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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 comparison of academic output of Welsh burns and plastic surgery trainees pre- and mid-COVID-19 pandemic: a cross-sectional study

The COVID-19 pandemic has affected the work of doctors worldwide, with surgical resources being diverted and non-emergency surgeries postponed. With surgical activity at 33.6% of expected levels in 2020, this sudden, vast decrease in surgical activity may have granted some...

The creation of PlayDoh® models as an educational tool for teaching anatomy of the lips and peri-oral musculature

As lip procedures continue to be popular it is essential that all practitioners have a detailed knowledge of the anatomy of the area. The authors outline an innovative and engaging method of teaching. Detailed knowledge of the soft tissue anatomy...

In conversation with Dr Uliana Gout

We recently caught up with Dr Uliana Gout, re-elected President of the British College of Aesthetic Medicine (BCAM), about the College’s 20th anniversary year, its plans for 2022 and how it has supported members throughout the pandemic. Are you enjoying...

Staying in touch

Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...

Autologous fat graft in scar treatment

A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...

Breast reduction in the older woman

Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

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...

Duration of botulinum toxin effects: Determining factors and practical recommendations

Botulinum toxin has become a popular drug in aesthetic dermatology and plastic surgery and is used to diminish wrinkles as well as for a number of medical indications. However, current reports suggest the loss of a therapeutic effect over a...

The importance of skin preparation

With both aesthetic procedures and antibiotic resistance on the rise, good skin disinfection to reduce the risk of infection is more vital than ever. Anna Baker takes us through the evidence behind commonly used skin preparation formulations for aesthetic injectable...

RAES 15th UK Regenerative Aesthetic ExoCoBio Summit 2025

RAES 15th UK Regenerative Aesthetic ExoCoBio Summit 2025Pioneering the Future of Regenerative Aesthetics On 17 March 2025, the prestigious Royal Society of Medicine hosted the highly anticipated RAES 15th UK Regenerative Aesthetic ExoCoBio Summit 2025. The event brought together some...