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How I Do It - A novel method obviating the need to proceed to second stage autologous skin grafting in selected burned patients resurfaced with Integra™

A survivor of large full thickness skin burns will have suffered for months during repeated grafting surgeries to heal, yet real recovery will take years, if at all, because of the inevitable physical and mental challenges. Time spent on the...

How I Do It - Using Nd:Yag laser for correction of vascular anomalies

Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests and...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

In Conversation with Professor Jian Farhadi

We were delighted to speak with Professor Jian Farhadi, Consultant Plastic Surgeon and past Director Department of Plastic & Reconstructive Surgery at Guy’s and St. Thomas’ Hospital in London. He is a specialist in reconstructive and aesthetic breast surgery and...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

Cellulite: does wearing compression hosiery work?

Cellulite affects a large proportion of women. Recently several companies have produced compression hosiery claiming to reduce the appearance of cellulite. One of the latest products are ‘Silver Wave’ stockings, made by Solidea, which claim to reduce cellulite using ‘patented...

HA dermal filler with lidocaine: initial clinical outcomes

Hyaluronic acid (HA) is a natural occurring body polysaccharide essential for various body functions, present in connective tissues, skin, vitreous humour of eye, extracellular matrix, synovial fluid, etc [1]. It was first isolated in bovine vitreous by Mayer and Palmer...

MD/PhDs or MD/MBAs: which do we need more to innovate in plastic surgery?

I would like to thank Arlen Meyers and Victor Castro for submitting this article. One of the problems that I have seen in my professional lifetime is the failure of entrepreneurs to grasp that there is no infinite health care...

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Clitoral reconstructive surgery after female genital cutting

Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...