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Revirgination is not the same as hymenoplasty

The operation called hymenoplasty is requested by women all over the world before marriage if they have engaged in premarital sex. They think that by undertaking the procedure of hymenoplasty they will regain their lost virginity, a theory that is...

Anatomy & Filler Complications

A book with a calming light brown covering is what is needed when faced with an adverse event. This book covers the underlying anatomy and filler complications that may occur in clinical practice. Arranged in five chapters it is an...

First there was Sophia

A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

Mid-facial augmentation with malar implants

The authors guide us through facial augmentation using implants to restore volume and a youthful appearance. In today’s ‘selfie-obsessed’ culture, there is no other anatomical region which carries greater social prestige and importance, than a well-proportioned ‘youthful’ face. In particular,...

Cosmetic Surgery Certification Scheme – looking into the future of regulation, quality and safety in cosmetic practice

With plans underway to extend the cosmetic surgery certification scheme to all surgeons performing cosmetic surgery, we share the views of the RCS, BAAPS and BAPRAS. The Royal College of Surgeons (RCS) along with its partners in the Surgical Specialty...

Should Plastic Surgeons 'De-skill'?

For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...

Septal perforation repair and rhinoplasty

The authors present the findings of a retrospective study included 17 patients who underwent rhinoplasty with concurrent septal perforation repair. They analysed the aetiology of the deformity, presenting symptoms, perforation size, intraoperative surgical techniques and complications. They evaluated postoperative subjective...

An elegant extension to the facelift, resulting in good neck correction

The author discusses his experience in over 200 cases of an overlapping plication platysmaplasty technique via the facelift incision, thus avoiding a submental incision. A logical argument is made to the benefit of the procedure, providing more extensive retraction in...

Reconstruction after maxillectomy

Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....

Imaging accurately predicting the need for mandibular resection

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

Oral photoprotection

The author presents an insightful review of the benefits of systemic photoprotection through orally ingested nutrients, advocating a need for a greater level of protection against free-radicals. Vitamin C is discussed in relation to its role in immune function, collagen...