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The supraclavicular artery flap for head and neck reconstruction

Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...

Traumatic split earlobe repair using double triangular skin flaps

Split earlobes are a common secondary deformity of the ear. Numerous techniques have been described to repair a traumatic split earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue...

Repair of the supernumerary nostril

The supernumerary nostril is a rare challenge, first reported by Lindsay in 1906. It has been suggested that they may develop from an accessory nasal pit or from a fissure in the lateral nasal process to create a double nostril....

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

How I Do It - Using 3D imaging technology in aesthetic medicine

In recent years, there has been a shift in how patients see themselves. The ‘selfie generation’ are constantly exposed to idealised images, which means that many patients are hyper-aware of subtle facial asymmetries and textural irregularities. They no longer look...

Melasma treatment – what have we achieved in 42 years?

Melasma is a hyperpigmentation disorder which has been the subject of intense research over the last 40 years. As yet no definitive therapeutic strategy has been demonstrated to eradicate it or to avoid relapse. The author provides an up to...

Body contouring surgery following massive weight loss

There are many different perceptions about what defines the term ‘overweight’. The reality is however that, for many, being overweight is a condition that brings with it significant health and social problems. It is estimated that almost two thirds of...

BAS 2025 Sclerotherapy Conference

The British Association of Sclerotherapists’ (BAS) 2025 conference will take place on 20 May 2025 at Dorney Lake near Windsor. Encompassing both foam and microsclerotherapy this is the only UK conference that brings together phlebologists, vascular surgeons and nurses, interventional...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

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.

Glow like a queen

Dr Vincent Wong explains why skin health is particularly important when it comes to treating drag queens and how to help them glow. In an era of gender fluidity, facial masculinisation and feminisation treatments are rising in popularity. As we...

Treatment of established facial palsy with botulinum toxin followed by half mirror exercises

Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...