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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...

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

The use of neuromodulators in the management of TMJ disorders

The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

Addressing forgotten areas: Combining HA’s and polynucleotides for ageing hands

When it comes to treating our patients, the most forgotten areas I see are the neck and hands. The hands are prone to premature ageing as they are exposed to many factors and suffer from volume loss, age spots, dry...

Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...

BCAM responds to the recent BBC news story regarding the seizure of unlicensed dermal fillers and suspected illegally traded botulinum toxin

The British College of Aesthetic Medicine (BCAM) continues to push for regulation in Aesthetic Medicine to protect patients from the risk of dangerous unlicensed products and procedures...

Perceptions and Deceptions a personal blog by the editor 15 June 2016

It is recorded that Dr James Hwang arrived at 15:40 and commenced cardiac massage. I wonder why? Of course, the ‘non-essential equipment’ included a cardiac monitor. So no help there. Palpating a pulse in a patient who is convulsing (still)...

Clinical outcome of patients with self-inflicted burns

This study examines the link between patients presenting with self-inflicted burns (SIB) and key outcomes including length of stay (LOS) and mortality. The authors describe current ambiguity in the literature relating to this topic in burns care. They highlight similar...

Use of acellular dermal matrices in revisional breast reconstruction

In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...

Cosmetic labiaplasty – basic relevant anatomy and surgical considerations

Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...