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The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

2nd Chance: reconstructive surgery for life reconstruction

Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...

Durjoy – the Hong Kong story

I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Auricular reconstruction: star-pattern reconstruction

We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

Face to Face – facial reconstructive surgery mission in Ukraine

Photo featuring Ivanna Nebor, MD, Vitaliy Panchenko, MD, Manoj Abraham, MD, John Frodel, MD, Augustine Moscatello, MD, Gregoriy Mashkevich, MD, Bruce Moskowitz, MD, Ryan Winters, MD, Boris Chernobilski, MD, Mykola Syniuk, MD, Serhiy Spivak, MD. In April 2023, a group...

Immediate versus delayed post mastectomy breast reconstruction

The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...

Lymphoedema surgical treatment: myths and facts

Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...

Facial veins – diagnosis and treatment options

Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

Plastic surgery and aesthetic medicine: specialties and specialists

Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...