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Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’
The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...
A new method for free-flap total nasal reconstruction
Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...
Choosing anaesthesia for oral surgery
This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy
A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...Debate - Voluntary registers for medical cosmetic practitioners: friend or foe?
In June this year BACN and PIAPA issued a joint statement criticising voluntary registration bodies such as Save Face. Regulation is a hot topic that many in the industry feel passionately about, and the statement sparked a debate about whether...Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...What’s new in treating hypertrophic scars and keloids?
World renowned dermatologist, Michael H Gold, explains new treatments available in the challenging field of hypertrophic scar and keloid management. The treatment of hypertrophic scars and keloids remains one of the most challenging conditions that dermatologists face on a regular...
Text Atlas of Wound Management
The authors in the preface of Text Atlas of Wound Management acknowledge that this is a challenging and difficult area of medicine. Their book aims to deconstruct and simplify the management of different types of wound by showing us real...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...Living confidently with a distinctive face or body
The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...
