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Immediate versus delayed post mastectomy breast reconstruction

The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...

Reflections on the criticism of the criticism of the NHS

Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

Focus on Cosmeceuticals: Skin anatomy and photoageing

Skin anatomy The skin of the face provides crucial functions of temperature regulation, reparative functions following injury, facial expression, protective mechanisms against infection and ultraviolet radiation, as well as sensory perception. The integument consists of two principle layers, the epidermis...

To use or not to use: absorbable sutures for facial wounds

This systematic literature review looked at studies comparing facial skin closure with absorable versus non-absorbable sutures. Studies not published in English, or looking at areas other than the head and neck, and studies focused on suture technique rather than material...

2nd International Medical Symposium Aesthetic Dialogue

Experience the forefront of aesthetic medicine at the Prague Lab Aesthetic Dialogue International Symposium, taking place on 8–9 November 2024, within the historic walls of Prague Castle. Attendees will engage in a groundbreaking approach, witnessing four simultaneous perspectives on facial...

Evidence based review of management for common head and neck cancers

As part of the PRS evidence based review series, this well written review summarises the up-to-date knowledge regarding the surgical and non-surgical management of the common facial skin cancers. The review is limited to BCC, SCC, MM and Merkel Cell...

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?...

Sweet and sour thoughts from Hong Kong – a preview to my next 'Letter'

The weather was beautiful and there was a holiday atmosphere in the air. Five consecutive days without a new case. The goal is 28 consecutive new-disease-free days.

Is sclerotherapy useful for cherry angiomas?

Cherry angiomas are common, often proving to be an irritation for patients as they tend to be deemed cosmetically unattractive, particularly if large numbers start to develop. This is a common condition I see at my clinic so I am...

The Art of Aesthetic Surgery, Principles and Techniques, Third Edition

General review Immediately you sense a class act as the transparent cellophane membrane surrounding the book, beautifully adorned by the ‘Three Graces’ painting, is removed and the non-slip textured feel of the hard cover is exposed. This surface prevents the...

Stem cells in reconstructive surgery: a bright but cautious future

Regenerative medicine using stem cell technology is slowly becoming a reality in routine clinical practice especially in the field of tissue regeneration [1]. It is therefore not surprising that stem cell technology is starting to be of interest in reconstructive...

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...