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The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

How I Do It - Non-surgical approach to facial palsy – a preliminary case report

In October 2013, a female patient presented for an initial consultation. She had a past medical history of left lower seventh (facial) nerve palsy following excision of left benign parotid adenoma in 2002. This had been treated over the years,...

In conversation with Uliana Gout

We were delighted to catch up with Dr Uliana Gout, President of the British College of Aesthetic Medicine (BCAM), about her career and plans for the College. Can you tell us a little bit about why you initially chose to...

Start slowly, stay grounded: The vital role of education in aesthetic medicine

Jude Dunican. Elaine Williams: I still remember the day we first met, with you coming into the clinic on behalf of Health Xchange back in 2018. We quite quickly got into developing ourselves professionally from that very first meeting, and...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

Harvesting the flexor hallucis longus what is the increased morbidity

The free fibula flap and its variations are now widely used in various clinical applications for microvascular reconstructions. Occasionally and to add bulk the flexor hallucis longus (FHL) muscle is harvested along with the fibula. Additionally, the postoperative morbidity is...

5 Reasons why before & after photos are everything in any aesthetics business

Images have a heavy weight across online platforms and it’s no different for aesthetics businesses. You can have years of experience, certificates of the most prestigious courses, the latest equipment and high-quality products but none of them will be as...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

PROFHILO® STRUCTURA

Contains: 1 injectable treatment PROFHILO® STRUCTURA, 1 TSK 22Gx50mm cannula, 1 TSK 21Gx25mm pilot needle, 1 TSK 25Gx38mm cannula, 1 TSK 23Gx19mm pilot needle. PROFHILO® STRUCTURA 2 ml pre-filled syringe (4.5% – 45 mg L-HA + 45 mg H-HA (Total...

New approaches to soft tissue reconstruction involving adipose tissue engineering

Introduction The spectrum of patients affected by subcutaneous tissue loss is both wide and varied, including those who have undergone tumour removal, trauma patients, such as those injured in road traffic accidents, and individuals who have suffered from deep burns...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...