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The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Breast reconstruction – techniques from a plastic surgery perspective

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. Breast reconstruction following breast cancer surgery has positive physical and psychosocial health...

In conversation with Dr Peter Shumaker

“The views expressed in this interview are those of the member and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government.” Dr Peter Shumaker, Chairman of...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

Sensitive cilia – eyelashes in health and disease

In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Botulinum toxin type A for the treatment of allergic & idiopathic rhinitis: The Aller-Tox™ method

Hay fever provides a significant burden on the NHS, according to NHS data, approximately 20% of UK residents are hay fever sufferers. Around one fifth of these patients with allergies struggle with the fear of a possible asthma attack [1]....

Cryolipolysis: a review of published clinical data

Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...