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Selection of full thickness skin graft donor site influences extent of contraction

Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...

Transnasal endoscopic choanal atresia surgery

Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...

Burns debridement: VersajetTM vs. conventional debridement

A prospective randomised controlled trial was undertaken to compare conventional tangential burn wound debridement against the use of Versajet™ hydrosurgery in the treatment of partial thickness paediatric burns. Seventy-five children under the age of 16 were recruited for the study...

Management of major burns – a role for Oxandrolone

Oxandrolone The authors present a retrospective single centre based study assessing the effect of Oxandrolone (OX) on the length of stay (LOS) following ≥15% of total body surface area (TBSA) burns. One hundred and sixty-seven surviving patients were retrospectively analysed...

Jawline augmentation: restoring balance in the ageing face

The context of the popularity of injectable treatments is outlined with the American Society of Plastic Surgeons (ASPS) 2018 stats describing the 3% rise in the number of injectable dermal fillers being performed. The author gives a detailed description of...

The World Association of Plastic Surgeons of Chinese Descent

With the 4th World Association of Plastic Surgeons of Chinese Descent (WAPSCD) coming up in November I thought I would share my experiences with you. I attended the second world congress in Taiwan for plastic surgeons of chinese descent which...

FNA in the diagnosis of malignant salivary gland tumours

Salivary gland tumours are relatively rare and occur with an incidence of 2.5-3% per 100,000 people. Histologically they are extremely diverse with several patterns; some of which overlap and exact diagnosis can be difficult. Indeed it can be difficult to...

Retroauricular vs. inguinal donor site for full-thickness skin grafts in syndactyly repair

Most surgeons recommend the use of full thickness skin grafts (FTSGs) for syndactyly repair in order to achieve a tension free reconstruction and prevent web creep. The inguinal region, cubital fossa and wrist are all well recognised donor sites for...

Cheek augmentation from A to Z

An outline of facial assessment principles and anatomical considerations regarding augmenting the cheek and mid-face is explored. Background statistics are stated regarding the number of injectable procedures performed, referenced to American Society for Aesthetic Plastic Surgery (ASAPS) data, 2016. Attention...

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...

How I Do It - A global approach to facial volumising

As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...