Maxillomandibular advancement for sleep apnoea

This is a meta-analysis compiled from India. Of the initial 103 publications 20 were analysed. Surgical cure was defined as postsurgical AHI of fewer than five events per hour. Of the 251 patients assessed for AHI, 12 where considered normal,...

The relevance of rhinoplasty and septorhinoplasty from the commissioner’s point of view

The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...

Chemical peels: a review of types, applications and complications

Chemical peeling agents continue to grow in popularity in response to rising patient demand. The author captures this popular treatment modality with a succinct review of some of the commonly used ingredients, classified broadly by depth into superficial, medium and...

Improving the anatomical understanding of the causation of fine lines

An interesting piece which explores the current evidence of the factors that are thought to lead to facial ageing through fine lines. The author outlines a detailed discussion of the many intrinsic factors which can lead to the emergence of...

Efficacy of radiofrequency technology in the treatment of aesthetic indications

The authors present a clear description of the mechanics of how radiofrequency (RF) was initially developed, supported by a detailed overview of some of the more common RF devices, including their mode of action and applications. The authors include a...

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...

Pliability and elasticity of the external nasal skin in unilateral nasal valve collapse

The authors performed this study to test the hypothesis that the nasal skin of patients with unilateral nasal valve collapse demonstrates reduced elasticity and increased pliability on the side of the collapse compared with the nasal skin on the side...

Transgender breast surgery

Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...

Transgender facial surgery

In this review article the author outlines the various elements of this subspecialty, with reference to published literature and his own clinical experience in the field. The article does not present new data, and lacks the detail necessary to appeal...

Delayed improvement in Muller’s muscle ptosis surgery

This is a retrospective review of patients undergoing ptosis surgery. The authors had noticed anecdotally that although a posterior approach Muller’s muscle and conjunctival resection (MMCR) appeared to achieve similar results to an anterior approach levator resection (ALR) in the...

Orbital filler for enophthalmos in Parry-Romberg syndrome

This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...

Modified subciliary approach to the orbital floor

Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor the...