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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...

Revolutionising paediatric burn scar management: Unleashing the potential of stromal vascular fraction

Burn injuries often result in challenging scars that impact the aesthetic appearance and also pose functional and psychological concerns for the affected individuals. Traditional approaches to treating burn scars have primarily relied on skin grafts, requiring donor sites and often...

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...

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 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...

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...

Skin transition during the menopause

Menopause, which begins one year after the last period, can bring with it some noticeable changes to skin and hair. As hormone levels drop, skin can become dry, slack, less elastic and thin. It can also cause more facial hair...

Oral supplementation for skin health and rejuvenation

Lauren Jamieson explores the increasing evidence behind the role of supplements in skin health – an exciting development in the world of aesthetic medicine. The fact that lifestyle factors – and diet most especially – have a profound influence on...