Surgery, Faculty of Medicine
University of Toronto

Implants Help Rebuild Femininity After Breast Cancer

Dr. Toni Zhong was quoted recently in a MACLEAN’S article on breast reconstruction with the use of implants.

The 52-year-old bookkeeper based in Aurora, Ontario, underwent chemotherapy and radiation, then a bilateral mastectomy eight years after her initial treatment. The decision to have that surgery was a difficult one.

“I knew it was the right thing to do,” says Salmond. “I didn’t want to live with the stress that came with regular screenings and the possibility that my cancer would return.” Prophylactic removal of her breasts was easier because she could undergo breast reconstruction. “I’m happy with my implants. I feel better than I did before. It’s like turning back the clock. I’ll be perky until I’m 90,” she laughs.

Then, in one of those tragic twists in life, her daughter Kelly, age 32, was also diagnosed with breast cancer last year, 14 years after her mother’s battle with the disease. But, amid the uncertainty, Kelly found ample support and inspiration in her mother’s journey. “I’ve been able to get through this experience because there is a familiarity to it from seeing what my mom has gone through,” Kelly says.

“I want to go back to looking and feeling like the self that I’ve always known and getting implants through reconstruction is a big part of that.”

When she is done her treatment, she will follow the same path as her mother. She’ll also receive breast reconstruction, an important step for both, says Kelly. “I want to go back to looking and feeling like the self that I’ve always known and getting implants through reconstruction is a big part of that.”

As a plastic surgeon and Clinical and Research Director for the UHN Breast Reconstruction Program, Dr. Toni Zhong has spent almost a decade helping patients like Kelly and Kathleen to move forward with their lives after cancer. “Breast reconstruction helps patients with their psychological recovery,” she says. “It’s important as a means to preserve a patient’s sense of femininity and wellness.”

Implants used in the procedure have improved by leaps and bounds. The first and second generation implants of the 1980s were problematic. They leaked, caused health problems, and were very limited in size and shape. Fast forward to 2016. The advancements have been impressive. New versions of implants feature tough, leak-proof outer shells, and come in a wide range of more natural-looking shapes customized for the needs of each patient.

In the last five years, doctors have also gained a better understanding of breast reconstruction and how it plays a role in breast cancer prevention and treatment. Studies show that implants do not interfere with mammograms or cancer treatment. “This is excellent news,” says Dr. Zhong. “And, patients now have the option of having breast reconstruction at the same time as a mastectomy — one surgery instead of two with less recovery time.”

Even after their treatment for breast cancer is over, Kathleen says that women, like her daughter, should consider reconstruction as a viable option in their treatment plan. “It’s never too late,” she says. “I did a lot of research about the procedure. I’m very happy with my decision. I have no regrets whatsoever.”

Hoyle Campbell Visiting Professor 2017 Dr. Patrick Maxwell

Dr. Maxwell

Dr. G. Patrick Maxwell
Nashville, TN

February 23rd and 24th, 2017

Dr. G. Patrick Maxwell is a board-certified Nashville plastic surgeon who is nationally and internationally renowned for his achievements and advances in breast and aesthetic surgery. Hailed as a visionary for his innovations and surgical artistry, Dr. Maxwell strives to provide his plastic and cosmetic surgery patients with superior-quality outcomes that combine the latest surgical advances with personal insight from his years of experience, helping a wide range of patients achieve their goals.

A gifted childhood artist and university student of architecture, Dr. Maxwell realized early on in his career that he wanted to enhance patients’ lives by applying his innate creative talents through surgical procedures that provide a highly sophisticated approach to beauty, balance, and overall aesthetic form. He is a graduate of Vanderbilt University and Vanderbilt University School of Medicine, and received extensive surgical training through general and plastic surgery residencies at the renowned Johns Hopkins Hospital in Baltimore, Maryland.

While a resident at Johns Hopkins, Dr. Maxwell was impacted by the emotional and physical consequences of the radical mastectomy procedure, then performed on women with breast cancer. This led him to research and develop operative procedures and devices focusing on the breast area. He was one of the founding pioneers of microsurgery and the field of breast reconstruction, as a patient advocate as well as developing “flap” procedures. He invented the textured tissue expander in 1986; this became the main device/technique used world-wide for breast reconstruction for the last 20 years.

He furthered the aesthetic field as well by working with Allergan in creating breast implants for the last 20 years and, with Allergan, developed the Natrelle™ Collection of silicone-gel breast implants, including the 410 Matrix of “Form Stable,” “Gummy Bear”‘ or “Tear Drop” breast implants.

In 1990, Dr. Maxwell founded the Baptist Hospital Institute for Aesthetic and Reconstructive Surgery in Nashville, Tennessee, which The New York Times called “the first and foremost facility of its kind in the United States,” and which W Magazine ranked as one of the world’s Top 10 cosmetic surgery practices. In 2008, Dr. Maxwell created MAXWELL AESTHETICS, a state of the art private clinic, housing an aesthetic surgical and rejuvenation center. Here, Dr. Maxwell sees his geographically broad-based patient clientele.

Dr. Maxwell has authored over 100 scientific articles and lectured and performed live surgical demonstrations in over 20 countries around the world. He holds 10 US patents (with 7 more pending) pertaining to medical devices. He has contributed not only to designing the Natrelle™ Collection and the (style 410 Matrix) Tear-Drop or “Gummy Bear” breast implants from Allergan, but founded and chairs The Allergan Academy, the international educational forum, which educates surgeons on the use of these devices, and other aesthetic surgical procedures.

While Dr. Maxwell has been included in virtually every “Best Doctor” and “Best Plastic Surgeon” list compiled in last two decades, perhaps more importantly, he has received most of the major awards in plastic surgery that can bestowed by his plastic surgical peers. He has been awarded the James Barrett Brown Award (by the American Society of Aesthetic Plastic Surgery), The Robert Ivy Award (by the American Society of Plastic Surgery), The Walter Scott Brown Award (3 times, by the American Society of Aesthetic Plastic Surgery), and The Chul Song Award (by the American Society Aesthetic Plastic Surgery).

His most recent awards include the Clinician of the Year Award by the American Association of Plastic Surgeons in 2009, for his “significant clinical achievements, long experience and results of treatment (in aesthetic and reconstructive surgery).” In 2008, he received the U.S. Congressional Recognition of Merit for “his visionary contributions to plastic and reconstructive surgery, service to others, and revolutionary developments impacting survivors of breast cancer.” And in 2005, he received the Presidential Award from the American Society of Plastic Surgeons for “excellence as an educator and innovator bringing art and science to a new level for the specialty.”

Despite his numerous awards, Dr. Maxwell’s primary commitment is to the safety, personal care, and individualized, superior surgical outcomes he strives for in his Nashville cosmetic plastic surgery practice.

For more details on Dr. Maxwell, please view his CV

On Thursday, February 23, 2017, the Visiting Professor will meet with the senior residents only. Friday, February 24, 2017 will mark the Division of Plastic and Reconstructive Surgery Research Symposium, which will be open to all faculty, residents, fellows and alumni. Please mark the dates for these important events on your calendar.


Gregory Borschel
Research Director

Mitchell Brown
Program Director

Christopher R. Forrest