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Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...

A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...

Temporomandibular disorders – a surgeon’s view

The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

Vascular complications Part 1: Prevention

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the first of a two-part series (click here for Part 2), the authors discuss how to avoid these adverse...

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...

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...

The importance of teamwork and leadership in the management of patients in burns centres

The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

The Need for Informed Opinions

It is important not to take sides too soon in any debate and let the various parties present their arguments. In this context, I mean ‘argument’ as a structured rational to support a specific position. With regard to aesthetic medicine...

Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction

This paper is focused on whether an immediate breast symmetrisation procedure is beneficial when a patient undergoes contralateral breast resection plus an immediate free flap reconstruction for breast cancer. Free abdominal perforator flaps (DIEP) generally offer the highest postoperative satisfaction...

Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...