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Successful nose replantation

This case report describes a superb result following the delayed replantation (after eight hours) of the distal right nostril following a dog bite. The patient was a heavy smoker. Two arteries and two veins were anastomosed, one measuring 0.6mm and...

Part three: Aye, Aye. AI?

I wonder whether we should use the term 'augmented intelligence' rather than 'artificial intelligence'. I say this because at this moment in our evolution, artificial intelligence (AI) always begins with human intelligence. In this blog, I want to examine how...

Transgender breast surgery

Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...

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...

Fat grafting the buttock: facts and myths

Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23) - Snoring

We all know what snoring is, but do we understand what snoring means?

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Perceptions and deceptions: a personal blog by the editor 9 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part three). In the ensuing few months I came up with this idea of an Institute of Aesthetic Medicine. Chris Howse?...

Patient-related outcomes in rhinoplasty surgery

This paper centres on defining and providing a patient-related outcome tool in rhinoplasty surgery. There are currently no validated tools specifically for cosmetic alteration of the nose alone. The authors devised specific scales within the FACE-Q framework to specifically assess...

Lasers and the skin

Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers have revolutionised the treatment of many skin conditions and are being used both in terms of a medical and an aesthetic context. Laser technology has been advancing...

A review on contemporary options for facial reanimation

This paper is an up-to-date review on surgical and non-surgical options for the treatment of facial paralysis. The authors thoroughly describe recent techniques, like the masseter-to-facial nerve transfer, explaining the advantages over other more popular transfer techniques like the hypoglossal-to-facial...

Internal factors contributing to optimal skin health and rejuvenation

The author explores some common internal factors that affect skin health, such as; nutrition, hormonal balance, gut health and emotional wellbeing. The author’s treatment philosophy aims to address internal factors relating to skin health by reducing, preventing and eliminating oxidative...