Martain Loonen
Central Asian University- Cleveland Clinic Tashkent, United Arab Emirates
Abstract Title: Systematic review of modern rhytidectomy and cervicoplasty techniques: A clinical algorithm
Biography:
Doctor Martain Pierre Jean Loonen is an experienced reconstructive plastic surgeon and Editorial Board Member for sixteen international medical scientific journals since 2007. He has a special interest in post- traumatic and burn reconstructive surgery. Dr. Loonen was appointed as a professor of surgical diseases at Central Asian University (CAU)-Cleveland Clinic in Tashkent in 2024. He is the program director of a new plastic and general surgery residency and research program at Central Asian University and Cleveland Clinic Tashkent. He is the chairman of the plastic surgery department. He was appointed as academic director of surgical education in September 2024. Doctor Loonen has a plastic surgery practice in Dubai and Uzbekistan. Dr. Loonen has published in prestigious international journals including Plastic and Reconstructive Surgery (Journal of the American Society of Plastic Surgeons) and the Journal of Plastic, Reconstructive, and Aesthetic Surgery and is an invited peer reviewer for the journal of Plastic and Reconstructive Surgery (USA), British Journal of Medicine and Medical Research and the International Blood Research and Reviews. His published work was cited more than 600 times in the international scientific literature. In addition to his surgical research endeavors, he is an editorial board member for international journals including American Journal of Biomedical Science and Research, Journal of Advance Cancer Research, Cosmetology and Oro Facial Surgery, Journal of Aesthetic & Reconstructive Surgery and the International Journal of Bioscience and Bioengineering. His resent publication focuses on the role of tissue engineered skin substitutes in burn care. Dr. Loonen is the research leader in the development of the low diving anti pressure sore mattress and for the hyperstimulator in negative wound pressure therapy in collaboration with New York University, Abu Dhabi. He is a recognized fellow of the Collegium Chirurgicum Plasticum of the Board of Plastic Surgeons of Belgium, and holds recognized membership of the Dutch Society of Plastic surgeons. Dr. Loonen holds a Doctoral Degree in Plastic Surgery and has achieved his degree with outstanding honors as the youngest Ph.D. candidate to have attained that distinction at his Alma Mater, the University of Utrecht in the Netherlands in collaboration with the University of Louisville, Kentucky. His Ph.D. thesis concentrated on the qualitative and quantitative statistical analyses of plastic surgery research since 1946 and he developed an alternative for the Impact Factor calculation of journals. Dr. Loonen completed a leadership certificate program at Harvard University. He has extensive experience in medical education in anatomy, clinical surgery and clinical practice for medical students, physiotherapists and nurse staff. He is an invited Healthcare Expert Consultant for the Gerson Lehrman Group in New York specialized in the scientific evaluation and market implementation of pharmaceutical drugs and treatments for the wound care industry. He has an additional expertise in international healthcare regulations , governance and healthcare acquisitions. Dr. Loonen held and co-organized a well-established clinical practice which provides medical and surgical services to a region of 500,000 citizens in the Netherlands. In multiple hospitals cooperating with his medical establishment, he has pioneered and implemented novel surgical protocols along with establishing a wrist arthroscopy center as the youngest member of the company. He was involved in medical and financial management of the company during these years. Dr. Loonen performed reconstructive operations for war patients and patients without access to healthcare facilities from Yemen and Libya for the Ministry of Presidential Affairs of the United Arab Emirates. Dr. Loonen organized and managed a successful plastic and reconstructive surgery department in Abu Dhabi as the medical director and plastic surgeon since 2016 and was involved in the development of plastic surgery departments in private hospitals and clinics in Dubai as an invited healthcare consultant providing treatment protocols, key performance indicators, EHR implementation and training for nurse and secretary staff. Dr. Loonen was a plastic surgeon and medical director at King´s College Hospital London, UAE and assisted in the sale acquisition process of the facility. Dr. Loonen’s focus and interests include providing the highest quality and most up to date patient treatment and medical expertise within the medical departments under the responsibility of his medical directorship. He was responsible for the clinical leadership of healthcare providers within 14 medical departments and he was the head of the surgery center in King’s College Hospital London Abu Dhabi. He developed a cost-revenue registration system for efficient cost-effectiveness analysis in surgical departments He was recruited by Valiant Clinic and Hospital in Dubai, affiliated with the US based Houston Methodist Hospital group, as a plastic surgeon and medical manager. Dr. Loonen assists and collaborates with renowned visiting plastic surgeons from Beverly Hills, USA and Europe. He was promoted to medical director and Chief of Clinical Staff for Valiant Clinic and Hospital Dubai. He is involved in the implementation of clinical and surgical protocols, medication, medical products, new medical services and the implementation of an Electronic Health Record System. He is responsible for physician and nurse staff training, staff interviews, staff schedule planning, organizing of clinic meetings, evaluation of incident and key performance indicators, department of health facility licensing, department of health audits, implementation of national and international healthcare protocols, clinical documentation and coding of medical services. He is the president of the medical committee. He believes that an open communication, team spirit and an inspiring work environment have a significant positive impact on the qualitative and quantitative output of a medical team and in healthcare in general.
Research Interest:
Background: Facial rejuvenation surgery has evolved significantly. The modern paradigm emphasizes treating the face and neck as a single aesthetic unit, often within a multimodal treatment plan. This review compares a wide spectrum of surgical techniques and provides a detailed clinical algorithm for surgical planning.
Methods: A literature review was conducted across the PubMed, Cochrane Library, and Scopus databases. Following PRISMA principles, 34 studies were selected. Data on techniques, outcomes, and complications were extracted. A risk of bias assessment was performed, and data were synthesized qualitatively, acknowledging the limitations of the available literature.
Results: The review identified a spectrum of surgical techniques categorized by their primary plane of dissection. The findings indicate a clear trade-off between surgical invasiveness and the power of the outcome. Less invasive techniques are suited for minimal aging, while deeper plane procedures provide the most dramatic results. A clinical algorithm was formulated to match specific aging patterns to the most appropriate surgical technique.
Conclusion: The optimal approach to facial rejuvenation is a tailored, algorithmic plan based on a thorough patient assessment. Advanced techniques like the Extended Deep Plane Facelift are indicated for global aging, while other procedures have specific roles for more targeted concerns. Surgeon expertise in a wide range of techniques is critical for executing this tailored approach.