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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...
Lacrimal gland carcinoma outcomes
This is retrospective review of outcomes of lacrimal gland epithelial tumours treated between 1972 and 2014 at Moorfields Eye Hospital. Seventy-nine patients were reported, comprising 53 adenoid cystic carcinomas, 15 primary adenocarcinomas and 11 carcinomas ex-pleomorphic adenoma. The authors compare...Could a technology from the past change skin disinfection for the future?
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...
CD73 in aggressive basal cell carcinoma
This is a retrospective review looking at levels of CD73 in aggressive basal cell carcinomas (BCCs) that invade the orbit. Eleven patients who underwent orbital exenteration for invasion by BCCs were compared with 10 matched controls who had simple nodular...
The Art of Combining Surgical and Nonsurgical Techniques in Aesthetic Medicine
This is a well-written hardback discussing various approaches to combination treatments for the face and the body. There are 15 chapters each outlining a specific category from patient selection to the use of noninvasive devices, light-based therapies and blending non-surgical...
FNA in the diagnosis of malignant salivary gland tumours
Salivary gland tumours are relatively rare and occur with an incidence of 2.5-3% per 100,000 people. Histologically they are extremely diverse with several patterns; some of which overlap and exact diagnosis can be difficult. Indeed it can be difficult to...How I Do It - Non-surgical blepharoplasty using Plasma Elite® technology
What is plasma? Plasma is produced when an electrical energy is charged or overheated, leading to a dissociation of molecular bonds and the production of a plasma arc. The arc delivers energy to the cell membrane, causing sublimation, changing a...How I Do It - Anti-ageing focus: Effectively treating vascular and pigmented lesions with no associated downtime
More patients are demanding treatments that require little to no downtime and that have very little noticeable side-effects. It is understandable why patient seek this from a non-surgical aesthetic treatment; however, it can be particularly challenging when looking to treat...How I Do It - Hyperdilute CaHA for the ageing neck
Calcium hydroxylapatite (CaHA) has demonstrated strong biostimulatory effects; increasing collagen and elastin production, while promoting angiogenesis and proteoglycan formation [1]. Consequently, its application as a valuable aesthetic intervention for age-related skin changes is being increasingly adopted. At particular dilutions (when...How I Do It - Non-ablative fractional laser handpiece for skin resurfacing
The development of laser-based aesthetic devices has provided patients with an appealing non-surgical treatment alternative to address clinical aspects of photoageing skin [1]. Many treatments include skin resurfacing of the uppermost skin layers to initiate a skin regeneration process with...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...
