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Medicinal leech therapy in plastic surgery
The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...Auricular reconstruction: flip-flop flap
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...The origin of the Children’s Burns Club
Burn injuries can affect any of us or our families at any time. A momentary lapse in attention can lead to a lifetime of scarring. Whilst any individual member of a family group can be physically scarred, all the family...Female Cosmetic Genital Surgery: lifestyle or science?
The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...Focus: Opinions on regulation
Dalvi Humzah Regulation in the aesthetics industry In this issue we have invited commentaries on regulation within aesthetics, in particular the voluntary register set up by the Joint Council for Cosmetic Practitioners (JCCP). Many medical practitioners are concerned regarding the...British Foundation for International Surgery and Training
Two of the UK’s most innovative Plastic Surgeons, Barbara Jemec and Wee Lam, give a fascinating account of the work of BFIRST overseas and, perhaps most importantly, explain how you can get involved. The British Foundation for International Surgery and...How I Do It - Approaches to lip augmentation: Perioral rejuvenation – a multi-product approach
A video of the authors demonstrating the procedure is available at the bottom of this article When approaching the lip and perioral area it is important to be aware that many non-surgical interventions may be used to treat this area....How I Do It - Peri-orbital rejuvenation using HA fillers
The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...
Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone
With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...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...
