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How I Do It - Surgical tear trough treatment and periorbital procedures

It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...

Reflections on the criticism of the criticism of the NHS

Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

Airway first in patients with facial trauma

Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...

Sleep side preference affecting lid laxity in normal subjects

This is an interesting, masked, prospective study examining the hypothesis that increased upper eyelid laxity in normal patients may be related to the side on which they usually sleep. Two hundred and sixty-two normal subjects, over 55 years old, had...

Liposuction – changes in contemporary practice

This article charts the progress and evolution of ‘liposculpture’ over an 18-year period, the surgical journey of over 5000 patients included in the paper. The senior author highlights the technical changes made over the period and how these have led...

An update from SIME

Since its founding in 1975 SIME (the Italian Society of Aesthetic Medicine) has always set goals revolving around research, study and the acquisition of knowledge in regards to aesthetic medicine. This includes ensuring the sharing of information with its members,...

An overview of microsurgical reconstruction of the head and neck worldwide

Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...

Dental implant rehabilitation in fibula free flaps

The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...

‘Split’ earlobe repair

Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...