{{Short description|English plastic surgeon}} {{EngvarB|date=October 2013}} {{Use dmy dates|date=February 2025}} {{Infobox person | name = Peter Butler | image = | caption = | birth_name = Peter Edward Michael Butler | birth_date = {{birth date and age|1962|09|01|df=y}} | birth_place = Ireland | death_date = | death_place = | death_cause = | resting_place = | resting_place_coordinates = | known_for = | education = | employer = Royal Free London NHS Foundation Trust, London, United Kingdom | occupation = Surgeon, scientist | title = Professor of plastic and reconstructive surgery | website = [https://www.royalfreecharity.org/do/centre-for-reconstructive-surgery] }} '''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|date=September 2016}} He is consultant plastic surgeon and head of the face transplantation team<ref>{{cite news|url=https://www.theguardian.com/lifeandstyle/2007/nov/10/healthandwellbeing.features1|title=Face saver|first=Simon|last=Hattenstone|date=10 November 2007|newspaper=The Guardian}}</ref> 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 by George Osborne, Chancellor of the Exchequer at No 11 Downing Street in November 2013.<ref>{{cite web|url=https://www.royalfreecharity.org/do/centre-for-reconstructive-surgery|title=Centre for Reconstructive Surgery – Royal Free Charity}}</ref>

==Education and training== 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.{{citation needed|date=March 2025}} 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.{{citation needed|date=March 2025}}

Butler has an active clinical and laboratory based research program.<ref name="ucl.ac.uk">{{cite web|url=https://www.ucl.ac.uk/surgery/courses/postgraduate/pg-taught/msc-burns|title=MSc in Burns, Plastic and Reconstructive Surgery|date=4 May 2018 }}</ref> 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.<ref name="BAPRAS Presidents Prize, 2015">{{cite web|url=https://www.bapras.org.uk/professionals/training-and-education/prizes-grants-and-fellowships/the-president's-prize|title=BAPRAS Presidents Prize, 2015}}</ref><ref>{{cite web|url=http://surgicalresearch.org.uk/awards/patey-prize|title=Patey Prize, Society of Academic and Research Surgery, 2016}}</ref>

==Face transplantation, tissue engineering and stem cell research== Butler began the experimental work leading towards facial transplantation in 1993 at the Massachusetts General Hospital and Harvard Medical School. This work continues today.<ref name="ucl.ac.uk"/> On returning to the UK he set up one of the world's first clinical research programmes in facial transplantation in 2002.<ref>{{cite news|url=https://www.theguardian.com/medicine/story/0,,846615,00.html|title=Transplant surgeons look the future in the face|first1=Jo|last1=Revill |date=24 November 2002 |newspaper=The Guardian}}</ref> 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.<ref>{{cite news|url=https://news.bbc.co.uk/2/hi/health/4259538.stm|publisher=BBC News|title=US plans first face transplant|date=19 September 2005 }}</ref> There was considerable resistance to facial transplantation taking place in the UK.<ref>{{cite news|url=https://www.theguardian.com/uk_news/story/0,3604,1088854,00.html|title=Surgeons warn of face transplant race|first1=James|last1=Meikle|date=20 November 2003|newspaper=The Guardian}}</ref>

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.<ref name="royalfree">{{cite web |title=Face transplant team gets go ahead |website=Royal Free Hospital |date=2006-10-27 |url=http://www.royalfree.org.uk/default.aspx?top_nav_id=2&tab_id=15&sel_left_nav=20&news_id=328 |archive-url=https://web.archive.org/web/20070928235307/http://www.royalfree.org.uk/default.aspx?top_nav_id=2&tab_id=15&sel_left_nav=20&news_id=328 |archive-date=28 September 2007 }}</ref> Some news outlets speculated at the time that their team was likely to be the first to perform such a transplant.<ref>[https://www.newscientist.com/article/dn10374-worlds-first-fullface-transplant-likely-in-uk.html World's first full-face transplant likely in UK – health – 25 October 2006 – New Scientist<!-- Bot generated title -->]</ref><ref>{{cite web|url=http://www.ananova.com/news/story/sm_2050264.html?menu=news.scienceanddiscovery|title=Latest Webhosting News|date=7 December 2012}}</ref> 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."<ref name="royalfree"/> 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.<ref>{{cite journal|title=Facial restoration by transplantation: the Brigham and Women's face transplant experience|first1=Tormod S.|last1=Westvik|first2=Alexander|last2=Dermietzel|first3=Bohdan|last3=Pomahac|date=1 May 2015|journal=Ann Plast Surg|volume=74 Suppl 1|pages=S2–8|doi=10.1097/SAP.0000000000000525|pmid=25875907}}</ref>

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.<ref name="ucl.ac.uk"/> This work has received awards from the Plastic Surgery Research Council, US, the British Association of Plastic Surgeons and Society of Academic & Research Surgery.<ref>{{cite web|url=http://www.bapras.org.uk/professionals/training-and-education/prizes-grants-and-fellowships/the-president's-prize/|title=The President's Prize – BAPRAS}}</ref> 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.<ref>{{cite web|url= https://bssvd.org/wp-content/uploads/2020/10/BSSVD-awards-table.pdf/|title= British Society for the Study of Vulval Disease Research Awards}}</ref> This work is carried out as part of the newly formed Charles Wolfson Centre of Reconstructive Surgery.<ref>{{cite web|url=https://www.royalfree.nhs.uk/news-media/news/new-surgery-centre/|title=New surgery centre|website=royalfree.nhs.uk}}</ref>

==Personal life== {{BLP unreferenced section|date=March 2025}} Butler was married to Annabel Heseltine from 1998 to 2018. They have four children and divorced in 2018.

==External links== *[https://www.ucl.ac.uk/surgery/courses/postgraduate/pg-taught/msc-burns MSc Plastic and Reconstructive Surgery and Burns] *[https://www.royalfreecharity.org/do/centre-for-reconstructive-surgery Centre for Reconstructive Surgery Launch] *[https://news.bbc.co.uk/1/hi/health/6083392.stm BBC report] *[https://www.royalfree.nhs.uk/news-media/news/new-surgery-centre Charles Wolfson Centre for Reconstructive Surgery Endowment]

==References== {{reflist}}

{{DEFAULTSORT:Butler, Peter}} Category:Living people Category:Irish surgeons Category:Plastic surgeons Category:1962 births Category:Harvard Medical School people Category:Irish expatriates in the United Kingdom Category:British transplant surgeons Category:Fellows of the Royal College of Surgeons of England Category:Alumni of the Royal College of Surgeons in Ireland Category:Fellows of the Royal College of Surgeons in Ireland Category:Place of birth missing (living people)