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Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone
With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...
Oestrogen receptors in breast capsules – experimental findings
This study from Rome, on humans, is stated by the authors to be not definitive and further work is required before any treatment can be recommended. But careful analysis of oestrogen receptors in breast capsules and the number of fibroblasts...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...Back to the blog: Part II
PART II: Key players in the turf war between the board-certified plastic and reconstructive surgeons and the 'non-accredited' cosmetic surgeons.
Post-cancer prosthodontic reconstruction
A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...
Fat grafting within the focus of facial ageing
Volume restoration has become a cornerstone in the current model of understanding and approaching the aging face. Sam Lam offers a review in order to place fat grafting in its proper place, with all of its attendant risks, benefits and...Part four: Aye, Aye. AI?
“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...
Calcium Hydroxylapatite Soft Tissue Fillers: Expert Treatment Techniques
Having used calcium hydroxylapatite (CaHA) for over 20 years it was a great pleasure to see a book bringing together contributors who represent an A-Y(!) of international users to present uses of this injectable implant in all areas of the...
Prophylactic postoperative antibiotics for enucleation or evisceration
The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...The development of PDO threadlifting in the UK
Dr Jacques Otto looks at the development of polydioxanone (PDO) threads as an anti-ageing treatment, the creation of the Association of Polydioxanone Threads (APDOT) UK and what the future holds for threadlifting in the UK. Up to early 2014 the...
