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Thyroid eye disease and obstructive sleep apnoea

This is a retrospective study looking for an association between compressive optic neuropathy in thyroid eye disease (TED-CON) and obstructive sleep apnoea (OSA). One hundred and nine patients with thyroid eye disease were asked to complete a validated questionnaire designed...

Radiotherapy for orbital apex cavernous haemangiomas

This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....

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...

Fat grafting the buttock: facts and myths

Following the widely reported death of a British patient undergoing the procedure, can there be a place for the ‘Brazilian Butt Lift’ in plastic surgery? Professor James Frame takes a look at this controversial topic.

Complications in tissue expansion

This study aims to identify possible risk factors for complications in tissue expansion in all anatomical regions except the breast. The overall complication rate of tissue expansion is up to 48%. Over the 10-year study period, 34 patients had placement...

The cure for parasites

The purpose of a plastic surgeon releasing a website is to enable the public and others to discover information relevant to that surgeon’s qualification, background and experience, and also pre-empt potential conflicts and risks before they may arise. There is...

Diced conchal cartilage with perichondrial attachment graft in rhinoplasty

This article shows the experience of a single surgeon with the use of diced conchal cartilage with perichondrial attachment in 37 consecutive patients. The graft was used to camouflage asymmetries on the lateral wall of the nose, for tip contouring...

The role of bacterial biofilms in aesthetic medicine prioritising prevention

The author provides an overview of literature pertaining to the complex and specialist subject of biofilms that may occur in aesthetic medicine. A brief overview is presented concerning the pathophysiology of biofilms with some discussion concerning differential presentations; early and...

Sun protection is essential to prevent skin cancer and premature ageing

The author gives a brief outline of the key functions of skin with a rationale for why sun care and protection is so important, which is referenced with current guidelines relating to sun exposure and vitamin D. The risks of...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

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...

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...