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A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

Off-label cosmetic use of botulinum toxin in the lower face

Botulinum toxin A (BoNTA) is commonly used as an off-label cosmetic modality to improve the ageing lower face and neck, and may be used as a single line treatment or in combination with other procedures, such as dermal fillers [1]....

Complications in tissue expansion

This study aims to identify possible risk factors for complications in tissue expansion in all anatomical regions except the breast. The overall complication rate of tissue expansion is up to 48%. Over the 10-year study period, 34 patients had placement...

A systematic review of silver sulphadiazine in the conservative management of burns

Silver sulphadiazine (SSD) has been used in conservative management of partial thickness burns (PTB), for over 50 years. Concerns have been raised over potential disadvantages of SSD including need for daily dressing changes, impairment of wound healing and expense. The...

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...

A tarso-conjunctival flap for paralytic ectropion

This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...

Essentials of Plastic Surgery: Q+A Companion

Designed as a companion to the popular Essentials of Plastic Surgery, this is a compact and portable paperback, also available as an ebook. It is divided into seven sections (102 chapters) to mirror exactly the layout of its parent book,...

Facial Plastic and Reconstructive Surgery: Clinical Reference Guide

Plastic surgery and otolarynology are an example of two surgical specialties which intersect, allowing for clinical and research collaboration. Facial Plastic and Reconstructive Surgery: Clinical Reference Guide gives reference to a number of different principles which have been combined in...

Septal perforation repair and rhinoplasty

The authors present the findings of a retrospective study included 17 patients who underwent rhinoplasty with concurrent septal perforation repair. They analysed the aetiology of the deformity, presenting symptoms, perforation size, intraoperative surgical techniques and complications. They evaluated postoperative subjective...

Assessing acne vulgaris

The author reviews the evidence surrounding acne development, prevalence and assessment, discussing the importance of capturing a detailed patient history, with reference to aspects of the author’s own assessment tool. The crucial role of the pilosebaceous unit in relation to...

The initial management of nasal trauma

Nasal trauma and fractures are some of the most prevalent clinical problems in a facial surgery practice. Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton....

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...