For survivors of burns, road traffic accidents, occupational injury, congenital difference and post-cancer defects, our role is to restore movement, contour and confidence — over months or years, in a written, costed plan.
We accept patients across the five pathways below. Where a case crosses pathways — many do — the planning is integrated rather than referred between teams.
Multi-stage reconstruction for survivors of thermal, chemical, electrical, and post-surgical burns — from contracture release through aesthetic refinement.
For patients months or years after the original injury who are living with restricted movement, hypertrophic scarring, or visible disfigurement.
Surgical, laser, and combined approaches to soften, flatten, and reposition scars from injury, surgery, or acne.
For patients with raised, red, tethered, or widened scars affecting comfort, movement, or confidence.
Reconstruction following road traffic accidents, occupational injury, animal attacks, and post-cancer defects.
For patients referred after acute trauma care, requiring soft-tissue coverage, skeletal scaffolding, or functional restoration.
Primary repair and secondary correction of cleft lip and palate, including alveolar bone grafting and rhinoplasty.
For infants, children, and adults referred for primary or revision cleft surgery within a multi-disciplinary plan.
Free-flap reconstruction for complex defects of the head, neck, breast, and limbs requiring microvascular anastomosis.
For patients with defects too large for local flaps, requiring vascularised tissue transfer.
Reconstructive surgery is rarely one operation. It is a sequence — staged with the body's own healing rhythm, a child's growth, or a patient's life events.
Month 0 — 1
Photographic mapping of every scar field, range-of-motion testing, scar maturity assessment, and a multi-stage written plan with costs, timing, and expected outcomes for each stage.
Outcome — Clear, costed roadmap shared with the patient and their referring team.
Month 1 — 3
Priority is restoration of movement: contracture release across joints, tendon mobilisation, web-space reconstruction, and immediate coverage with skin grafts or local flaps.
Outcome — Range of motion restored across the most disabling joints first.
Month 3 — 9
Where larger areas of skin must be replaced — face, scalp, neck — we place tissue expanders or plan free-flap reconstruction with microsurgical anastomosis.
Outcome — Like-for-like skin and contour restoration in cosmetically critical areas.
Month 9 — 18
Fractional CO₂ and Nd:YAG laser sessions to soften, flatten, and lighten residual scars, combined with intralesional steroid where indicated.
Outcome — Marked improvement in scar texture, colour, and pliability.
Month 18 — 36
Hair restoration, eyebrow micropigmentation, lip and eyelid contouring, fat grafting, and final touch-ups to restore the patient's pre-injury identity as closely as possible.
Outcome — A reconstructed, dignified appearance — and a return to social life.
Patients arrive with a long history. We listen first, examine carefully, and present a written plan that respects the time the body needs.
Function before appearance
Movement and use restored before any aesthetic refinement is considered.
Honest planning
Costed, written, and signed by the surgeon — never per-visit.
Family involved
Pediatric and adult cases include a family-education programme.
Long arc of follow-up
We remain accessible for years, not weeks.
Eight years after a kitchen accident I had lost the use of my right shoulder. Dr. Mahram released the contracture in two stages, coordinated everything from Riyadh, and I am back to lifting my children.
Ahmed B. · Riyadh, Saudi Arabia · Burns reconstruction — axillary contracture
I came to Cairo expecting a hard sell. Instead I was treated with respect, given a written plan, and told what was realistic. The combined laser and surgical scar revision changed how I feel walking into a room.
Layla H. · Khartoum, Sudan · Scar revision (facial)
My daughter had a hand contracture from a household burn. Dr. Mahram planned three stages over two years. After the second stage she can now hold a pen and dress herself. We are very grateful.
Yasmine F. · Tripoli, Libya · Pediatric burns reconstruction
For Saudi, Sudanese, Libyan and Gulf patients we can begin the consultation by video and continue in Cairo.