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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...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Cellulite therapy in 2022 – new treatment options making grades for the new year

World-renowned dermatologist Michael H Gold introduces two of the newest FDA-approved modalities for the treatment of the common skin condition cellulite. Cellulite is one of the most common skin concerns for women. It is estimated that between 80-98% of women...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

HA dermal filler with lidocaine: initial clinical outcomes

Hyaluronic acid (HA) is a natural occurring body polysaccharide essential for various body functions, present in connective tissues, skin, vitreous humour of eye, extracellular matrix, synovial fluid, etc [1]. It was first isolated in bovine vitreous by Mayer and Palmer...

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...

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...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

Preservation rhinoplasty

Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...