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VITASPARK - a career counselling service with a difference!

Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, and colleagues.

Maximising treatment outcomes with skin peels

The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...

The future and a summary of the past

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...

Maxillo-facial and neck surgery in Iraq and Afghanistan

Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Risk factors for loco regional recurrence for oral SCC

Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....

Stem cells in reconstructive surgery: a bright but cautious future

Regenerative medicine using stem cell technology is slowly becoming a reality in routine clinical practice especially in the field of tissue regeneration [1]. It is therefore not surprising that stem cell technology is starting to be of interest in reconstructive...

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...

An epidemic of lower limb gunshot injuries

As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Focus: Opinions on regulation

Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...

The perfect upper lid blepharoplasty

The authors share their thoughts on how to achieve the best blepharoplasty results based on their 35 years of experience. Are you a surgeon wishing to offer the best upper lid surgery to your discerning patients? To help chart the...