PIP experience in the United Kingdom

This interesting study had three end-points. The accuracy of operative and radiological findings on explantation of PIP implants following the PIP scandal. The volume between intact and ruptured implants, with the hypothesis larger implants were more likely to rupture, and...

Topical and systemic interventions for the treatment of rosacea

The author provides current statistical information on the incidence of rosacea and ambiguity surrounding the aetiology of the common, yet complex condition. The paper reinforces the importance of providing symptom specific treatments, as well as the key position of aesthetic...

Defeating dry skin

The author provides a comprehensive overview of the factors influencing skin condition, exploring the physiological processes affecting hydration, the role of ceramides as well as epidermal aquaporins. A detailed and referenced discussion is conveyed on the intrinsic and extrinsic factors...

Beautification or distortion? Tackling the lip augmentation phenomenon

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....

Management of the eye in facial paralysis

Ocular prevention is the first and foremost priority in the management of the patient with facial paralysis. John J Chi presents a review on the management of the upper and lower eyelid in cases of the paralysed face. In the...

Classification and assessment of midfacial fractures: no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...

Airway first in patients with facial trauma

Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...

A simplified method for advancement genioplasty

Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...

Bleb-related changes in upper lid position

This is a review of five patients with upper lid ptosis or lid retraction secondary to large filtering blebs post-trabeculectomy. The authors review each case and apply a model to analyse the separate forces acting on the upper lid to...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Surgical exposures of the hand

This paper by Watt and Chung gives the reader an overview of hand anatomy, comments upon the aesthetics of hand surgery and summarizes some surgical approaches to the hand. The introduction presents a concise overview of the relevant anatomy of...

The role of thrombolytics in acute and chronic occlusion of the hand

In keeping with much of this edition of the Hand Clinics journal, this article accurately and appropriately sets out the background, epidemiology and current approach to management of acute and chronic upper limb ischaemia. The background sections ease the reader...