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Vascularised composite allotransplantation: an update

Vascularised composite allotransplantation (VCA) includes transplantation of multiple tissues in a single vascularised unit, such as the upper limb, or most dramatically the face. Truly remarkable results have been achieved, such as the one illustrated in this article. More than...

Cleft lip and palate care in low resource countries

The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...

Introducing ReSurge Africa

I have just stepped down from the chairmanship of the charity ReSurge Africa. First of all a bit of background... This charity was founded in 1992 by JC Mustarde, a well known ophthalmic plastic surgeon, working at Canniesburn Plastic Surgery...

Breast augmentation from a patient perspective

When I was 17 and saw Pamela Anderson on Baywatch I knew I wanted to have breast implants. A plastic surgeon had an office nearby so I went to find out more. The woman who spoke with me was lovely,...

CQC regulators and private hospitals need more common sense

There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....

A practical guide to the most commonly used dressings in wound care

The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8

The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....

Thread veins and varicose veins: medical or aesthetic?

I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...

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...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

Cosmetic labiaplasty – basic relevant anatomy and surgical considerations

Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...