Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...
The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....
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...
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).
Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...
A thought-provoking piece in which the author draws the reader’s attention to the importance of adequate skin cleansing. Injectables products and devices are sterile and single-use, it may be assumed that the greatest risk of infection comes from poor and...
The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...
The senior author (RM Zuker) presents a discussion with evidence, on the controversies and shift in the treatment paradigm for giant congenital melanocytic naevi (GCMN). On review of the current literature the overall incidence of melanoma in GCMN is 0.7...
The author gives a detailed review of the advice that is routinely offered to patients following treatment with botulinum toxin, as well as the available evidence to substantiate current recommendations. There is a detailed description of the mechanism of action...
This is a retrospective review of vitamin D levels in patients with thyroid eye disease (TED). Vitamin D levels in 89 patients with Grave’s disease and TED were compared against 89 patients with Grave’s disease and no TED. They also...