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Harvesting the flexor hallucis longus what is the increased morbidity
The free fibula flap and its variations are now widely used in various clinical applications for microvascular reconstructions. Occasionally and to add bulk the flexor hallucis longus (FHL) muscle is harvested along with the fibula. Additionally, the postoperative morbidity is...
Stretch mark treatment comparison
This article shows a comparison between two simple methods of treatment which are currently widely used in the aesthetics industry to treat early striae distensae. With the increasing demand from patients to achieve an improvement in stretch marks, the drive...
Complications of plates in fibula free flaps
Good functional reconstruction of the mandible remains challenging for the maxillofacial surgeon. The fibula osteocutaneous flap is widely used as a method of mandibular reconstruction and it can withstand multiple osteotomies and a thus requires hardware to adapt and hold...Raising the bar for safer cosmetic surgery in the UK – part 2
In the second of a two-part article (see Part 1 here) Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Medical...In conversation with Dr Suzan Obagi
We caught up with famous cosmetic dermatologist Dr Suzan Obagi following her visit to the UK this summer. Dr Suzan Obagi You are one of the foremost cosmetic surgeons / dermatologists in the United States – can you tell us...CO2 laser treatment of rhinophyma
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. The authors describe their technique and experience of treating rhinophymas with a...The Need for Informed Opinions
It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...Investigation into unlicensed botulinum toxin: comment from the editor
The recent Times investigation and subsequent reported investigation by the MHRA on the use of unlicensed botulinum toxin in the UK is something that is sorely needed in a sector that is unregulated.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...Medicinal leech therapy in plastic surgery
The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...Should Plastic Surgeons 'De-skill'?
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...
