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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...

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 - 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...

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...

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...

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,...

Assessment of septal deviation in septorhinoplasty

A variety of methods exist to assess the nasal septum, often dependent of the healthcare resources available, and whether there is a specific pathology affecting the function of the nose. The authors present a small series of patients presenting with...

Bioengineered human tissue

This is a literature review of the current status of tissue engineering related to ocular and oculoplastic reconstructive surgery. The authors describe the process of bioengineering for tissue reconstruction. The aim is to reproduce functional tissue by the use of...

Massive weight loss abdominoplasty with novel technique of umbilicus reconstruction

This paper provides a description of the authors’ technique and thoughts on fleur de lys abdominoplasty including a technique of fashioning of the neo-umbilicus within the vertical scar. It contains good operative and postoperative photographs. The authors starting with the...

Revision facial plastic surgery

This is a timely publication to address some of the contemporary issues we face in dealing with poor results, or remediating results of others. No one escapes dissatisfactory outcomes. Lower lid rejuvenation is no longer a surgical manipulation of the...

Honey in the management of mucositis

This is a meta-analysis of randomised controlled trials. Despite some limitations, they were able to identify that honey could reduce the severity of radio / chemotherapy induced oral mucositis. They acknowledge that the exact aetiology in the effect of honey...