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Fat grafting the buttock: facts and myths
Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.Acid attacks: part 1
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...The role of angiogenesis in wound healing, scarring and tissue regeneration
In the UK alone there are 175,000 people who visit Accident & Emergency departments with burns each year. This results in around 13,000 hospital admissions, of which 1000 are due to severe burns [1]. Over half of these admissions are...Patient-Specific Hybrid Rhinoplasty
Rhinoplasty has changed considerably over the past one hundred years, not only in terms of the surgical techniques used, but also in the outcome desired by patients. There are now a large number of surgical techniques used which deal with...Rediscovering the Lost Art of Endonasal Rhinoplasty
The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...CUT AND RUN: The European Society of Plastic, Reconstructive and Aesthetic Surgeons (ESPRAS) highlights Gen Z's worrying exodus to private practice
A new study has highlighted the impact of Gen Z on the surgical workforce, who are driving a worrying change as they move away from reconstructive surgery in favour of lucrative opportunities in the aesthetics sector. Gen Z are those...
Modified temporalis muscle transfer for facial palsy
Use of the temporalis muscle to mitigate the deformities of facial palsy is an accepted technique, but getting the temporalis muscle into the correct position, with the correct tension, is difficult but essential if the operation is to be successful....
Fat grafting as therapy for Raynaud’s
The authors have adapted the technique of lipo-filling, previously described for rejuvenation of the hand, to achieve symptom reduction in patients with primary and secondary Raynaud’s that had previously failed to respond to medical treatments. The majority of the subjects...
Additional venous anastomoses to safeguard DIEP flaps
That DIEP flaps can be troublesome is not news and many descriptions exist trying to circumvent these problems. The most common problem is venous congestion in the flap and this paper presents an ingenious method of anticipating and forestalling such...
Social media usage by UK plastic surgeons
Facebook, Twitter, LinkedIn, RealSelf, YouTube and Research gate are used by British plastic surgeons, as well as website ownership. Sixty-two percent of plastic surgeons had websites (some shared) – a rise from 36% in 2011. The message is directed to...
Electrochemotherapy for BCCs
A remarkable account of an effective non-surgical treatment for basal cell carcinomas (BCCs). Electrochemotherapy (ECT) consists of making the area surrounding the lesion temporarily permeable using electric pulses (under local anaesthesia), then bleomycin is administered to the area. The treatment...
