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Complications of rhinoplasty
Whilst rhinoplasty is one of the more common procedures performed by facial and general plastic surgeons, it is associated with a wide range of complications. Complications increase with the complexity of the surgery and in particular when there are both...An update on BIA-ALCL
The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...Bottoms up
Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...
Excisional margins for cutaneous malignancies
The authors present the results of a retrospective study of 495 non melanoma skin cancer (NMSC) lesions of the face treated with Mohs micrographic surgery (MMS) over a six year period. The size of the lesion was calculated as the...COVID-19 Isolation Syndrome
James Frame looks at the psychological effects of lockdown on plastis surgery patients.
Bad splits
This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...
Which patients are more likely to have postoperative pulmonary complications after major head and neck?
Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...Informed consent and failure to disclose – legal perspectives for aesthetic surgeons
As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position
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.Regulation of non-surgical cosmetic interventions
As Paul Harris and Mark Henley discussed in a previous article (see here), certification of cosmetic surgery is being encouraged. Sally Taber, from the JCCP, outlines why non-surgical cosmetic interventions are arguably more urgently in need of effective regulation. Regulation...
Radiotherapy for orbital apex cavernous haemangiomas
This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....
