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How I Do It - Adipose tissue restoration in response to ageing

The ageing process in the face results in a gradual and continuous change, not only of the skin, but in all the underlying tissues, resulting in anatomical laxity and loss of volume. It is important to appreciate these soft tissue...

How I Do It - Wound closure

Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...

How I Do It - How to ‘best-buddy’ strap fingers

A 72-year-old male tripped and fell, dislocating his non-dominant left-ring finger’s proximal interphalangeal joint (Figures 1 and 2). The dislocation was reduced under ring block anaesthesia and the joint immediately mobilised using a simple method of ‘buddy strapping’ using elasticated...

How I Do It - A paradigm shift in injecting: MicronJet™ needles

Hypodermic needles have been used to inject medicines into the skin and deeper for over 150 years. The first hypodermic needle is suggested to have been made by Francis Rynd in Dublin in 1844 [1]. With the current interest in...

How I Do It- Nipple reconstruction

A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....