Publications by authors named "James Wokes"

Background: The term 'internal bra' refers to a range of techniques that aim to stabilise the position of the breast and improve longevity of surgical results. It is increasingly being used to describe techniques in surgical literature and on patient information platforms, including social media. However a lack of consistency in the use of the term is a potential source of confusion and conflicting information.

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Cryotherapy is a common technique used in the management of superficial skin lesions, with current advice on the correct timing for freeze-thaw cycles based on nonscientific visual skin appearances. We investigated the effect of cryotherapy on thermal thawing times by creating a porcine skin model in a laboratory setting maintained at normal skin temperature and comparing liquid nitrogen and liquid nitrous oxide. Thermal assessment was performed using a thermal camera attached to an iPhone 11Pro® smartphone.

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Article Synopsis
  • Aesthetic plastic surgeons face a hidden problem of online defamation and fake news, which has been accumulating over the past 10 to 20 years but is rarely discussed openly.
  • Nearly half of surveyed surgeons reported damage to their reputation, primarily due to digital defamation, with over 75% experiencing patient blackmail for refunds.
  • The emotional toll is significant, as one-third noted serious impacts on their mental well-being, highlighting an urgent need for support from professional organizations.
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Background: Tranexamic acid (TXA) can reduce intra- and postoperative bleeding as well as minimizing postoperative swelling and ecchymosis. It can be administered both intravenously and topically during surgery with minimal side effects.

Objectives: To assess the evidence of TXA use in aesthetic surgery and to complete a survey of current practice of full British Association of Aesthetic Plastic Surgeons members.

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Background: Current British Association of Dermatologists guidelines recommend that Mohs micrographic surgery should be considered for incompletely excised basal cell carcinomas and squamous cell carcinomas. Units that perform Mohs surgery are limited. In Teesside, the skin cancer multidisciplinary team discusses all incompletely excised skin tumors, considers all treatment options, provides recommendations, and initiates the agreed management plan.

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