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Transgender breast surgery
Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?Want to do exciting entrepreneurial research? – ask the space scientists
Advances in medical technology have improved the quality of life for people around the globe and contributed towards a general increase in life expectancy. Much of this can be attributed to a synthesis between the experience of medical professionals and...Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination
Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...
A new technique for correction of medial ectropion with a lax medial canthal tendon
This is a prospective study of a new technique for repair of medial ectropion associated with medial canthal tendon (MCT) laxity. The procedure was performed on 79 eyes and involved excision of an ellipse of tissue from below the punctum...COVID-19: thoughts from an Edinburgh plastic surgeon
The COVID-19 pandemic has affected almost every aspect of life. Ken Stewart, Consultant Plastic Surgeon and Special Advisor for The PMFA Journal, outlines for us how his own plastic surgery department has adapted to the crisis. What did you do...
Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
Diagnosis and management of orbital vascular malformations
This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...
Hierarchy of orthognathic surgical stability
This study was designed as ‘an overview’ of secondary studies and analysed 15 articles. Two procedures were considered highly unstable, a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...Improving cosmesis after breast implant removal
Removing breast implants has a profound effect on the patient’s appearance; in this article the authors, both expert breast surgeons, discuss how to optimise the cosmetic result. Removing breast implants has a profound effect on the patient’s appearance and we...
Plastic Surgery Volume 4: Lower Extremely Trunk and Burns
This volume begins with a good description of lower limb anatomy followed by several chapters covering the principles and management of lower limb trauma; sarcoma diagnosis, investigation and treatment; lymphoedema and lymphatic reconstruction; neuroma management and nerve compression; skeletal and...
