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3D photography in facial rejuvenation

The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

Is patient masking leading to an increase in post-op infection after eyelid surgery?

Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

The efficacy of polynucleotide injections in aesthetic medicine: a review

Polynucleotide (PN) injections have gained significant attention in aesthetic medicine due to their beneficial effects on the skin, hair, and other tissues. This review explores the current evidence supporting the use of PN injections for various aesthetic concerns. Introduction Aesthetic...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer

Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...

Multidisciplinary approach to breast cancer conservation – therapeutic mammoplasty

Edinburgh-based plastic surgeon Ewa Majdak-Paredes provides us with a comprehensive review of therapeutic mammoplasty, a multidisciplinary approach to breast-conserving surgery with an emphasis on oncological safety and good aesthetic outcomes. Breast cancer Each year over 55,000 women in the UK...

Non-surgical lip enhancement: systematic preoperative assessment

Detailed knowledge of the anatomy is important prior to any surgical or non-surgical intervention in this complex area. Dr Samizadeh takes us through her pre-procedure analysis. The most frequent location for faciaaestheticl volumising procedures is reported to be the lips...

EURAPS 2015

As plastic surgery becomes increasingly sub specialised, academic meetings covering specific niches multiply like the proverbial lapine model. Whilst such meetings satisfy the educational requirements of the supraspecialist within us all they arguably detract from our alter ego the generalist....

Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...