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The First World War and the Development of Facial Surgery

Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

Plastic surgery and safety issues: a patient perspective

Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...

The origin of the Children’s Burns Club

Burn injuries can affect any of us or our families at any time. A momentary lapse in attention can lead to a lifetime of scarring. Whilst any individual member of a family group can be physically scarred, all the family...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...

Facial veins – diagnosis and treatment options

Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

How I Do It - Peri-orbital rejuvenation using HA fillers

The peri-orbital region is the first to show signs of ageing due to thin skin and changes in texture, colour and volume. This can make the eyes look tired or sunken which can have a negative impact on the global...

Closed rhinoplasty Serdev techniques

Why is rhinoplasty so important? Facial beauty and harmony are dependent on correct aesthetic angles, volumes and proportions. The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio...

Medicinal leech therapy in plastic surgery

The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...

Laser tattoo removal: results and issues

The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...