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CUT AND RUN: The European Society of Plastic, Reconstructive and Aesthetic Surgeons (ESPRAS) highlights Gen Z's worrying exodus to private practice

A new study has highlighted the impact of Gen Z on the surgical workforce, who are driving a worrying change as they move away from reconstructive surgery in favour of lucrative opportunities in the aesthetics sector. Gen Z are those...

The golden nose – reshaping the nose 100 years ago

Wolf Lűbbers (with the golden nose). Who with a crooked nose would not embrace the chance to go to bed in the evening wearing a surgical device and wake up the following morning with a straight one? And all this...

How I Do It - Treating melasma and PIH

Melasma and post-inflammatory hyperpigmentation (PIH) are among the most common skin disorders in society with prevalence of up to 50% in some populations. Melasma is more prevalent among females and also among those with darker skin types III–V on the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position

How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...

Emmanuel, 3, has life transformed after Mercy Ships removes painful head growth

The parents of a three-year-old boy are rejoicing after volunteers on board a charity hospital ship removed a large, painful growth from the side of his head – a condition that had been developing since before he was born. Emmanuel’s...

Photorejuvenation: Light & Bright™ treatment for enhanced skin quality

Improving skin quality has emerged as a significant trend in recent years, driven by the synergy between at-home skincare routines and diverse aesthetic procedures administered by medical professionals. With sun-induced skin damage manifesting early in life, there’s a surging demand...

How I Do It - Treating multiple skin concerns with less down-time

As a speciality, we are constantly striving to achieve better results with less risk and down-time. It is not unusual for us to see patients who want to treat multiple skin concerns such as acne scarring, pigmentation, laxity and rhytids...

Patient-reported outcomes in oculoplastic surgery

This is an important if somewhat difficult to grasp article which tries to formally address the subject of patient-reported outcomes in oculofacial surgery. The authors have conducted an extensive review of the literature searching for instruments (questionnaires) which have been...

The incidence of non-surgical rejuvenation in facial aesthetic surgery

Non-surgical facial rejuvenation has increased exponentially in the last 20–30 years in a society which demands immediate results with minimal downtime. The overall UK market is estimated at £3.6 billion annually. The use of facial injectables increased by 7000% between...

Electrochemotherapy for BCCs

A remarkable account of an effective non-surgical treatment for basal cell carcinomas (BCCs). Electrochemotherapy (ECT) consists of making the area surrounding the lesion temporarily permeable using electric pulses (under local anaesthesia), then bleomycin is administered to the area. The treatment...

Note from the Editor

In 2005 I wrote a paper with my colleague Linda Huang which looked at keloid and hypertrophic scars from a rather different perspective (Burd A, Huang L. Hypertrophic response and keloid diathesis: two very different forms of scar. Plast Reconstr...