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Plastic Surgery Volume 5: Breast

This volume covers all aspects of breast surgery from anatomy to aesthetic surgery and then breast reconstruction for oncological and developmental aetiologies. In particular, several well-written chapters discuss the complications of breast surgery and their management with special consideration of...

Bottoms up

Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

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...

Hyaluronidase is not foolproof prevention is key

The author presents a brief account of some key messages to practitioners undertaking non-surgical nose augmentation using calcium hydroxylapatite (Ca HA); reinforcing a robust, current and accurate knowledge of facial anatomy as well as the established safety profile of CaHA....

Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

The role of bacterial biofilms in aesthetic medicine prioritising prevention

The author provides an overview of literature pertaining to the complex and specialist subject of biofilms that may occur in aesthetic medicine. A brief overview is presented concerning the pathophysiology of biofilms with some discussion concerning differential presentations; early and...

Management of post traumatic pseudo-telecanthus

Injuries to the nasal and peri-nasal region are common. Indeed the nasal bones are reported to be the most commonly fractured facial bone. While nasal trauma and deformity are commonly recognised and treated, injuries to adjacent structures are easily missed...

Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

Periocular burns: a literature review of classification, management protocols and outcomes of treatment

The author provides a review of the current literature regarding the principles of classification, management protocols of acute ocular and periocular burns and the role of the burn and oculoplastic surgeon involved in their care. More than two-thirds of facial...

Cautions, contraindications and complications in aesthetics

All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Why I don’t trust the BMA – and why it matters – 24 January 2017

Editors Note: This is a guest blog from Ankush Dhariwal. It is a personal opinion and posting it on the PMFA News website is not an endorsement of the opinions. However, for those working in the NHS, and in the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (Part 19) - The judge fails...

The Judge continues in her ‘Reasons for Sentencing’ and refers to the expert opinion of Dr Jimmy Chan. I have already indicated the lack of veracity when it comes to matters of fact with Dr Chan. Now we an opportunity to consider the validity of his opinion.