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The superficial circumflex iliac artery perforator flap in intraoral reconstruction

There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

Beta blockers in the treatment of infantile haemangiomas

Following the work of Léauté-Labrèze et al. in 2008, describing the successful use of beta blockers in the treatment of infantile haemangiomas, the medical treatment of these troublesome malformations has almost completely replaced surgical treatment, which has been relegated to...

Anteromedial thigh perforator free flaps

Forty-one consecutive anterior anteromedial thigh (AMT) free flaps are reported, with a success rate of 95%. This flap is being used as an alternative to the preferred anterolateral thigh flap (ALT), which is described as the ‘real workhorse’, when this...

Vascularised composite allotransplantation: an update

Vascularised composite allotransplantation (VCA) includes transplantation of multiple tissues in a single vascularised unit, such as the upper limb, or most dramatically the face. Truly remarkable results have been achieved, such as the one illustrated in this article. More than...

The cost of surgery for bedsores

Many plastic surgeons will have experienced a heart-sinking moment when receiving a request to give an opinion on a patient with a bedsore. The surgery is not technically demanding, but the postoperative care and rehabilitation of the patient can be...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...

Facial hair restoration

The author presents a review of facial hair transplant procedures. Specific areas of interest are eyebrows, beard, with goatee and moustache in detail, eyelashes and facial scars. Most common harvest procedures include the follicular unit extraction (FUE) technique and the...

Superficial lymphatics of the abdominal wall in lymphatic microsurgery

This elegant and beautifully illustrated article requires to be carefully studied in its entirety by any surgeon planning to carry out lymphovenous anastomoses or vascularised lymph node transfer in the groin area. As the authors point out, the most difficult...

Principles of facial allotransplantation

In the seven years since the first partial face transplant was performed, a number of units around the world have raced to stamp their mark on this exciting and promising advance. In doing so, some have allowed their ambitions to...

CO₂ laser treatment for burn scars

Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...

The impact of 21st century stressors and lifestyle factors on skin ageing

Skin appearance and health play a significant role in everyone’s life and confidence, particularly in today’s 21st century lifestyle and the associated stressors promoting skin ageing. The skin is a dynamic organ, showing apparent signs of ageing and damage, which...

Perceptions and deceptions: a personal blog by the editor 12 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part four). I had found Dr Wong exposing a dying patient for his own vicarious gratification. I had specifically forbidden him...