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In conversation with Ioannis Goutos and Vania Hiratsuka Dalmedo

We were lucky to sit down with Ioannis Goutos and Vania Hiratsuka recently and hear about QMUL’s MSc in Aesthetic Medicine which is designed for both new students and established clinicians. Ioannis Goutos. Vania Hiratsuka. Thank you both for taking...

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...

New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...

Effects of orbital decompression

This is a retrospective review of 319 orbital decompression operations in 169 patients (73% female) with thyroid eye disease. Three wall decompressions were performed in 92 eyes, 2-wall in 206 (medial and floor), and a single wall (medial) in 18,...

Perceptions and deceptions: a personal blog by the editor 14 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...

Treating the male patient with dermal fillers

Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

A Timeline of Plastic Surgery

Where did the name ‘plastic’ surgery come from? It is probable that the first use of the term was by the German von Graefe in his book Rhinoplastik published in 1818. The intention was to describe the moulding of tissue...

Perceptions and Deceptions a personal blog by the editor 4 May 2016

So in the space of just a few days the Junior Doctors in the UK have engaged in the first all-out strike in the NHS since 1975. I was a medical student then and the issue was pay and conditions....

How I Do It - A paradigm shift in injecting: MicronJet™ needles

Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Principles of facial allotransplantation

In the seven years since the first partial face transplant was performed, a number of units around the world have raced to stamp their mark on this exciting and promising advance. In doing so, some have allowed their ambitions to...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...