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How I Do It - A global approach to facial volumising

As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...

VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Restoring youth to the upper midface by blending the lid-cheek junction

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. Rejuvenation of the eyes has a very high impact on the overall...

OPINION - From ethics to commerce: challenges faced by cosmetic practice for 2025 and beyond

Cosmetic medicine and surgery have seen remarkable and ongoing increases in popularity, reflecting advancements in medical technology and evolving societal norms based on, for example, social media, cultural expectations, and globalisation of beauty standards. Unlike with other medical specialties, these...

Fat grafting the buttock: facts and myths

Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

How I Do It - Treating multiple skin concerns with less down-time

As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

Acid Survivors Trust International

The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

Ablepharon-macrostomia syndrome

The ablepharon-macrostomia syndrome is a very rare condition caused by a dominant mutation in the TWIST2 gene. Congenital defects include rudimentary eyelids, macrostomia, ambiguous genitalia and campodactyly. Neonates are at risk of severe corneal exposure without intervention. Previous reports have...

Submandibular haematoma with airway obstruction following a warfarin overdose

Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

Recognising the key tear trough ligaments

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 anatomical understanding of the periorbital ligaments is critical for mastering tear...

In conversation with Loredana Cavalieri

We were delighted to catch up with Dr Loredana Cavalieri, Councillor for Società Italiana di Medicina Estetica (SIME), about her background and plans for this year’s SIME Congress. Can you tell us a little bit about what led you into...