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The patient journey in DIEP flap breast reconstruction
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...How will Keogh impact non-surgical services?
Following the PIP implant scandal of 2010, The Department of Health (DH) commissioned a review of the regulation of cosmetic interventions in September 2012. In April 2013, following extensive consultation the review panel published its recommendations. The recommendations set out...
Problems in Breast Surgery A Repair Manual
Breast surgery is one of the most commonly performed plastic surgical procedures with a high incidence of revisions carried out, not only for complications, but also due to the natural evolution of the breast, ageing, or the consequences of long-term...
Pedicle calcification an uncommon problem
Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...Informed consent and failure to disclose – legal perspectives for aesthetic surgeons
As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...
A survey of American plastic surgeons of fat grafting to the breast
The authors present results of a survey of the use of fat grafting by American plastic surgeons in order to benchmark current practices in both aesthetic and reconstructive procedures to the breast. A survey was sent electronically to 2584 members...The role of skin camouflage and micropigmentation in the fields of burns and plastic surgery
Many patients who survive major burns, suffer a traumatic injury or undergo reconstructive surgery following cancer are left with both physical but also psychological sequelae. Sometimes early psychological difficulties improve with the passage of time with support from friends and...How I Do It - Breast uplifts: how I do a mastopexy (or breast reduction) with or without implants
Summary and introduction A mastopexy is a breast uplift surgical procedure. It derives from the Greek for breast (mastos, meaning breast) and uplift (from the Greek pexis, meaning fixation). When we perform a mastopexy, we can perform the procedure on...
