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A new autologous flap option for breast reconstruction
The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...How I Do It - Body contouring - PAL-HD liposculpture in men and women
Both men and women seek to improve their physical appearance, contour their figure, and achieve results that cannot be always be obtained solely with diet and exercise. Therefore, liposuction is one of the most popular aesthetic procedures. Power-assisted liposuction (PAL)...Cautions, contraindications and complications in aesthetics
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...
Management of post-acne scarring
The author provides a detailed discussion of acne scarring, underpinned by statistics, reflecting the current prevalence. The pathogenesis of acne scarring, different types of scars and severe psychological impact are explored with emphasis on providing evidence-based treatments in aesthetic practice....
Controlled trauma technique when injecting HA dermal fillers
The author presents an interesting discussion regarding the potential for enhanced neocollagenesis through a patented ArqueDerma® dermal filler technique. A thorough overview is conveyed of the dermal collagen matrix, including the characteristics of type I and type III collagen. The...
The effect of skin graft contracture when using artificial dermis
This is a report of a prospective clinical trial performed in a single centre in Seoul, South Korea. The group attempted to observe the change in size of skin grafts applied to an artificial dermal substitute (matriderm). Two groups of...
Reconstructing large heel defects
A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...
Management of keloid and hypertrophic scars
The management of keloid and hypertrophic scars is commonplace in all burns and plastic surgery outpatient clinics, and in this paper the authors review many of the current treatments available for this difficult problem. They start with an introduction about...
Review of free flap use in burns
The authors looked at 346 studies of the use of free flaps in burns and undertook a systematic review of 30 of these studies after applying inclusion and exclusion criteria. They found that the use of free flaps could be...
