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In conversation with Ali Pirayesh
Dr Ali Pirayesh. We were delighted to catch up with Dr Ali Pirayesh, esteemed plastic surgeon based in Amsterdam, about this career highlights and his involvement in AMWC Monaco. Can you tell us a little bit about what led you...Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer
Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...How I Do It - Wound closure
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...How I Do It - The eight-point facelift using STYLAGE®: blending light and shadow
Rationale The best approach for practitioners would be to understand the rheology of the hyaluronic acid (HA) fillers that they are using, and to ensure that the smallest aliquots are injected to produce the most aesthetic outcome. Developed from ‘The...
Poor glycaemic control associated with worse outcomes in primary wound closure
This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...How I Do It - Adipocytolysis
Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.
Autologous fat grafting does not improve burn scar appearance
Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of...
Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
