Post-treatment advice following botulinum toxin injections

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...

Laser treatment of tattoos

A useful and detailed paper on the theoretical and practical applications of laser tattoo removal, supported by an overview of the history of the use of lasers. Specifically, the author describes some of the basic laser physics, the assessment of...

Total lower lip reconstruction: a review

Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

Acute dacryocystic retention

This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is chararcterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...

Hyaluronic acid filler for infraorbital hollows

Volume loss theory has changed the traditional theory of excess tissue as the cause of facial aging. Periorbital area is a challenging region for the injection because of its thin skin, increased vascularity, and compromised lymphatic drainage system. So contour...

One anastomosis or two

This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

Bleach peeling for melasma

Identifying and treating melasma is a continued challenge in aesthetic practice and the dermatologist author shares an insightful piece outlining some of the treatment options for topical bleach peel depigmenting approaches. A brief summary of current literature findings are explored...

Body contouring modalities for sculpting the abdomen and flanks

The author discusses the importance of appropriately assessing an individual’s BMI in relation to assessing suitability for non-surgical body contouring, with a detailed and balanced discussion of non-surgical methods of contouring the abdomen and flanks. Some of the more commonly...

SPECT scans not justified in growth of the mandibular condyle

This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...

Tranexamic acid and blood loss in bimaxillary surgery

This is a randomised, double blind, placebo-controlled trial from Thailand to clarify the most effective dose of Tranexamic acid in reducing blood loss during a bimaxillary osteotomy. They confirmed that the dose of 10mg per kg is the most efficacious...

A review of orbital plasmacytomas

This is a multicentre review of 30 patients with orbital plasmacytomas. There were equal numbers of males and females, and the average age at diagnosis was 57 years. All patients were either already diagnosed with systemic multiple myeloma or it...