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A comparison between the American European Consensus Group and the American College of Rheumatology classification criteria for Sjogren's syndrome

This article highlights the challenges in diagnosing Sjogren's syndrome. As is pointed out in the introduction, there is no one gold standard for diagnosis and since 1965, there have been 11 sets of classification criteria for Sjogren's syndrome. The authors...

The superficial circumflex iliac artery perforator flap in intraoral reconstruction

There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

Stability of lateral canthal position following endoscopic forehead-midface-lift

The paper is a retrospective study of the changes on the lateral canthal area following endoscopic forehead-midface-lift in a series of 40 patients operated by the same surgeon. Four different parameters (horizontal width, vertical height, palpebral fissure width and angle...

Alar retraction – background and handling

The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....

Principles of facial allotransplantation

In the seven years since the first partial face transplant was performed, a number of units around the world have raced to stamp their mark on this exciting and promising advance. In doing so, some have allowed their ambitions to...

OPINION - Who should decide the qualification to do cosmetic surgery?

In my opinion – certainly not the Royal College of Surgeons of England (RCS), if the new requirements in their Cosmetic Surgery Certification Scheme are read correctly, because self-certification without a formal training assessment and formal examination is meaningless. The...

Lasers and the skin

Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers have revolutionised the treatment of many skin conditions and are being used both in terms of a medical and an aesthetic context. Laser technology has been advancing...

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...

RESPONSE – Who should decide the qualification to do cosmetic surgery?

Patrick Tansley responds to a recent article featured in The PMFA Journal entitled ‘Who should decide the qualification to do cosmetic surgery?’ by Professor James D Frame (with an associated editorial comment by Professor Andrew Burd). When asked to comment...

The New Doctors Contract NHS England – a brief summary

This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

The injectable buttock procedure

Gluteal contouring has become an extremely popular procedure led by celebrity images and patient requests.

How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck

The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...