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IN RESPONSE TO: Plastic surgery and aesthetic medicine - specialties and specialists

I read with great interest the article ‘Plastic surgery and aesthetic medicine: specialties and specialists’ by Professor Andrew Burd published in the Feb/Mar issue of PMFA News. Prof Burd brings up many valid points about the specialty of plastic surgery...

Forehead rhytides – anatomy and neuromodulator treatment

This article refines our understanding surrounding the forehead in general and more specifically of the anatomy and function of frontalis, a common target for anti-wrinkle injections. The author enrolled a cohort of volunteers with a wide range of ethnic backgrounds...

World's first 3D-printed personalised breast tissue regenerative implants successfully used in real clinical practice

Dr Mohamed Lofty Hamed has achieved a groundbreaking milestone in the field of cosmetic surgery, performing the world’s first real-world clinical case of breast augmentation using 3D-printed, personalised implants. Unlike previous and current efforts, which were confined to experimental settings...

Is rib cartilage a safe material for rhinoplasty

This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...

The effect of smoking status on burn inhalation injury mortality

It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...

Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Case-based illustration and discussion of surgical modalities to manage traumatic hand defects

The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...

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...

CQC regulators and private hospitals need more common sense

There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....

Real-world use of telemedicine – a picture is worth a thousand words

Recent advances in mobile phone camera technology and app software design have allowed photos of patients and their wounds to be sent from any smartphone to a secure NHS database, which can then be accessed by the relevant clinician with...

Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

How I Do It - Reduction ­thyroplasty

Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...