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Facial aesthetics and orthognathic surgery
Most maxillofacial procedures have an aesthetic element. Reconstructive procedures and surgery to correct congenital abnormalities such as cleft lip have an obvious aesthetic impact. When making surgical incisions for access to the underlying facial skeleton consideration will be made to...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...Combination therapy for PIH in skin of colour
Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...
Outcomes of heavily pre-treated oral squamous cell carcinomas
Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...Clones and tigers
Shortly after I qualified MB, ChB in 1963, I had a position in the pathology department of the Glasgow Royal Infirmary. I was surprised to discover there that there was a word that I didn't know – ‘clone’. I did...EURAPS 2015
As plastic surgery becomes increasingly sub specialised, academic meetings covering specific niches multiply like the proverbial lapine model. Whilst such meetings satisfy the educational requirements of the supraspecialist within us all they arguably detract from our alter ego the generalist....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.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...
The Art of Aesthetic Surgery, Principles and Techniques, Third Edition
General review Immediately you sense a class act as the transparent cellophane membrane surrounding the book, beautifully adorned by the ‘Three Graces’ painting, is removed and the non-slip textured feel of the hard cover is exposed. This surface prevents the...BCAM Annual Clinical Review 2021
The British College of Aesthetic Medicine (BCAM) is the only UK body representing aesthetic doctors and dentists that conducts an annual survey of its members’ clinical data, collating information about treatments, complications and trends. The Annual Clinical Review has been...
Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel
Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...
