Fernando Ortiz-Monasterio. Besides, he completed successfully a fellowship in Microsurgery at the Univeristy Hospital in Ghent, Belgium, with professor Phillip Blondeel, pioneer in breast reconstruction with perforator flaps. He also completed a fellowship in Microsurgery and Aesthetic Surgery in Barcelona, Spain with professor Jaume Masià. Doctor Malouf has made several important contibutions for studies in Mexico and Belgium.