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Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction

1 December 2016 | | PMFA - Breast Surgery
This paper is focused on whether an immediate breast symmetrisation procedure is beneficial when a patient undergoes contralateral breast resection plus an immediate free flap reconstruction for breast cancer. Free abdominal perforator flaps (DIEP) generally offer the highest postoperative satisfaction...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | PMFA - Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

4 November 2021 |
I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

5 April 2022 |
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - Non-surgical skin cancer treatment: topical photodynamic therapy

1 December 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The incidence of skin cancer is rising exponentially in the UK; in particular non-melanoma skin cancer, yet the current statistical data surrounding exact figures is thought to be underestimated. Topical photodynamic therapy (PDT) provides a non-invasive, safe and efficacious modality...

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

Augmentation rhinoplasty

1 June 2016 | | PMFA - Rhinoplasty
Rhinoplasty refers to a procedure in plastic surgery in which the structure of the nose is changed by adding or removing bone or cartilage, grafting tissue from another part of the body, or implanting synthetic material to alter the shape...

The World Association of Plastic Surgeons of Chinese Descent

7 August 2014 |
With the 4th World Association of Plastic Surgeons of Chinese Descent (WAPSCD) coming up in November I thought I would share my experiences with you. I attended the second world congress in Taiwan for plastic surgeons of chinese descent which...

Perceptions and deceptions: a personal blog by the editor 5 September 2016

5 September 2016 |
The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

Perceptions and Deceptions: a personal blog by the editor 26 September 2016

26 September 2016 |
As I write this blog the noble few, the bold and brave few, are in the High Court in London presenting arguments to Judge. There is strong legal evidence to support a finding that the Right Honourable Jeremy Hunt has...

Editor’s reaction to acid attacks in London

14 July 2017 |
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...