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How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...Is rhinoplasty still a plastic surgery procedure?
As a result of the rationing of healthcare in the NHS and the treatment of nasal trauma by other specialties, there is anecdotal evidence that current plastic surgery trainees have less exposure to rhinoplasty procedures. This article explores the issue...Perceptions and Deceptions: a personal blog by the editor 3 August 2016
Whistle blowing. What is it? Fascinating discussion with Chris Day, the Junior Doctor in the UK who is challenging the execution of the law in this sensitive area of employment contracts (http://54000doctors.org). More of that later, but just to note,...
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...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...Laser safety – do you think you are safe?
The author explains the importance of proper qualifications and training to ensure both patients and practitioners are protected. Safety concerns For those working with lasers, safety must be everyone’s concern. We should all be checking equipment and safety glasses routinely,...
Imaging for Plastic Surgery
To the best of my knowledge and after an extensive online search, I was unable to find any other textbooks that so extensively tackle the subject of medical imaging as it relates to plastic surgery in general and certainly none...How I Do It - Contouring the lower jaw (non-surgical)
It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...How I Do It - How to ‘best-buddy’ strap fingers
A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.
