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Complications in tissue expansion

This study aims to identify possible risk factors for complications in tissue expansion in all anatomical regions except the breast. The overall complication rate of tissue expansion is up to 48%. Over the 10-year study period, 34 patients had placement...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....

Treatment of vertical alar discrepancy

This article explains the way to treat vertical alar discrepancy through alar crease and alar sulcus full-thickness incisions and advancement-rotation of the alar flaps. The authors divide the group of patients into three main categories depending on the vertical movement...

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.

Raising the bar for safer cosmetic surgery in the UK – part 1

In part one of a two-series article 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. Cosmetic surgery is most easily...

How I Do It - Practical guidance on avoiding adverse events following soft tissue augmentation – some tips

Complications following soft tissue augmentation range from the mild to the serious, e.g. blindness due to occlusion of the branches of the ophthalmic artery to the eye. Much of the literature reviewed appears to indicate that no treatments were found...

Mid-facial augmentation with malar implants

The authors guide us through facial augmentation using implants to restore volume and a youthful appearance. In today’s ‘selfie-obsessed’ culture, there is no other anatomical region which carries greater social prestige and importance, than a well-proportioned ‘youthful’ face. In particular,...

One-point tear trough correction

The authors provide an expert guide to the use of hyaluronic acid dermal fillers to rejuvenate the periorbital area. One of the early signs of periorbital ageing are dark circles around the eye, with patients complaining of a fatigued appearance....

Anatomy of the ageing lip

With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus (see here for Part 2) on lips Dr...

Temporomandibular disorders – a surgeon’s view

The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

Facial contouring with fillers

With the advent of hyaluronic acid fillers, safe and effective non-surgical facial rejuvenation has been advanced. Hyaluronic acid fillers are becoming increasingly popular amongst patient who seek facial enhancement. In 2013, there were over 1.8 million treatments using hyaluronic acid...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...