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Lip lift with bull-horn flap for lip and nasal reconstruction

This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...

Laser tattoo removal

The authors, experts in dermatologic laser surgery, provide us with a comprehensive review on the use of lasers for tattoo removal. The advanced development in laser devices that can be used for tattoo removal has helped patients and clinicians attain...

A picture is worth a thousand words… communicating with your patients more effectively

Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

Temple filler: an unusual complication

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. Hollowing of the temples is one the earliest signs of ageing, creating...

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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

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...

Microtia and Atresia – Combined Approach by Plastic and Otologic Surgery

In this textbook Kaga and Asato, both leading experts in otology and plastic surgery respectively, present over 10 years of their experience in joint reconstructive surgery for microtia and auricular atresia, combining autologous auricular reconstruction with external auricular canaloplasty and...

In conversation with Professor David Sines

In January 2016 a new voluntary regulatory register was established – the Joint Council for Cosmetic Practitioners (JCCP), chaired by Professor David Sines. Since that time the JCCP has met with challenges from many within the aesthetics industry. We spoke...

Temporomandibular disorders – a surgeon’s view

The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...