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In conversation with Professor James Frame

Professor James Frame. Can you give us a bit of background as to why UKAAPS was set up and what the association focuses on? The UK Association of Aesthetic Plastic Surgery was founded at a meeting of like-minded plastic surgeons...

Is rhinoplasty still a plastic surgery procedure?

As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...

Treatment of vertical alar discrepancy

This article explains the way to treat vertical alar discrepancy through alar crease and alar sulcus full-thickness incisions and advancement-rotation of the alar flaps. The authors divide the group of patients into three main categories depending on the vertical movement...

Wide en bloc resection of lacrimal sac tumours

This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...

Z-plasty release of congenital muscular torticollis

Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...

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...

Stretch mark treatment comparison

This article shows a comparison between two simple methods of treatment which are currently widely used in the aesthetics industry to treat early striae distensae. With the increasing demand from patients to achieve an improvement in stretch marks, the drive...

Complications of plates in fibula free flaps

Good functional reconstruction of the mandible remains challenging for the maxillofacial surgeon. The fibula osteocutaneous flap is widely used as a method of mandibular reconstruction and it can withstand multiple osteotomies and a thus requires hardware to adapt and hold...

AlloDerm for correction of lower lid retraction

This is a retrospective review of 95 eyes of 54 patients undergoing orbital decompression for Graves’ orbitopathy. All patients had a swinging eyelid approach across the whole of the lower lid. Thirty-six eyes also had insertion of a 0.3mm thick...

Natural regression of brow heaviness in thyroid eye disease

This is a retrospective review of the change over time in the sub-brow fat volume in 104 patients with thyroid eye disease. Standardised photographs taken at diagnosis were compared with those taken after an average period of 10 years (+/-...

Cavernous sinus thrombosis and orbital cellulitis

This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...