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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...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

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...

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...

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...

Suspension thread lift combination treatments

A true facelift can only be achieved through surgical means, at least for now, and given advances in techniques and anaesthesia, this has become far safer. Not everyone, however, requires a facelift. Non-surgical modalities such as thread lifts with or...