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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...

Surgical management of subungal melanoma

The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Scar revision synopsis

The authors present a comprehensive synopsis of late scar revision and other soft tissue deformities. They make the reasonable point that maxillo-facial surgery and its management of soft tissue injuries to the face is closely linked to cosmetic surgery. After...

How I Do It - Non-ablative fractional laser handpiece for skin resurfacing

The development of laser-based aesthetic devices has provided patients with an appealing non-surgical treatment alternative to address clinical aspects of photoageing skin [1]. Many treatments include skin resurfacing of the uppermost skin layers to initiate a skin regeneration process with...

Runny nose after nonsurgical rhinoplasty – review of cases

Hyaluronic acid filler injections have become a popular procedure worldwide; according to the American Society of Plastic Surgeons (ASPS) from 2019 to 2022 filler procedures have increased by 70% [1]. Non-surgical rhinoplasty is becoming a popular procedure because of the...

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...

The use of platelet-rich plasma in skin flap grafts

This study was conducted to evaluate the ability of platelet rich plasma (PRP) to stimulate angiogenesis following skin flaps graft surgery, and its effect on flap survival rate. The use of PRP to improve the quality of bone regeneration and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

How I Do It - Nose reshaping using advanced fillers

Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...

How I Do It - Buttock augmentation with hyaluronic acid fillers

There has been a notable increase in the popularity of body procedures over the years. The advancement in non-surgical body treatments has made it convenient for people to get the body they desire without having to deal with downtime or...

Plastic Surgery Volume 2: Aesthetic Surgery

All aspects of aesthetic plastic surgery (excepting breast) are covered in this volume beginning with chapters on the management of the aesthetic patient and the principles and practice of non-surgical facial rejuvenation including the use of Botulinum toxins, fillers and...