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Combined procedures: lipo-abdominoplasty and lipo-inner thighplasty (string technique) and face rejuvenation

From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 2 With the evolution of superficial suction lipectomy in the 1990’s the need for skin resection became less common and the...

An epidemic of lower limb gunshot injuries

As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Suspension thread lift combination treatments

A true facelift can only be achieved through surgical means, at least for now, and given advances in techniques and anaesthesia, this has become far safer. Not everyone, however, requires a facelift. Non-surgical modalities such as thread lifts with or...

The creation of PlayDoh<sup>®</sup> models as an educational tool for teaching anatomy of the eyelid

A full understanding of the anatomy of the eyelid is essential for oculoplastic surgeons; the authors guide us through an innovative way to improve the teaching of this important subject. An understanding of the anatomy of the eyelid is essential...

Teaching students head and neck anatomy through the art of drawing

The link, both historical and contemporary, between art and anatomy is apparent. A recent British Broadcasting Corporation (BBC) documentary The Beauty of Anatomy showcased the impressive contributions of artists towards the deeper understanding of anatomy and, by default, surgical practice....

Treating the male patient with dermal fillers

Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

Revirgination is not the same as hymenoplasty

The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

Psychological outcomes following ultrasound-assisted gynaecomastia reduction in adult men

Gynaecomastia is a common condition that is said to affect 30-65% of men worldwide. Regardless of the severity of the condition, many men that are affected by their gynaecomastia, suffer considerable social embarrassment. The incidence appears to be increasing as...

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...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Response to the Keogh Review

On 13 February 2014 the UK Government published its response to the Keogh Review of the regulation of cosmetic interventions (https://www.gov.uk/government/publications/regulation-of-cosmetic-interventions-government-response). This response has been much anticipated by the fields of plastic surgery and aesthetic medicine and inevitably has provoked...

Hormones, ageing and skinspan

Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...