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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...

Global surgical crisis and Mercy Ships

History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...

Hydroquinone-induced hyperpigmentation: a case of exogenous ochronosis in a Hispanic patient

Achieving flawless skin as part of the desire to be perceived as ‘beautiful’ is a common sentiment shared by many cultures [1]. Of the many treatment options and products available on the market, the most common chemical agent to achieve...

Recurrent corneal erosions secondary to isotretinoin use

This article originally appeared in Eye News Dec/Jan 2021 Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations,...

A Reaction to the ‘Keogh Report’

In April 2013, the British Government’s report on regulation and safety issues in the cosmetic surgery sector was produced, authored by NHS Medical Director Prof Sir Bruce Keogh. The Royal College of Surgeons of Edinburgh and the British Association of...

An interview with Mr Miles Berry, Consultant Plastic and Aesthetic Surgeon

Mr Miles Berry has been working as a specialist in plastic and aesthetic surgery for the last 15 years. As well as spending nearly four years in Manchester as a Specialist Registrar, Mr Berry was Locum Consultant at the eminent...

Nasal deformity following CPAP injury

Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy, to provide respiratory support to very low birth weight (VLBW) (<1500g) neonates. Nasal injury is a well recognised complication and figures quoted...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial clinical subject. Because of increased education and earlier diagnosis of skin tumours, surgeons are being presented with an increasing number of defects with limited size and depth....

Free style facial artery perforator flaps for nasal reconstruction

This is an update from the team of authors that originally described the free style facial artery perforator flap, for one stage nasal reconstruction, in 2009. They now update after 10 years of experience with these freestyle facial artery perforator...

Correcting lower lateral cartilage absence

Congenital absence of the lower lateral nasal cartilage is rare. The authors discuss correcting the absence using an open approach technique to harvest septal cartilage. This is then fashioned into a shield graft and a supporting strut graft to define...

Modified anterior septal transplant

The authors describe an anterior septal graft technique, which consists of complete resection of the caudal septum and reconstruction with extended spreader grafts and a columellar strut, without a separate caudal septal replacement graft. This study was a retrospective case...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...