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How I Do It - Reduction ­thyroplasty

Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

How I Do It - Approaches to acne treatment: Pulsed-dye laser

Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Ultrasound-guided gluteal augmentation with hyaluronic acid (Variofill®)

Buttock augmentation has gained increasing popularity, driven by the demand for improved body contour and projection. Traditional surgical methods, such as autologous fat grafting or implants, can provide substantial volume but are associated with significant risks, including fat embolism, infection,...

How I Do It - NSR with dermal fillers

Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

Soft tissue augmentation – a review

The author explains how treating the face as a 3D structure is key to a good result with invasive or non-invasive procedures. History Rejuvenation of the face and trying to reverse the effects of ageing dates back centuries. Facial volume...

2nd Chance: reconstructive surgery for life reconstruction

Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...

A review of plasma medicine

The author investigates the efficacy and tolerability of plasma treatments and asks what the future might hold in this field. Plasma medicine, a new and revolutionary technology to aesthetics, utilises the physical process of sublimation for therapeutic purposes. Non-surgical clinical...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

MD/PhDs or MD/MBAs: which do we need more to innovate in plastic surgery?

I would like to thank Arlen Meyers and Victor Castro for submitting this article. One of the problems that I have seen in my professional lifetime is the failure of entrepreneurs to grasp that there is no infinite health care...

The flora of Culloden Field: Healing plants of a wounded land

The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...

How to establish a successful practice in aesthetic medicine

It is no secret that today’s aesthetic patients tend to seek non-invasive, non-surgical solutions as opposed to invasive treatments. According to the latest statistics published by the American Society of Aesthetic Plastic Surgery (www.surgery.org), there were over 11 million surgical...