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Surgical management of subungal melanoma

The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...

The lateral neck cystic mass – diagnostic dilemma

Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma. These cystic masses often develop in young adults distinguishing a branchial cleft cyst from a cystic lymph node with imaging and even high-quality fine needle aspiration cytology...

Risks of tracheostomy in head and neck cancer

Tracheostomy is an accepted surgical procedure that is one of the oldest ways of securing the airway. It is widely accepted to protect the airway after big cases of head and neck cancer and especially following free flap reconstruction. It...

Factors influencing a career choice in plastic surgery as a UK medical student

The medical school curriculum is increasingly focusing on the role of a general practitioner, which has resulted in medical students having reduced exposure to surgical specialties. There has been a longstanding concern that plastic surgery teaching and exposure in the...

Devoted couple celebrate wife’s life-threatening tumour removal by UK surgeon

A 45-year-old woman has had a debilitating, orange-sized tumour surgically removed from her jaw for free after she was spotted on the side of the road by volunteers from international charity Mercy Ships, passing through her village in Madagascar. Unable...

How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon

Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...

How I Do It - Adipocytolysis

Why is there an interest in adipocytolysis? Sub-mental hypertrophic adiposity and jowling of the lower face are frequently the result of ageing and weight gain but there is also a genetic component [1]. Scientific background on injectable adipocytolysis products Several...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Duration of botulinum toxin effects: Determining factors and practical recommendations

Botulinum toxin has become a popular drug in aesthetic dermatology and plastic surgery and is used to diminish wrinkles as well as for a number of medical indications. However, current reports suggest the loss of a therapeutic effect over a...

COVID-19 Isolation Syndrome

James Frame looks at the psychological effects of lockdown on plastis surgery patients.

The use of intravenous tPA for the treatment of severe frostbite

Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...

Systematic review of PUC compared with textured silicone implants

Poly-urethane coated (PUC) implants have recently been back in the spotlight following the halt on Silimed implant use in Europe and this review is timely in assessing the perceived benefits of these prostheses. This review was adherent to the PRISMA...