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The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

The importance of teamwork and leadership in the management of patients in burns centres

The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Life after medicine

Our Editor, Andrew Burd, renowned burns surgeon, takes us on a fascinating journey from his early days as a medical student travelling in the USA through his search for scarless healing in the 1980s and finally to his current work...

Contemporary aesthetic management strategies for deficient jaw angles

Facial aesthetics in the lower facial third is strongly influenced by mandibular profile with the mandibular angle playing an important role. The youthful appearance of a well-defined jaw line and angle, which is regularly seen among leading movie actors, is...

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.

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

Soft tissue augmentation – a review

The author explains how treating the face as a 3D structure is key to a good result with invasive or non-invasive procedures. History Rejuvenation of the face and trying to reverse the effects of ageing dates back centuries. Facial volume...

Cosmetic Surgery Certification Scheme – looking into the future of regulation, quality and safety in cosmetic practice

With plans underway to extend the cosmetic surgery certification scheme to all surgeons performing cosmetic surgery, we share the views of the RCS, BAAPS and BAPRAS. The Royal College of Surgeons (RCS) along with its partners in the Surgical Specialty...

The incidence of non-surgical rejuvenation in facial aesthetic surgery

Non-surgical facial rejuvenation has increased exponentially in the last 20–30 years in a society which demands immediate results with minimal downtime. The overall UK market is estimated at £3.6 billion annually. The use of facial injectables increased by 7000% between...