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How I Do It - X neo-umbilicoplasty
Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...Cosmetic work on the NHS
We now have official confirmation that cosmetic work should not be undertaken on the NHS, according to Health Secretary Jeremy Hunt. This appears to be based on figures that in the last six years 8000 people had abdominoplasties on the...OPINION - Who should decide the qualification to do cosmetic surgery?
In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...How I Do It - Approaches to acne treatment: LED therapy
The complexity of acne stems both from its pathogenesis that involves a series of events, including follicular hyperconification, increased sebum production, colonisation of Propionibacterium (P) acnes, and inflammation [1] and its range of symptoms that are unique to each individual....How I Do It - Patient selection in aesthetic medicine
After taking a full medical history of the patient I ask what their concerns are and why they have come in to see me that day. In addition, I perform a psychological assessment of the patient to get a deeper...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.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...
Inferior alveolar nerve (IAN) recovery after ORIF fractured mandible
Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra oral or extra oral incision. Nerve injury or dysfunction is often seen preoperatively and...Facing suffocation: young woman saved from critical neck growth that could have caused death
A young woman whose sore throat became a life-threatening growth in her neck, leaving her struggling to breathe and facing suffocation, has had it removed for free by surgical volunteers from international charity Mercy Ships. “When we first met her,...Debate: cannulas vs. needles - Needles
It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...
