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The role of expert witnesses in miscarriages of justice
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...
Making Decisions and Avoiding Complications in Skin Flaps
Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...
Lymph node ratio – another predictor of outcomes in tongue SCC
Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...
Biodegradable plates in lateral orbitotomy surgery
This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...
Is sclerotherapy useful for cherry angiomas?
Cherry angiomas are common, often proving to be an irritation for patients as they tend to be deemed cosmetically unattractive, particularly if large numbers start to develop. This is a common condition I see at my clinic so I am...Plastic surgery and aesthetic medicine: specialties and specialists
Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8
The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....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...Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...Non-invasive lip and perioral rejuvenation with 1550nm non-ablative fractional laser
Lips play a significant role in our facial aesthetics and are often considered a focal point of beauty and sensuality [1,2]. Over time, factors like ageing, sun exposure, and lifestyle choices can effect the appearance and condition of our lips....The uses of BTX-A in maxillofacial surgery
Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...
