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Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Emerging trends in the aesthetics of rhinoplasty: from local to global

The concept of ‘beauty’ can be bewildering in its scope and variation through time and geographical location. As the aim of facial plastic surgery consists of restoration of form and function, the definition of beauty takes on immense importance. Although...

Debate: cannulas vs. needles - Needles

It is generally agreed that the choice of cannula or needle is site and material dependent, but the injector‘s comfort and skill in creating a desired aesthetic result is also important. The two most important considerations are the aesthetic outcome...

The gender affirmation surgery MDT

The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

Recent developments in facelift surgery

Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

Poor glycaemic control associated with worse outcomes in primary wound closure

This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...

Acid attacks: part 1

In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

Contemporary aesthetic management strategies for deficient jaw angles

Facial aesthetics in the lower facial third is strongly influenced by mandibular profile with the mandibular angle playing an important role. The youthful appearance of a well-defined jaw line and angle, which is regularly seen among leading movie actors, is...

Cosmetic labiaplasty – basic relevant anatomy and surgical considerations

Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...

World Rhinoplasty Week 2024 introduced by SORSSA/WRD Founding President Dr Cameron McIntosh

The inaugural World Rhinoplasty Week (#WRW2024) and the second World Rhinoplasty Day (#WRD2024) are set to kick off from Saturday 2 November. WRD2024 will host the world’s best speakers in a pre-recorded 24-hour continual webinar where 72 countries are entered...