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The impact of 21st century stressors and lifestyle factors on skin ageing

Skin appearance and health play a significant role in everyone’s life and confidence, particularly in today’s 21st century lifestyle and the associated stressors promoting skin ageing. The skin is a dynamic organ, showing apparent signs of ageing and damage, which...

A systematic review of silver sulphadiazine in the conservative management of burns

Silver sulphadiazine (SSD) has been used in conservative management of partial thickness burns (PTB), for over 50 years. Concerns have been raised over potential disadvantages of SSD including need for daily dressing changes, impairment of wound healing and expense. The...

Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

Comparison of petrolatum gel with silver sulfadiazine dressings in small superficial burns

This was a randomised controlled trial set up in a single burns centre in Manila in the Philippines. Inclusion criteria were superficial burns not requiring skin grafting, and up to 10% total body surface area in young, fit adults between...

A survey of American plastic surgeons of fat grafting to the breast

The authors present results of a survey of the use of fat grafting by American plastic surgeons in order to benchmark current practices in both aesthetic and reconstructive procedures to the breast. A survey was sent electronically to 2584 members...

How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

In conversation with Firas Al-Niaimi

We were delighted to catch up with Dr Firas Al-Niaimi about his career. You are internationally recognised in the fields of Mohs surgery, lasers and dermatology – can you tell us a little bit about your background? I grew up...

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....

Classical facelift: a modern British perspective

It is clearly impossible to outline the whole of this subject matter in a short editorial article; many theses have been written in this field. This article is designed to give an overview to those reasonably familiar with this area...

Eyelid and Periorbital Surgery

Many specialities in surgery intersect, allowing for clinical and research collaboration. Plastic surgery and ophthalmology are one such example wherein a number of different principles have been combined in order to develop reconstructive techniques for conditions affecting the orbital soft...

Using autologous blood to reduce post-operative infections

The removal of impacted wisdom teeth is a commonly carried out surgical procedure in maxillofacial surgery. Apart from the usual complications of postoperative bleeding and wound infection, the most painful one is alveolar osteitis. This is mainly dependent on retaining...

Medicinal leech therapy in plastic surgery

The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...