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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...

In conversation with Derek Mendonca

Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

Non-surgical rhinoplasty

Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to injectable fillers.

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...

Righting the paralysed lip

Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...

A plea for reconstructive plastic surgery in the routine care of sarcoma patients

The authors from the Mayo Clinic demonstrate the advantage of early intervention by plastic surgeons in the care of patients with sarcoma. A retrospective case study review looks at the wound complication rate of surgery for those patients who have...

Bone grafting in orthognathic surgery

This is a systematic review from Belgium and Saudi Arabia of 48 articles. They reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone...

Rhinoplasty for cleft nose deformity

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Modern cleft lip and palate repairs produce excellent functional and aesthetic results...

Revirgination is not the same as hymenoplasty

The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

Lateral crura-alar ring

Lateral crura incision or excision are common procedures for most rhinoplasty surgeons despite the fact that they have potential complications such as nostril rim retraction, bossa tip formation and alar wall collapse during breathing. Fortunately, nowadays there is a trend...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Aesthetic Plastic Surgery of the East Asian Face

One can think of very few communities to which the East Asian diaspora has not migrated over the course of the last few centuries. Thus, even northern European surgeons such as myself are regularly faced with aesthetic challenges pertaining to...