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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...

From female genital mutilation to female genital reconstruction

The demand for reconstruction of mutilated female genitalia is increasing in Europe due to the empowerment of immigrant and naturalised women from Africa. Their wish for reconstruction is more than a matter of surgery, as these women still have to...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

How I Do It - Non-surgical approach to facial palsy – a preliminary case report

In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...

Laser safety – do you think you are safe?

The author explains the importance of proper qualifications and training to ensure both patients and practitioners are protected. Safety concerns For those working with lasers, safety must be everyone’s concern. We should all be checking equipment and safety glasses routinely,...

Perceptions and Deceptions a personal blog by the editor 4 May 2016

So in the space of just a few days the Junior Doctors in the UK have engaged in the first all-out strike in the NHS since 1975. I was a medical student then and the issue was pay and conditions....

How I Do It - 360° body contouring through combined techniques

Today, patients are looking for non-invasive and customised aesthetic procedures with no downtime. They want a global body treatment for a natural and harmonious result. To get the best possible results, treatments have to be combined. It is rare for...

Oral minoxidil: innovations in hair loss

Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

In conversation with Frédéric Braccini

We were delighted to catch up with Frédéric Braccini, Facial Plastic Surgeon based in France, about this career highlights and his involvement in the upcoming Corsica Medical Summit. Can you tell us a little bit about what led you into...

Sweet and sour thoughts from Hong Kong – a preview to my next 'Letter'

The weather was beautiful and there was a holiday atmosphere in the air. Five consecutive days without a new case. The goal is 28 consecutive new-disease-free days.

Problems in Breast Surgery A Repair Manual

Breast surgery is one of the most commonly performed plastic surgical procedures with a high incidence of revisions carried out, not only for complications, but also due to the natural evolution of the breast, ageing, or the consequences of long-term...

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...