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Dark circles in the periorbital region

The author provides an insightful paper on the aetiological factors involved in dark circles and explores the treatment options. An emphasis is placed on the importance of undertaking a thorough patient consultation and history to establish causative factor(s), as well...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Delayed intraoral wound healing in patients on bisphosphonates

Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...

50 Studies Every Plastic Surgeon Should Know

How do you decide the 50 most influential papers in plastic surgery? The breadth of subspecialties within plastic surgery makes this herculean task even harder. This book has attempted to collate each paper which has shaped and guided the practice...

IMCAS China 2015

The IMCAS brand is now well established as a global leader in bringing together a multi-disciplinary, multi-professional approach to the world of ‘aesthetic surgery and cosmetic dermatology’. The first meeting was held in Paris in 1994 and was promoted as...

In conversation with Dr Yannis Alexandrides

We were delighted to chat to Dr Yannis Alexandrides, the American and British board certified Plastic Surgeon, specialising in facial reconstructive surgery. You are internationally renowned in the field of plastic surgery – what made you choose this as a...

Venomous snake bite leaves arm unusable: boy waits seven years for life-changing surgery

An 11-year-old boy from Sierra Leone can finally go to school and use his right arm again after his severely deformed limb was operated on by international health charity, Mercy Ships. Without the free surgery, Yusif’s right hand and arm...

How I Do It - Wound closure

Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

CQC regulators and private hospitals need more common sense

There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

How I Do It - Skin tightening: Fotona 4D protocol

Skin tightening, especially on the face, is currently one of the most common aesthetic procedures. There are many approaches to facial skin tightening, many of them executed with various energy-based devices, such as lasers, radiofrequency and ultrasound devices, all of...