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Reconstruction after maxillectomy

Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....

VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...

MedLED CHROME MC6 (Sapphire) the truly portable surgical headlight

Ream Surgical Ltd is delighted to be able to add the new MedLED Chrome MC8 (New Sapphire) portable surgical headlight to its range of products.

Treatment of rosacea using pulsed dye laser

Rosacea is a common chronic cutaneous inflammatory condition estimated to affect 415 million people worldwide [1]. It characteristically affects the central face and its primary features include flushing, non-transient erythema, telangiectasia and in progressive stages papules and pustules. Secondarily, it...

How I Do It - Treating acne and acne scarring in all skin types

I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

Mindfulness tools in practice and why we need them

We hear a lot about how to manage our medical aesthetics businesses / private medical practices. Everyday there are at least five emails from social media marketing companies telling us how they can get us on the first page of...

Opinion: Non-health groups and facial cosmetic injections: When prophecy fails

It was in the late 1950s that the Psychologist Leon Festinger first developed his theory to explain how members of a cult were persuaded by their leader, Dorothy Martin that the earth was going to be destroyed by a flood...

How I Do It - Approaches to lip augmentation: Perioral rejuvenation – a multi-product approach

A video of the authors demonstrating the procedure is available at the bottom of this article When approaching the lip and perioral area it is important to be aware that many non-surgical interventions may be used to treat this area....

How I Do It - X neo-umbilicoplasty

Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

Perceptions and Deceptions a personal blog by the editor 22 Apr 2016

The junior doctors in the UK are facing the reality that if they hold steady there is the very real prospect that ‘an elite group of professional people’ can topple a corrupt and dishonest Government and restore the balance of...

Online connections in a post-COVID world

Looking back at the pandemic, it has brought us unexpected friendships. The lack of direct interpersonal communication, meetings, parties and hugs increased the role of digital sources of contact which used to play a less important role in our lives....