Features
An update on BIA-ALCL
The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...
Immediate versus delayed post mastectomy breast reconstruction
The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...
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...
A practical guide to the most commonly used dressings in wound care
The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...
CQC regulators and private hospitals need more common sense
There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....
Multidisciplinary approach to breast cancer conservation – therapeutic mammoplasty
Edinburgh-based plastic surgeon Ewa Majdak-Paredes provides us with a comprehensive review of therapeutic mammoplasty, a multidisciplinary approach to breast-conserving surgery with an emphasis on oncological safety and good aesthetic outcomes. Breast cancer Each year over 55,000 women in the UK...
A picture is worth a thousand words… communicating with your patients more effectively
Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...
British Foundation for International Surgery and Training
Two of the UK’s most innovative Plastic Surgeons, Barbara Jemec and Wee Lam, give a fascinating account of the work of BFIRST overseas and, perhaps most importantly, explain how you can get involved. The British Foundation for International Surgery and...
Real-world use of telemedicine – a picture is worth a thousand words
Recent advances in mobile phone camera technology and app software design have allowed photos of patients and their wounds to be sent from any smartphone to a secure NHS database, which can then be accessed by the relevant clinician with...
Informed consent and failure to disclose – legal perspectives for aesthetic surgeons
As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...
The patient journey in DIEP flap breast reconstruction
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...
Stratifying preoperative risk in revision augmentation: the six Cs
Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...
