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A new free flap for the head and neck

Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if...

Is the UK justice system colour blind?

The colour of justice is not blind in the UK. What I am going to say in this blog may not be popular but I am very troubled by certain facts that are being conveniently ignored. Before I knew the...

Essentials of Aesthetic Surgery

Such a well written book, this is an absolute must for your reference collection. The demand for aesthetic surgery is rapidly growing and this book is a concise haven of knowledge not only for those training in plastics but also...

Medico-legal Forum (Laser/Polydioxanone)

The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. Conclusion to the previous case Last issue’s Medico-Legal Forum discussed a case...

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Prednisolone and/or acyclovir for Bell’s palsy

Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

Preferred upper / lower lip ratio and perception of naturally looking lips, a study across generations and genders

Introduction ‘Beauty is in the eye of the beholder’. Although it sounds true, most often some beauty patterns or preferences can be innate or intuitive [1]. When it comes to the ideal lips, how much of their features can be...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

In and out of love with surgery

Growing up with books shaped me into a hopeless romantic believing in heroes, magic and achieving the impossible. Throughout the years as I sat patiently waiting on my letter from Hogwarts I instead received my acceptance letter to medical school....

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

Temple filler: an unusual complication

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Hollowing of the temples is one the earliest signs of ageing, creating...

AMWC 2023

AMWC is one of the world’s leading aesthetic and anti-ageing medicine congresses, welcoming 14,000 participants and 300 prominent speakers from over 120 countries. Held under the supervision of the Aesthetic Multispecialty Society (AMS), the advanced and highly interactive programme covers...