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Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

Could a left-sided facial perceptual bias affect satisfaction with oculoplastic procedures?

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Facial symmetry is usually a priority for both patient and clinician when...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

Should Plastic Surgeons 'De-skill'?

For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...

Retrobulbar hyaluronidase

Blindness following filler injections is a devastating complication for the patient and the practitioner.

Breast Augmentation Video Atlas

This is essentially a textbook that discusses all aspects of breast augmentation. It takes the reader through the whole process, starting from patients’ education, examination and planning and moving to discussion of management options and surgical techniques. The authors discuss...

Facial Plastic and Reconstructive Surgery: A Comprehensive Study Guide

This book was conceived as a simple study guide / aide memoire for those sitting the American board exams in facial plastic and reconstructive surgery and indeed was largely written by residents approaching these exams, on the premise that they...

The Essential Burn Unit Handbook (Second Edition)

For some time, trainees have been searching for a worthy alternative to the long outdated and out of print Burns: The First Five Days, which used to be supplied free by Smith and Nephew. This pocket sized, reference manual, seems...

CD73 in aggressive basal cell carcinoma

This is a retrospective review looking at levels of CD73 in aggressive basal cell carcinomas (BCCs) that invade the orbit. Eleven patients who underwent orbital exenteration for invasion by BCCs were compared with 10 matched controls who had simple nodular...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

Submental island flap to reconstruct the lower lip

The lips are necessary for oral competence, cosmesis, speech and feeding. Non melanoma cancers can affect the lips, and the lower lips are about 80% more likely to be affected. A large number of these cancers are squamous cell carcinomas....