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UK allergy crisis: deploy the ‘LIMED’ mnemonic

In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Botulinum Toxins in Clinical Aesthetic Practice

This comprehensive guide comes in two volumes. Volume one considers the clinical adaptations of the various toxins and how they can be used with other injectables such as dermal fillers, light and energy base devices. It explores the use of...

Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...

Rare grapefruit-sized tumour removed from behind two-year-old's ear

A two-year-old girl from Madagascar has received free life-changing surgery after a benign tumour weighing 280g was removed by the Christian international healthcare charity, Mercy Ships. Without the timely surgery, the tumour would have continued to grow, putting pressure on...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Letter from Hong Kong (13 April 2020)

Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.

Female Cosmetic Genital Surgery: lifestyle or science?

The demand for female cosmetic genital surgery (FCGS) has increased over the last decade [1]. This rise is difficult to quantify, as the majority of these procedures are performed in the private sector. However, this trend is also obvious within...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

Vulvar rejuvenation

The author explores the concept of vulvar rejuvenation; an increasingly popular area of treatment within the non-surgical aesthetic sector, describing a number of clinical presentations and treatment modalities. Equally, the author acknowledges that surgical vaginal rejuvenation procedures are well established...

Autologous fat grafting for lip reconstruction

The authors present the findings of a retrospective study of 12 patients undergoing autologous fat grafting for the reconstruction of a lip deformity following haemangioma treatment. At the age of about four to five months to two years of age,...

Imiquimod for lentigo maligna

This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....

Laser treatment of tattoos

A useful and detailed paper on the theoretical and practical applications of laser tattoo removal, supported by an overview of the history of the use of lasers. Specifically, the author describes some of the basic laser physics, the assessment of...