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How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants

Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

Online connections in a post-COVID world

Looking back at the pandemic, it has brought us unexpected friendships. The lack of direct interpersonal communication, meetings, parties and hugs increased the role of digital sources of contact which used to play a less important role in our lives....

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

A ventral solution to a perineal problem: a case report

The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

Mercy Ships’ hope and healing in Madagascar

Since my last article on the mission of the Mercy Ships in 2013, the current vessel, the Africa Mercy has continued to bring hope and healing to the people of West Africa. Having completed a very successful eight-month visit to...

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]....

Mandibular asymmetry: Importance of personalised treatment

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. Human facial symmetry is a key determinant for assessing facial attractiveness, and...

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

Masculinising chest wall surgery (‘top surgery’)

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. In this feature article, we discuss our experience in masculinising chest wall...

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...