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How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector

On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...

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...

FNA in the diagnosis of malignant salivary gland tumours

Salivary gland tumours are relatively rare and occur with an incidence of 2.5-3% per 100,000 people. Histologically they are extremely diverse with several patterns; some of which overlap and exact diagnosis can be difficult. Indeed it can be difficult to...

Perceptions and deceptions: a personal blog by the editor 14 December 2016

A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part five) Whilst the death of Zoey Leung was now the focus of a criminal investigation I found myself dealing with...

The dangers of unlicensed cosmetic practitioners

The closing of aesthetic clinics and beauty salons during the COVID-19 lockdown brought an influx in unlicensed practitioners and DIY cosmetic filler kits. This has resulted in thousands now suffering the consequences of their practitioner’s lack of experience. Watermans Solicitors...

Canniesburn: 50 years at the forefront of plastic surgery

Past and present colleagues and friends recently celebrated 50 years of the Canniesburn Plastic Surgery Unit, with scientific meetings held at The Royal College of Physicians and Surgeons in Glasgow. Friendships were renewed and memories of being part of the...

Preservation rhinoplasty

Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...

Wide en bloc resection of lacrimal sac tumours

This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...

How I Do It - Contouring the lower jaw (surgical)

It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...

Bioengineered human tissue

This is a literature review of the current status of tissue engineering related to ocular and oculoplastic reconstructive surgery. The authors describe the process of bioengineering for tissue reconstruction. The aim is to reproduce functional tissue by the use of...

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