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Postoperative antibiotics after a free flap surgery – is one dose enough?

Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Clinical Anatomy of the Face for Filler and Botulinum Toxin Injection

This text provides an exquisite overview of clinical anatomy for aesthetic clinicians, providing cosmetic injectable treatments to an Asian population. The anatomical photography and clinical dissections convey exceptional detail of facial structures, combining embalmed and unembalmed specimens, as well as...

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]....

UK allergy crisis: deploy the ‘LIMED’ mnemonic

In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

New game, new playing field: plastic surgery interviews in COVID-19

COVID-19 has drastically altered social norms. Anyone who dares to shake your hand, step within a two metre radius, or not wear their face mask is awarded disapproving looks. These public health precautions are now impacting plastic surgery residency recruitment,...

Staying in touch

Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Non invasive simple reshaping of pinnae

The authors of this paper show the results of a prospective controlled in vivo animal model study where the pinnae of 18 New Zealand white rabbits were subjected to electromechanical reshaping (EMR) and three months postoperative splinting. Six voltage and...

Problems in Periorbital Surgery: A Repair Manual

This is a multi-author textbook directed at oculoplastic and plastic surgeons carrying out and managing aesthetic eyelid surgery. The authors are well-known and commonly cite their mentor, Clinton (‘Sonny’) McCord as the main inspiration behind the textbook. Each section contains...

How I Do It - Vaginal rejuvenation - CO2 laser therapy

Women with menopausal symptoms, as well as postnatally, are looking for additional methods as alternatives to traditional hormone replacement therapy (HRT), local oestrogens or topical creams and lubricants, since only 34% comply with their prescribed therapy. Women report an impairment...

Complications of otoplasty

Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...

A world-first in cosmetic surgery. All eyes are upon Australia.

The past three years have been tumultuous for cosmetic surgery in Australia. Media reporting on the poor practise of a small number of medical practitioners led to multiple administrative processes including the Independent review of the regulation of medical practitioners...