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693 results found

A simplified method for advancement genioplasty

Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...

Nanotechnology and regenerative therapeutics in plastic surgery

This review is focussed on how novel nanotech therapeutics can apply to modern plastic surgery. The review does not pose a specific question and, therefore, does not base the review on a particular hypothesis to whether nanotech carries an evidence...

Use of acellular dermal matrices in revisional breast reconstruction

In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....

Complications in Facial Plastic Surgery: prevention and management

It is always welcome news to hear of books related to the subspecialty of facial plastic surgery, particularly good books, and this book certainly fits into that category. This multi author book is written by well established facial plastic surgeons...

Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...

The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...

How will Keogh impact non-surgical services?

Following the PIP implant scandal of 2010, The Department of Health (DH) commissioned a review of the regulation of cosmetic interventions in September 2012. In April 2013, following extensive consultation the review panel published its recommendations. The recommendations set out...

Problems in Breast Surgery A Repair Manual

Breast surgery is one of the most commonly performed plastic surgical procedures with a high incidence of revisions carried out, not only for complications, but also due to the natural evolution of the breast, ageing, or the consequences of long-term...

Pedicle calcification an uncommon problem

Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...

The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery

Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...